Nursing Procedures and Skills Solved
Exam Questions
Course Introduction
This course provides a comprehensive introduction to essential nursing procedures and skills that are fundamental to clinical practice. Students will learn proper techniques for patient assessment, hygiene assistance, vital signs monitoring, medication administration, wound care, and infection control. Emphasis is placed on the development of critical thinking, safety protocols, effective communication, and the application of evidence-based practices. Through a combination of classroom instruction, laboratory simulations, and supervised clinical experiences, students will acquire the practical skills necessary for delivering safe and competent nursing care across diverse healthcare settings.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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Chapter 1: The Adult Learner: Hints to Succeed
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Sample Questions
Q1) A student enrolled in an LPN/LVN program states,"I'm fresh out of high school and living alone for the first time in my life.I'm having to learn how to take care of myself as well as learning to care for my patients." This statement identifies the student as
A) a traditional adult learner.
B) a returning student.
C) a recycled adult learner.
D) someone in need of counseling.
Answer: A
Q2) Learner A is concerned about the clinical evaluation component of the nursing program.A peer could help alleviate anxiety by explaining that the purpose of clinical evaluation is to
A) assist the learner to identify strengths and areas needing improvement.
B) provide constructive criticism related to poor performance behaviors.
C) keep unsuitable persons from achieving licensure.
D) help learners develop the ability to listen to negative comments about performance.
Answer: A
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Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) When a nurse evaluates the effectiveness of a time management plan,it is best to ask
A) "Do I enjoy using this plan?"
B) "Am I meeting short-term goals?"
C) "Would my plan work for others?"
D) "Has my plan cured my procrastination?"
Answer: B
Q2) A nurse is presenting information on time management to the clinical team at a nursing home.Select information to present that describes positive aspects of time management.
A) Time management helps one use time more efficiently.
B) Time management prevents one from doing what he or she wants to do.
C) Time management helps one use time more effectively.
D) Time management makes individuals slaves to their schedules.
E) Time management promotes smarter, not harder, work.
Answer: A,C,E
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Chapter 3: Learning Methods and Skills: How Do You
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Sample Questions
Q1) A patient who is a college student tells the nurse,"I have difficulty studying.I can't seem to get organized.I get distracted and often need to smoke to calm my nerves.Noise irritates me." The nurse concludes that the patient
A) has below normal intelligence.
B) has lack of interest in the study topics.
C) is illiterate of course content.
D) has symptoms of attention deficit disorder.
Answer: D
Q2) The nurse could maximize patient teaching for an individual with an identified auditory learning style preference by
A) providing an audiotape of important information that the patient could replay.
B) allowing the patient to handle equipment before practicing a self-care technique.
C) playing a videotape to demonstrate a self-care technique to the patient.
D) drawing diagrams of important concepts the patient needs to learn.
Answer: A
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student who is receiving poor grades states,"I am experiencing difficulty due to lack of time to devote to school." The additional factor that should be explored is lack of
A) aptitude.
B) interest.
C) motivation.
D) study skills.
Q2) A nursing student listens with full attention during lectures,is open-minded and curious,and asks questions about the content.This student can best be described as a/an ____________________ listener.
Q3) At what level of information processing must LPN/LVNs function in order to pass the NCLEX-PN examination and meet employer expectations?
A) Knowing and being able to repeat facts
B) Understanding the meaning of material and being able to apply it in new situations
C) Grasping information and being able to analyze advanced concepts
D) Questioning the validity of all information and being able to synthesize material
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A nursing student has an assignment that requires looking up an article about nursing care following knee replacement surgery.The nursing student has only the title and the knowledge that the article was published within the last year.Which resource would be most helpful in completing the assignment?
A) Education Index
B) Materia Medicus
C) Reader's Guide to Periodical Literature
D) Cumulative Index to Nursing and Allied Health Literature
Q2) A nursing student tells a peer,"There's so much to remember that I'm afraid I'll never pass the skill evaluation for changing a sterile dressing." A helpful response by the peer would be based on the understanding that for most nursing students,psychomotor/clinical skills can best be learned by
A) performing them.
B) reading about them.
C) watching a peer practice them.
D) watching a filmstrip about them.
Q3) The area in which library materials are checked out and returned is the
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) A nursing assistant tells the nurse,"I'm feeling negative about my job and just about everything else these days.Like today,I found myself feeling angry with Mrs.X.because she's overweight.I felt like telling her if she didn't eat so much,she'd make my life a lot easier.I need a vacation or a new job." The nurse can correctly determine that the nursing assistant is experiencing feelings associated with A) spitefulness.
B) home conflicts.
C) burnout.
D) detachment.
Q2) During report,the LPN/LVN relates that although her assigned patient was ambulatory,she provided a bed bath,special foot care,and nail care; she justified the care by saying that the patient seemed very tired.The nurse also mentioned that the patient had a number of personal problems for which she provided counseling.The charge nurse recognizes these behaviors as suggesting
A) conscientious nursing.
B) empathetic response.
C) conflict avoidance.
D) co-dependence.
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Chapter 7: How Practical/Vocational Nursing Evolved: 1836
to Present
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Q1) The best reason for studying nursing history is to
A) prepare for the NCLEX-PN examination.
B) make nurses more professional.
C) help nurses adapt to change.
D) learn from nursing's past mistakes.
Q2) When in history was it first recommended that tasks of the RN and LPN be differentiated and that practical nurses should function under the supervision of registered nurses?
A) 1750-1760
B) 1826-1850
C) 1949-1950
D) 1965-1980
Q3) The "first real school of nursing" was located in
A) Israel
B) Greece.
C) Italy.
D) Germany.
Q4) After licensing,the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN)and allowed by the ____________________.
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) An instructor tells a nursing student,"I have noticed that you sometimes engage in nonfocused thinking." Which behaviors are consistent with the instructor's observation?
A) The student consistently looks for solutions to problems.
B) The student makes up his mind quickly and ignores additional facts.
C) The student focuses on the negative aspects of nearly every situation.
D) The student looks for creative ways to improve situations.
Q2) To describe critical thinking in nursing to a peer,which characteristics would the nurse mention?
A) Random use
B) Patient focused
C) Uses logic and intuition
D) Bases judgments on assumptions
E) Does not require ongoing evaluation
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
Q4) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item.These various levels are called ____________________.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) A nurse is gathering and reviewing information about a patient.The nurse is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
Q2) The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis.During the patient's bath,he becomes short of breath.The LPN/LVN should implement interventions based on
A) the priorities given at the report.
B) the patient's identified strengths.
C) the patient's changing status.
D) information obtained from the Nursing Outcomes Classification (NOC) project.
Q3) A nurse is gathering data about a patient.The nurse determines that which of the following is subjective data?
A) The patient complains of excruciating, crushing chest pain.
B) The patient is short of breath and coughs up green sputum.
C) The patient has gained 1 lb within the past 24 hours.
D) The patient is experiencing sinus tachycardia and peripheral edema.
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Chapter 10: Nursing Theory,Research,and
Practice
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Sample Questions
Q1) The nursing instructor provides positive feedback to the student LPN/LVN after observing the student administer an intramuscular injection to a patient.According to Maslow's human needs theory,the instructor is helping to meet the student's
A) physiological needs.
B) safety needs.
C) love and belonging needs.
D) esteem needs.
Q2) Which of the following are the three subtheories of Dorothea Orem's self-care deficit theory?
A) Self care
B) Self-care deficit
C) Self-actualization
D) Nursing system
E) Cultural care
Q3) The health belief theory was developed by A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Q1) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
Q2) A nurse injects himself or herself with a narcotic prescribed for a patient.This is an example of
A) unethical and illegal behavior.
B) ethical and legal behavior.
C) unethical but legal behavior.
D) ethical but illegal behavior.
Q3) A major change in medical ethics that affected nursing occurred when the Western secular belief system shifted emphasis from duties to A) individual autonomy and rights. B) satisfying Medicare regulations. C) the cost-effectiveness of care.
D) nonmaleficence.
Q4) To provide justice to patients on the unit,the nurse must A) treat all patients with the same diagnosis utilizing the same plan of care. B) treat all patients with equal dignity and respect. C) base care on the patient's culture, religion, and social status.
D) determine who is most deserving of extra care.
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Chapter
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Sample Questions
Q1) A nursing student is assigned to care for a patient who requires several technical procedures.The student was busy and did not prepare in advance for the assignment.In preconference,the student is unable to describe the care to be given.The instructor would be justified in
A) telling the student to be very careful during caregiving.
B) sending the student off duty and turning the patient's care over to staff.
C) suspending the student.
D) dismissing the student from the program.
Q2) A nurse who angrily tells a patient,"If you don't go to sleep,I'm going to give you an injection," can be accused of A) defamation.
B) breach of confidentiality.
C) assault.
D) respondeat superior.
Q3) Civil law is concerned with A) acts that threaten society.
B) decision making based on the nursing process.
C) intentional and unintentional torts.
D) guilt associated with criminal behavior.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) A patient states,"This is my fourth miscarriage." A response by the nurse that demonstrates active listening would be
A) "Having another miscarriage must be hard to accept."
B) "This is nature's way. You can be glad it happened."
C) "How lucky to have lost the baby so early in your pregnancy."
D) "I've had two miscarriages, so I know how you must feel."
Q2) A patient states,"I'm really turned off when the doctor hurries out of here." The nurse responds,"You're feeling upset with your doctor because he doesn't spend enough time with you." This interaction demonstrates
A) summarizing.
B) validating.
C) clarifying.
D) reflecting.
Q3) A patient is crying.The nurse can correctly conclude from this type of nonverbal communication that the A) patient is sad.
B) tears reflect happiness.
C) patient is in pain.
D) situation needs clarification.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) A nurse demonstrates assertive behavior by doing which of the following?
A) Limiting contact with a patient who is dying, because it causes the nurse to feel depressed
B) Routinely telling patients who have questions about their medications to ask the physician
C) When asked about something unfamiliar, admitting to not knowing but agreeing to find out
D) Telling another nurse how ridiculous a doctor is for ordering hourly vital sign assessments
Q2) When a nurse is the target for unwanted behavior that she perceives as sexually harassing,she should first
A) resign from the job.
B) assertively tell the person that the behavior is unwanted.
C) report the behavior to the nursing supervisor.
D) report the behavior to the union representative.
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Q1) The case method of care delivery is used on the surgical unit.The LPN/LVN asks what this means regarding work assignments.The best answer would be
A) "You will be assigned to provide care for two or three relatively stable patients with predictable care outcomes."
B) "You will be assigned to perform specific nursing tasks for a number of patients, such as taking vital signs, doing simple dressings, and so on."
C) "You will be assigned to provide daily total care for several patients from admission to discharge."
D) "You will receive cross-training to be assigned as unit secretary, venipuncturist, or to nursing duties."
Q2) The member of the health care team responsible for assisting patients to arrange for community agencies to provide services after discharge is the A) nurse.
B) physician.
C) physical therapist.
D) social worker.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Which statement regarding cultural diversity can be used as a basis for caregiving?
A) Silence should always be interpreted as an indication of the patient's dissatisfaction with care.
B) Rules regarding the appropriate amount of eye contact vary among cultures.
C) Personal space requirements are similar for all cultures.
D) The germ theory of illness is universally accepted.
Q2) How would a culturally competent care plan differ from a standard care plan?
A) It would contain adaptations that recognize the patient's cultural preferences.
B) It would follow the legal mandates for providing care regardless of culture.
C) It would provide information about nonjudgmental behaviors to use.
D) It would focus on the nurse's values, assumptions, and health beliefs.
Q3) Culver suggests that regardless of one's specific environment,two essential environmental needs are evident for each person.The nurse can correctly identify these needs as
A) diversion and recreation.
B) emotional and spiritual support.
C) body alignment and activity.
D) oxygen and safety.
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A nurse is caring for an Orthodox Jewish patient who has terminal cancer.The nurse demonstrates cultural sensitivity toward the patient by stating
A) "Would you like me to assist you in praying to Jesus?"
B) "I'm sure you will go to heaven. You're a good person."
C) "Would you like me to ask your rabbi to come to visit you?"
D) "Would you like me to bring you a copy of the New Testament?"
Q2) The nurse who is preparing a Muslim female for a physical examination is told by the patient,"I cannot undress completely." The nurse will appropriately choose interventions based on the knowledge that Muslim women
A) observe standards of modesty requiring coverage from head to ankle.
B) speak openly to women but are silent in the presence of men.
C) wear writings from the Koran on the neck, arm, or waist.
D) are given alcoholic beverages with each meal.
Q3) A religion that began in Scotland and evolved from John Calvin in the sixteenth century is known as
A) Presbyterianism.
B) Episcopalian.
C) Seventh-Day Adventist.
D) United Church of Christ.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) At a patient care planning conference,the nurse hears the remark,"We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the
A) American Cancer Society.
B) Visiting Nurse Association.
C) National Easter Seal Society.
D) local health department.
Q2) A nurse is asked,"What does it mean if a health care agency is described as 'proprietary'?" The nurse should respond
A) "It operates by government mandate."
B) "It is funded by local tax money and government subsidies."
C) "It operates for profit."
D) "It utilizes a large number of volunteers."
Q3) A nurse working in the emergency department who must obtain data to identify the patient's primary care provider should ask the patient about
A) hospital stays.
B) low-cost health care providers.
C) receiving specialized care aimed at restoring the function of a body part.
D) the referring physician, nurse practitioner, or ambulatory care setting.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) Which of the following phrases could be used by a nurse to characterize the present health care delivery system in the United States?
A) Responds to illness
B) Is oriented to promote wellness
C) Provides for universal access
D) Depends on national health insurance
E) Is fragmented and confusing
F) Is unsafe
Q2) Once a deductible has been met,the percentage of the total bill paid by the insured person is known as the
A) premium.
B) deductible.
C) copayment.
D) coinsurance.
Q3) Which LPN/LVN will be most successful in dealing with change?
A) Nurse S, who always assumes that the worst will happen in any situation
B) Nurse T, who agrees with whatever the administration proposes
C) Nurse U, who sees change as an opportunity to improve conditions
D) Nurse V, who predicts that the change will probably not work
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Chapter 20: Leadership Skills
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Sample Questions
Q1) Which understanding about leadership would help the LPN/LVN become a more skillful leader?
A) Leaders in nursing are appointed by management to accomplish organizational goals.
B) Leaders rarely take risks and virtually never make mistakes.
C) Leaders have little confidence in themselves until they develop a power base.
D) Leaders see change as challenging and providing opportunities for improving quality of care.
Q2) The LPN/LVN day shift charge nurse in a nursing home usually reports to the A) owner of the nursing home.
B) administrator of the nursing home.
C) RN manager of the unit.
D) board of directors of the nursing home.
Q3) The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care.This leadership style is called
A) autocratic.
B) democratic.
C) situational.
D) laissez-faire.
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Chapter 21: LPN/LVN Charge Nurse Skills: Management, Including
Assignment and Delegation
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Q1) When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties,which task could be delegated to experienced,unlicensed assistive personnel who have been trained to perform the task?
A) Calling the physician when a resident's condition deteriorates
B) Providing a performance evaluation for another nursing assistant
C) Taking the vital signs of a resident whose condition is not critical
D) Handling a grievance brought by a nursing assistant
Q2) Which duty would exceed the LPN/LVN scope of practice if included in the job description for an LPN/LVN charge nurse?
A) Assigning patient care
B) Independently developing written treatment protocols
C) Assisting physicians in diagnostic and therapeutic measures
D) Maintaining a safe and hazard-free environment
Q3) Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?
A) Routine care for each resident
B) New problems for any resident
C) Prn medication administered
D) New medical orders
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Q1) What should the nurse do when applying for a position for which he or she is underqualified?
A) Exaggerate qualifications when applying and being interviewed.
B) Emphasize knowing the basics and express willingness to learn via in-services and continuing education.
C) Try to impress the interviewer with strengths and gloss over or avoid the topic of specific qualifications.
D) Mention having connections in high places who believe the applicant would perform well in the position.
Q2) Assuming all are true,which information about a new graduate should be included in a résumé to highlight abilities that would be valuable to an employer?
A) Prefers annual salary of $50,000 to $52,000
B) President of sky diving club
C) Fluent in American sign language
D) Plans to move to a nearby state after 1 year
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Chapter 23: The NCLEX-PN Examination
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Q1) LPN/LVN licensure by endorsement in the United States and its territories is possible because
A) English is the spoken language of each locale.
B) the NCLEX-PN examination is used by the board of nursing of each locale.
C) computer-adaptive testing maximizes testing efficiency.
D) the NCLEX-PN examination test plan reflects current practice.
Q2) The content of the NCLEX-PN examination is divided into four Client Needs categories.The Psychosocial Integrity category includes
A) surgical asepsis.
B) human sexuality.
C) therapeutic communication.
D) nutrition and oral hydration.
Q3) What advice should the testing candidate consider the best method for preparing to take the NCLEX-PN examination?
A) "Participate in an all-night cram session the night before the test."
B) "Rely on your intuition to answer questions when you do not know the answer."
C) "Study throughout the year and review systematically before the exam."
D) "Quiz previous graduates about test content and study what they mention."
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Chapter 24: Future Career Decisions: Choosing What Is Right for You
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Sample Questions
Q1) The National League for Nursing (NLN)membership is open
A) only to registered nurses.
B) only to licensed practical nurses.
C) only to advanced practice nurses.
D) to anyone interested in nursing issues.
Q2) The American Nurses Association (ANA)
A) represents only registered nurses.
B) represents only licensed practical nurses.
C) represents both registered nurses and licensed practical nurses.
D) has attempted to expand licensed practical nurses' scope of practice.
Q3) During an employment interview,the interviewee asks what additional educational experiences the LPN/LVN can count on receiving when employed at the facility.Which continuing education opportunity is the interviewer most likely to say the agency offers?
A) Annual off-site paid workshops
B) Orientation and in-service classes
C) Paid courses at a local 2-year college
D) Correspondence courses funded by NAPNES
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