Nursing Procedures and Techniques
Exam Solutions
Course Introduction
Nursing Procedures and Techniques is a foundational course designed to introduce students to the essential skills and best practices required in professional nursing care. The course covers a broad range of clinical procedures, including wound care, medication administration, infection control, vital signs assessment, and basic patient hygiene. Emphasis is placed on patient safety, effective communication, and adherence to evidence-based protocols. Through lectures, demonstrations, and hands-on practice in clinical and simulated settings, students develop the competencies necessary to provide safe, ethical, and effective nursing interventions, preparing them for more advanced clinical experiences.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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24 Chapters
615 Verified Questions
615 Flashcards
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Chapter 1: The Adult Learner: Hints to Succeed
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which statement best describes an active learning situation?
A) The learner practices bed-making.
B) The learner watches a peer make a bed.
C) The learner watches the instructor make a bed.
D) The learner pays attention during lecture.
Answer: A
Q2) The practical/vocational nursing student asks an instructor,"How perfect do I have to be to pass my clinical evaluation? Are any mistakes allowed?" The best response by the instructor is,"The expected standard of performance in clinical lab is to provide patient care
A) at the level of an LPN/LVN."
B) with a minimum of two errors."
C) at the same level as your classmates."
D) with manual dexterity and confidence."
Answer: A
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) The retired spouse of a busy female nursing student will not share household duties.An explanation that should be considered to better understand this situation is that the unwilling spouse
A) does not love the student.
B) is jealous of the student.
C) has been raised with sex stereotyping.
D) thinks paying tuition is enough support.
Answer: C
Q2) The nurse is engaged in establishing goals.Which statements would be classified as long-term goals?
A) Become proficient in medication administration.
B) Attain a grade of B in the Mathematics for Medication Administration examination.
C) Develop skill in efficient, effective collection of patient data.
D) Achieve successful initial completion of admission data collection forms.
Answer: A,C
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Chapter 3: Learning Methods and Skills: How Do You Learn?
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Sample Questions
Q1) A person who learns best by saying,hearing,and seeing words is known as what type of learner?
A) Spatial learner
B) Musical learner
C) Linguistic learner
D) Kinesthetic learner
Answer: C
Q2) A student nurse is a linguistic learner.The student would learn best by A) moving around when studying.
B) taking notes when reading assigned chapters.
C) organizing a method of study that fits him or her personally.
D) making his or her own diagrams, boxes, or lists when they are unavailable.
Answer: B
Q3) A student nurse is a bodily/kinesthetic learner.The student would learn best by A) moving around when studying.
B) taking notes when reading assigned chapters.
C) organizing a method of study that fits him or her personally.
D) making his or her own diagrams, boxes, or lists when they are unavailable in the book.
Answer: A
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Page 5
Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student is asked to identify distractions that limit the ability to concentrate.An example of an internal distraction is
A) mental fatigue.
B) background noise.
C) the physical environment.
D) other nursing students.
Q2) A nursing student states,"I have trouble writing what the instructor says in class." The most helpful hint to give the student would be
A) "Try to write the lecturer's statements word for word."
B) "Write the main ideas in condensed form."
C) "Take notes in shorthand and transcribe them."
D) "Underline in the textbook what the lecturer is saying."
Q3) 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.
Q4) A nursing student spends lecture time doodling and staring out the window while thinking about what to cook for dinner.This student can best be described as a/an ____________________ listener.
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A nursing student states,"My grades aren't what I'd like.I don't know whether to use a study group or ask for tutoring." Which statement is true for both study groups and tutoring?
A) Leaders/tutors derive more benefit than other participants.
B) They are most helpful to students with learning disabilities.
C) They provide low benefits when compared with the amount of time spent.
D) Active participation by the student is critical to success in raising grades.
Q2) A nursing student uses the Internet to learn about the use of antidepressant medications.Select the domain names that would suggest that information on the site is credible.
A).com
B).gov
C).edu
D).net
Q3) Which statement is true about the usefulness of audiovisual materials and computer-assisted instruction in a nursing course?
A) They can be omitted, because they add little to student learning.
B) It is unnecessary to take notes on their content.
C) They provide multisensory channels for learning content.
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D) Their content cannot be used by instructors for examination questions.
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) The nurse is to present a mini-class on burnout prevention strategies at a nursing team meeting.Which topics would be appropriate to include?
A) Use sympathetic responses to patients.
B) Seek daily evaluation from other health care team members.
C) Practice time management.
D) Use humor to reduce tension.
E) Keep nursing skills current.
F) Maintain perspective about work.
Q2) When a patient inquires about the 2010 MyPlate recommendations the nurse responds
A) "Protein is the largest part of the plate."
B) "Delete starch from the plate."
C) "Half of the plate should be fruits and vegetables."
D) "2% milk is recommended."
Q3) A telltale sign of a chemically impaired nurse is
A) an increasing number of practice errors.
B) an objective, assertive manner.
C) willingness to admit to substance abuse.
D) an effort to seek treatment.
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Chapter 7: How Practical/Vocational Nursing Evolved: 1836 to
Present
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Sample Questions
Q1) Which of the following are major concerns associated with the present nursing shortage?
A) Patient safety
B) High patient acuity
C) High nurse-to-patient ratios
D) High stress among nurses
E) High recruitment incentives
Q2) Practical nurses are referred to as those who,from the beginning of time,chose (or were appointed)to care for individuals who were ill,injured,dying,or having babies.Names used to designate this person have included which of the following?
A) Midwife
B) Attendant
C) Trained nurse
D) Practical nurse
E) Self-proclaimed nurse
F) Babysitter
Q3) 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) When an instructor asks a nursing student to answer a question in her or his own words and give an example,the cognitive level utilized is A) knowledge. B) comprehension.
C) application.
D) analysis.
Q2) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
Q3) A nursing instructor encourages student nurses to use critical thinking in the clinical setting.The instructor understands that critical thinking A) uses both logic and intuition. B) is driven by the nurse's needs.
C) entails nonpurposeful thinking. D) is based on nonscientific methods.
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) The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are
A) goal setting and evaluation.
B) planning and implementation.
C) data collection and implementation.
D) evaluation and data collection.
Q2) A nurse expresses difficulty deciding which nursing interventions to suggest for a patient with arthritic pain during an upcoming patient-centered conference.A peer suggests referring to the Nursing Interventions Classification (NIC)taxonomy.This would provide the nurse with information on
A) how to provide basic care to patients.
B) identification of nursing measures to help patients progress toward goals.
C) a language for measuring patients' response to nursing interventions.
D) how to translate nursing diagnoses into nursing problems.
Q3) A blood pressure of 110/70 at 8 PM is most accurately described as an example of A) planning data.
B) subjective data.
C) objective data.
D) reassessment data.
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Chapter 10: Nursing Theory,Research,and Evidence-Based Practice
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Sample Questions
Q1) An independent,not-for-profit organization established in 1993 with the purpose of preparing and promoting the accessibility of a collection of evidence-based health care interventions obtained by systematic reviews of research is known as the
Q2) 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.
Q3) The National League of Nursing (NLN)expects the practical/vocational nurse's main role in evidence-based practice to be to:
A) challenge the status quo.
B) identify questions that need to be studied.
C) formulate evidence-based protocols.
D) question the basis for nursing actions.
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) A way of practicing fidelity to a patient would be to
A) discuss the patient with friends at a social gathering.
B) document the patient's expression of feelings and wishes.
C) categorize the patient as a "down-and-out alcoholic."
D) develop the care plan without patient input.
Q2) The nurse is asked to explain the meaning of ethics to a patient.The nurse should correctly state,"Ethics is a system of standards that refer to ideas and actions in terms of being (select all that apply):
A) right and wrong."
B) moral and immoral."
C) legal and illegal."
D) good and bad."
E) ought and ought not."
F) like and dislike."
G) rights and duties."
Q3) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
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Chapter
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Sample Questions
Q1) A nurse damages a patient's reputation by verbalizing private information about the patient to a third party.This is an example of A) libel.
B) assault.
C) battery.
D) slander.
Q2) With regard to HIPAA implementation,the LPN/LVN who is newly employed at a health care agency should
A) realize that enough was learned about the provisions of the act in school to function effectively at work.
B) be aware that each agency may interpret HIPAA provisions somewhat differently.
C) operate on the assumption that all agency privacy practices are similar.
D) depend on the HIPAA website to provide all necessary job-related information.
Q3) An example of a criminal action committed by a nurse is
A) restraining a patient without a physician's order.
B) releasing information without the patient's consent.
C) discontinuing a ventilator without a physician's order.
D) making a medication error.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) The patient states,"My pain is awful!" The response that illustrates the use of focusing is:
A) "On a scale of 1 to 10, tell me the number that represents your level of pain."
B) "I am not sure I understand what you're telling me."
C) "You seem to be in considerable pain."
D) "Can you handle the pain you're having?"
Q2) A patient states,"My chest incision hurts.I can't walk because of the pain." The nurse responds,"You've been unable to walk because of incisional pain." The nurse's response is an example of which active listening behavior?
A) Restating
B) Reflection
C) Clarification
D) Paraphrasing
Q3) A trusting relationship with a patient can be fostered by
A) introducing oneself and stating one's role.
B) identifying the patient by room number.
C) seeing the patient every 5 to 7 minutes.
D) making up answers when one does not know the answer.
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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) Which statement shows a personal commitment to work on the goal of devoting more time to coursework for the LPN/LVN program?
A) "My friends have to stop asking me to do time-consuming favors for them."
B) "My family needs to take on more responsibility for household tasks so I have more time to study."
C) "The charge nurse should stop asking me to work overtime and instead ask other CNAs."
D) "I will say 'no' when people ask me to do things that take time away from my studies."
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Sample Questions
Q1) The most important reason for a student nurse to prepare adequately before providing patient care is to
A) be able to give the same safe care as a nurse.
B) avoid arousing the anger of the instructor.
C) maintain self-esteem by performing well.
D) make a favorable impression on unit staff.
Q2) Which statement best describes the relationship between the student nurse assigned to a hospital unit for clinical experience and the unit staff?
A) The student is under direct supervision of the nurse manager of the unit at all times.
B) Students are on the clinical unit to give service to the hospital as they care for patients.
C) The student applies classroom learning under the supervision of faculty members during clinical training.
D) Practical nursing students form a nursing team of their own and are not a part of the larger unit team.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Patient A,who has terminal cancer,and Patient B,who has a bladder infection,share a hospital room.Neither patient is a member of the majority culture of the area.Patient A is quiet and rarely acknowledges pain.Patient B cries and moans loudly much of the day.What understanding will help the nurse provide culturally sensitive care for both patients?
A) The better educated the person, the less likely the person is to openly express pain.
B) A mentally unstable person is more likely to be noisy about pain sensations.
C) People respond to the sensation of pain in culturally determined ways.
D) People who distrust health care workers tend to be silent about their pain.
Q2) A Native American patient keeps a small bunch of feathers on the over-the-bed table.They are in the way whenever the nurse serves a tray or sets up equipment for a treatment.A culturally competent action would be to A) throw them away while the patient is sleeping.
B) move them to a place where they won't be in the way.
C) leave them where the patient wishes to place them.
D) ask why there are a bunch of feathers in a hospital room.
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) The Jewish patient tells the nurse that he does not observe the Sabbath on Sundays.What other time interval would the nurse need to provide for patient Sabbath observances?
A) Monday noon to Tuesday noon
B) Friday sundown to after sunset Saturday
C) Thursday midnight to Friday midnight
D) Alternate Saturdays
Q2) To implement effective patient care,which patients would the nurse identify as non-Christians?
A) Mr. A, who is Jewish
B) Miss B, who is Presbyterian
C) Mrs. C, who is Roman Catholic
D) Mr. D, who is Eastern Orthodox
E) Miss E, who is Seventh-Day Adventist
F) Mr. F, who is Buddhist
Q3) A religion that was founded in the nineteenth century by Mary Baker Eddy is A) Mormonism.
B) Christian Scientist.
C) Jehovah's Witness.
D) Seventh-Day Adventist.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
Q2) A nurse is asked about public health care agencies.Which of the following would help the nurse frame a comprehensive response?
A) Public health agencies are entirely supported by fees for services.
B) There are two types of public health agencies: official and voluntary.
C) Public health agencies seek to make a profit for the owners.
D) Public health agencies focus on curing illness and disease.
E) Public health agencies emphasize disease prevention, wellness promotion, research, and education.
Q3) A patient who had a cerebrovascular accident needs nursing care,physical therapy,and speech therapy.The patient's spouse would like to provide care at home but needs assistance.During the planning conference,the nurse should suggest that the agency that could best meet the patient's needs is
A) a home health agency.
B) the American Red Cross.
C) the American Heart Association.
D) a local wellness center.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) The LPN/LVN charge nurse has been designated to participate in the orientation of a new LPN/LVN by explaining cost-containment measures.Measures the charge nurse should mention include which of the following?
A) Charge patients for all supplies used in their care.
B) Document patient care according to the policy for reimbursement.
C) Use time management principles to work efficiently.
D) Use supplies carefully to avoid waste.
E) Implement measures to prevent complications.
F) Advise insured patients to select higher tiers whenever possible.
Q2) The monthly fee a person must pay for health care insurance coverage 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
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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) For an LPN/LVN to motivate staff members to meet the goals of the organization,it is helpful if the nurse
A) practices intimidation.
B) understands work motivators.
C) offers laissez-faire leadership.
D) emphasizes policies rather than people.
Q2) A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI)is all about.The charge nurse should explain that the focus of CQI in a health care agency is
A) saving time.
B) better patient care outcomes.
C) making money for the health care agency.
D) reducing stress for employees.
Q3) Which quality is rarely found in democratic leaders?
A) Assertiveness
B) Arrogance
C) Desire for new learning
D) Effective communication
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Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Sample Questions
Q1) The 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home unit is asked by the only other staff member on duty,a nursing assistant,"Will it be all right if I go home tonight while you are giving report to the night shift? My husband needs the car so he can go to work." The best response by the charge nurse is
A) "It's all right tonight, but don't make a habit of it."
B) "Sure, our residents will be sound asleep by 11 PM."
C) "Have you lost your mind? What would happen if the owner dropped in for a surprise visit?"
D) "That won't be possible. You must be here to answer lights while I give report to the night staff."
Q2) 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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Sample Questions
Q1) The LPN/LVN interviewee determines from personal appearance that the interviewer is from a different cultural background.What action should the interviewee take to minimize the impact of cultural difference during the interview?
A) Answer questions in a straightforward manner.
B) Use the same gestures the interviewer uses.
C) Avert the eyes when responding to questions.
D) Be prepared to tolerate decreased personal space.
Q2) Which phrases would be helpful to remember when filling out a job application?
A) Never provide information regarding having held three or more jobs in the past year.
B) Explain employment gaps by responses such as laid off, job hunting, family responsibilities.
C) Answer questions about wage requirements by inflating current salary by 20%.
D) Respond to questions about age, religion, number of children, even though it is not required by law.
E) Do not leave questions unanswered or blank spaces on the application.
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Chapter 23: The NCLEX-PN Examination
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Sample Questions
Q1) The SP/VN reviewing for the NCLEX-PN examination should study based on an understanding that the category of patient need that is most heavily tested is
A) the clinical problem-solving process.
B) safe, effective care environment.
C) health promotion and maintenance.
D) physiological integrity.
Q2) Which are needed by the candidate to arrange for and take the NCLEX-PN examination?
A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card
Q3) Prior to taking the NCLEX-PN examination,candidates sign a confidentiality clause.A candidate would be in violation of "terms of confidentiality" when doing which of the following?
A) The candidate asks the examination proctor a question.
B) The candidate informs others that she has taken the exam.
C) The candidate discusses the exam with his instructor.
D) The candidate refrains from discussing the exam with others.
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Chapter 24: Future Career Decisions: Choosing What Is Right
for You
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Sample Questions
Q1) In which areas may LPN/LVNs obtain certification?
A) Managed care
B) Pharmacology
C) Long-term care
D) Mental health care
E) IV therapy
F) Wound care
G) Neonatal care
Q2) Which statement is true about mobility from LPN/LVN to RN?
A) It is possible in many states using career ladder and advanced standing programs.
B) It is impossible in most states, because LPN/LVN courses cannot be given academic credit in colleges.
C) It can be accomplished by joining one of the military services and taking challenge examinations.
D) It requires practice agreements with local physicians and health care agencies to allow the LPN/LVN to work outside the legal job title.
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