Patient Care in Practical Nursing
Exam Answer Key
Course Introduction
Patient Care in Practical Nursing introduces students to the foundational principles and skills required to provide compassionate, competent care to diverse patient populations across the lifespan. The course emphasizes holistic approaches, covering basic nursing procedures, effective communication, safety, infection control, documentation, and the promotion of patient dignity and independence. Students gain hands-on experience in monitoring vital signs, assisting with activities of daily living, addressing psychosocial needs, and responding to common health challenges. Ethical and legal considerations in patient care are explored, preparing students to work collaboratively within healthcare teams and support optimal outcomes in a variety of clinical settings.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Signe S. 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) 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
Q2) A nursing student tells a peer, "I'm having trouble understanding the rationale for not restraining confused patients." The best advice for the peer to offer would be
A) "Ask the smartest student in the class."
B) "Ask a patient for their view about it."
C) "Ask the instructor to explain it again."
D) "Do an Internet search."
Answer: C
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) A nursing student has a conflict with taking a scheduled course in the nursing program and picking up children from day care. Which adjustment is possible and would result in the best resolution?
A) Request the nursing program offer the course at a different time.
B) Withdraw from the nursing program until the children are older.
C) Arrange to have a friend or relative pick up the children.
D) Remove the children from day care.
Answer: C
Q2) A nursing student states, "I can't stand using an index card for each day's planning. I like a monthly calendar so I can see the big picture." From this statement one can conclude that the student's time management strategies are most likely influenced by A) a personal support system.
B) the right cerebral hemisphere.
C) corpus callosum crossover fibers.
D) the left cerebral hemisphere
Answer: B
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Chapter 3: Learning Methods and Skills: How Do You Learn
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) Primarily right-brained individuals tend to be
A) intuitive.
B) rational.
C) objective.
D) analytical.
Answer: A
Q2) Which statement about learning style preference is true?
A) All students have the same learning style.
B) Most students are kinesthetic/tactual learners.
C) Auditory learning is the best method.
D) Various learning styles are equally good.
Answer: D
Q3) Why is it desirable for the nursing student to engage in learning activities that use both sides of the brain?
A) Atrophy of one side is avoided.
B) Paralysis of one side is avoided.
C) Less study time is needed if both sides are used.
D) The student's full learning potential is increased.
Answer: D
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Page 5
Chapter 4: Using Your Methods and Skills: Studying and Testing
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26 Flashcards
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Sample Questions
Q1) A nursing student is discouraged and states, "I'll never be good at studying!" The most helpful remark another student could make would be
A) "For most students, study skills develop with organization, practice, and hard work."
B) "For most students, study skills that were successful in high school are useful in nursing school."
C) "For most students, study skills aren't really necessary if you listen carefully in class."
D) "For most students, study skills depend on motivation to arrange adequate time to devote to learning."
Q2) A nursing student has difficulty concentrating while studying and is easily distracted by external activity. Daydreaming is triggered by relaxation and music. The best physical environment for studying would be sitting
A) on a bed with the feet up and the back against a pillow.
B) in a reclining chair facing a television with the volume turned on low.
C) at the kitchen table during meal preparation or "clean-up" time.
D) at a desk in a quiet room.
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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 was ill when the class toured the learning resource center (LRC). What independent action should the student take?
A) Perceive it as a missed opportunity.
B) Ask the librarian if a self-guided audiotape tour is available.
C) Ask to see another student's notes about the tour.
D) Report his or her unawareness to the instructor of LRC features.
Q3) A technique that emphasizes individual accountability for learning a specific academic task while working in small groups is known as ____________________.
Q4) The area in which library materials are checked out and returned is the ____________________.
Page 7
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Sample Questions
Q1) Telltale signs of chemical dependency in nurses include which of the following behaviors? (Select all that apply.)
A) Complaints by staff, students, and patients
B) A greater number of injuries caused while moving patients
C) Arriving early or staying late to assist in the narcotic count
D) Frequent absenteeism after days off and for personal emergencies
E) Increased visits to the employee health department or emergency room
F) Work performance that consistently exceeds the expectations of the supervisor
Q2) The nurse is to present a mini-class on burnout prevention strategies at a nursing team meeting. Which topics would be appropriate to include? (Select all that apply.)
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.
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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Sample Questions
Q1) A major reason for LPN/LVN graduates to join nursing organizations is that membership
A) keeps one updated on issues that affect practical nursing.
B) enhances one's standing among registered nurses.
C) provides an opportunity to draft legislation for health care workers.
D) encourages practical nurses to expand their social horizons.
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 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.
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Chapter 8: Critical Thinking: a Lifelong Journey
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30 Verified Questions
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Sample Questions
Q1) The nursing student tells a peer, "Once I begin studying, I don't dare take a break. If I stop for even 5 minutes, I know I'll never go back to studying." The peer identifies this statement as
A) negative thinking.
B) random thinking.
C) ruminative thinking.
D) all-or-nothing thinking.
Q2) During a performance evaluation, the evaluator describes several behaviors of the nurse. Select the observations that indicate the nurse uses critical thinking. (Select all that apply.)
A) "I have noted that you base care on patient needs."
B) "Your caregiving is guided by identified outcomes."
C) "You use professional standards as guidelines."
D) "You tailor interventions to the circumstances."
E) None of the above
Q3) Which remark by a nurse demonstrates the use of critical thinking?
A) "I just let my thoughts flow."
B) "My mind is made up. Why listen further?"
C) "I play and replay a situation, like using instant replay."
D) "I think about what other information I need before proceeding."
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Chapter 9: Nursing Process: Your Role
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38 Verified Questions
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Sample Questions
Q1) A nurse is gathering data about a patient. The nurse determines that which of the following is subjective data?
A) The patient complains of feeling anxious about her upcoming surgery.
B) The patient is short of breath and has an oxygen saturation level of 86%.
C) The patient has a heart rate of 85 beats per minute and has a sinus rhythm.
D) The patient has consumed 60% of breakfast, 45% of lunch, and 50% of dinner.
Q2) Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum? (Select all that apply.)
A) Both are needed to identify patient problems, issues, and risks.
B) They foster making evidence-based judgments.
C) Clearer communication between RN and LPN can take place.
D) Job stress and burnout are diminished.
E) Patient safety is adversely affected.
Q3) The patient's problem has been identified as insufficient intake of oral fluids. The best outcome statement is:
A) The patient will ingest 1500 ml of oral fluids during each 24-hour period.
B) The patient will request fluids when thirsty.
C) The nurse will encourage fluid intake by the patient.
D) The nurse will provide the patient with 100 ml of fluid hourly.
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Page 11
Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) The nursing theory that is most likely to be implemented by the nurse as a basis for developing a therapeutic relationship with the adult or child psychiatric patients is
A) Maslow's hierarchy of human needs theory.
B) Jean Watson's theory of human care.
C) Orem's self-care deficit theory.
D) Peplau's interpersonal relations theory.
Q2) The three concepts considered important to nursing are person, health, and A) socialization.
B) procedure.
C) environment.
D) theory.
Q3) Which of the following are the elements of evidence-based practice? (Select all that apply.)
A) Patient preferences
B) Basic needs
C) Best research evidence
D) Nurse's clinical expertise
E) Hypothesis
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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Sample Questions
Q1) 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.
Q2) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
Q3) Which nursing actions are examples of use of the ethical principle of beneficence?
(Select all that apply)
A) The LPN/LVN tells a patient to ask for a second doctor's opinion.
B) The LPN/LVN provides emotional support when the patient cries.
C) The LPN/LVN places the bed in a low position before leaving the room.
D) The LPN/LVN places medication the patient brought from home at the nurses' station.
E) The LPN/LVN provides report for the staff of the oncoming shift.
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Chapter 12: Nursing and the Law: What Are the Rules
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) When documenting patient behavior, the LPN/LVN should
A) record subjective interpretations of patient behavior.
B) avoid mentioning communicating with supervisors to report changes in condition.
C) record all interventions performed and patient instruction given.
D) use Wite-Out to erase errors in documentation.
Q2) 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.
Q3) A legal document that describes the kind of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a(n)
Q4) Which of the following is an example of breach of duty?
A) The LPN/LVN walks off the unit during the shift.
B) The LPN/LVN resigns from the position.
C) The LPN/LVN delegates duties to unlicensed assistive personnel.
D) The LPN/LVN does not perform duties according to the standard of care.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) The patient asks, "What is an IVAC thermometer?" The nurse replies, "It is a heat-sensitive probe inserted into the sublingual area or rectal orifice. Heat transmission proceeds via an electrical system to a control center that interprets the temperature and displays it." This reply can be analyzed as
A) one-way communication.
B) active listening.
C) unnecessary use of jargon.
D) displaying sensitivity.
Q2) Which statement is true regarding open-ended, closed-ended, and focused questions?
A) Open-ended questions always achieve their purpose.
B) Closed-ended and focused questions are used to get specific information.
C) Closed-ended questions are used primarily with children and the elderly.
D) Focused questions are more useful when communicating with men.
Q3) Types of communication include which of the following? (Select all that apply.)
A) Verbal communication
B) Affective communication
C) Nonverbal communication
D) Symptomatic communication
Page 15
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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) When a patient asks the nurse to stop and feed the patient's cats on the way home, the nurse frowns but agrees to do so.
B) The nurse feels the team leader's assignment is unfair, so the nurse drops hints to co-workers about feelings of unfairness.
C) When the patient asks about the nurse's personal life, the nurse answers the questions out of fear of not being liked for not answering.
D) When working with a patient who is critical of the nurse, the nurse sits down with the patient and listens attentively to the patient's concerns.
Q2) The intervention that is most effective at reducing patient violence against nurses is
A) teaching nurses to communicate respect for patients and confidence in themselves. B) requiring nurses to work in groups rather than alone.
C) having security personnel stationed on all units.
D) assigning only male nurses to care for psychiatric or chemical dependency patients.
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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Sample Questions
Q1) The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
A) The LPN/LVN is able to administer oral medications.
B) The LPN/LVN is a first-line manager responsible to the RN.
C) The LPN/LVN formulates nursing diagnoses and care plans.
D) The LPN/LVN interprets and implements research findings.
Q2) Select the person or persons who may be included on the physical therapy team.
(Select all that apply.)
A) RN
B) LPN/LVN
C) Physical therapists
D) Physical therapy assistants
Q3) 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.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Which statement by a nurse demonstrates cultural competence?
A) "Without knowledge of cultural diversity, misunderstandings arise between patient and nurse."
B) "Nurses who assume care for persons of different cultures need to assume those beliefs as their own in order to give good care."
C) "Women of most cultures have adopted assertive communication."
D) "Traditional healing practices should not be combined with Western medicine to treat a patient."
Q2) During a discussion on cultural diversity, a nurse asks for an example of an ethnic group. The most accurate response would be
A) Caucasians.
B) Spanish-speaking.
C) Irish-Americans.
D) homosexuals.
Q3) Which statement by a health care worker can the nurse identify as a stereotype?
A) "People over 65 are poor drivers."
B) "Assimilation requires adopting part of the dominant culture."
C) "All individuals have common basic daily needs."
D) "Most people perceive themselves as members of the middle class."
Page 18
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) When a patient is asked about religious preference, she states, "I am agnostic." The nurse's best interpretation of this is the patient
A) does not believe in God.
B) believes in God and supernatural powers.
C) does not believe that the supernatural exists.
D) believes that the existence of God can be neither proved nor disproved.
Q2) A nurse is caring for a patient who follows teachings from a holy book called the Koran. The nurse understands that this patient practices what religion?
A) Hindu
B) Islam
C) Quaker
D) Buddhism
Q3) A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by
A) allowing the patient to pray three times daily.
B) placing the patient's dinner tray on top of the Koran.
C) offering the patient food and fluids during Ramadan.
D) positioning the patient's bed in a southeast direction from the United States.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) Knowing that Alcoholics Anonymous is a nonprofit group that receives no taxpayer money and is aimed at meeting the needs of a selected population segment would help the nurse to classify it as a
A) public agency.
B) private agency.
C) voluntary agency.
D) proprietary agency.
Q2) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
Q3) Which of the following are types of health care agencies in which the LPN/LVN would most likely find work? (Select all that apply.)
A) Board and care home
B) Emergency unit facility
C) Skilled nursing facility
D) Adult day care center
E) Hospice
Q4) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) The nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?" The best response would be A) "They are a way to improve the margin of profit in the fee-for-service method of paying for health care."
B) "They prevent health care agencies from having huge deficits associated with uncompensated care."
C) "They were developed to save health care dollars at the time Medicare introduced DRGs."
D) "They are part of the incremental changes designed to provide more universal care."
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.
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Chapter 20: Leadership Skills
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Sample Questions
Q1) A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.
A) Write a note for the NA's file explaining that she did not leave the resident in his room.
B) Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were like her.
C) Report the NA's good efforts to the nursing home's administrator and board of directors.
D) Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room and how pleased the nurse is that the NA is concerned with the resident's need for socialization.
Q2) LPN/LVNs functioning in an expanded role are most often employed in A) critical care units.
B) pediatric clinics.
C) home health care.
D) long-term care.
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Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Sample Questions
Q1) The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is
A) licensure in the state of practice.
B) experience with resident assignment.
C) the ability to coordinate patient care services.
D) a knowledge of the principles of delegation.
Q2) The LPN/LVN charge nurse at the long-term care facility has assigned a newly licensed LPN/LVN to care for a resident needing a colostomy irrigation. The new LPN/LVN voices concern, because he has never performed a colostomy irrigation. What would be the best course of action for the LPN/LVN charge nurse?
A) State, "A colostomy irrigation is just like giving an enema. You'll be fine."
B) Tell the new LPN/LVN, "I'll do the irrigation while you care for your other assigned residents."
C) Delegate the procedure to a willing nursing assistant.
D) Arrange to supervise the new LPN/LVN as he performs the irrigation.
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Page 23
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Sample Questions
Q1) Which would be most valuable to include on a list of references?
A) People who have worked in the agency to which one is applying
B) Personal friends who can be trusted to provide a positive reference
C) Influential people in the community
D) Health care workers who have supervised one's work and are willing to provide a reference
Q2) A student nurse is interested in working shortly after graduation. What action would have the greatest potential for achieving the goal of securing employment?
A) Limit job applications to positions listed in the Help Wanted section of the newspaper.
B) Obtain lists of job offerings posted in health care agencies.
C) Research agencies of interest and write brief letters expressing an interest in employment.
D) Depend on the school of nursing and school placement service to find employment.
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Chapter 23: The Nclex-Pn Examination
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Sample Questions
Q1) The content of the NCLEX-PN examination is divided into four Client Needs categories. The Physiological Integrity category includes
A) newborn care.
B) stress management.
C) medical emergencies.
D) accident/error prevention.
Q2) 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.
Q3) Which phrases accurately describe computerized adaptive testing (CAT) as used in the NCLEX-PN examination? (Select all that apply.)
A) Selects questions of varying difficulty, depending on previous responses
B) Provides an individualized examination for each tester
C) Requires the tester to answer a minimum of 85 questions
D) Selects an equal number of questions from the four categories of client need
E) Ends testing when 50% of the questions have been answered correctly
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Page 25
Chapter 24: Future Career Decisions: Choosing What Is Right
for You
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Sample Questions
Q1) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
Q2) In which areas may LPN/LVNs obtain certification? (Select all that apply.)
A) Managed care
B) Pharmacology
C) Long-term care
D) Mental health care
E) IV therapy
F) Wound care
G) Neonatal care
Q3) 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.
Q4) 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.
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