Patient Care in Vocational Nursing Exam Review
Course Introduction
This course provides an in-depth exploration of fundamental concepts and skills necessary for effective patient care in vocational nursing. Emphasizing holistic, patient-centered approaches, the curriculum covers essential topics such as basic nursing procedures, vital signs monitoring, infection control, mobility assistance, hygiene, nutrition, documentation, and communication with patients and healthcare teams. Students also learn to apply principles of safety, ethics, and cultural sensitivity when caring for individuals across the lifespan. Clinical simulations and hands-on practice prepare students to deliver compassionate and competent care in a variety of healthcare settings.
Recommended Textbook
Success in Practical Vocational Nursing 8th Edition by Patricia Knecht
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19 Chapters
521 Verified Questions
521 Flashcards
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Chapter 1: Personal Resources of an Adult Learner
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Which learner is fulfilling an important student responsibility when receiving examination results?
A) The student who looks at the test grade and hands the test and answer sheet back
B) The student who argues each wrong answer with the instructor
C) The student who tries to understand mistakes made on the test
D) The student who appears interested in the test results
Answer: C
Q2) In response to a learner's questions, which of the following options should be used to describe desirable outcomes of clinical performance evaluations? (Select all that apply.)
A) Discover positive actions of students.
B) Make students aware of ineffective clinical behaviors.
C) Role-model how to conduct evaluations of others when in the LPN/LVN expanded role.
D) Give the student an opportunity to tell the instructor how the instructor's attitude discourages learning.
Answer: A, B, C
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3
Chapter 2: Academic Resources (Study Skills and Test Strategies)
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42 Verified Questions
42 Flashcards
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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.
Answer: D
Q2) A nursing student tells a peer, "After working nights, I have a problem staying focused during the afternoon lectures. My mind wanders, and all of a sudden I realize that I'm lost." What helpful hints should the peer offer? (Select all that apply.)
A) If possible, sleep before coming to class.
B) Complete readings after attending lecture.
C) Write down key concepts and examples.
D) Ask questions during and after class.
E) Try to write everything the lecturer says.
Answer: A, C, D
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4
Chapter 3: Community Resources
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) Nursing students are assigned to write a paper about professional use of social networking. Which professional organization has compiled a resource guide that nursing students can use to learn?
A) American Nurses Association (ANA)
B) National Council of State Board of Nurses (NCSBN)
C) National Association for Practical Nurse Education and Service, Inc. (NAPNES)
D) National Federation Licensed Practical Nurses Association (NFLPN)
Answer: A
Q2) __________________ is food program that will deliver meals to the doors of Senior Citizens and disabled individuals.
Answer: Meals on Wheels
Seniors and disabled individuals can have special programs that deliver meals to their doors such as Meals on Wheels.
Q3) What is the best social media site to use when seeking professional employment?
A) Facebook
B) AllNurses.com
C) Twitter
D) LinkedIn
Answer: D
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Page 5
Chapter 4: How Practical/Vocational Nursing Evolved: 1836 to the
Present
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) The emergence of modern nursing is usually attributed to the influence of A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.
Q2) The event that had the most profound influence in changing practical/vocational nursing was
A) the depression of the 1930s, when nurses worked for room and board in lieu of salary.
B) the post-World War II movement of practical/vocational nurses into hospital positions.
C) the American Medical Association (AMA) proposal to develop registered care technicians as new health care workers.
D) the first computer-adaptive test for practical/vocational nursing graduates.
Q3) In what year was practical nurse licensure used for the first time?
A) 1903
B) 1914
C) 1938
D) 1941
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Chapter 5: Critical Thinking: A Lifelong Journey
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) 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."
Q2) A nurse is caring for a postpartum patient who is hemorrhaging. The nurse considers several possibilities for postpartum hemorrhaging, including retained placental fragments, a full bladder, and uterine atony. The nurse is using what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
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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Page 7
Chapter 6: Ethics Applied to Nursing: Personal Versus Professional Ethics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A student nurse is assigned to care for a patient with complex nursing care needs. 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 and admits not knowing how to execute one of the treatments. The instructor would be ethically justified in
A) telling the student to be very careful during caregiving.
B) sending the student home and turning the patient's care over to staff.
C) suspending the student.
D) dismissing the student from the program.
Q2) What ethical principle underlies the statement in the National Federation of Licensed Practical Nurses (NFLPN) Code for Licensed Practical/Vocational Nurses, "The practical nurse provides health care to all patients regardless of race, creed, cultural background, disease, or lifestyle"?
A) Autonomy
B) Confidentiality
C) Beneficence
D) Justice
Q3) A system of standards or moral principles that direct actions as being right or wrong is called ___________.
Page 8
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Chapter
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) 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.
Q2) A nurse damages a physician's reputation through false written communication without the physician's permission. This is an example of A) libel.
B) assault.
C) battery.
D) slander.
Q3) A nurse is found liable for battery. What does this mean?
A) The nurse threatened the patient, causing fear of bodily harm.
B) The nurse, without consent, touched the patient in a way that caused harm.
C) The nurse detained the patient against his will.
D) The nurse incorrectly performed a procedure that is within her scope of practice.
Q4) A legal document that describes the kinds of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a ________________.
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Page 9
Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) To communicate interest and caring to a patient of the majority culture, the nurse should
A) call the patient on days off.
B) keep conversation on a social level.
C) direct the patient to make a list of all problems.
D) make eye contact and encourage the patient to communicate.
Q2) A patient states, "I don't seem to be getting my strength back." The nurse replies, "Don't worry. You are coming along just fine." This response is an example of
A) probing.
B) false reassurance.
C) disagreeing.
D) active listening.
Q3) Two-way communication differs from one-way communication because with one-way communication
A) the impact is positive.
B) the receiver contributes as much as the sender.
C) no feedback is expected.
D) body language does not affect the receiver.
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Chapter 9: Assertiveness: Your Responsibility
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which behavior should be considered an early sign that a coworker may have the potential for violence?
A) Verbalization of a wish to harm someone
B) A suicidal threat
C) Destruction of agency property
D) Lack of cooperation with supervisors
Q2) A nurse demonstrates assertive behavior by doing which of the following?
A) When the physician yells at the nurse in front of the patient, the nurse is angry but refrains from speaking about it.
B) The nurse plans on seeking new employment out of fear of approaching the supervisor to tell his or her side of what happened.
C) When working with a patient who has had the call light on repeatedly, the nurse tells the patient, "Do not put your call light on again."
D) When unexpected visitors arrive to visit the patient during breakfast, the nurse asks whether the patient would prefer to eat now or visit.
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11
Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A new mother on the OB unit refuses to allow her newborn to wear disposable diapers. She insists on applying cloth diapers without safety pins, because this is how her culture applies diapers. During break, the nurse discusses the patient's strange diapering technique compared with the excellent American method of diapering. Besides violating confidentiality, the nurse is displaying
A) ethnocentrism.
B) stereotyping.
C) unusual behavior during break.
D) lack of adherence to hospital policy on diapering.
Q2) Patient A has terminal cancer, and Patient B has a bladder infection. They are sharing 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.
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
35 Flashcards
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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
A) the patient does not believe in God.
B) the patient believes in God and supernatural powers.
C) the patient does not believe that the supernatural exists.
D) the patient believes that the existence of God can be neither proved nor disproved.
Q2) A nurse is caring for a patient who refuses to consume meat on Ash Wednesday and all Fridays during Lent. The nurse understands that this patient is of what religion?
A) Islam
B) Mormonism
C) Catholicism
D) Presbyterianism
Q3) A religion that was formed in 1957 by merger of Congregational and Evangelical and Reformed Churches is
A) Mormonism.
B) Presbyterianism.
C) Seventh-Day Adventist.
D) United Church of Christ.
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Chapter 12: The Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) An LPN/LVN is assisting the RN in the development of goals and interventions for a patient's plan of care. The LPN/LVN is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
Q2) Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process? (Select all that apply.)
A) LPN/LVNs have an interdependent relationship with other health team members.
B) LPN/LVNs act in a more dependent role when participating in the planning and evaluation phases.
C) LPN/LVNs act more independently when participating in data collection and implementation phases than in any other phases of the nursing process.
D) LPN/LVNs are able to use the NANDA list to make nursing diagnoses.
E) LPN/LVN basic education enables them to perform patient interviews and assessment of body systems.
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14
Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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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 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 level of nurse qualified to design and implement research studies and publish findings is a nurse with a A) research doctorate.
B) practice doctorate.
C) master's degree.
D) baccalaureate degree.
Q3) Which of the following are the three subtheories of Dorothea Orem's self-care deficit theory? (Select all that apply.)
A) Self-care
B) Self-care deficit
C) Self-actualization
D) Nursing system
E) Cultural care
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The role of the LPN/LVN can best be described as which of the following?
A) Initiates all health teaching
B) Works in an independent role
C) Initiates all phases of the nursing process
D) Assists with all phases of the nursing process
Q2) The aspect of functioning that distinguishes RNs from LPN/LVNs is that only RNs
A) plan and organize daily care for groups of patients.
B) implement measures ordered to prevent complications.
C) provide health information to patients and families.
D) initiate independent nursing actions based on nursing diagnoses.
Q3) Select the method of delivering nursing care that facilitates continuity of care, individualizes care, and fosters 24-hour accountability for patient care.
A) Case nursing
B) Team nursing
C) Functional nursing
D) Primary care nursing
Q4) The role of the LPN/LVN in the health care team is best described as
Page 16
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Chapter 15: Health Care Settings: Continuum of Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) 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 uses a large number of volunteers."
Q2) Which individual is best served by receiving care at an adult day care center?
A) Mr. A, who needs a nebulizer treatment to control an acute asthma attack
B) Mr. B, who has been referred for carpal tunnel surgery
C) Mr. C, a new diabetic who needs teaching
D) Mr. D, who has first-stage Alzheimer's disease and a working wife
Q3) Accountability of private health care agencies is assumed by the
A) taxpayer.
B) government.
C) owners of the agency.
D) board of directors of the agency.
Q4) ____________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
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Chapter 16: The Health Care System: Financing, Issues, and Trends
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24 Verified Questions
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Sample Questions
Q1) 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
Q2) When 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."
Q3) The amount an insured person must pay at the time of an office visit, when picking up a prescription, or before a hospital service is known as the
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Page 18
Chapter 17: Collaboration: Leading and Managing
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Sample Questions
Q1) When a resident's family complains that their mother is receiving inferior care in the extended care facility, which action should the LPN/LVN charge nurse initially take?
A) Gently explain that Continuous Quality Improvement (CQI) would not permit giving inferior care.
B) Mention that the staff is overworked and would be glad for the family's assistance.
C) Ask the family to be specific and give examples of "inferior care" the mother has received.
D) Tell the family that their reaction is based on guilt because of their need to place their mother in an extended care facility.
Q2) A purely task-centered leadership style that thrives on power and involves telling someone what to do, with little regard for the employee as a person, is the ____________________ style.
Q3) 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.
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Page 19
Chapter 18: Work Force Trends:
Will Love
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) When an SP/VN or LPN/LVN is seeking a new position, which pre-interview preparatory action would most likely contribute to a successful interview?
A) Practice responding to sample interview questions.
B) Focus on spontaneity as the key to answering questions.
C) Choose casual clothing, because it denotes self-esteem.
D) Remind oneself to address the interviewer by her or his first name.
Q2) What advice should an LPN/LVN use to adequately follow up an employment interview? (Select all that apply.)
A) Write a letter to the editor of the local newspaper praising the facility.
B) Offer a written critique of the interview sent to the interviewer.
C) Call the interviewer to inquire how the process is proceeding.
D) Write a thank you letter for granting the interview.
Q3) The National League for Nursing (NLN) membership
A) is open only to registered nurses.
B) is open only to licensed practical nurses.
C) is open only to advanced practice nurses.
D) is open to anyone interested in nursing issues.
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Page 20
Chapter 19: Licensure and Regulation: Becoming Licensed and
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Sample Questions
Q1) 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."
Q2) Preparation for the NCLEX-PN examination should include
A) cramming difficult concepts the night before the examination.
B) rereading each textbook used in the program of study.
C) going to a party the evening before the test.
D) reviewing content summaries and focusing on identified areas of weakness.
Q3) The practical/vocational nursing student tells a colleague, "I know I'm going to fail the NCLEX-PN examination. I've heard that a huge amount of the examination is psychology related, and I hated psychology!" The reply that shows the best understanding of the NCLEX-PN examination is
A) "You'd better retake the psychology course."
B) "There are equal numbers of questions related to each aspect of patient needs."
C) "Psychosocial integrity is the basis for 8% to 14% of the questions."
D) "I've heard there's more emphasis on care planning than anything else."
Page 21
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