Practical Nursing Fundamentals
Exam Practice Tests
Course Introduction
Practical Nursing Fundamentals introduces students to the essential principles and skills required for entry-level nursing practice. The course covers foundational topics including human anatomy and physiology, basic pharmacology, infection control, patient safety, and effective communication within healthcare teams. Students develop core competencies through simulated clinical experiences and hands-on practice, focusing on patient assessment, vital signs measurement, personal care techniques, and documentation. Emphasis is placed on ethical and professional standards, holistic care, cultural sensitivity, and the practical application of critical thinking in various healthcare settings. This course prepares students to provide supportive care under the supervision of licensed professionals and paves the way for advanced nursing studies.
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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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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31 Verified Questions
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Sample Questions
Q1) An example of a self-talk "script" that promotes success in a practical/vocational nursing program is
A) "I get sick from smelling bad odors."
B) "What if I'm 'all thumbs' in practice lab?"
C) "I don't think the instructor likes me."
D) "I work well with my hands."
Answer: D
Q2) Which amendment to the U.S.Constitution protects the learner from being asked to leave an educational program without due process?
A) 11th
B) 12th
C) 13th
D) 14th
Answer: D
Q3) 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
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Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) Nursing student A is unfamiliar with writing a "to do" list.A nurse experienced in time management would advise nursing student A to include which of the following items?
A) Successfully complete nursing program.
B) Read pages 307 to 342 in the nursing textbook.
C) Hand in a term paper.
D) Remind himself to drop off the dry cleaning.
E) Call to make a dentist appointment.
F) Pick up the clinical assignment for tomorrow.
Answer: B,C,D,E,F
Q2) 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
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Chapter 3: Learning Methods and Skills: How Do You
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Sample Questions
Q1) The nurse could best describe an individual with attention deficit disorder (ADD)by stating that the individual
A) has a lower-than-average IQ.
B) is able to organize and follow through without difficulty.
C) has an undependable memory and learning system.
D) is emotionally stable and attentive to tasks.
Answer: C
Q2) A learning style preference test identified a student as an interpersonal learner.Identify the strategies that would be most useful to this learner.
A) Review notes while walking on a treadmill or stationary bike.
B) Participate in a study group.
C) Study in an area that is neat and orderly.
D) Draw diagrams of study material.
E) Compare observations in conference.
Answer: B,E
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) 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.
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 asks,"Are there any techniques to help me better understand difficult nursing concepts?" The best reply would be
A) "Memorize as much as you possibly can."
B) "Begin by learning the definition of all terms."
C) "Repeat key ideas in your own terms."
D) "Cram for examinations."
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.
Page 6
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A nursing student tells another student,"The instructor assigned both a textbook chapter and a journal article! It should be one or the other,not both!" The reply that shows the best understanding of the assignment is
A) "The journal article may give us updated information on one aspect of the assignment."
B) "Sometimes textbooks have incorrect information, so it provides checks and balances."
C) "Reading articles allows us to make sure the instructors provide current information in lecture."
D) "Copyright laws prevent the instructor from lecturing directly from that source, so we have to read."
Q2) Which nursing students are using the learning resource center appropriately?
A) Student A checks out a text for home use.
B) Student B obtains an article on interlibrary loans.
C) Student C makes a copy of a reference article.
D) Student D finds it a quiet place to study.
E) Student E seeks to purchase a book.
F) Student F obtains a back issue of a nursing journal.
G) Student G goes there to instant message.
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) 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."
Q2) A student nurse tells a peer,"I find myself constantly thinking about patient X and the problems she's experiencing.Sometimes,it makes me want to cry.If only I had a magic wand and could make things better for her!" The peer to whom this is revealed can correctly determine that the student nurse is experiencing
A) empathy for the patient.
B) sympathy for the patient.
C) therapeutic involvement.
D) burnout.
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.
Page 8
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Chapter 7: How Practical/Vocational 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) The event that had the most profound influence in changing practical/vocational nursing was the
A) depression of the 1930s, when nurses worked for room and board in lieu of salary.
B) post-World War II movement of practical/vocational nurses into hospital positions.
C) American Medical Association (AMA) proposal to develop registered care technicians as new health care workers.
D) first computer-adaptive test for practical/vocational nursing graduates.
Q3) The first chapter of the American Red Cross was established by
A) Clara Barton.
B) Sairy Gamp.
C) Dorothea Lynde Dix.
D) Florence Nightingale.
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) A patient tells the nursing student,"I keep thinking of the mistake I made that led to the accident.I can't get it out of my mind.Now my son has a broken leg." The nursing student correctly identifies this as
A) random thinking.
B) habitual thinking.
C) ruminative thinking.
D) directed thinking.
Q2) A nursing student demonstrates the ability to recall and repeat memorized information but does not understand the information.This is an example of what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item.These various levels are called ____________________.
Q4) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) A nurse is comparing a patient's outcomes of nursing care to the expected outcomes.The nurse then communicates these findings to members of the health care team.The nurse is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
Q2) 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.
Q3) Which of the following are considered subjective data?
A) The patient tells the nurse that he has a headache.
B) The nursing assistant tells the nurse that the patient vomited.
C) The patient's mother tells the nurse that the patient needs a ride to the clinic for follow-up.
D) The physician tells the nurse that the patient needs a chest x-ray.
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Page 11
Chapter 10: Nursing Theory,Research,and
Practice
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Sample Questions
Q1) The health belief theory was developed by A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
Q2) According to Watson's theory of human care,health is harmony of what factors?
A) People
B) Body
C) Environment
D) Spirit
E) Mind
Q3) The LPN/LVN is caring for a postoperative appendectomy patient.When assessing the patient for pain,the nurse documents that the patient reports pain rating an "8" on a scale of 0 to 10.According to Sister Callista Roy's adaptation model,a patient experiencing pain would be an example of A) focal stimuli.
B) contextual stimuli.
C) residual stimuli.
D) physiological stimuli.
Page 12
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) Which situation can be identified as abandonment of patients by the nurse?
A) Calling in sick
B) Floating to a unit after a 2-day orientation to the unit
C) Starting to care for patients on wing A and being reassigned to wing B
D) Going off duty without giving report rather than care for patients on an unfamiliar unit
Q2) Encouraging a patient to be involved in planning and carrying out his or her own care is a nursing action that supports the ethical principle of
A) confidentiality.
B) privacy.
C) autonomy.
D) justice.
Q3) Which statements would the nurse evaluate as suggesting that the patient's decision has not been autonomous?
A) "I wish I knew for sure that I had all the facts about the treatment."
B) "I thought through all the alternatives."
C) "My son told me emphatically what he thought would be best for the family."
D) "I am going to refuse to take the treatment because it will prolong life."
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Page 13
Chapter
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Sample Questions
Q1) The term used to describe a competent patient's agreement to have a surgical procedure after the physician explains the procedure,the desired outcome,possible complications,and possible alternative treatment is A) statute.
B) competency.
C) informed consent.
D) standard of care.
Q2) 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.
Q3) 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.
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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) On which statement about life span communication differences can the nurse rely when implementing patient care?
A) Children from birth to age 2 are most soothed by a high-pitched tone of voice.
B) Preschool children tend to respond well to a reasoning approach.
C) It is important to try to communicate with teens using their slang.
D) Elderly people hear lower frequency sounds more easily than high-pitched sounds.
Q3) 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.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) 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.
Q2) The nurse is assigned to park in a newly created parking lot that is far from the hospital building.Some of the lights in the new parking lot have not been installed.As the nurse is about to leave,she notices several young men loitering near the walkway she must take.The nurse should
A) take a deep breath and walk rapidly toward the parking lot.
B) try to use friendliness by greeting the young men as she passes them.
C) wait inside the hospital until the young men leave.
D) call for a security guard to serve as an escort to the car.
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Sample Questions
Q1) 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
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) Which member of the health care team is responsible for initially teaching a patient about medication side effects?
A) Registered nurse
B) LPN/LVN
C) Occupational therapist
D) Patient care technician
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Page 17
Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) A student nurse asks,"Does ethnocentrism have any negative consequences?" The most accurate reply is based on the understanding that A) discrimination is the basis for ethnocentrism and prejudice.
B) ethnocentrism may give rise to prejudice, which may result in discrimination.
C) prejudice has no relationship to ethnocentrism and discrimination.
D) ethnocentrism has only positive consequences associated with ethnic pride.
Q2) 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.
Q3) The nurse who states,"I believe in the uniqueness and value of human beings" is basing care on the philosophy of A) civil liberties.
B) individual worth.
C) American heritage.
D) the American Health Care System Code.
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 religion that was founded by Joseph Smith in the nineteenth century is
A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.
Q3) When Martin Luther separated from the Catholic Church because of scandals in the church,which religion was formed?
A) Mormonism
B) Lutheranism
C) Scientology
D) Jehovah's Witness
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Page 19
Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
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) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
Q4) 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
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Page 20
Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) 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
A) premium.
B) deductible.
C) copayment.
D) coinsurance.
Q2) Which of the following is a quality improvement activity in which the LPN/LVN engages routinely?
A) Collecting data for care plan development
B) Identifying nursing diagnoses
C) Initiating patient teaching about medications
D) Evaluating patient goal attainment
Q3) Which of the following are problems associated with the present health care delivery system that could be identified by a nursing student who is writing an essay?
A) High cost
B) Insufficient number of doctors
C) Widespread shortage of RNs
D) Continuous quality improvement
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Chapter 20: Leadership Skills
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Sample Questions
Q1) Which behavior should the LPN/LVN charge nurse identify as dysfunctional behavior that violates OBRA regulations by threatening resident quality of life,health,or safety?
A) The nursing assistant praises a resident who is having post-stroke speech therapy for attempts to communicate verbally.
B) The nursing assistant asks to talk to the LPN/LVN charge nurse about changes the nursing assistant would like to make in a resident's plan of care.
C) The nursing assistant uses a sharp tone of voice and body posture, suggesting impatience when feeding a resident.
D) The nursing assistant offers to help co-workers after finishing his resident care assignment.
Q2) A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
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Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Q1) When the LPN/LVN charge nurse makes rounds with the physician,which information should be called to the physician's attention?
A) The resident demonstrates a weight increase or decrease of 1 lb.
B) The resident demonstrates a temperature elevation over 99° F.
C) The resident demonstrates a reduced level of consciousness.
D) The resident demonstrates a blood pressure over 120/80.
Q2) 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.
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Sample Questions
Q1) Dressing for success at an interview means an applicant should
A) select clothing that could be worn at a cocktail party and a formal hair style.
B) wear well-fitting, businesslike clothes and a neat hairstyle.
C) wear only new, very conservative dark clothing and have a new haircut and/or style.
D) wear an outfit that reflects one's "off-duty" personality or hobbies and a casual hairstyle.
Q2) Identify information that should be included in a résumé.
A) State of health
B) Salary requirements
C) Education
D) Marital status
E) Work experience
F) Licenses/professional memberships
G) Military experience
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Chapter 23: The NCLEX-PN Examination
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Q1) Which statements provide accurate information about determination of pass/fail by NCLEX-PN computerized adaptive testing?
A) Only questions testing the application or analysis level of cognition are scored.
B) Each question that appears on the screen must be answered; none can be skipped.
C) Of the more difficult questions asked, 50% must be answered correctly to pass.
D) One's score must be at least 75% of the 205 total questions asked.
Q2) The fundamental difference between holding licensure as an LPN/LVN and having a temporary permit is that a temporary permit
A) is surrendered after 2 years; a license is never surrendered.
B) requires close RN supervision; a license gives permission to practice without RN supervision.
C) certifies minimal competency in LPN/LVN skills; a license guarantees safe practice.
D) provides permission to work as a GP/VN; a license certifies minimal competence in LPN/LVN skills.
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Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Q1) Which services does membership in the National Federation of Practical Nurses (NFPN)provide?
A) Subscription to the American Journal of Nursing
B) Insurance discounts
C) Continuing education articles for CEUs
D) Certification programs in IV therapy and gerontology
E) Current standards of practice
Q2) Select the various continuing education opportunities that are usually available to an LPN/LVN who accepts employment at a long-term care facility in a metropolitan area having a collegiate nursing program.
A) A competency-based orientation
B) In-service programs
C) Workshops
D) CEUs through nursing publications
E) Certifications through nursing organizations
F) None of above
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
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