Practical Nursing Fundamentals
Mock Exam
Course Introduction
Practical Nursing Fundamentals introduces students to the core concepts and essential skills required for entry-level practice in the nursing profession. Emphasizing the principles of patient-centered care, safety, and effective communication, this course covers topics such as basic human anatomy and physiology, infection control, vital signs measurement, personal hygiene assistance, mobility support, and patient documentation. Students will gain hands-on experience through laboratory simulations and clinical practicums that foster critical thinking, ethical decision-making, and teamwork in various healthcare settings. This foundation prepares students for further study and practice as competent and compassionate practical nurses.
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) Learner A is concerned about the clinical evaluation component of the nursing program. A peer could help alleviate anxiety by explaining that the purpose of clinical evaluation is to
A) assist the learner to identify strengths and areas needing improvement.
B) provide constructive criticism related to poor performance behaviors.
C) keep unsuitable persons from achieving licensure.
D) help learners develop the ability to listen to negative comments about performance.
Answer: A
Q2) 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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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) A nurse keeps a log of daily activities and the amount of time each takes. As an activity related to time management, this would be classified as
A) planning.
B) evaluation.
C) data collection.
D) implementation.
Answer: C
Q2) A strategy to promote achievement of long-term goals is
A) striving to complete the entire goal at one time.
B) eliminating any undesirable elements of the goal.
C) jumping right in at any point that is appealing.
D) creating a series of related short-term goals.
Answer: D
Q3) Which options are common outcomes of failure to plan adequately? (Select all that apply.)
A) Working harder, not smarter
B) Overlooking priority items
C) Feeling guilt, frustration, and anxiety
D) Being a master of one's time
Answer: A, B, C
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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) Which of the following are intelligences identified by Gardner? (Select all that apply.)
A) Spatial
B) Musical
C) Mathematical
D) Perceptual
E) Intrapersonal
F) Interpersonal
G) Kinesthetic
H) Linguistic
Answer: A, B, C, E, F, G, H
Q2) 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
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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 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.
Q2) A nursing student has difficulty taking multiple choice tests. The test is graded according to the number of right answers. Select the strategies most likely to be helpful when taking this type of test. (Select all that apply.)
A) Leave easy questions until last.
B) Answer all questions. Guess if necessary.
C) Leave answers unchanged after recording them.
D) Save time; stop reading options when the answer is found.
E) Read options and eliminate all wrong options.
F) Eliminate options unrelated to the subject matter.
Q3) 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 asks a peer, "Why do we need a course outline when we have a course syllabus?" The response that best explains the importance of course outlines is
A) "They replace the teacher."
B) "They substitute for the textbook."
C) "They eliminate the need for class attendance."
D) "They indicate the level of understanding needed to pass the course."
Q2) The ultimate responsibility for an LPN/LVN remaining current in the nursing profession lies with
A) the state board of nursing.
B) the employing agency.
C) nursing organizations.
D) the individual nurse.
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.
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 who works in the ICU leaves the room of a patient and bursts into tears. She tells a co-worker, "I have to touch the patient to provide care, but when I was turning her, a big piece of skin just sloughed off her back. How can I justify giving care when it seems to do more harm than good?" The nurse is most likely experiencing A) burnout.
B) detachment.
C) negative outcomes.
D) secondary traumatic stress.
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) The best reason for studying nursing history is to
A) prepare for the NCLEX-PN examination.
B) make nurses more professional.
C) help nurses adapt to change.
D) learn from nursing's past mistakes.
Q2) Which of the following are major concerns associated with the present nursing shortage? (Select all that apply.)
A) Patient safety
B) High patient acuity
C) High nurse-to-patient ratios
D) High stress among nurses
E) High recruitment incentives
Q3) The role of self-defined practical nurses throughout history has been to
A) care for the ill, injured, and dying and for birthing mothers.
B) compete with physicians and surgeons.
C) perform complex nursing skills independently.
D) make contact with the gods on behalf of the ill person.
Q4) After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the
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Chapter 8: Critical Thinking: a Lifelong Journey
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Sample Questions
Q1) A nurse is performing routine vital signs on patients. The nurse has obtained vital signs many times before and is able to do so without much conscious thought. This is an example of
A) directed thinking.
B) negative thinking.
C) ruminative thinking.
D) nonfocused thinking.
Q2) During morning report, the nursing student receives a description of the assigned patient's current problems. When the student determines the priority nursing intervention, she is processing information at the cognitive level known as A) knowledge.
B) comprehension.
C) application.
D) analysis.
Q3) A strategy a nurse might use to improve critical thinking skills is to A) avoid challenging situations.
B) take observations at face value.
C) think about the meaning of relevant theory while giving patient care.
D) implement the first solution thought of when solving patient care problems.
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Page 10
Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on A) the priorities given at the report.
B) the patient's identified strengths.
C) the patient's changing status.
D) information obtained from the Nursing Outcomes Classification (NOC) project.
Q2) The RN head nurse is having a busy day. When the LPN/LVN reports data she has collected, the RN states, "Incorporate that into the nursing care plan and write down the intervention you'd use. I'll co-sign the entry." The LPN/LVN should A) do as requested.
B) ask the advice of the shift supervisor later in the shift.
C) tell the RN that this action is not within the LPN/LVN scope of practice.
D) write a letter to the state board of nursing to report the RN's unprofessional conduct.
Q3) A nurse notes that a patient is experiencing increased peripheral edema and has urinated 20 cc of urine in the past hour. This is an example of ____________________ data.
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11
Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Quantitative research studies are considered
A) subjective studies.
B) grounded theory studies.
C) objective studies.
D) phenomenological studies.
Q2) Research studies in nursing are important because they generate knowledge for which of the following? (Select all that apply.)
A) Clinical practice
B) Surgical procedures
C) Nursing education
D) Delivery of nursing
E) Prescribing medications
Q3) The health belief theory was developed by
A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
Q4) In 2010, the _____________________________________ established competencies for nursing graduates at all levels.
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A major change in medical ethics that affected nursing occurred when the Western secular belief system shifted emphasis from duties to
A) individual autonomy and rights.
B) satisfying Medicare regulations.
C) the cost-effectiveness of care.
D) nonmaleficence.
Q2) The patient asks the nurse, "I overheard the instructor talking to a student about accountability. What does the word 'accountability' really mean?" The best response by the nurse would be
A) "It is a transfer of responsibility for wrong actions."
B) "It is shared responsibility with the physician for wrongdoing."
C) "It is taking personal responsibility for one's nursing actions."
D) "It is giving up responsibility when the situation dictates."
Q3) The nurse providing care for patients or residents must act on the knowledge that a basic right of a patient or a resident is to receive
A) considerate and respectful care from all care providers.
B) information about the diagnosis and prognosis from the practical nurse.
C) the medical care of their choice, regardless of their ability to pay.
D) any food requested and in as large a quantity as desired.
Page 13
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Chapter 12: Nursing and the Law: What Are the Rules
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Sample Questions
Q1) 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)
Q2) A nurse who angrily tells a patient, "If you don't go to sleep, I'm going to give you an injection," can be accused of A) defamation.
B) breach of confidentiality.
C) assault.
D) respondeat superior.
Q3) A patient tells the LPN/LVN, "I want you to bring my medical record so I can read it. I know HIPAA gives me the right to see it." The LPN/LVN should
A) bring the record from the nurses' station to the patient within the hour.
B) explain that the request will be made to the RN, who will follow agency policy.
C) try to talk the patient out of seeing the record by offering to answer questions.
D) tell the patient to make the request in writing to the physician.
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14
Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) Types of communication include which of the following? (Select all that apply.)
A) Verbal communication
B) Affective communication
C) Nonverbal communication
D) Symptomatic communication
Q2) The nurse demonstrates commitment to the patient by
A) delivering nursing care skillfully.
B) using humor to poke fun at the patient.
C) giving advice to solve the patient's problems.
D) talking about what the nurse plans to do after work.
Q3) 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.
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Chapter 14: Assertiveness: Your Responsibility
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25 Verified Questions
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Sample Questions
Q1) A nurse demonstrates assertive behavior by doing which of the following?
A) Assuming a patient would like to skip the bath when the patient's spouse comes to visit
B) Being unable to continue suctioning a patient because she is concerned the patient will not like her for doing it
C) Experiencing a feeling of devastation when the patient questions her ability to insert an intravenous catheter
D) Requesting to speak with the physician privately when she feels that the physician has ordered an inappropriate treatment
Q2) A nurse is appointed to a workplace committee to plan changes in the emergency department. The committee's task is to make recommendations that will provide an environment that deters violence. Which recommendations are consistent with this goal? (Select all that apply.)
A) Install bullet-resistant glass in the nurses' station.
B) Install security alarm devices in examining rooms.
C) Institute a limited toleration of violence policy.
D) Develop a minimum safe staffing policy.
E) Change security officers' uniforms to shirt, tie, blazer, slacks.
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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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) A nurse describes the method of care delivery on a unit as "using nursing staff in varying ratios to meet patient needs and coordinating care using care pathways." This best describes
A) nursing case management.
B) primary nursing.
C) team nursing.
D) the skill mix method.
Q3) Which groups are members of a nursing team?
A) RNs, LPN/LVNs, nursing assistants
B) Radiologists, dietitians, respiratory therapists
C) Occupational therapists, physical therapists, pharmacists
D) Physicians, pharmacists, dietitians, physical therapists
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Page 17
Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Which of the following is an example of the process of socialization?
A) The student nurse assesses the needs of a patient who is a member of another culture.
B) The student nurse learns how to think and act like a nurse.
C) The student nurse uses cultural bias when evaluating the beliefs of a diverse culture.
D) The student nurse demonstrates ethnocentrism related to health-illness beliefs.
Q2) Mrs. Lee tells the nurse who asks why she ate so little of the food on her tray that her condition requires "hot" foods, so she ate only the "hot" foods on the tray. The nurse notices that several items the patient left on the tray were served hot, and several of the foods the patient ate were served cold. The nurse should
A) tell the dietary department to make sure Mrs. Lee's foods are hot when served.
B) check Mrs. Lee's menu choices and change choices from cold entrees to hot entrees.
C) tell Mrs. Lee that no hospital food service serves entrees as hot as she may fix at home.
D) ask Mrs. Lee to make a list of foods she believes would help her condition.
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Page 18
Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) 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.
Q2) 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.
Q3) Select the patient who would benefit least from the nurse reading from the New Testament.
A) Mrs. A of the Assembly of God
B) Mr. B, who is Roman Catholic
C) Miss C, who is a Jehovah's Witness
D) Mr. D, who is an Orthodox Jew
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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) The United States Public Health Service (USPHS) is funded by A) tax money.
B) lottery money.
C) voluntary contributions.
D) estates and endowments.
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) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
Page 20
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) Diagnosis-related groups (DRGs) and prospective payment systems are most clearly the reason for
A) Medicare and Medicaid.
B) critical pathways and managed care.
C) group health insurance and centralization.
D) a shortage of nurses and unlicensed assistive personnel.
Q2) Which program offers an incentive to hospitals to discharge patients as quickly as possible?
A) Retrospective payment system
B) Prospective payment system
C) Seamless system
D) Private insurance plans in effect for under 1 year
Q3) Once a deductible has been met, the percentage of the total bill paid by the insured person is known as the A) premium.
B) deductible.
C) copayment.
D) coinsurance.
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Chapter 20: Leadership Skills
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Sample Questions
Q1) The long-term care agency has recently announced that it will soon lay off six LPN/LVNs and hire eight nursing assistants. Today, the RN charge nurse presents the LPN/LVN charge nurse with a certificate recognizing her ability to manage effectively despite short staffing. The LPN/LVN responds somewhat politely but seems more angry than pleased. In terms of the Howlett hierarchy of needs, which of the following is the best explanation for the employee's reaction?
A) The LPN/LVN is probably responding to the poor working conditions.
B) When job security is threatened, recognition needs assume lesser importance. C) Achievement and advancement needs are more fundamental than recognition needs.
D) The adequacy of benefits is more basic to job satisfaction than affiliation needs.
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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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) Which principles of delegation should the LPN/LVN charge nurse follow when delegating a duty to a nursing assistant? (Select all that apply.)
A) Choose a nursing assistant who is competent to perform the delegated duty.
B) Determine the nursing assistant's willingness to accept the delegated duty.
C) Transfer responsibility for the duty to the nursing assistant accepting the delegation.
D) Permit the nursing assistant to perform the duty without guidance or monitoring.
E) Plan to delegate duties the LPN/LVN charge nurse enjoys least.
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23
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Sample Questions
Q1) Which is a basic rule when writing a letter of resignation?
A) Avoid venting negative feelings.
B) Honesty is the best policy; say how it is.
C) List suggestions for agency improvement.
D) Prior notice is highly overrated; just don't show up any more.
Q2) 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.
Q3) 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
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Page 24
Chapter 23: The Nclex-Pn Examination
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Q1) Which statement best explains the purpose of the NCLEX-PN examination?
A) It is a comprehensive test developed by the NLN and administered at the end of the nursing program by an instructor.
B) It is an examination that measures the minimum competencies needed to practice practical/vocational nursing.
C) It is an LPN/LVN test that allows one to enter an ADN program after passing the examination.
D) It is a comprehensive examination that permits one to function as an LPN/LVN or RN, depending upon the score attained.
Q2) When an SP/VN asks for advice about how to "reduce anxiety before the NCLEX-PN examination," the LPN/LVN should respond, "An effective strategy for reducing test anxiety prior to the NCLEX-PN examination is to
A) maintain a confident, positive attitude about your abilities and the outcome."
B) drink 3 ounces of an alcoholic beverage 30 minutes before the test."
C) prepare yourself for the worst by picturing yourself having to reapply."
D) use scrap paper to keep track of the number of questions you think you answered correctly and incorrectly."
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25
Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Sample Questions
Q1) The home health agency has offered to hire the LPN/LVN applicant as a home health aide. What consideration provides the greatest deterrent to the LPN/LVN accepting the offer?
A) The LPN/LVN will have difficulty receiving compensation from employers.
B) Patients will respond less favorably to the individual because of status issues.
C) Legally, one is always held to the standard of performance of their highest license.
D) Once employed as a home health aide, the individual cannot be employed as an LPN/LVN.
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
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