Practical Nursing Fundamentals
Question Bank
Course Introduction
Practical Nursing Fundamentals introduces students to the core principles, skills, and professional responsibilities of nursing practice. This course covers essential topics such as patient safety, infection control, basic anatomy and physiology, communication techniques, ethical and legal issues in nursing, and foundational nursing procedures. Emphasis is placed on hands-on practice, clinical reasoning, and teamwork to prepare students for direct patient care in diverse healthcare settings. By the end of the course, students will have developed a strong foundation in providing holistic, compassionate care while upholding the standards of the nursing profession.
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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Sample Questions
Q1) When a class of nursing students discusses their concerns about their program, the concern shared by most learners is generally the fear of
A) succeeding.
B) economic problems.
C) failure.
D) ridicule.
Answer: C
Q2) A nursing student caring for a patient recognizes that he has contaminated his sterile glove during a dressing change requiring surgical asepsis, so he puts on a new sterile glove. The student's action demonstrates that he has learned
Answer: self-evaluation
Learners must work at developing the skill of viewing themselves and their actions objectively.
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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) When a nursing student needs a journal article from a periodical that is not available in the holdings of the learning resource center, the student should
A) try to find a substitute article.
B) request an interlibrary loan.
C) go to the stacks and look again.
D) check the vertical file.
Answer: B
Q2) A student nurse is utilizing the technique of cooperative learning. Cooperative learning includes which of the following? (Select all that apply.)
A) Working in small groups
B) Active involvement in learning
C) Development of critical thinking skills
D) Assistance in learning the course content
E) Discouragement of the development of teamwork
F) An emphasis on individual accountability for learning
Answer: A, B, C, D, F
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Page 4
Chapter 3: Community Resources
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Sample Questions
Q1) Place the five steps of Maslow's Human Needs Theory in the correct order:
A) Self-actualization
B) Safety
C) Physiologic needs
D) Esteem
E) Love/belonging
Answer: C, B, E, D, A
Q2) What is the best social media site to use when seeking professional employment?
A) Facebook
B) AllNurses.com
C) Twitter
D) LinkedIn
Answer: D
Q3) __________________ 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.
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Sample Questions
Q1) After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the
Q2) Which statement best explains the "entry into practice" controversy?
A) Nursing shortages would be relieved if all nurses entered into practice as LPN/LVNs.
B) The return to self-proclaimed nurses would save scarce health care dollars.
C) "Entry into practice" refers to discerning the educational level most appropriate for entry into the practice of nursing: ADN, BSN, MSN.
D) After graduation, all professional and vocational nurses should enter practice by serving a 1-year internship in a hospital setting.
Q3) 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.
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Chapter 5: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) A first-postoperative-day patient received pain medication 6 hours ago. He states he is not experiencing pain but refuses to deep breathe and ambulate as ordered. The nursing student caring for him consults her instructor, asking whether it might be advisable to administer pain medication. The student is using A) the right brain hemisphere.
B) the intrapersonal learning style.
C) linguistic memory.
D) critical thinking.
Q2) A nurse is caring for a postpartum patient. The nurse assesses the patient's fundus, notes that it is deviated to the side, and instructs the patient to void. The nurse understands that this intervention should allow the fundus to effectively contract. The nurse's thinking is purposeful and outcome oriented. This is an example of A) directed thinking.
B) habitual thinking.
C) nonfocused thinking.
D) ruminative thinking.
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item. These various levels are called ____________________.
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Chapter 6: Ethics Applied to Nursing: Personal Versus Professional Ethics
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Sample Questions
Q1) 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.
Q2) A student nurse asks, "What's the difference between laws and ethics?" Which response best explains the difference between nursing laws and ethics?
A) "Ethics refer to expected behavior of nurses, but laws require mandatory observance by nurses."
B) "Nursing ethics are formalized by statutes, whereas laws are permissive codes."
C) "Ethics are derived from laws, whereas laws are enacted by nonnurse legislators."
D) "Ethics are specific to individual agencies, but laws are state specific."
Q3) A system of standards or moral principles that direct actions as being right or wrong is called ___________.
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Chapter
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Sample Questions
Q1) The nurse discusses the patient's condition on the phone with the patient's brother. On learning this, the patient is upset, saying he has not spoken with his brother for years and does not want his brother to know anything about his condition. The nurse has A) slandered the patient.
B) committed a felony.
C) breached confidentiality.
D) assaulted the patient.
Q2) A nursing student is assigned to care for a patient who requires several technical procedures. 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. The instructor would be justified in
A) telling the student to be very careful during caregiving.
B) sending the student off duty and turning the patient's care over to staff.
C) suspending the student.
D) dismissing the student from the program.
Q3) 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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Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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Sample Questions
Q1) 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.
Q2) The nurse enters a patient's room and asks, "How are things today?" The nurse has used
A) an open-ended question.
B) a focused question.
C) probing.
D) paraphrasing.
Q3) A patient tells the nurse, "I don't know what to expect in the hospital. Everybody speaks medical-talk. Nobody tells me if I'm getting better or worse. Doctors march in and poke and prod me without asking my permission. And another thing, I can't stay here forever; I have to look after my elderly mother." From these data the nurse can correctly determine that the patient is
A) experiencing a difficult transition to the patient role.
B) unnecessarily sensitive to loss of independence.
C) excessively fearful of unknown aspects of hospitalization.
D) suffering from sensory overload.
Page 10
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Chapter 9: Assertiveness: Your Responsibility
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Sample Questions
Q1) A nurse demonstrates nonassertive behavior by doing which of the following?
A) When a patient asks about the nurse's personal life, the nurse responds to the patient's questions out of fear of not being liked by the patient.
B) When a patient asks about the nurse's personal life, the nurse says that the information is personal and chooses not to discuss it.
C) When a nurse feels the team leader has been unfair, the nurse approaches the team leader and asks to speak privately at a time that is convenient for the person.
D) When pressured by staff members to help with their assignments, the nurse, who is too busy to help, refuses without feeling guilty but leaves the door open to help at a future date.
Q2) Which nonverbal behavior is most congruent with a nurse's assertive verbal statement?
A) Firm voice, erect posture, direct eye contact
B) Soft voice, shoulders relaxed, eyes down
C) Loud voice, back stiff, eyes glaring
D) Smile while speaking, touch person's arm, eyes lowered
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Data collection suggests that a patient's health beliefs are personalistic. Which statement by the patient would the nurse determine as consistent with personalistic health beliefs?
A) "Please call my physician for me so I can discuss my symptoms."
B) "I would like to wear the amulet that's in my bedside stand."
C) "X-rays will find the cause of my back pain."
D) "I hope the doctor will recommend surgery."
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 about culture will help the nurse implement culturally competent care?
A) Each culture measures other cultures using its own ways as the norm.
B) Culture is primarily based on genetic inheritance.
C) Stereotypes about cultures can be accepted as true.
D) Cultural diversity is based entirely on race.
Page 12
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
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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 nurse is caring for a patient who practices Mormonism. The nurse should expect the patient to study religion from the Holy Bible and the ____________________.
Q3) 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.
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13
Chapter 12: The Nursing Process: Your Role
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Sample Questions
Q1) A nurse is gathering data about a patient. The nurse determines that which of the following is objective data?
A) The patient complains of phantom pain after receiving a left below-the-knee amputation.
B) The patient complains of crushing chest pain and states, "I feel like there is an elephant sitting on my chest."
C) The patient complains of feeling anxious about being hospitalized and states, "I feel like I'm going to die."
D) The patient has a heart rate of 99 beats per minute, respirations of 20 per minute, and a temperature of 99.2° F.
Q2) 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.
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Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) 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
Q2) The National League of Nursing (NLN) expects the practical/vocational nurse's main role in evidence-based practice to be
A) To challenge the status quo
B) To identify questions that need to be studied
C) To formulate evidence-based protocols
D) To question the basis for nursing actions
Q3) ________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
Q4) In 2010, the ______________________________ established competencies for nursing graduates at all levels.
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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Sample Questions
Q1) The goal of the health care team is best described as
A) restoring optimal physical, emotional, and spiritual health to patients.
B) preventing communicable diseases.
C) selecting health care professionals who serve people with health care needs.
D) attaining personal satisfaction of the need to help others.
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
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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Sample Questions
Q1) An example of a voluntary health agency that is focused on research and education of the public is
A) the Alcohol, Drug Abuse, and Mental Health Administration.
B) the Visiting Nurse Association.
C) St. Jude's Children's Hospital.
D) the American Heart Association.
Q2) ____________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
Q3) A patient tells the nurse, "I was treated for an asthma attack at a freestanding ambulatory services center." The nurse correctly identifies the treatment as taking place at a(n)
A) urgent care center.
B) domiciliary residence.
C) intermediate care facility.
D) fitness club.
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
Page 17
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Chapter 16: The Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) A mother and her three children often seek medical services at the emergency room. The nurse realizes that they have no insurance and are unable to pay for services. The action the nurse should take that would provide the greatest assistance to the family would be to
A) advise them to use urgent care centers where fees are lower.
B) leave the newspaper classified ads in a visible place.
C) advise the mother to seek work at the hospital personnel office.
D) contact a social worker to discuss Medicaid with the mother.
Q2) The skill that will be most helpful to an LPN/LVN in navigating health care system changes successfully is
A) the ability to work efficiently for long hours.
B) problem-solving and critical thinking abilities.
C) identifying the need for comprehensive system change.
D) becoming knowledgeable about CQI processes.
Q3) Which LPN/LVN will be most successful in dealing with change?
A) Nurse S, who always assumes that the worst will happen in any situation
B) Nurse T, who agrees with whatever the administration proposes
C) Nurse U, who sees change as an opportunity to improve conditions
D) Nurse V, who predicts that the change will probably not work
Page 18
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Chapter 17: Collaboration: Leading and Managing
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Sample Questions
Q1) When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties, which task could be delegated to experienced, unlicensed assistive personnel who have been trained to perform the task?
A) Calling the physician when a resident's condition deteriorates
B) Providing a performance evaluation for another nursing assistant
C) Taking the vital signs of a resident whose condition is not critical
D) Handling a grievance brought by a nursing assistant
Q2) Which quality is rarely found in democratic leaders?
A) Assertiveness
B) Arrogance
C) Desire for new learning
D) Effective communication
Q3) An LPN/LVN is working in a health care facility that allows delegation of nursing duties to nursing assistants by the LPN/LVN. Which of the following duties could be delegated to the nursing assistant?
A) Weighing a patient
B) Initial patient education
C) Assessing a patient's pain
D) Changing a sterile dressing
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Page 19
Chapter 18: Work Force Trends:
Will Love
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Sample Questions
Q1) Identify information that should be included in a résumé. (Select all that apply.)
A) State of health
B) Salary requirements
C) Education
D) Marital status
E) Work experience
F) Licenses/professional memberships
G) Military experience
Q2) The quality that is the greatest asset for the LPN/LVN working in home health care is
A) flexibility.
B) judgmental attitude.
C) sympathetic approach.
D) preference for working alone.
Q3) 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.
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Chapter 19:
and
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Sample Questions
Q1) Which statement pertains to a temporary work permit?
A) It is issued automatically upon completion of the LPN/LVN program.
B) It permits one to work as an LPN/LVN.
C) It is required to take the NCLEX-PN examination.
D) It is revoked once the NCLEX-PN examination result is reported.
E) It allows one to assume LPN/LVN charge nurse duties.
Q2) Which of the following are needed by the candidate to arrange for and take the NCLEX-PN examination? (Select all that apply.)
A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card
Q3) 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 patient need
E) Ends testing when 50% of the questions have been answered correctly
Page 21
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