Vocational Nursing Concepts
Final Exam Questions
Course Introduction
Vocational Nursing Concepts introduces students to the foundational principles and practices of vocational nursing, focusing on the role and responsibilities of the licensed vocational nurse (LVN) within the healthcare team. The course explores core concepts such as legal and ethical considerations, patient-centered care, communication techniques, and the promotion of health and wellness across the lifespan. Through a combination of theoretical learning and practical scenarios, students gain understanding of the nursing process, critical thinking, and documentation, as well as strategies for prioritizing care and collaborating with other healthcare professionals. Emphasis is placed on cultural competence, professional conduct, and preparation for safe clinical practice.
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
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Sample Questions
Q1) A nursing student monopolizes class discussions. Which statement about the situation is most accurate?
A) The student is violating the rights of others to participate in class.
B) The student is demonstrating interdependency with the instructor.
C) The student is demonstrating passive learning strategies.
D) The student is at risk for being penalized by the instructor.
Answer: A
Q2) The First Amendment of the U.S. Constitution guarantees students the right to A) graduate from a program.
B) fail an academic program.
C) express oneself in class.
D) have unlimited absences.
Answer: C
Q3) 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
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Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) The nurse who uses a step-by-step approach to planning and scheduling daily and weekly tasks is using
A) right brain thinking.
B) left brain thinking.
C) midbrain thinking.
D) creative thinking.
Answer: B
Q2) A student generally postpones high-priority activities and does low-priority activities instead. The most likely outcome of this behavior is that the student
A) will assume power over life.
B) brings anxiety under control.
C) derives a sense of true accomplishment.
D) feels increased tension and fear of failure.
Answer: D
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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) Student A read the text and visualized how to make a bed. Student B went to the practice lab and practiced making a bed. Assuming each was using their preferred learning style, which statement is true about who will most likely pass the skill evaluation of bed-making?
A) Student A will pass.
B) Student B will pass.
C) Students A and B are equally likely to pass.
D) Neither student A nor B will pass.
Answer: C
Q2) A college student tells the nurse, "I have difficulty studying. I can't seem to get organized. I get distracted and often need to smoke to calm my nerves. Noise irritates me." The intervention the nurse could suggest that would be of greatest benefit would be
A) "Try using colored transparency film over the page when reading to help you focus."
B) "Study only at the time of day that you are most alert and rested."
C) "Use a tape recorder to play and replay lectures at bedtime."
D) "Always sit at a desk to read or study."
Answer: A
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student asks for suggestions for successful test preparation. Select the items that give the best advice. (Select all that apply.)
A) "Go to a movie or watch television the night before the test."
B) "Reread pertinent chapters in the textbook."
C) "Plan to study from 8 PM until 2 AM the night before the test."
D) "Focus on note summaries, margin writings, and underlined text."
E) "Clarify the examination format with the instructor."
Q2) A nursing student is asked to identify distractions that limit the ability to concentrate. An example of an internal distraction is
A) mental fatigue.
B) background noise.
C) the physical environment.
D) other nursing students.
Q3) Which is a strategy of effective reading?
A) Read in a monotone with no inflection.
B) Read in phrases, a few words at a time, rather than word by word.
C) Read at the same pace regardless of difficulty.
D) Do not mark your book or ebook.
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) Four students are discussing when it is appropriate to miss a nursing class. Which student provides the only acceptable reason for missing a class?
A) Student A states, "I have to miss class to go to a job interview."
B) Student B states, "I would only miss class to deal with an emergency."
C) Student C states, "I miss class to go to eye and dental appointments."
D) Student D states, "I sometimes miss class to study for a test in another class."
Q2) A nursing student has a course syllabus and a course outline. When anticipating what topics to study for an examination, it is best to refer to the
A) course objectives.
B) unit objectives.
C) bibliography.
D) course policies.
Q3) A nursing student could best explain an Internet search engine to a peer by saying it is most like
A) a book or periodical index.
B) a clinical contact with a patient.
C) a videotape.
D) the vertical file.
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Sample Questions
Q1) 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.
Q2) Health promotion for patients is facilitated when the nurse encourages changes based on information that diabetes, heart disease, and breast and colon cancer are causally linked to A) environmental toxins.
B) hypolipidemia.
C) overactivity.
D) obesity.
Q3) How can nurses avoid burnout?
A) Put patients' needs before their own needs.
B) Accept that as nurses, their vocational and personal lives are one.
C) Understand their own needs and maintain balance between work and personal life.
D) Use sympathy for the patient as a key to personal growth and professional development.
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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Sample Questions
Q1) The first formal training for practical nurses focused on A) care for victims of war injuries.
B) home care for children and people with chronic illness.
C) training visiting nurses and public health nurses.
D) creating nursing instructors for nursing programs.
Q2) Which individuals made significant contributions to nursing? (Select all that apply.)
A) Lillian Wald
B) Linda Richards
C) Sairy Gamp
D) Betsy Prig
E) Mary Mahoney
Q3) In what year was practical nurse licensure utilized for the first time?
A) 1903
B) 1914
C) 1938
D) 1941
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 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.
Q2) During a performance evaluation, the evaluator describes several behaviors of the nurse. Select the observations that indicate the nurse uses critical thinking. (Select all that apply.)
A) "I have noted that you base care on patient needs."
B) "Your caregiving is guided by identified outcomes."
C) "You use professional standards as guidelines."
D) "You tailor interventions to the circumstances."
E) None of the above
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge, comprehension, application, and ____________________.
Q4) Which remark by a nurse demonstrates the use of critical thinking?
A) "I just let my thoughts flow."
B) "My mind is made up. Why listen further?"
C) "I play and replay a situation, like using instant replay."
D) "I think about what other information I need before proceeding."
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) Which of the following is the primary reason that LPN/LVNs are taught to use the nursing process?
A) To diagnose disease
B) To provide reimbursement
C) To resolve patient problems
D) To communicate with health team members
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) A nurse reviews a patient's care plan and finds a goal for the patient to ambulate at least three times a day. The nurse assists the patient to accomplish this goal. The nurse is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
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Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) In 2010, the _____________________________________ established competencies for nursing graduates at all levels.
Q2) ______________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
Q3) According to Watson's theory of human care, health is harmony of what factors? (Select all that apply.)
A) People
B) Body
C) Environment
D) Spirit
E) Mind
Q4) The health belief theory was developed by A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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Sample Questions
Q1) The introduction of the nursing process and critical thinking into nursing practice has resulted in increased ethical and legal responsibilities for nurses in the areas of (select all that apply):
A) peer reporting.
B) accountability.
C) personal ethics.
D) patient advocacy.
E) cost containment.
Q2) The nurse states, "I like being part of the health care team caring for the traditional two-parent family during the postpartum period as they bond with their newborn." This statement reveals the nurse's A) values.
B) duty.
C) fidelity.
D) ethics.
Q3) To provide justice to patients on the unit, the nurse must
A) treat all patients with the same diagnosis utilizing the same plan of care.
B) treat all patients with equal dignity and respect.
C) base care on the patient's culture, religion, and social status.
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D) determine who is most deserving of extra care.
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Chapter 12: Nursing and the Law: What Are the Rules
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Sample Questions
Q1) The Nurse Practice Act of state X expressly states that blood products may be administered only by physicians, registered nurses, and physician assistants. Under what conditions can an LPN/LVN administer a unit of packed red cells?
A) When a physician orders it
B) If the registered nurse delegates it
C) If the agency policy allows it
D) Never; LPN/LVNs cannot administer packed cells
Q2) 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.
Q3) A legal document that describes the kind of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a(n)
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) A patient states, "My chest incision hurts. I can't walk because of the pain." The nurse responds, "You've been unable to walk because of incisional pain." The nurse's response is an example of which active listening behavior?
A) Restating
B) Reflection
C) Clarification
D) Paraphrasing
Q2) The nurse who demonstrates empathy
A) feels sorry for the patient's situation.
B) understands the patient's thoughts but is unaware of his or her feelings and emotions.
C) understands and appreciates the patient's feelings while remaining objective.
D) attempts to remove physical and emotional pain and fix all of the patient's problems.
Q3) Types of communication include which of the following? (Select all that apply.)
A) Verbal communication
B) Affective communication
C) Nonverbal communication
D) Symptomatic communication
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) The instructor tells a nursing student to hurry with the assignment in order to help a classmate who is behind with work. The student has promised a patient she'd return in 15 minutes to polish the patient's nails. Which response would be considered assertive?
A) "Why me? I'm still busy with my own patients. Ask one of the others who are standing around at the nurses' station."
B) "I suppose I can, if you insist."
C) "I've promised one of my patients that I'll come back to polish her nails. I'd like to be able to keep that promise. Can you possibly ask someone else?"
D) "I'll be glad to help." Then go and apologize to the patient saying the instructor won't let you polish her nails.
Q2) The student nurse has a goal to become a more assertive person. To achieve this, the student nurse must be willing to
A) keep a daily journal.
B) be disliked by others.
C) put down other people.
D) take a positive stand.
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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Sample Questions
Q1) The most important reason for a student nurse to prepare adequately before providing patient care is to
A) be able to give the same safe care as a nurse.
B) avoid arousing the anger of the instructor.
C) maintain self-esteem by performing well.
D) make a favorable impression on unit staff.
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 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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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) A patient tells the nurse that she is accustomed to adhering to a strict schedule for meals and sleep. The nurse reports that the patient
A) follows clock time.
B) lives on linear time.
C) is obsessive-compulsive.
D) will complain if medications and treatments are not performed on time.
Q2) Recently a community has experienced an influx of individuals from Afghanistan. What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?
A) Provide handouts and patient teaching materials in appropriate languages.
B) Hold meetings in the community to explain the Afghan culture.
C) Provide reference guides about Far Eastern cultures to all nursing staff.
D) Utilize the cookbook method of learning to accommodate this immigrant group.
Q3) 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.
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) The nurse who is preparing a Muslim female for a physical examination is told by the patient, "I cannot undress completely." The nurse will appropriately choose interventions based on the knowledge that Muslim women
A) observe standards of modesty requiring coverage from head to ankle.
B) speak openly to women but are silent in the presence of men.
C) wear writings from the Koran on the neck, arm, or waist.
D) are given alcoholic beverages with each meal.
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 ____________________.
Q3) A religion in which members observe the Sabbath from sunset on Friday to sunset on Saturday is
A) Mormonism.
B) Catholicism.
C) Islam.
D) Seventh-Day Adventist.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) A patient who had a cerebrovascular accident needs nursing care, physical therapy, and speech therapy. The patient's spouse would like to provide care at home but needs assistance. During the planning conference, the nurse should suggest that the agency that could best meet the patient's needs is
A) a home health agency.
B) the American Red Cross.
C) the American Heart Association.
D) a local wellness center.
Q2) At a patient care planning conference, the nurse hears the remark, "We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the
A) American Cancer Society.
B) Visiting Nurse Association.
C) National Easter Seal Society.
D) local health department.
Q3) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) A patient tells the nurse, "I received a questionnaire that said my answers would be used for purposes of continuous quality improvement. I wonder if it's worth my time to fill it out?" The response that best explains continuous quality improvement is, "Continuous quality improvement activities are used to"
A) restructure hospital departments and personnel assignments to ensure cost savings."
B) provide an opportunity for staff members to participate in self-governance."
C) obtain appropriate reimbursement for care given to ambulatory and inpatients."
D) monitor and improve processes involved in providing safe, effective care for patients."
Q2) A patient asks the nurse, "What do health maintenance organizations (HMOs) do to reduce health care costs?" The response giving the best example of an HMO cost-containment method would be
A) "HMOs pool individual contributions for use in catastrophic illness."
B) "HMOs provide supplemental coverage for items not covered by Medicare."
C) "HMOs use a retrospective payment system."
D) "HMOs provide services aimed at keeping members healthy."
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Chapter 20: Leadership Skills
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Sample Questions
Q1) The LPN/LVN nursing home charge nurse encourages nursing assistants to make suggestions regarding improvement of nursing care and shows concern for the staff. This leadership style is called A) laissez-faire.
B) democratic.
C) autocratic.
D) situational.
Q2) The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called
A) autocratic.
B) democratic.
C) situational.
D) laissez-faire.
Q3) A leadership style that focuses on both the task and the employee is the A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
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Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Sample Questions
Q1) Select the examples of LPN/LVN charge nurse directions that meet the criteria for Right Direction/Communication. (Select all that apply.)
A) "Please bathe Mrs. Duffy today, cut her nails, and shampoo her hair. The beautician will set her hair at 11 AM."
B) "Mr. Hovde needs to have fluids pushed today. His skin seemed dry to me when I made rounds, and we certainly don't want him to become dehydrated."
C) "Mrs. Neidert needs to walk from her room to the nurses' station with the assistance of two this morning and again after lunch. Please report whether she does this easily or with difficulty."
D) "Offer Mr. Jones the urinal before breakfast and before his shower. Report to me immediately if he voids and the amount he voids. If he does not void by 10 AM, notify me, as I will need to catheterize him."
E) "Mrs. Snyder must be showered, dressed in street clothes, and groomed by 10 AM. Have her hat, coat, and mittens ready. The Medi-van is picking her up at 10:30 for a doctor's appointment."
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Sample Questions
Q1) A student nurse is interested in working shortly after graduation. What action would have the greatest potential for achieving the goal of securing employment?
A) Limit job applications to positions listed in the Help Wanted section of the newspaper.
B) Obtain lists of job offerings posted in health care agencies.
C) Research agencies of interest and write brief letters expressing an interest in employment.
D) Depend on the school of nursing and school placement service to find employment.
Q2) 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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Chapter 23: The Nclex-Pn Examination
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Sample Questions
Q1) The LPN/LVN tells a peer, "I want to be endorsed in state X. What step do you think I should take first?" The best response would be
A) "Ask our state board to send you a copy of your NCLEX-PN examination score."
B) "Photocopy your license and current registration."
C) "Write to the board of nursing in state X and ask for instructions."
D) "Request our state board to inactivate your license."
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) What situation is responsible for certain practical/vocational nurse graduates being unprepared to work in a behavioral/mental health clinical setting?
A) Historically, only RNs have been permitted to work with the mentally ill.
B) Some practical/vocational nursing programs do not include a specific mental health nursing component.
C) Practical/vocational nursing students are too fearful of mentally ill patients to learn enough during their programs.
D) Because the number of mentally ill people in the United States is declining, little emphasis needs to be placed on that portion of the educational program.
Q2) Which services does membership in the National Federation of Practical Nurses (NFPN) provide? (Select all that apply.)
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
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