Vocational Nursing Concepts
Final Test Solutions
Course Introduction
Vocational Nursing Concepts introduces students to the foundational principles, roles, and responsibilities of vocational nurses within the healthcare system. The course covers essential topics such as ethical and legal considerations, communication skills, patient-centered care, cultural competence, and the professional behavior expected in various health settings. Students explore the scope of practice for vocational nurses, strategies for effective collaboration within healthcare teams, and the critical thinking and problem-solving skills required for safe and effective patient care. Emphasis is placed on developing a holistic understanding of the vocational nurses role in promoting health, maintaining safety, and advocating for patients and families.
Recommended Textbook
Success in Practical Vocational Nursing 8th Edition by Patricia Knecht
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19 Chapters
521 Verified Questions
521 Flashcards
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Chapter 1: Personal Resources of an Adult Learner
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A nursing student remarks that she would like to make better use of time during the school day. Which behaviors can be identified as ones that would contribute to this goal? (Select all that apply.)
A) Smoking during the time between classes
B) Practicing skills in the learning resource center during free time
C) Eating a candy bar for energy during the afternoon break
D) Using break time to review for the next class
E) Discussing class topics with a peer
Answer: B, D, E
Q2) 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 immediately terminated.
Answer: A
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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) 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.
Answer: active
The active listener is always thinking, not just hearing the words. Active listeners listen with full attention, are open-minded and curious, and are always asking themselves questions about the content.
Q2) 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.
Answer: passive
The passive listener receives sounds with little recognition or personal involvement. This listener may be doodling, staring out the window, or even staring at the instructor but thinking about having to change the oil in the car or deciding what to cook for dinner.
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4
Chapter 3: Community Resources
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Sample Questions
Q1) The 2011 National Council of State Board Examiners (NCSBN) white paper "A Nurse's Guide to the Use of Social Media" addresses _____________ violation of patient confidentiality/privacy by posting patient information on ___________________ sites.
Answer: nurses; social networking
The 2011 National Council of State Board Examiners (NCSBN) white paper "A Nurse's Guide to the Use of Social Media" states that 46 Boards of Nursing (BON) were surveyed by the National Council, and 33 boards reported receiving complaints about nurses who violated patient confidentiality/privacy by posting patient information on social networking sites.
Q2) A nursing student states that recent unsatisfactory academic performance is due to inadequate nutrition. What step in Maslow's Human Needs Theory needs to be met?
A) Safety
B) Love and belonging
C) Esteem
D) Physiological
Answer: D
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Chapter 4: How Practical/Vocational Nursing Evolved: 1836
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) In what year was practical nurse licensure used for the first time?
A) 1903
B) 1914
C) 1938
D) 1941
Q2) 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.
Q3) When in history was it first recommended that tasks of the RN and LPN be differentiated and that practical nurses should function under the supervision of registered nurses?
A) 1750-1760
B) 1826-1850
C) 1949-1950
D) 1965-1980
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 5: Critical Thinking: A Lifelong Journey
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nursing student demonstrates the ability to use learned material in new situations. This is an example of what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q2) 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.
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge, comprehension, application, and _______________.
Q4) 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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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse injects himself or herself with a narcotic prescribed for a patient. This is an example of
A) unethical and illegal behavior.
B) ethical and legal behavior.
C) unethical but legal behavior.
D) ethical but illegal behavior.
Q2) When a student nurse prepares diligently for a clinical assignment, the ethical principle being observed is A) autonomy.
B) justice.
C) nonmaleficence.
D) fear of punishment.
Q3) 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.
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Chapter 7: Nursing and the Law:
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) 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.
Q2) A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
A) carrying malpractice insurance.
B) requesting supervision for all care.
C) not signing her or his name to patient medical records.
D) maintaining good relationships with patients and families.
Q3) When documenting patient behavior, the LPN/LVN should
A) record subjective interpretations of patient behavior.
B) avoid mentioning communicating with supervisors to report changes in condition.
C) record all interventions performed and patient instruction given.
D) Use white-out to erase errors in documentation.
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Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A patient asks a practical/vocational nursing student the following questions. To which option should the nurse respond, "I don't know the answer to your question, but I'll find someone who will discuss it with you"?
A) "What do you mean when you say 'vital signs'?"
B) "May I get out of bed?"
C) "How do I call a nurse when I need one?"
D) "How much longer do I have to live?"
Q2) A patient who has had knee surgery tells the nursing student that he is "doing fine" and "doesn't need anything." The student observes that he winces when moving in bed and that he has a worried frown. The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction?
A) The nursing student recognized that the patient's verbal and nonverbal messages were incongruent.
B) The nursing student understood that verbal messages outrank nonverbal messages in importance.
C) The nursing student realized that affective communication is of lesser importance.
D) The nursing student used one-way communication effectively.
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Chapter 9: Assertiveness: Your Responsibility
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse demonstrates assertive behavior by doing which of the following?
A) Limiting contact with a patient who is dying, because it causes the nurse to feel depressed
B) Routinely telling patients who have questions about their medications to ask the physician
C) When asked about something unfamiliar, admitting to not knowing but agreeing to find out
D) Telling another nurse how ridiculous a doctor is for ordering hourly vital sign assessments
Q2) 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.
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A patient who uses the biomedical health belief system would be most likely to respond to interventions by a A) diviner.
B) shaman.
C) herbalist.
D) physician.
Q2) Which statements about emotions and their expression can provide a basis for providing care to culturally diverse patients? (Select all that apply.)
A) In some cultural groups, people do not display emotions openly in public.
B) Emotions are universal, but cues to those emotions vary.
C) Culture provides guidelines for approved ways of responding to pain.
D) Silence has various culturally determined meanings.
Q3) 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.
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A Hindu patient is admitted after a severe head injury and is near death. The organ procurement person tells the nurse, "I don't know much about the Hindu religion, and I have to talk to the family about organ donation. Can you give me any hints?" The best response for the nurse would be
A) "Organ donation is prohibited by the religion."
B) "The family is very concerned about where the patient's soul will go after death."
C) "The religion permits organ donation, but you would have to ask the family their feelings about it."
D) "It's hard to know what people who believe cows are sacred will think about organ donation."
Q2) The nurse is caring for an Orthodox Jewish patient who is close to death. An important intervention would be to find out whether the patient
A) wishes to have the Sacrament of the Sick.
B) has been baptized.
C) wishes to have his Koran nearby.
D) can be touched by the nurse after death.
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Page 13
Chapter 12: The Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) How does the LPN/LVN use nursing diagnosis in patient care?
A) To set patient-centered goals
B) To convert nursing diagnoses to patient problems
C) To implement independent nursing interventions
D) To justify participation in data collection
Q2) 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
Q3) The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that
A) a nursing diagnosis identifies the patient's problems.
B) it permits the practical nurse to go beyond the scope of practice.
C) this step makes the practical nurse equal to the medical doctor.
D) knowledge of the nursing diagnosis ensures a cure for the patient.
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Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nursing instructor provides positive feedback to the student LPN/LVN after observing the student administer an intramuscular injection to a patient. According to Maslow's human needs theory, the instructor is helping to meet the student's A) physiological needs.
B) safety needs.
C) love and belonging needs.
D) esteem needs.
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) An independent, not-for-profit organization established in 1993 with the purpose of preparing and promoting the accessibility of a collection of evidence-based health care interventions obtained by systematic reviews of research is known as the
Q4) The three concepts considered important to nursing are person, health, and A) socialization.
B) procedure.
C) environment.
D) theory.
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) 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
Q2) The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
A) The LPN/LVN is able to administer oral medications.
B) The LPN/LVN is a first-line manager responsible to the RN.
C) The LPN/LVN formulates nursing diagnoses and care plans.
D) The LPN/LVN interprets and implements research findings.
Q3) The role of the LPN/LVN in the health care team is best described as
Q4) 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
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Chapter 15: Health Care Settings: Continuum of Care
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) A nurse is asked about public health care agencies. Which of the following would help the nurse frame a comprehensive response? (Select all that apply.)
A) Public health agencies are entirely supported by fees for services.
B) There are two types of public health agencies: official and voluntary.
C) Public health agencies seek to make a profit for the owners.
D) Public health agencies focus on curing illness and disease.
E) Public health agencies emphasize disease prevention, wellness promotion, research, and education.
Q2) 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.
Q3) ____________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
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Chapter 16: The Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) When involved with discharge planning for a patient recovering from a mild cerebrovascular accident, the nurse should understand that Medicare provides
A) longer stays for Medicare patients in acute inpatient settings.
B) increased use of extended care units for rehabilitation needs.
C) inappropriate early discharge of large numbers of patients.
D) universal coverage for U.S. citizens and permanent residents.
Q2) The LPN/LVN charge nurse has been designated to participate in the orientation of a new LPN/LVN by explaining cost-containment measures. Measures the charge nurse should mention include which of the following? (Select all that apply.)
A) Charge patients for all supplies used in their care.
B) Document patient care according to the policy for reimbursement.
C) Use time management principles to work efficiently.
D) Use supplies carefully to avoid waste.
E) Implement measures to prevent complications.
F) Advise insured patients to select higher tiers whenever possible.
Q3) The amount an insured person must pay at the time of an office visit, when picking up a prescription, or before a hospital service is known as the
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Chapter 17: Collaboration: Leading and Managing
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Sample Questions
Q1) Which understanding about leadership would help the LPN/LVN become a more skillful leader?
A) Leaders in nursing are appointed by management to accomplish organizational goals.
B) Leaders rarely take risks and virtually never make mistakes.
C) Leaders have little confidence in themselves until they develop a power base.
D) Leaders see change as challenging and providing opportunities for improving quality of care.
Q2) The LPN/LVN day shift charge nurse in a nursing home usually reports to the A) owner of the nursing home.
B) administrator of the nursing home.
C) RN manager of the unit.
D) board of directors of the nursing home.
Q3) The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to
A) verbally confront the employees with their behavior.
B) write reprimands to be placed in each employee's file.
C) ask for in-service classes on time management.
D) determine the reason staff members are taking longer breaks.
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Chapter 18: Work Force Trends: How
Will Love
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) What is the first step that should be taken by a student nurse who wants to use a particular instructor's name as a reference?
A) Look in the catalog to make sure the name is spelled correctly.
B) Pass the course taught by the instructor, which permits listing the name.
C) Ask the instructor whether her or his name may be used as a positive reference.
D) Check with recent graduates to see which instructor writes the best letters of reference.
Q2) What action should the nurse take if the employer begins to ask interview questions about work experience on the phone when the nurse calls to set up an interview?
A) Answer all questions asked by the employer pleasantly, accurately, and completely.
B) Express willingness to discuss qualifications in detail during a scheduled interview.
C) Mention being in a hurry now but give permission to receive a call back in an hour.
D) Report the phone call to the civil liberties commission.
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Chapter 19: Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act
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Sample Questions
Q1) Which statements provide accurate information about determination of pass/fail by NCLEX-PN computerized adaptive testing? (Select all that apply.)
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) Which phrases identify differences between taking the NCLEX-PN examination and a "regular" test in a nursing program? (Select all that apply.)
A) One can skip questions and return to them in a program exam.
B) One will be penalized for guessing on the NCLEX-PN examination.
C) There are a variety of question formats on the NCLEX-PN examination.
D) One should stop reading possible answers on the NCLEX-PN examination as soon as selecting the correct answer.
E) The NCLEX-PN examination is individualized; program examinations are identical for all testers.
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