Vocational Nursing Concepts
Midterm Exam
Course Introduction
Vocational Nursing Concepts provides an introduction to the foundational principles and practices of vocational nursing. The course covers essential topics such as the scope of practice for vocational nurses, roles and responsibilities within healthcare teams, basic patient care skills, professionalism, and ethical and legal considerations in nursing. Emphasis is placed on developing effective communication skills, understanding healthcare delivery systems, and promoting health and safety in clinical settings. Through lectures, discussions, and hands-on activities, students gain the knowledge and skills necessary to function competently in various healthcare environments, preparing them for further clinical experiences and licensure.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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24 Chapters
615 Verified Questions
615 Flashcards
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Chapter 1: The Adult Learner: Hints to Succeed
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) 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 to
Answer: evaluate his own behavior (or wording indicating this same idea) Learners must work at developing the skill of viewing themselves and their actions objectively.
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 penalized by the instructor.
Answer: A
Q3) Which statement by a nursing student is an example of self-evaluation?
A) "The other student forgot to use a bath blanket."
B) "I contaminated my glove on the edge of the bed."
C) "The staff nurse was abrupt with the resident."
D) "It was nice to be complimented by my instructor."
Answer: B
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Chapter 2: Time Management: Making Time Work for You
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The best explanation for Nurse A's organization and ability to complete tasks on time and Nurse B's disorganization and inability to complete tasks on time is
A) Nurse A uses time management effectively.
B) Nurse A is more intelligent.
C) Nurse B has more free time.
D) Nurse B has a greater sense of responsibility.
Answer: A
Q2) The retired spouse of a busy female nursing student will not share household duties.An explanation that should be considered to better understand this situation is that the unwilling spouse
A) does not love the student.
B) is jealous of the student.
C) has been raised with sex stereotyping.
D) thinks paying tuition is enough support.
Answer: C
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4
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) A student nurse is a bodily/kinesthetic learner.The student would learn best by
A) moving around when studying.
B) taking notes when reading assigned chapters.
C) organizing a method of study that fits him or her personally.
D) making his or her own diagrams, boxes, or lists when they are unavailable in the book.
Answer: A
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
26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/8704
Sample Questions
Q1) 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.
Q2) Which statements are appropriate for telling a peer how to maximize learning from a textbook?
A) Be aware of your reading assignments that are technical or scientific in nature and vary your reading speed accordingly.
B) Highlight unfamiliar words as you read and create index cards from them.
C) Read the entire chapter quickly. Skim content and save details for later.
D) Highlight key phrases or write notes in the margin.
E) Remember to use your index and glossary to locate information quickly.
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.
Q4) 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.
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) When a nursing student goes to the nursing skills lab,the best utilization of that resource would be as a place to
A) read the textbook.
B) discuss personal problems with another student.
C) practice a difficult dressing change procedure.
D) take a coffee break.
Q2) Which nursing students are using the learning resource center appropriately?
A) Student A checks out a text for home use.
B) Student B obtains an article on interlibrary loans.
C) Student C makes a copy of a reference article.
D) Student D finds it a quiet place to study.
E) Student E seeks to purchase a book.
F) Student F obtains a back issue of a nursing journal.
G) Student G goes there to instant message.
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.
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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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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which statements are relevant to the problem that use of proper body mechanics does not wholly protect nurses from back injuries?
A) Small workspaces may contribute to injuries.
B) There is increased obesity among nurses and patients.
C) Some musculoskeletal injuries are the result of cumulative stress.
D) Body mechanics studies were performed on men, providing results that may not be true for women.
E) Some nursing tasks require unnatural positions, such as bending from the torso, twisting, and so on.
F) None of above
Q2) Which cycle is associated with being a co-dependent individual?
A) Experience fear, resort to manipulation, develop angry feelings toward victim
B) Rescue someone, view the rescued individual disrespectfully, experience feelings of victimization
C) Abuse a loved one, feel remorse, try to undo, experience increasing tension, abuse again
D) Express love, experience dissatisfaction, engage in violence
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8
Chapter 7: How Practical/Vocational Nursing Evolved: 1836 to
Present
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21 Verified Questions
21 Flashcards
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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 Nurse Practice Act.Delegation is allowed as long as which requirements are met?
A) An RN is willing to teach the skill.
B) An RN observes the return demonstration.
C) An RN delegates complex patients to the LPN/LVN.
D) An RN delegates formulating nursing diagnoses to the LPN/LVN.
E) An RN documents the teaching or learning process for the LPN/LVN's file in the place of employment.
Q2) The emergence of modern nursing is usually attributed to the influence of
A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.
Q3) Which was the first state to pass a law licensing practical nurses?
A) Alabama
B) California
C) New York
D) Mississippi
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Chapter 8: Critical Thinking: A Lifelong Journey
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item.These various levels are called ____________________.
Q2) A student nurse recently learned during a lecture about Maslow's hierarchy of needs.During the clinical rotation,the student is able to prioritize patient care based on Maslow's hierarchy of needs.The student is using what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
Q4) When an instructor asks a nursing student to answer a question in her or his own words and give an example,the cognitive level utilized is A) knowledge.
B) comprehension.
C) application.
D) analysis.
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Chapter 9: Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) Which of the following are examples of subjective data?
A) A patient has an offensive body odor.
B) A patient complains of feeling stressed.
C) A patient complains of feeling anxious.
D) A patient complains of substernal chest pain.
E) A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom."
Q2) 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
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.
Q4) A patient states,"I'm feeling left-sided chest pain that radiates to my left arm." This is an example of ____________________ data.
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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) ______________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
Q2) 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
Q3) A newly admitted patient reports to the practical nurse that she is "hungry." The nurse confirms that the patient is on a regular diet and promptly retrieves a meal and provides it to the patient.According to Maslow's needs theory,the nurse is meeting the patient's
A) physiological needs.
B) safety needs.
C) self-actualization need.
D) love and belonging needs.
Q4) According to the culture care theory,the two kinds of care in every culture are
A) practical and generic.
B) generic and professional.
C) professional and nonprofessional.
D) practical and professional.
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When a treatment team decides to go to court to obtain permission to provide chemotherapy for a child whose parents refuse to give consent for the treatment based on religious grounds,the ethical principles that are in conflict are
A) fidelity and justice.
B) beneficence and autonomy.
C) justice and beneficence.
D) autonomy and fidelity.
Q2) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
Q3) 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.
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Chapter
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A new LPN/LVN passes the NCLEX-PN examination and obtains licensure in state X.The LPN/LVN wishes to work in a state other than state X but is unsure of how to proceed.Which statement provides sound advice in this situation?
A) The effect of current national licensure allows a nurse licensed in one state to work in any other state for a maximum of 2 years without applying for endorsement.
B) The nurse can work legally in any state that borders state X without applying for endorsement.
C) The nurse should contact the state board of nursing of the state in which she wishes to work to determine whether they have multistate licensure with state X.
D) The nurse should apply to take the NCLEX-PN examination in the state in which she wishes to work.
Q2) An example of statutory law is
A) informed consent.
B) the Nurse Practice Act.
C) a patient's right to refuse treatment.
D) a hospital's written policies and procedures.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient is crying.The nurse can correctly conclude from this type of nonverbal communication that the
A) patient is sad.
B) tears reflect happiness.
C) patient is in pain.
D) situation needs clarification.
Q2) 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.
Q3) Characteristics of one-way communication include all of the following except A) it is sender controlled.
B) receiver feedback is not expected.
C) it always has negative value.
D) it is useful to give commands.
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Chapter 14: Assertiveness: Your Responsibility
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A male nurse has been assigned to mentor a newly hired female nurse.Several times during the day,the new nurse perceives her mentor as touching her inappropriately.In the afternoon the mentor tells the new nurse,"I think we should meet after work for a drink.I could give you the lowdown on other staff,and we could get our relationship off to a good start.With my help,you'll be able to get raises and promotions regularly." The new nurse thinks,"I don't want this man's help." The new nurse can correctly determine that these behaviors suggest
A) assault.
B) assertiveness.
C) manipulation.
D) sexual harassment.
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?
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
Practical/Vocational Nurse Fits In
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20 Verified Questions
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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 student nurse asks,"What determines the LPN/LVN's role and responsibilities in the practice setting?" The best answer is
A) "The job analysis performed by the National Council of State Boards of Nursing."
B) "The Nurse Practice Act of the state in which the LPN/LVN is employed."
C) "The skill mix of the agency unit to which the nurse is assigned."
D) "The degree of centralization of the unit on which the LPN/LVN works."
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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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which statements about emotions and their expression can provide a basis for providing care to culturally diverse patients?
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.
E) None of above
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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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A patient has a small piece of paper on which unfamiliar symbols are written hanging on a black string around the neck.To prepare the patient for the operating room (OR),the nurse should
A) allow the patient to wear the item, but make note of it for the OR staff to see and reposition if needed.
B) insist that the patient take off the item and leave it in the bedside stand.
C) remove the item and tie it to the foot of the patient's bed.
D) place the item in a plastic bag and lock it in the narcotics cabinet.
Q2) When a patient is asked about religious preference,she states,"I am agnostic." The nurse's best interpretation of this is the patient
A) does not believe in God.
B) believes in God and supernatural powers.
C) does not believe that the supernatural exists.
D) believes that the existence of God can be neither proved nor disproved.
Q3) For which patient should the nurse be most alert for emerging spiritual needs?
A) Miss A, who has been given the diagnosis of gallbladder disease
B) Mrs. B, who has been told she has metastatic cancer
C) Mr. C, who has varicose veins
D) Mr. D, who has herpes zoster
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Chapter 18: Health Care Settings: Potential Job Sites
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) An elderly patient is to be discharged from the acute care hospital with left-sided weakness,difficulty swallowing,and inability to independently perform ADLs,therefore requiring daily physical therapy.The patient has no family and lives in a high-rise apartment building.Referral to which level of long-term care would the nurse likely recommend at the care planning conference?
A) Sheltered housing
B) Skilled nursing facility
C) Assisted living facility
D) Domiciliary care
Q2) 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
Q3) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
Q4) ___________________ 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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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A trend in health care that may negatively affect the number of practical nurses hired by an agency is
A) the aging of the U.S. population.
B) the increased use of unlicensed assistive personnel.
C) decentralization of health care agencies.
D) the emphasis on critical thinking and problem solving.
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."
Q3) 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.
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Chapter 20: Leadership Skills
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31 Verified Questions
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Sample Questions
Q1) When conducting an employee performance evaluation conference,the LPN/LVN charge nurse should understand that
A) giving measurable feedback such as "You're doing fine" promotes personal growth. B) positive feedback should be given at the beginning of the interview to set the tone.
C) the employee should develop a plan for improvement without input from the charge nurse.
D) the employee should be encouraged to identify strengths and ask questions for clarification.
Q2) During a staff meeting,the charge nurse encourages feedback from staff nurses about improving patient safety.The charge nurse is displaying what leadership style? A) autocratic B) situational
C) democratic
D) laissez-faire
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Chapter 21: LPN/LVN 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.
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) 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
Q2) Which questions should the nurse identify as illegal for the interviewer to ask and therefore the nurse need not feel obligated to answer directly?
A) "Have you been hospitalized within the past year?"
B) "What are two important things about yourself that you would like me to know?"
C) "Do you have a criminal record?"
D) "What would you say is your greatest weakness in the clinical area?"
Q3) Which statement is true with regard to making a follow-up call after submitting a résumé and cover letter for a position?
A) Do not call; the employer will call the applicant if interested.
B) Call on the date and at the time mentioned in the cover letter.
C) Call on a Monday before 8 AM if possible.
D) Call on a Friday between 2 PM and 4 PM if possible.
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24
Chapter 23: The NCLEX-PN Examination
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Sample Questions
Q1) The content of the NCLEX-PN examination is divided into four Client Needs categories.The Physiological Integrity category includes
A) newborn care.
B) stress management.
C) medical emergencies.
D) accident/error prevention.
Q2) 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."
Q3) Which phrases accurately describe computerized adaptive testing (CAT)as used in the NCLEX-PN examination?
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 client need
E) Ends testing when 50% of the questions have been answered correctly
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Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Sample Questions
Q1) Based on the expected role of an entry-level LPN/LVN,which patient could be safely assigned to the care of a new LPN/LVN?
A) A newly hospitalized patient who has disseminated intravascular coagulation syndrome
B) A patient receiving physical therapy after a total knee replacement in a nursing home rehabilitation unit
C) A home health care case consisting of a mother and a newborn with spina bifida and a ventricular peritoneal shunt for hydrocephalus
D) A newly admitted patient experiencing a manic episode who is awaiting test results before beginning lithium therapy
Q2) Which area of health care delivery services is the largest employer of LPN/LVNs?
A) Extended care facilities
B) Hospitals
C) Home health
D) Military services
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
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