Medical-Surgical Nursing for Vocational Nurses
Exam Questions
Course Introduction
Medical-Surgical Nursing for Vocational Nurses focuses on the foundational principles and practices essential for caring for adult patients with a wide range of medical and surgical conditions. The course covers topics such as patient assessment, disease processes, pharmacological interventions, preoperative and postoperative care, wound management, and infection prevention. Emphasis is placed on the vocational nurses role in advocating for patient safety, collaborating with healthcare teams, and providing compassionate, evidence-based care in various clinical settings. Students develop critical thinking and practical skills through case studies, simulation, and clinical experiences, preparing them to address the complex needs of adult patients in diverse healthcare environments.
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) Learner A is concerned about the clinical evaluation component of the nursing program. A peer could help alleviate anxiety by explaining that the purpose of clinical evaluation is to
A) assist the learner to identify strengths and areas needing improvement.
B) provide constructive criticism related to poor performance behaviors.
C) keep unsuitable persons from achieving licensure.
D) help learners develop the ability to listen to negative comments about performance.
Answer: A
Q2) Which statement 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: 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 who wishes to check out a book listed in the course outline informs the librarian that the book is unavailable at the reserve desk. The librarian advises the student to look in the A) stacks.
B) CD-ROM.
C) vertical files.
D) periodical section.
Answer: A
Q2) A nursing student is studying for an examination and becomes distracted by things needing to be done. The best intervention would be to
A) make a list of things that need to be done and return to studying.
B) turn on the radio in an attempt to "drown out" the distraction.
C) stop studying until there are fewer distractions with which to contend.
D) do what has to be done immediately and then return to studying.
Answer: A
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Chapter 3: Community Resources
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10 Verified Questions
10 Flashcards
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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) The Director of a Practical/Vocational Nursing program is reviewing surveys and determines that graduates rate confidence levels high. What step in Maslow's Human Needs Theory does this reflect?
A) Safety
B) Love and belonging
C) Esteem
D) Physiological
Answer: C
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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) Which of the following are major concerns associated with the present nursing shortage? (Select all that apply.)
A) Patient safety
B) High patient acuity
C) High nurse-to-patient ratios
D) High stress among nurses
E) High recruitment incentives
Q2) When was the first U.S. school of practical nursing founded?
A) 1830
B) 1853
C) 1892
D) 1902
Q3) The first chapter of the American Red Cross was established by
A) Clara Barton.
B) Sairy Gamp.
C) Dorothea Lynde Dix.
D) Florence Nightingale.
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) Which of the following are the cognitive levels used in the NCLEX-PN examination? (Select all that apply.)
A) Analysis
B) Intuition
C) Application
D) Knowledge
E) Correlation
F) Comprehension
Q2) The nursing student has learned the principles of determining and recording intake and output. When the student cares for a patient who has had a liquid breakfast and has voided twice and vomited once, the student documents intake and output in the patient's chart using the cognitive level known as A) knowledge.
B) comprehension.
C) application.
D) analysis.
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge, comprehension, application, and _______________.
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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) The patient asks the nurse what he should do about continuing cancer treatment. The nurse responds, "You should stop before you get so weak you can't enjoy a few good weeks with your family." This is an example of
A) fidelity.
B) beneficence.
C) nonmaleficence.
D) beneficent paternalism.
Q2) A way of practicing fidelity to a patient would be to
A) discuss the patient with friends at a social gathering.
B) document the patient's expression of feelings and wishes.
C) categorize the patient as a "down-and-out alcoholic."
D) develop the care plan without patient input.
Q3) The patient asks the nurse, "I overheard the instructor talking to a student about accountability. What does the word 'accountability' really mean?" The best response by the nurse would be
A) "It is a transfer of responsibility for wrong actions."
B) "It is shared responsibility with the physician for wrongdoing."
C) "It is taking personal responsibility for one's nursing actions."
D) "It is giving up responsibility when the situation dictates."
Page 8
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Chapter
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) An example of battery is
A) a patient who refuses to be suctioned and is suctioned anyway after refusal.
B) a patient who uses the call light and yells out repeatedly is threatened with bodily harm.
C) a patient who threatens to leave the hospital against medical advice is told she will be restrained.
D) a patient who refuses to take his medications is threatened with being forcibly given the medications.
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 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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23 Verified Questions
23 Flashcards
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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 patient asks, "What is an IVAC thermometer?" The nurse replies, "It is a heat-sensitive probe inserted into the sublingual area or rectal orifice. Heat transmission proceeds via an electrical system to a control center that interprets the temperature and displays it." This reply can be analyzed as
A) one-way communication.
B) active listening.
C) unnecessary use of jargon.
D) displaying sensitivity.
Q3) A patient states, "I don't want to die from cancer." The nurse responds, "I heard you say you don't want to die from cancer." The nurse's response is an example of _______________, which is an active listening behavior.
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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 staff nurse enters the room in which you're giving care to a patient in traction. She calls you aside and states, "I've watched you all morning. You don't seem to know how to do anything right. Look at you now! You're bathing the patient and it's almost time for lunch." An assertive approach would be to say
A) "You're right. I am still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable."
B) "I'm sorry you think I give poor care. I'm still pretty new, and I'm trying hard to learn."
C) "I've watched you, too. You've criticized every student. Is this some game you play?"
D) "I hope you won't report this to my instructor."
Q2) When a nurse is the target for unwanted behavior that she perceives as sexually harassing, she should first
A) resign from the job.
B) assertively tell the person that the behavior is unwanted.
C) report the behavior to the nursing supervisor.
D) report the behavior to the union representative.
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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 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) How would a culturally competent care plan differ from a standard care plan?
A) It would contain adaptations that recognize the patient's cultural preferences.
B) It would follow the legal mandates for providing care regardless of culture.
C) It would provide information about nonjudgmental behaviors to use.
D) It would focus on the nurse's values, assumptions, and health beliefs.
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
Q4) A behavior to avoid when interacting with a person of a different culture is A) diversity.
B) assimilation.
C) stereotyping.
D) behavior based on nonjudgmental attitudes.
Page 12
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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) The LPN/LVN is providing care to a patient of the Roman Catholic (Western) faith. Necessary knowledge regarding beliefs, practices and nursing interventions for care of this patient would include which of the following? (Select all that apply.)
A) Medicine cannot be taken before communion.
B) The nurse may baptize a stillborn infant without a witness.
C) Cremation is prohibited.
D) Organ donation is allowed.
E) Water may be taken before communion.
Q2) A patient who is terminally ill describes himself as "agnostic." The nurse caring for this person can correctly assume that the patient
A) does not possess spirituality.
B) will not experience spiritual distress.
C) will practice the rituals of a particular denomination.
D) will benefit from general spiritual care interventions.
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
Page 13
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Chapter 12: The Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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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) When a nurse uses Maslow's Hierarchy of Needs to prioritize patient problems, which problem would be considered the highest priority?
A) The patient is unsteady and may become injured.
B) The patient is experiencing marital difficulties.
C) The patient has deficient knowledge about the condition.
D) The patient is acutely short of breath.
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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) According to the adaptation model, interdependence is related to which of the following? (Select all that apply.)
A) Role in society
B) Spiritual aspects
C) Love
D) Respect
E) Values
Q2) The LPN/LVN is caring for a postoperative appendectomy patient. When assessing the patient for pain, the nurse documents that the patient reports pain rating an "8" on a scale of 0 to 10. According to Sister Callista Roy's adaptation model, a patient experiencing pain would be an example of
A) focal stimuli.
B) contextual stimuli.
C) residual stimuli.
D) physiological stimuli.
Q3) In 2010, the ______________________________ established competencies for nursing graduates at all levels.
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Page 15
Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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Sample Questions
Q1) The role of the LPN/LVN in the health care team is best described as
Q2) 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
Q3) 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.
Q4) The aspect of functioning that distinguishes RNs from LPN/LVNs is that only RNs
A) plan and organize daily care for groups of patients.
B) implement measures ordered to prevent complications.
C) provide health information to patients and families.
D) initiate independent nursing actions based on nursing diagnoses.
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Chapter 15: Health Care Settings: Continuum of Care
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Sample Questions
Q1) A nurse working in the emergency department who must obtain data to identify the patient's primary care provider should ask the patient about
A) hospital stays.
B) low-cost health care providers.
C) receiving specialized care aimed at restoring the function of a body part.
D) the referring physician, nurse practitioner, or ambulatory care setting.
Q2) Which agencies are considered part of the U.S. Public Health Service? (Select all that apply.)
A) National Institutes of Health
B) Food and Drug Administration
C) Department of Veterans Affairs
D) Centers for Disease Control and Prevention
E) American Cancer Society
F) Alcohol, Drug Abuse, and Mental Health Administration
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 16: The Health Care System: Financing, Issues, and Trends
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24 Verified Questions
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Sample Questions
Q1) A patient tells the nurse, "I didn't sign up for health care insurance at my job because I'm young and healthy and can use the money in other ways." The response that best explains the advantage of health insurance would be
A) "With insurance a fiscal middleman pays your health care bills."
B) "With insurance your individual contributions go directly to paying your personal expenses."
C) "With insurance you can borrow money for unexpected health care expenses at a very low interest rate."
D) "With insurance you are spreading the risk in case you have a serious health event, such as cancer or major trauma."
Q2) Which of the following phrases could be used by a nurse to characterize the present health care delivery system in the United States? (Select all that apply.)
A) Responds to illness
B) Is oriented to promote wellness
C) Provides for universal access
D) Depends on national health insurance
E) Is fragmented and confusing
F) Is unsafe
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Chapter 17: Collaboration: Leading and Managing
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Sample Questions
Q1) For an LPN/LVN to motivate staff members to meet the goals of the organization, it is helpful if the nurse
A) practices intimidation.
B) understands work motivators.
C) offers laissez-faire leadership.
D) emphasizes policies rather than people.
Q2) A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?
A) "Watch the resident's output closely today."
B) "I need to know if the resident is voiding sufficiently."
C) "The resident should void at least twice during the shift in quantities of 200 mL or more."
D) "Report to me immediately if the resident voids between now and 10 AM, and tell me the amount he voids. If he has not voided by 10 AM, please report this to me."
Q3) During a staff meeting, the charge nurse encourages feedback from staff nurses about improving patient safety. The charge nurse is displaying the _______________ leadership style.
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Chapter 18: Work Force Trends: How
Will Love
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36 Verified Questions
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Sample Questions
Q1) As the interview at the long-term care facility is coming to a close, the interviewer asks the applicant, "What questions may I answer for you?" Which question would be most likely to create a favorable impression?
A) "After completing the orientation, when will the first pay raise be given?"
B) "Will it be possible to tour a unit such as the one to which I would be assigned?"
C) "What will happen if I can't meet the outcomes for the competency-based orientation?"
D) "Do you have tuition reimbursement for courses toward my next degree?"
Q2) The LPN/LVN tells a mentor, "I want to join the nursing organization that gives me the greatest voice in making policy for LPN/LVN nursing." The mentor can correctly suggest that the LPN/LVN will wish to join the
A) National League for Nursing (NLN).
B) National Association for Practical Nurse Education and Services (NAPNES).
C) National Federation of Practical Nurses (NFPN).
D) American Nurses Association (ANA).
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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Page 20
Chapter 19: Licensure and Regulation:
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Sample Questions
Q1) 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.
Q2) 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
Q3) The NCLEX-PN examination measures the _____________ competencies needed to practice practical/vocational nursing.
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