Practical Nursing Foundations
Mock Exam
Course Introduction
Practical Nursing Foundations introduces students to the essential concepts, skills, and professional responsibilities required in the field of practical nursing. This course emphasizes foundational knowledge in areas such as communication, patient safety, ethical and legal standards, infection control, and basic patient care techniques. Through a combination of theoretical instruction and hands-on laboratory experiences, students develop the competencies necessary to deliver compassionate and effective nursing care in diverse healthcare settings. The course prepares students for clinical placements by fostering critical thinking, cultural sensitivity, and professional behavior integral to the role of the practical nurse.
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) What understanding about the goal of evaluation would be most helpful to a student in a nursing program?
A) Evaluation lowers learner self-esteem.
B) Evaluation ridicules student performance.
C) Evaluation identifies behaviors that stand in the way of meeting goals.
D) Evaluation informs the learner of things that annoy the instructor.
Answer: C
Q2) A nursing student caring for a patient recognizes that he has contaminated his sterile glove during a dressing change requiring surgical asepsis, so he puts on a new sterile glove. The student's action demonstrates that he has learned 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.
Q3) Which student expectation of an instructor is reasonable?
A) The instructor will help resolve the student's personal problems.
B) The instructor will motivate the student to improve grades.
C) The instructor will seek out students to review examinations.
D) The instructor will provide academic counseling.
Answer: D
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Chapter 2: Time Management: Making Time Work for You
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Q1) A nurse keeps a log of daily activities and the amount of time each takes. As an activity related to time management, this would be classified as A) planning.
B) evaluation.
C) data collection.
D) implementation.
Answer: C
Q2) A nursing student has used time management strategies for one semester. The goal was to achieve a B average, but the actual grade was a C+. The student considers how to modify use of time. This process is called A) planning.
B) implementation.
C) evaluation.
D) delegation.
Answer: C
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Chapter 3: Learning Methods and Skills: How Do You Learn
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29 Verified Questions
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Sample Questions
Q1) Which individual would be classified as a kinesthetic/tactual learner?
A) Patient A, who learns best by observing
B) Patient B, who learns best by listening
C) Patient C, who learns best by doing
D) Patient D, who learns equally well by observing and listening
Answer: C
Q2) 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
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Chapter 4: Using Your Methods and Skills: Studying and Testing
26
26 Flashcards
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Sample Questions
Q1) In the PQRST method of studying, it is suggested that 50% of the student's time be devoted to which two steps?
A) Preview and read
B) State and test
C) Read and state
D) Preview and question
Q2) Which student would be classified as a passive listener?
A) Student A, who completes a grocery list during class
B) Student B, who asks questions about class content
C) Student C, who puts key concepts into words during note taking
D) Student D, who contributes to classroom discussion of the topic
Q3) A nursing student states, "I have trouble writing what the instructor says in class." The most helpful hint to give the student would be
A) "Try to write the lecturer's statements word for word."
B) "Write the main ideas in condensed form."
C) "Take notes in shorthand and transcribe them."
D) "Underline in the textbook what the lecturer is saying."
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Page 6
Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) 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.
Q2) A nursing student states, "When we have lecture-discussion sessions, I never know what's expected of me." The best reply by a peer would be, "I think it's our responsibility as students to
A) avoid actively disagreeing with the instructor or other students."
B) make a list of questions about material we don't understand."
C) listen until we're called upon to answer questions."
D) use review books to check the depth of the material we're learning."
Q3) The ultimate responsibility for an LPN/LVN remaining current in the nursing profession lies with
A) the state board of nursing.
B) the employing agency.
C) nursing organizations.
D) the individual nurse.
Page 7
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Sample Questions
Q1) How does co-dependence relate to nursing?
A) It is a necessary quality to develop a mutually rewarding relationship with the patient.
B) It is potentially destructive, because the nurse's co-dependency may prevent meeting the patient's needs.
C) Co-dependent nurses find nursing a healthy way to expand on nursing learned during school.
D) Co-dependency is the long-term goal of nursing instructors for nursing students.
Q2) A nurse is overheard telling a patient, "No, you do not need to bathe yourself. It doesn't make any difference if that's what the other nurses have you do. I will do that for you. I enjoy doing things for others, and I know you'll appreciate my taking this time with you." The most accurate assessment of this nurse's behavior is that she's
A) weird.
B) a good nurse.
C) hoping for a raise.
D) co-dependent.
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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Sample Questions
Q1) The first chapter of the American Red Cross was established by A) Clara Barton.
B) Sairy Gamp.
C) Dorothea Lynde Dix.
D) Florence Nightingale.
Q2) The event that had the most profound influence in changing practical/vocational nursing was the
A) depression of the 1930s, when nurses worked for room and board in lieu of salary.
B) post-World War II movement of practical/vocational nurses into hospital positions.
C) American Medical Association (AMA) proposal to develop registered care technicians as new health care workers.
D) first computer-adaptive test for practical/vocational nursing graduates.
Q3) The "first real school of nursing" was located in A) Israel
B) Greece.
C) Italy.
D) Germany.
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Page 9
Chapter 8: Critical Thinking: a Lifelong Journey
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Sample Questions
Q1) 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
Q2) A student nurse recalls that sleeping medications are administered at 2100. When the student is questioned about why sleeping medications are given at this time, the student states, "I memorized that sleeping pills are given at 2100. I have no idea why." The student is using what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item. These various levels are called ____________________.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process. (Select all that apply.)
A) LPN/LVNs have an interdependent relationship with other health team members.
B) LPN/LVNs act in a more dependent role when participating in the planning and evaluation phases.
C) LPN/LVNs act more independently when participating in data collection and implementation phases than in any other phases of the nursing process.
D) LPN/LVNs are able to use the NANDA list to make nursing diagnoses.
E) LPN/LVN basic education enables them to perform patient interviews and assessment of body systems.
Q2) The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on
A) the priorities given at the report.
B) the patient's identified strengths.
C) the patient's changing status.
D) information obtained from the Nursing Outcomes Classification (NOC) project.
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Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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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) A guest speaker is addressing a group of practical nursing students. The speaker informs the students that she is actively pursuing a doctoral degree in research and is in the process of collecting and measuring numerical data using statistics to describe variables of this study. The nursing students are aware that this type of study is most likely a
A) quantitative research study.
B) subjective research study.
C) qualitative research study.
D) grounded theory research study.
Q3) In 2010, the _____________________________________ established competencies for nursing graduates at all levels.
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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Sample Questions
Q1) Leaving an unconscious patient exposed during a treatment or procedure is a violation of the ethical principle of
A) fidelity.
B) autonomy.
C) justice.
D) veracity.
Q2) Which nursing actions are examples of use of the ethical principle of beneficence?
(Select all that apply)
A) The LPN/LVN tells a patient to ask for a second doctor's opinion.
B) The LPN/LVN provides emotional support when the patient cries.
C) The LPN/LVN places the bed in a low position before leaving the room.
D) The LPN/LVN places medication the patient brought from home at the nurses' station.
E) The LPN/LVN provides report for the staff of the oncoming shift.
Q3) 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.
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Chapter 12: Nursing and the Law: What Are the Rules
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Sample Questions
Q1) Which of the following is an example of breach of duty?
A) The LPN/LVN walks off the unit during the shift.
B) The LPN/LVN resigns from the position.
C) The LPN/LVN delegates duties to unlicensed assistive personnel.
D) The LPN/LVN does not perform duties according to the standard of care.
Q2) The instructor tells an SP/VN, "You have functioned at a substandard level of clinical performance recently. Now you have a chance to redeem yourself. I'm assigning you to a complex nursing situation. I expect you to function without asking for assistance." What is the most accurate assessment of the instructor's action?
A) The action will enable the instructor to determine whether the student should pass or fail the course.
B) The instructor is accountable for making an unsafe patient care assignment.
C) It is an acceptable teaching practice to challenge students to higher levels of performance.
D) The instructor should be investigated for fraud by the state board of nursing.
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 nurse does not make eye contact when talking with others. What are possible explanations for this behavior? (Select all that apply.)
A) The nurse is self-conscious and nervous.
B) The nurse has low self-worth.
C) The nurse's behavior is culturally determined.
D) The hospital forbids eye contact.
Q2) Which statement is true regarding open-ended, closed-ended, and focused questions?
A) Open-ended questions always achieve their purpose.
B) Closed-ended and focused questions are used to get specific information.
C) Closed-ended questions are used primarily with children and the elderly.
D) Focused questions are more useful when communicating with men.
Q3) A patient states, "I don't seem to be getting my strength back." The nurse replies, "Don't worry. You are coming along just fine." This response is an example of A) probing.
B) false reassurance.
C) disagreeing.
D) active listening.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) A student nurse is assigned to care for a patient who is known to be angry. During the caregiving process, the patient hits the student nurse. The action the student nurse should initially take is to
A) indicate that he does not like being hit and continue to provide care to the patient.
B) leave the patient in a safe situation and immediately report the event to the instructor.
C) immediately leave the room and call the patient's physician for an order to medicate the patient.
D) go to the telephone and call the local police to report the incident.
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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Q1) The role of the LPN/LVN in the health care team is best described as A) independent.
B) advanced practice.
C) interdependent.
D) decentralized.
Q2) Select the person or persons who may be included on the physical therapy team. (Select all that apply.)
A) RN
B) LPN/LVN
C) Physical therapists
D) Physical therapy assistants
Q3) Nursing management and executive roles include which of the following? (Select all that apply.)
A) Supervisor
B) Nurse manager
C) Director
D) Chief nursing officer
E) Charge nurse
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) A Native American patient keeps a small bunch of feathers on the over-the-bed table. They are in the way whenever the nurse serves a tray or sets up equipment for a treatment. A culturally competent action would be to A) throw them away while the patient is sleeping. B) move them to a place where they won't be in the way. C) leave them where the patient wishes to place them.
D) ask why there are a bunch of feathers in a hospital room.
Q2) A nursing instructor is working with a Native-American student nurse. When the student is late for the first clinical day, the instructor states, "I'm not surprised she's late; Native-American students are always late." The instructor's statement is an example of A) prejudice.
B) stereotyping.
C) ethnocentrism.
D) discrimination.
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Q1) A patient whose religion is listed as Seventh-Day Adventist is admitted to the unit just before lunch. The patient is being examined, and the nurse does not want to interrupt to ask about lunch preferences. A good choice would be to order a
A) regular diet.
B) Kosher meal.
C) vegetarian meal.
D) meal with no dairy products.
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) A religion that was founded by Joseph Smith in the nineteenth century is
A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) Knowing that Alcoholics Anonymous is a nonprofit group that receives no taxpayer money and is aimed at meeting the needs of a selected population segment would help the nurse to classify it as a
A) public agency.
B) private agency.
C) voluntary agency.
D) proprietary agency.
Q2) 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
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______________.
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Page 20
Chapter 19: Health Care System: Financing, Issues, and Trends
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Q1) 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."
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 20: Leadership Skills
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Sample Questions
Q1) LPN/LVNs functioning in an expanded role are most often employed in A) critical care units.
B) pediatric clinics.
C) home health care.
D) long-term care.
Q2) A nursing instructor has instructed a student nurse to document objectively. The student nurse demonstrates understanding when documenting
A) "Patient is noncompliant."
B) "Patient is drunk, confused, and uncooperative."
C) "Patient and family are nasty, abrasive, and difficult."
D) "Odor of alcohol on breath; refuses to stay in assigned room."
Q3) The action the LPN/LVN charge nurse takes independently that would most likely require conflict resolution at the unit level is
A) organizing shift activities before morning report.
B) making sure the necessary equipment and supplies are available.
C) eliminating morning breaks and adding 10 minutes to the lunch hour.
D) creating a calm, supportive environment.
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Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Sample Questions
Q1) In the following scenario, who owns the problem? Before the shift starts, the nursing assistants sympathetically tell the LPN/LVN charge nurse about nursing assistant Jenny's latest child care and car problems, which make it difficult for Jenny to get to work on time.
The problem is owned by
A) the nursing assistants.
B) the LPN/LVN charge nurse.
C) Jenny.
D) Jenny and the nursing assistants.
E) Jenny and the LPN/LVN charge nurse.
F) the entire staff.
Q2) When the LPN/LVN charge nurse makes rounds with the physician, which information should be called to the physician's attention?
A) The resident demonstrates a weight increase or decrease of 1 lb.
B) The resident demonstrates a temperature elevation over 99° F.
C) The resident demonstrates a reduced level of consciousness.
D) The resident demonstrates a blood pressure over 120/80.
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Sample Questions
Q1) During an employment interview, the interviewee is asked, "What do you believe are your greatest weaknesses?" The best reply would be
A) "I'm not aware of any weaknesses."
B) "My instructors told me I was disorganized."
C) "My biggest problem is lack of clinical experience."
D) "I work hard to do my job and meet expectations for my work."
Q2) What advice should an LPN/LVN use to adequately follow up an employment interview? (Select all that apply.)
A) Write a letter to the editor of the local newspaper praising the facility.
B) Offer a written critique of the interview sent to the interviewer.
C) Call the interviewer to inquire how the process is proceeding.
D) Write a thank you letter for granting the interview.
Q3) The LPN/LVN interviewee determines from personal appearance that the interviewer is from a different cultural background. What action should the interviewee take to minimize the impact of cultural difference during the interview?
A) Answer questions in a straightforward manner.
B) Use the same gestures the interviewer uses.
C) Avert the eyes when responding to questions.
D) Be prepared to tolerate decreased personal space.
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Page 24
Chapter 23: The Nclex-Pn Examination
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Sample Questions
Q1) Preparation for the NCLEX-PN examination should include
A) cramming difficult concepts the night before the examination.
B) rereading each textbook used in the program of study.
C) going to a party the evening before the test.
D) reviewing content summaries and focusing on identified areas of weakness.
Q2) The content of the NCLEX-PN examination is divided into four Client Needs categories. The Psychosocial Integrity category includes
A) surgical asepsis.
B) human sexuality.
C) therapeutic communication.
D) nutrition and oral hydration.
Q3) Which phrases accurately describe computerized adaptive testing (CAT) as used in the NCLEX-PN examination? (Select all that apply.)
A) Selects questions of varying difficulty, depending on previous responses
B) Provides an individualized examination for each tester
C) Requires the tester to answer a minimum of 85 questions
D) Selects an equal number of questions from the four categories of client need
E) Ends testing when 50% of the questions have been answered correctly
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25
Chapter 24: Future Career Decisions: Choosing What Is Right
for You
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Sample Questions
Q1) Select the various continuing education opportunities that are usually available to an LPN/LVN who accepts employment at a long-term care facility in a metropolitan area having a collegiate nursing program. (Select all that apply.)
A) A competency-based orientation
B) In-service programs
C) Workshops
D) CEUs through nursing publications
E) Certifications through nursing organizations
F) None of the above
Q2) The home health agency has offered to hire the LPN/LVN applicant as a home health aide. What consideration provides the greatest deterrent to the LPN/LVN accepting the offer?
A) The LPN/LVN will have difficulty receiving compensation from employers.
B) Patients will respond less favorably to the individual because of status issues.
C) Legally, one is always held to the standard of performance of their highest license.
D) Once employed as a home health aide, the individual cannot be employed as an LPN/LVN.
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