Practical Nursing Foundations
Test Questions
Course Introduction
Practical Nursing Foundations introduces students to the essential concepts, skills, and ethical considerations necessary for a career in practical nursing. This course covers fundamental topics including basic anatomy and physiology, principles of patient care, infection control, communication techniques, and the legal and professional responsibilities of a practical nurse. Through a combination of classroom instruction and hands-on laboratory experiences, students learn to apply critical thinking and problem-solving skills in real-world healthcare settings. Emphasis is placed on developing competence in vital sign measurement, safe medication administration, documentation, and collaboration within interdisciplinary healthcare teams, preparing students for more advanced clinical practice.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Signe S. Hill
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24 Chapters
615 Verified Questions
615 Flashcards
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Chapter 1: The Adult Learner: Hints to Succeed
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Sample Questions
Q1) Which individual in a practical/vocational nursing class would be identified as a traditional adult learner?
A) One who has been out of school for many years
B) One who has children and grandchildren
C) One who knows the routine of education
D) One who is in his or her early 20s
Answer: D
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 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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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) A nursing student complains about not having enough time to get everything done. Identify the small daily block of time documented by the student that can add up to a large time loss by the end of a school week.
A) Breaks of more than 10 minutes of inactivity between classes
B) Looking up medical and nursing terms
C) Talking with relatives and children
D) Using break time to review for the next class
Answer: A
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Chapter 3: Learning Methods and Skills: How Do You Learn
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Sample Questions
Q1) A patient states, "My roommate accuses me of daydreaming when I study, but I'm really imagining the things I'm trying to learn." The nurse understands that this best describes a way of learning common among individuals who are identified as A) spatial learners.
B) linguistic learners.
C) logical/mathematical learners.
D) bodily/kinesthetic learners.
Answer: A
Q2) A patient who is learning diabetic self-care states, "I have to develop the ability to see the 'big picture' instead of getting hung up with the little things in my care plan." The nurse who understands brain function would see this as related to A) adult attention deficit disorder.
B) fight-or-flight reaction.
C) left brain dominance.
D) a larger than usual corpus callosum.
Answer: C
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student asks for suggestions for successful test preparation. Select the items that give the best advice. (Select all that apply.)
A) "Go to a movie or watch television the night before the test."
B) "Reread pertinent chapters in the textbook."
C) "Plan to study from 8 PM until 2 AM the night before the test."
D) "Focus on note summaries, margin writings, and underlined text."
E) "Clarify the examination format with the instructor."
Q2) A nursing student is asked to identify distractions that limit the ability to concentrate. An example of an external distraction is
A) anxiety.
B) daydreaming.
C) mental fatigue.
D) background noise.
Q3) Which technique is most helpful to a student who wishes to better organize the material presented during a lecture?
A) Note making
B) Shorthand
C) Tape recording
D) Passive listening
Page 6
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A nursing student was ill when the class toured the learning resource center (LRC). What independent action should the student take?
A) Perceive it as a missed opportunity.
B) Ask the librarian if a self-guided audiotape tour is available.
C) Ask to see another student's notes about the tour.
D) Report his or her unawareness to the instructor of LRC features.
Q2) 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.
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.
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Sample Questions
Q1) The LPN/LVN tells the charge nurse, "You can be glad I'm on duty today to pick up the slack for the staff member who called in sick. It's lucky that I came in early. Oh, and by the way, I can stay late, if necessary. You know how the next shift is. They expect everything to be caught up, even if they aren't that efficient themselves." These remarks suggest that the LPN/LVN may be
A) a chronic complainer.
B) a team player.
C) co-dependent.
D) chemically dependent.
Q2) A telltale sign of a chemically impaired nurse is
A) an increasing number of practice errors.
B) an objective, assertive manner.
C) willingness to admit to substance abuse.
D) an effort to seek treatment.
Q3) When a patient inquires about the 2010 MyPlate recommendations the nurse responds
A) "Protein is the largest part of the plate."
B) "Delete starch from the plate."
C) "Half of the plate should be fruits and vegetables."
D) "2% milk is recommended."
Page 8
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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Sample Questions
Q1) Which was the first state to pass a law licensing practical nurses?
A) Alabama
B) California
C) New York
D) Mississippi
Q2) When permitted by the state Nurse Practice Act, under what conditions can the LPN/LVN perform complex nursing skills not taught in the basic educational program?
A) When ordered to do so by the attending physician
B) When the task is delegated to a competent LPN/LVN by a supervising RN
C) When the LPN/LVN has graduated from a nursing program accredited by the National League for Nursing
D) When the state of practice has declared a severe nursing shortage
Q3) When was the first U.S. school of practical nursing founded?
A) 1830
B) 1853
C) 1892
D) 1902
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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) 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.
Q3) A strategy a nurse might use to improve critical thinking skills is to A) avoid challenging situations.
B) take observations at face value.
C) think about the meaning of relevant theory while giving patient care.
D) implement the first solution thought of when solving patient care problems.
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Page 10
Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum? (Select all that apply.)
A) Both are needed to identify patient problems, issues, and risks.
B) They foster making evidence-based judgments.
C) Clearer communication between RN and LPN can take place.
D) Job stress and burnout are diminished.
E) Patient safety is adversely affected.
Q2) Which of the following are examples of subjective data? (Select all that apply.)
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."
Q3) During the assessment phase of the nursing process, the LPN/LVN is expected to A) establish goals and outcome criteria.
B) collect data about the patient.
C) determine whether established goals have been met.
D) plan interventions to implement for the patient.
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Page 11
Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) Research studies in nursing are important because they generate knowledge for which of the following? (Select all that apply.)
A) Clinical practice
B) Surgical procedures
C) Nursing education
D) Delivery of nursing
E) Prescribing medications
Q2) The level of nurse qualified to design and implement research studies and publish findings is a nurse with a A) research doctorate.
B) practice doctorate.
C) master's degree.
D) baccalaureate degree.
Q3) 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 Vs Professional Ethics
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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) The nurse states, "I like being part of the health care team caring for the traditional two-parent family during the postpartum period as they bond with their newborn." This statement reveals the nurse's A) values.
B) duty.
C) fidelity.
D) ethics.
Q3) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
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Chapter 12: Nursing and the Law: What Are the Rules
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Sample Questions
Q1) An example of a criminal action committed by a nurse is
A) restraining a patient without a physician's order.
B) releasing information without the patient's consent.
C) discontinuing a ventilator without a physician's order.
D) making a medication error.
Q2) To function within the scope of the law, the nurse must know that the legal duties and functions of the nurse in a given state are determined by the A) U.S. Constitution.
B) Bill of Rights.
C) bylaws of the professional organization.
D) Nurse Practice Act of the state.
Q3) Which statement is true regarding durable medical power of attorney and living wills?
A) They set standards for care of terminally ill patients by nurses.
B) They allow patients a voice about medical interventions after they are incapable of acting.
C) They prevent occurrences of intentional torts.
D) They complicate ethical decision making for nurses.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) 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.
Q2) The nurse enters a patient's room and asks, "How are things today?" The nurse has used
A) an open-ended question.
B) a focused question.
C) probing.
D) paraphrasing.
Q3) 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.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) 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.
Q2) Which statement shows a personal commitment to work on the goal of devoting more time to coursework for the LPN/LVN program?
A) "My friends have to stop asking me to do time-consuming favors for them."
B) "My family needs to take on more responsibility for household tasks so I have more time to study."
C) "The charge nurse should stop asking me to work overtime and instead ask other CNAs."
D) "I will say 'no' when people ask me to do things that take time away from my studies."
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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Sample Questions
Q1) The role of the LPN/LVN can best be described as which of the following?
A) Initiates all health teaching
B) Works in an independent role
C) Initiates all phases of the nursing process
D) Assists with all phases of the nursing process
Q2) 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.
Q3) 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
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) 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.
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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Page 18
Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A nurse is caring for a patient who practices Mormonism. The nurse should expect the patient to study religion from the Holy Bible and ____________________.
Q2) A religion that was formed in 1957 by merger of Congregational and Evangelical and Reformed Churches is
A) Mormonism.
B) Presbyterianism.
C) Seventh-Day Adventist.
D) United Church of Christ.
Q3) A religion in which members observe the Sabbath from sunset on Friday to sunset on Saturday is
A) Mormonism.
B) Catholicism.
C) Islam.
D) Seventh-Day Adventist.
Q4) A religion that was founded in the nineteenth century by Mary Baker Eddy is A) Mormonism.
B) Christian Scientist.
C) Jehovah's Witness.
D) Seventh-Day Adventist.
Page 19
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Chapter 18: Health Care Settings: Potential Job Sites
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Q1) The Visiting Nurse Association is a public voluntary agency that has which of the following characteristics? (Select all that apply.)
A) It is engaged in health teaching.
B) It assists with referrals for patients to other community services.
C) It frequently involves the family in the care of its own members.
D) It provides nursing care in the home setting or to persons with acute and chronic diseases.
E) Care includes health supervision, education, counseling, bedside care, and following physicians' orders.
F) It is staffed primarily by LPN/LVNs and home health aides trained for specific tasks of personal bedside care.
Q2) 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.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Q1) 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
Q2) 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, "With insurance
A) a fiscal middleman pays your health care bills."
B) your individual contributions go directly to paying your personal expenses."
C) you can borrow money for unexpected health care expenses at a very low interest rate."
D) you are spreading the risk in case you have a serious health event, such as cancer or major trauma."
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Chapter 20: Leadership Skills
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Sample Questions
Q1) Which quality is rarely found in democratic leaders?
A) Assertiveness
B) Arrogance
C) Desire for new learning
D) Effective communication
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) In which situation would the LPN/LVN charge nurse be in violation of OBRA provisions?
A) Letting the unit secretary, who has completed 30 hours of instruction in a CNA program, bathe and ambulate a resident
B) Allowing a son to feed his father, who is a resident on the unit
C) Scheduling a nursing assistant to attend a 2-hour in-service training session
D) Notifying the RN supervisor that a nursing assistant needs additional training in administration of tap water enemas
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Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Q1) Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?
A) Routine care for each resident
B) New problems for any resident
C) Prn medication administered
D) New medical orders
Q2) To which goal should the LPN/LVN give priority?
A) Resident X who has been experiencing a medication reaction will have no rash and uncompromised respirations.
B) Resident Y who is obese and has had a recent knee replacement will ambulate using a walker with the assistance of a staff member.
C) Resident Z will receive blood glucose monitoring and insulin as ordered.
D) All residents will be weighed before breakfast.
Q3) Which duty would exceed the LPN/LVN scope of practice if included in the job description for an LPN/LVN charge nurse?
A) Assigning patient care
B) Independently developing written treatment protocols
C) Assisting physicians in diagnostic and therapeutic measures
D) Maintaining a safe and hazard-free environment
Page 23
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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) 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.
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Chapter 23: The Nclex-Pn Examination
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Q1) Which phrases describe the format of the NCLEX-PN examination? (Select all that apply.)
A) Uses multiple choice questions exclusively
B) Includes questions of varying levels of difficulty
C) May have fill-in-the-blank questions
D) Uses charts, tables, and graphics as parts of questions
E) Requires tester to select a single best answer for every question
F) Tests the cognitive levels of knowledge, comprehension, application, and analysis
G) Integrates three of the four steps of the nursing process used by LPN/LVNs
Q2) Which statement best explains the purpose of the NCLEX-PN examination?
A) It is a comprehensive test developed by the NLN and administered at the end of the nursing program by an instructor.
B) It is an examination that measures the minimum competencies needed to practice practical/vocational nursing.
C) It is an LPN/LVN test that allows one to enter an ADN program after passing the examination.
D) It is a comprehensive examination that permits one to function as an LPN/LVN or RN, depending upon the score attained.
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25
Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Q1) Which services does membership in the National Federation of Practical Nurses (NFPN) provide? (Select all that apply.)
A) Subscription to the American Journal of Nursing
B) Insurance discounts
C) Continuing education articles for CEUs
D) Certification programs in IV therapy and gerontology
E) Current standards of practice
Q2) Nurse T has decided to seek certification in an area that will enhance employability in a nursing home. Which certifications would be of greatest value to the LPN/LVN working in a nursing home? (Select all that apply.)
A) IV therapy
B) Wound care
C) Long-term care
D) Managed care
E) Pharmacology
F) Gerontology
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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