Practical Nursing Fundamentals
Chapter Exam Questions
Course Introduction
Practical Nursing Fundamentals introduces students to the essential concepts, skills, and principles required for competent entry-level nursing practice. The course covers foundational topics such as the nursing process, patient-centered care, communication, ethics, legal aspects of nursing, infection control, and safety procedures. Students learn basic clinical techniques, including vital sign measurement, hygiene assistance, mobility support, and medication administration, through a combination of classroom instruction, simulation, and supervised laboratory experiences. Emphasis is placed on developing effective teamwork, critical thinking, and compassionate care to prepare students for clinical placements and the demands of the professional healthcare environment.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Signe S. Hill
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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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Q1) An example of a self-talk "script" that promotes success in a practical/vocational nursing program is
A) "I get sick from smelling bad odors."
B) "What if I'm 'all thumbs' in practice lab?"
C) "I don't think the instructor likes me."
D) "I work well with my hands."
Answer: D
Q2) The First Amendment of the U.S. Constitution guarantees students the right to A) graduate from a program.
B) fail an academic program.
C) express oneself in class.
D) have unlimited absences.
Answer: C
Q3) A student who wishes to utilize research findings regarding the best way for students to learn will
A) stay up late each night and study.
B) actively participate in the learning process.
C) sit passively during each lecture session.
D) cram before each examination.
Answer: B
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Chapter 2: Time Management: Making Time Work for You
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Q1) A nursing student has a conflict with taking a scheduled course in the nursing program and picking up children from day care. Which adjustment is possible and would result in the best resolution?
A) Request the nursing program offer the course at a different time.
B) Withdraw from the nursing program until the children are older.
C) Arrange to have a friend or relative pick up the children.
D) Remove the children from day care.
Answer: C
Q2) A student generally postpones high-priority activities and does low-priority activities instead. The most likely outcome of this behavior is that the student
A) will assume power over life.
B) brings anxiety under control.
C) derives a sense of true accomplishment.
D) feels increased tension and fear of failure.
Answer: D
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4
Chapter 3: Learning Methods and Skills: How Do You Learn
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Q1) Which statement about learning style preference is true?
A) All students have the same learning style.
B) Most students are kinesthetic/tactual learners.
C) Auditory learning is the best method.
D) Various learning styles are equally good.
Answer: D
Q2) A student states, "I have identified my personal learning style preference as visual."
From this statement, it can be understood that the identified style preference
A) is the only way the individual can learn.
B) represents the way the student learns best.
C) has been derived primarily from biologic attributes.
D) suggests the need to develop additional learning strategies.
Answer: B
Q3) A characteristic of the right hemisphere of the cerebrum includes A) produces robotlike speech.
B) processes in sequence.
C) adds tone and inflection to the voice.
D) breaks down new information into segments.
Answer: C
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Page 5
Chapter 4: Using Your Methods and Skills: Studying and Testing
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Q1) 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.
Q2) At what level of information processing must LPN/LVNs function in order to pass the NCLEX-PN examination and meet employer expectations?
A) Knowing and being able to repeat facts
B) Understanding the meaning of material and being able to apply it in new situations
C) Grasping information and being able to analyze advanced concepts
D) Questioning the validity of all information and being able to synthesize material
Q3) 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.
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Page 6
Chapter 5: Learning During School: Using Available Resources
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Q1) The area in which library materials are checked out and returned is the ____________________.
Q2) When a nursing student needs a journal article from a periodical that is not available in the holdings of the learning resource center, the student should
A) try to find a substitute article.
B) request an interlibrary loan.
C) go to the stacks and look again.
D) check the vertical file.
Q3) 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.
Q4) A technique that emphasizes individual accountability for learning a specific academic task while working in small groups is known as ____________________.
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Q1) 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.
Q2) The nurse is to present a mini-class on burnout prevention strategies at a nursing team meeting. Which topics would be appropriate to include? (Select all that apply.)
A) Use sympathetic responses to patients.
B) Seek daily evaluation from other health care team members.
C) Practice time management.
D) Use humor to reduce tension.
E) Keep nursing skills current.
F) Maintain perspective about work.
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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Q1) The emergence of modern nursing is usually attributed to the influence of A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.
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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Q1) Clinical judgments about patients that result from critical thinking have what as their basis?
A) Evidence
B) Assumptions
C) Ethical principles
D) Personal preference of the nurse
Q2) A first-postoperative-day patient received pain medication 6 hours ago. He states he is not experiencing pain but refuses to deep breathe and ambulate as ordered. The nursing student caring for him consults her instructor, asking whether it might be advisable to administer pain medication. The student is using A) the right brain hemisphere.
B) the intrapersonal learning style.
C) linguistic memory.
D) critical thinking.
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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Q1) Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement.
A) The patient will be stronger by (date).
B) The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day.
C) The nurse will help the patient ambulate the length of the hall twice daily.
D) The nurse will evaluate the patient's strength based on his ability to ambulate in the hall on the first postoperative day.
Q2) "I feel like I can't catch my breath" is an example of
A) effective data.
B) objective data.
C) subjective data.
D) evaluative data.
Q3) Which of the following statements regarding short-term goals is accurate?
A) Short-term goals are broad rather than specific.
B) Short-term goals can be accomplished within days or hours.
C) Short-term goals must be accomplished while the patient is hospitalized.
D) Short-term goals are less realistic than long-term goals.
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Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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Q1) 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.
Q2) 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.
Q3) According to Watson's theory of human care, health is harmony of what factors? (Select all that apply.)
A) People
B) Body
C) Environment
D) Spirit
E) Mind
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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Q1) The nurse is asked to explain the meaning of ethics to a patient. The nurse should correctly state, "Ethics is a system of standards that refer to ideas and actions in terms of being (select all that apply):
A) right and wrong."
B) moral and immoral."
C) legal and illegal."
D) good and bad."
E) ought and ought not."
F) like and dislike."
G) rights and duties."
Q2) The introduction of the nursing process and critical thinking into nursing practice has resulted in increased ethical and legal responsibilities for nurses in the areas of (select all that apply):
A) peer reporting.
B) accountability.
C) personal ethics.
D) patient advocacy.
E) cost containment.
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Chapter 12: Nursing and the Law: What Are the Rules
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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) 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.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Q1) On which statement about life span communication differences can the nurse rely when implementing patient care?
A) Children from birth to age 2 are most soothed by a high-pitched tone of voice.
B) Preschool children tend to respond well to a reasoning approach.
C) It is important to try to communicate with teens using their slang.
D) Elderly people hear lower frequency sounds more easily than high-pitched sounds.
Q2) The practical/vocational nursing student is assigned the task of helping a new mother and father learn to bathe their newborn. The instructor asks the student how the session went, and the student replies, "The mother seemed to understand everything. She smiled and nodded at everything I told her. The father watched and didn't ask any questions." The instructor comments, "Without validation, you can't be sure." Which statements contributed to the instructor's knowledge on which to base the comment to the student? (Select all that apply.)
A) Women nod to show that they are listening.
B) Men ask fewer questions than women.
C) Women smile to establish rapport.
D) Nonverbal communication is a good indicator of understanding.
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Page 15
Chapter 14: Assertiveness: Your Responsibility
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Q1) 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? (Select all that apply.)
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.
Q2) A newly graduated LPN/LVN who is orienting to the unit tells a peer, "You should have seen that new associate degree RN trying to take care of three patients! She was so disorganized that it made me glad I'm an LPN/LVN." The LPN/LVN is demonstrating
A) manipulation.
B) assertiveness.
C) projection.
D) passiveness.
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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) 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
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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Page 17
Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Q1) Recently a community has experienced an influx of individuals from Afghanistan. What action should the nurse suggest to modify the agency environment to better accommodate these culturally diverse patients?
A) Provide handouts and patient teaching materials in appropriate languages.
B) Hold meetings in the community to explain the Afghan culture.
C) Provide reference guides about Far Eastern cultures to all nursing staff.
D) Utilize the cookbook method of learning to accommodate this immigrant group.
Q2) Which statement by a health care worker can the nurse identify as a stereotype?
A) "People over 65 are poor drivers."
B) "Assimilation requires adopting part of the dominant culture."
C) "All individuals have common basic daily needs."
D) "Most people perceive themselves as members of the middle class."
Q3) Which statement by a nurse is an example of nonjudgmental thinking?
A) "Hispanic-American patients live at the poverty level and don't have a chance."
B) "Asian-American patients are unreadable. Nurses don't know what they're feeling."
C) "Native-American patients could benefit from a lesson in assimilation."
D) "Cultural diversity accounts for some African-Americans thinking illness is caused by a curse."
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Q1) A nurse is preparing a presentation about spirituality and religion. To adequately prepare for peer questions, the nurse should know that the three major religious groups in the United States are the
A) Lutherans, Catholics, and Presbyterians.
B) Baptists, Assembly of God, and Lutherans.
C) Roman Catholics, Protestants, and Jews.
D) Protestants, Unitarians, and Catholics.
Q2) A Hindu patient is admitted after a severe head injury and is near death. The organ procurement person tells the nurse, "I don't know much about the Hindu religion, and I have to talk to the family about organ donation. Can you give me any hints?" The best response for the nurse would be
A) "Organ donation is prohibited by the religion."
B) "The family is very concerned about where the patient's soul will go after death."
C) "The religion permits organ donation, but you would have to ask the family their feelings about it."
D) "It's hard to know what people who believe cows are sacred will think about organ donation."
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Page 19
Chapter 18: Health Care Settings: Potential Job Sites
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Q1) Which of the following are types of health care agencies in which the LPN/LVN would most likely find work? (Select all that apply.)
A) Board and care home
B) Emergency unit facility
C) Skilled nursing facility
D) Adult day care center
E) Hospice
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.
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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Q1) The nurse is asked by a patient, "Why is it necessary to have deductibles and copayments when I already have health insurance?" The best response would be
A) "They are a way to improve the margin of profit in the fee-for-service method of paying for health care."
B) "They prevent health care agencies from having huge deficits associated with uncompensated care."
C) "They were developed to save health care dollars at the time Medicare introduced DRGs."
D) "They are part of the incremental changes designed to provide more universal care."
Q2) Which of the following are problems associated with the present health care delivery system that could be identified by a nursing student who is writing an essay? (Select all that apply.)
A) High cost
B) Insufficient number of doctors
C) Widespread shortage of RNs
D) Continuous quality improvement
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Chapter 20: Leadership Skills
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Q1) Evaluate the following documentation found in the medical record of a resident. It was provided by an LPN/LVN charge nurse relative to an incident that occurred while resident care was being provided by a nursing assistant. July 1, 2009, 8:10 AM
While administering meds on Wing 1, I heard someone sobbing in the shower room on that wing. On entering the shower stall, I found Mrs. Garrity crying and shivering. She was sitting naked on the shower chair and was alone in the room. She stated that Becky, her nursing assistant, told her she had to leave for a phone call. I covered Mrs. Garrity with a bath blanket that was on the shelf in the bathroom. At that point Becky returned and confirmed that she had received a phone call. I think the in-service director needs to review the procedure for showering a resident with Becky and the policy about personal phone calls. Becky and I discussed the discomfort caused to Mrs. Garrity by her actions. She listened to my comments without defensiveness.
The documentation should be evaluated as
A) complete and appropriate.
B) appropriate but incomplete.
C) meeting agency and regulatory standards.
D) not meeting criteria for good documentation.
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Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Q1) Select the examples of LPN/LVN charge nurse directions that meet the criteria for Right Direction/Communication. (Select all that apply.)
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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Q1) Dressing for success at an interview means an applicant should
A) select clothing that could be worn at a cocktail party and a formal hair style.
B) wear well-fitting, businesslike clothes and a neat hairstyle.
C) wear only new, very conservative dark clothing and have a new haircut and/or style.
D) wear an outfit that reflects one's "off-duty" personality or hobbies and a casual hairstyle.
Q2) 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?"
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Chapter 23: The Nclex-Pn Examination
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Q1) The requirement for taking the NCLEX-PN examination that is universal to every U.S. state and territory is
A) the ability to pay fees using a major credit card.
B) holding a valid temporary work permit.
C) a conviction-free legal record.
D) completion of a PN/VN program.
Q2) Prior to taking the NCLEX-PN examination, candidates sign a confidentiality clause. A candidate would be in violation of "terms of confidentiality" when doing which of the following?
A) The candidate asks the examination proctor a question.
B) The candidate informs others that she has taken the exam.
C) The candidate discusses the exam with his instructor.
D) The candidate refrains from discussing the exam with others.
Q3) 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.
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Page 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) 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
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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