Vocational Nursing Fundamentals
Final Exam Questions
Course Introduction
Vocational Nursing Fundamentals introduces students to the essential concepts and core skills necessary for entry-level practice in the nursing profession. The course covers topics including the roles and responsibilities of vocational nurses, legal and ethical issues in healthcare, communication techniques, infection control, patient safety, vital signs measurement, basic patient care procedures, and documentation practices. Emphasis is placed on developing critical thinking, professionalism, and compassionate care while providing foundational knowledge for higher-level nursing courses and clinical experiences.
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) Which learner is fulfilling an important student responsibility when receiving examination results?
A) The student who looks at the test grade and hands the test and answer sheet back
B) The student who argues each wrong answer with the instructor
C) The student who tries to understand mistakes made on the test
D) The student who appears interested in the test results
Answer: C
Q2) A nursing student tells a peer, "My instructor is on my case all the time. I'm picked on more than any other student in the group. The more I'm criticized, the more nervous I get. I don't think I can do anything right. What do you think I should do?" The best advice for the peer to give would be
A) "Just keep trying. Things are bound to get better."
B) "Make an appointment to talk about this with the instructor."
C) "Go see the program director and explain that you're being harassed."
D) "Ask another instructor for help with your skills so you'll be better prepared."
Answer: B
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3
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) 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
Answer: A
Q2) Which behaviors indicate that a nursing student is taking responsibility for learning during a lecture-discussion or a cooperative learning session? (Select all that apply.)
A) Advance preparation
B) Discussion participation
C) Listening closely
D) Heated argument
Answer: A, B, C
Q3) The area in which library materials are checked out and returned is the
Answer: circulation desk
The circulation desk is the area in which library materials are checked out and returned.
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Chapter 3: Community Resources
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Sample Questions
Q1) 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
Q2) __________________ is food program that will deliver meals to the doors of Senior Citizens and disabled individuals.
Answer: Meals on Wheels
Seniors and disabled individuals can have special programs that deliver meals to their doors such as Meals on Wheels.
Q3) What is the best social media site to use when seeking professional employment?
A) Facebook
B) AllNurses.com
C) Twitter
D) LinkedIn
Answer: D
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Page 5
Chapter
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Practical nurses are referred to as those who, from the beginning of time, chose (or were appointed) to care for individuals who were ill, injured, dying, or having babies. Names used to designate this person have included which of the following? (Select all that apply.)
A) Midwife
B) Attendant
C) Trained nurse
D) Practical nurse
E) Self-proclaimed nurse
F) Babysitter
Q2) When was the first U.S. school of practical nursing founded?
A) 1830
B) 1853
C) 1892
D) 1902
Q3) The first formal training for practical nurses focused on
A) care for victims of war injuries.
B) home care for children and people with chronic illness.
C) training visiting nurses and public health nurses.
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D) creating nursing instructors for nursing programs.
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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) To think critically, it is necessary to do which of the following? (Select all that apply.)
A) Access information
B) Comprehend information
C) Recall the comprehended information when needed
D) Store comprehended information in short-term memory only
E) Know what to do when information is not in long-term memory
Q2) A nursing student determines that she needs to increase her reading effectiveness. Identify two effective strategies for accomplishing this goal that can be implemented immediately.
A) Read one word at a time.
B) Move her lips while reading.
C) Read recreational literature more slowly than technical material.
D) Underline unfamiliar words.
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item. These various levels are called ____________________.
Q4) 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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Sample Questions
Q1) A system of standards or moral principles that direct actions as being right or wrong is called ___________.
Q2) The nurse providing care for patients or residents must act on the knowledge that a basic right of a patient or a resident is to receive A) considerate and respectful care from all care providers. B) information about the diagnosis and prognosis from the practical nurse. C) the medical care of their choice, regardless of their ability to pay.
D) any food requested and in as large a quantity as desired.
Q3) 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) nonmaleficence.
Q4) 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
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) Nurse A is assigned to care for a patient with diabetes who is being regulated on new types of insulin. The patient performs most of her own care and rarely uses the call bell to summon the nurse. The nurse knows this and leaves the patient unobserved most of the shift. Just before change of shift report, the aide reports that she cannot rouse the patient. The patient has entered a vegetative state as the result of brain damage related to severe hypoglycemia. Which, if any, of the four elements needed to prove malpractice are present? (Select all that apply.)
A) Duty
B) Breach of duty
C) Damages
D) Proximate cause
E) No elements are present
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.
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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 asks a practical/vocational nursing student the following questions. To which option should the nurse respond, "I don't know the answer to your question, but I'll find someone who will discuss it with you"?
A) "What do you mean when you say 'vital signs'?"
B) "May I get out of bed?"
C) "How do I call a nurse when I need one?"
D) "How much longer do I have to live?"
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 trusting relationship with a patient can be fostered by
A) introducing oneself and stating one's role.
B) identifying the patient by room number.
C) seeing the patient every 5 to 7 minutes.
D) making up answers when one does not know the answer.
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Chapter 9: Assertiveness: Your Responsibility
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24 Flashcards
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Sample Questions
Q1) Which statements about manipulation would be useful to the nurse who interacts with both patients and peers? (Select all that apply.)
A) Manipulation usually disregards the feelings and needs of others.
B) Manipulation exploits the weaknesses of others.
C) A divide-and-conquer strategy is often used by those who manipulate.
D) Firm limit setting rarely protects against manipulation.
E) Manipulation often results in individuals being treated as objects.
F) Manipulation should be permitted if it is consistent with the nurse's needs.
Q2) 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
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.
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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25 Flashcards
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Sample Questions
Q1) 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.
Q2) Data collection suggests that a patient's health beliefs are personalistic. Which statement by the patient would the nurse determine as consistent with personalistic health beliefs?
A) "Please call my physician for me so I can discuss my symptoms."
B) "I would like to wear the amulet that's in my bedside stand."
C) "X-rays will find the cause of my back pain."
D) "I hope the doctor will recommend surgery."
Q3) 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.
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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) 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 ________________ meal.
Q2) A religion that was founded by Joseph Smith in the nineteenth century is A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.
Q3) A nurse is caring for a patient who refuses to consume meat on Ash Wednesday and all Fridays during Lent. The nurse understands that this patient is of what religion?
A) Islam
B) Mormonism
C) Catholicism
D) Presbyterianism
Q4) A nurse is caring for a patient who practices Mormonism. The nurse should expect the patient to study religion from the Holy Bible and the ____________________.
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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) Which of the following is the primary reason that LPN/LVNs are taught to use the nursing process?
A) To diagnose disease
B) To provide reimbursement
C) To resolve patient problems
D) To communicate with health team members
Q2) An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called A) assessment.
B) nursing diagnosis.
C) planning.
D) implementation.
Q3) The nursing care plan requires the nurse to ambulate the patient twice daily. The phase of the nursing process in which the nurse is participating is A) assessment.
B) planning.
C) implementation.
D) evaluation.
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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) 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) Which of the following are the elements of evidence-based practice? (Select all that apply.)
A) Patient preferences
B) Basic needs
C) Best research evidence
D) Nurse's clinical expertise
E) Hypothesis
Q3) The health belief theory was developed by
A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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Sample Questions
Q1) 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
Q2) The most important reason for a student nurse to prepare adequately before providing patient care is
A) to be able to give the same safe care as a nurse.
B) to avoid arousing the anger of the instructor.
C) to maintain self-esteem by performing well.
D) to make a favorable impression on unit staff.
Q3) 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.
Q4) The role of the LPN/LVN in the health care team is best described as
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Chapter 15: Health Care Settings: Continuum of Care
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Sample Questions
Q1) An example of a voluntary health agency that is focused on research and education of the public is
A) the Alcohol, Drug Abuse, and Mental Health Administration.
B) the Visiting Nurse Association.
C) St. Jude's Children's Hospital.
D) the American Heart Association.
Q2) ____________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
Q3) An example of a public sector health care agency supported primarily by U.S. taxpayer dollars is the
A) U.S. Public Health Service.
B) Kaiser Permanente hospitals.
C) American Cancer Society.
D) World Health Organization.
Q4) Accountability of private health care agencies is assumed by the A) taxpayer.
B) government.
C) owners of the agency.
D) board of directors of the agency.
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Chapter
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Sample Questions
Q1) A 70-year-old patient tells the nurse, "I can't go to the hospital for treatment because I have no hospital insurance. My Social Security and my pension pay my living expenses, but I don't have any savings." The nurse's response should be focused on
A) providing information about Medicare.
B) explaining the provisions of Medicaid.
C) exploring the patient's ability to purchase group health insurance.
D) investigating which hospitals provide free care for indigent patients.
Q2) When 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."
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Chapter 17: Collaboration: Leading and Managing
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Sample Questions
Q1) Examples of tasks the LPN/LVN charge nurse of the extended care unit might assign to a nursing assistant (NA) include which of the following? (Select all that apply.)
A) Bathing a resident who is in stable condition
B) Administering a nasogastric tube feeding
C) Assisting a resident with Parkinson disease to ambulate
D) Transferring a resident from bed to chair with the assistance of another NA
Q2) 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.
Q3) 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.
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Chapter 18: Work Force Trends:
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Sample Questions
Q1) Which of the following individuals is most likely to provide the most authoritative, positive reference for a student nurse who is beginning to search for postgraduation employment?
A) Instructor A, who has provided positive feedback during clinical labs
B) Program director B, who is familiar with the student nurse's academic record
C) Nurse C, who is the student nurse's acquaintance at the health club
D) Student nurse D, who is a peer enrolled in the same nursing program
Q2) The American Nurses Association (ANA)
A) represents only registered nurses.
B) represents only licensed practical nurses.
C) represents both registered nurses and licensed practical nurses.
D) has attempted to expand licensed practical nurses' scope of practice.
Q3) Which area of health care delivery services is the largest employer of LPN/LVNs?
A) Long-term care facilities
B) Hospitals
C) Home health
D) Military services
Q4) 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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Chapter 19: Licensure and Regulation: Becoming Licensed and Understanding Your
State Nurse Practice Act
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Sample Questions
Q1) One practical/vocational nursing student tells another student, "I'm computer phobic! I never understand what keys I'm supposed to use to get the thing to work." The reply that shows the best understanding about NCLEX-PN examination testing is:
A) "No problem! The question comes up on the screen, and you speak the letter of the correct answer aloud to the voice-activated computer."
B) "You answer practice questions before the examination begins to get you used to using the computer."
C) "You'll be able to ask the test proctor for help if you get mixed up."
D) "If you can't get the hang of the computer, they'll let you use paper and pencil."
Q2) The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Psychosocial Integrity category includes A) surgical asepsis.
B) human sexuality.
C) therapeutic communication.
D) nutrition and oral hydration.
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