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Which actions demonstrate effective time management skills for the nurse? (Select all that apply.) 1. Meeting all of the patient's major needs in the early morning hours 2. Anticipating possible interruptions in the plan of care for the day 3. Doing each of the patient's assessments and treatments individually at separate times 4. Leaving each day unplanned to allow for adaptations in treatments 5. Planning care based on prioritizing the needs of the patient

2,5

To settle a conflict between two staff members, the nurse manager should focus on which strategy? 1. Developing a compromise solution to solve the conflict 2. Investigating what the conflict parties want to achieve as an outcome 3. Identifying the real issues and assisting in solving them 4. Limiting the number of possible solutions to the conflict

3

The nurse coworker of an LPN/LVN confides in the LPN/LVN that he is abusing alcohol. What is the best initial action for the LPN/LVN to take? 1. Talk to the coworker about the state's nurses assistance program for chemically impaired nurses. 2. Immediately report this information to the nurse manager. 3. Encourage the coworker to take a leave of absence from his current position. 4. Report the coworker to the state board of nursing.

1

Why is it beneficial to become certified in other areas after becoming an LPN/LVN? 1. The certifications are designed to increase nursing knowledge and skill. 2. The nurse will gradually be able to assume the work of an RN without becoming an RN. 3. Use of the extended title(s) will improve the nurse's status among other employees and peers. 4. Unless the state board of nursing acknowledges the certification, it serves no purpose.

1

The LPN/LVN has been hired at a long-term care facility. The nurse questions if the role will include supervision of other staff members. What response is most correct? (Select all that apply.) 1. "You will be expected to organize and delegate as needed the care of patients on the unit of care." 2. "You will be expected to supervise any nurse on your assigned wing who has less seniority." 3. "The limit of charge or supervisory roles expected of the LPN/LVN is low." 4. "In the long-term care setting you may find you are in a leadership role." 5. "It is expected that you would supervise those staff members having less scope of practice than the LPN/LVN."

1,2,4,5

Which organizations are totally committed to practical and vocational nursing and its continuing education? (Select all that apply.) 1. APNES 2. ANA 3. NFLPN 4. NCSBN

1,3

Which statement best reflects the autocratic style of leadership? 1. "Everyone knows their work assignment, so let's not meet together unless we have an unexpected crisis." 2. "Let's discuss this case study thoroughly and decide on a plan of action as a group." 3. "I'll consider each of your requests and then give you the guidelines for establishing new acuity ratings for our patients." 4. "I'll try to pair you in comparable work teams, and we'll evaluate the success of this approach in 2 weeks."

3

What is a quality of an effective mentor? 1. Inconsistent 2. Unaccountable 3. Inaccessible 4. Informative

4

Which are functions of the state board of nursing? (Select all that apply.) 1. Assisting health care facilities in the training of nursing staff 2. Imposing discipline on a nursing license 3. Monitoring the schools of nursing within the state 4. Approving the students admitted to nursing programs in the state 5. Enforcement of the state's nurse practice act

2,3,5

What will a new graduate include on a résumé? (Select all that apply.) 1. Person to notify in an emergency 2. Review of professional experience 3. Grade transcripts from nursing schools 4. Education history 5. Only current work experience

2,4

Which is a primary function of the LPN/LVN? 1. Teaching professional and practical nursing students 2. Providing direct patient care 3. Being in charge in various health care settings 4. Directing nurses and other personnel who are employed in the hospital setting

2

The student nurse demonstrates understanding of the NCLEX-PN with which statement? 1. "The NCLEX-PN measures the LPN/LVN student's ability to compete in the job market." 2. "The NCLEX-PN measures the LPN/LVN student's entry-level competencies." 3. "The NCLEX-PN measures the LPN/LVN student's proficiency-level competencies." 4. "The NCLEX-PN measures success of the nursing program."

2

The style of leadership that takes into account the style of the leader, the maturity of the groups, and the circumstances at hand is which type of leadership style? 1. Autocratic 2. Situational 3. Democratic 4. Laissez-faire

2

What is the main purpose of state requirements that nurses be licensed to practice nursing? 1. To protect the LPN/LVN employer and the nurse 2. To provide legal guidelines to protect the public 3. To protect the patient and employer 4. To protect the LPN/LVN from malpractice lawsuits

2

Which act of the state legislature delineates the legal scope of the practice of nursing within the geographic boundaries of the jurisdiction? 1. NLN Act 2. Nurse practice act 3. NCLEX Act 4. JCOAH Act

2

What will the nurse wish to consider when obtaining malpractice insurance? 1. Malpractice insurance is becoming less important for the nurse in today's health care environment. 2. If the employer has a claims-based policy in force, a personal policy is not necessary. 3. Most employers carry insurance for the employee, which will more than cover any expenses that will be incurred. 4. A separate personal malpractice insurance policy in addition to the employer's policy is a personal choice.

4

When transcribing orders, the LPN/LVN knows that which health care provider order takes priority? 1. prn orders 2. One-time-only orders 3. Routine orders 4. Stat orders

4

In the change-of-shift report, which information should the outgoing nurse pass on to the receiving nurse? (Select all that apply.) 1. The number of visitors that the patient has had during the shift 2. The amount of time the patient has been able to nap during the shift 3. The list of patient problem statements found in the care plan 4. The patient's blood glucose levels for the shift 5. The patient's total intake and output for the shift

4,5

A graduating LPN/LVN student is preparing to take the NCLEX-PN examination. The student knows that he or she will have a minimum and maximum number of questions on the examination. What is the minimum number of questions?

85 questions The minimum number of questions for the NCLEX-PN is 85, with 60 being "real" and 25 being tryout questions.

Management in nursing uses different leadership styles. What style is a people-centered approach allowing employees more control and individual participation in the decision-making process?

Democratic Democratic style is a people-centered approach that allows employees more control and individual participation in the decision-making process. The autocratic leader retains all authority and responsibility and is concerned primarily with tasks and goal accomplishment. The laissez-faire leadership style is often referred to as the "free-run" style or permissive leadership. Situational leadership takes into account the style of the leader, the maturity of the group, and the situation at hand.

A new LPN/LVN is seeking a place of employment. Which type of facility allows an LPN/LVN to advance to charge nurse and supervisory capacity with RN supervision?

Long-term care facility In long-term care facilities, the LPN is the backbone and has the opportunity to advance to supervisor under an RN direction. In the hospital setting, the LPN provides the majority of the bedside care. The opportunities in home health vary within different parts of the United States. There are opportunities to further education, because there are skills to be done that are not necessarily taught in schooling.

Which organization has membership limited to only LPN/LVN students and graduates?

NFLPN NFLPN is the National Federation of Licensed Practical Nurses. It was founded in 1949 and its membership is limited to LPN students and graduates. NLN is the National League of Nursing that accredits schools of nursing. NAPNES is the National Association for Practical Nurse Education and Service. It was founded in 1941 to promote understanding of practical schools and continuing education for LPNs. ANA is the American Nurses Association.

Which of the following should be included when writing a resume? (Select all that apply.)

Name, complete address, telephone number Guidelines for writing a winning resume include the person's name, complete address, and telephone number; labeling each section clearly, and using a font that is easy to read. You should cover your work experience before your education experience. List jobs you have held in reverse chronologic order, beginning with the most recent. Clear labels for each section Guidelines for writing a winning resume include the person's name, complete address, and telephone number; labeling each section clearly, and using a font that is easy to read. You should cover your work experience before your education experience. List jobs you have held in reverse chronologic order, beginning with the most recent. A font that is easy to read Guidelines for writing a winning resume include the person's name, complete address, and telephone number; labeling each section clearly, and using a font that is easy to read. You should cover your work experience before your education experience. List jobs you have held in reverse chronologic order, beginning with the most recent.

The new graduate has passed state boards and is going to work in a hospital. If the graduate has questions regarding his or her scope of practice, what licensing law governs the scope of practice?

Nurse practice act The nurse practice act is the licensing law that delineates the legal scope of practice in each state. NCLEX-PN is the national licensure examination. The state board of nursing's purpose is to protect the public by administering the nurse practice act. Reciprocity is another name for licensure from one state to another.

The nurse has just received a new health care provider's orders on a patient. Which type of order will the nurse transcribe first?

Stat.A stat. order is one that needs to be followed immediately. PRN orders are carried out only when needed by the patient. Routine orders are schedule orders to be given throughout the day. One-time-only are orders that are carried out only once at a certain time.

The LPN/LVN is responsible for giving end-of-shift reports. There are several types of reporting systems. What is the main concept to remember no matter which system is used by an employing facility?

That confidentiality must be maintained When passing on information at the end-of-shift report, the main thing for the LPN/LVN or RN to remember is that they must maintain patient confidentiality. An end-of-shift report should include the data necessary for the next shift to continue the quality of the patient's care. End-of-shift reports should be precise, but not so brief as to leave out pertinent information. Time should be allowed for clarification and updates. It is correct to gather the necessary data before beginning the report, but this is not the most important consideration.

The LPN/LVN is transcribing the health care provider's orders from her patient's record to the MAR and is having a difficult time reading the orders. What is the most appropriate next step for the LPN/LVN to take?

Verifying with another nurse; if still unsure, call the health care provider If a nurse is unsure of a written order, then he or she needs to clarify the order with another nurse, and if still unclear, to call the health care provider for clarification. The nurse should never try to guess what an order says. Although verifying the chart is a useful step for ensuring the correct orders are transcribed for the correct patient, the unclear order itself still must be verified before transcribing. If the nurse skips the order, there is a danger that she might forget to come back to it when finished with the rest.

A nurse working the medical floor reports to his shift feeling tired, complains of feeling emotionally drained, and has trouble meeting the needs of his patients. This is an example of:

burnout. Burnout is the physical, emotional, and spiritual exhaustion of a caregiver. Stress to some extent is a normal part of life, but this nurse's signs and symptoms suggest a larger physical, emotional, or spiritual problem.


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