Question 1

The new nursing assistant arrived 1 hour late for duty on the second day of employment, giving the excuse of car trouble. The LPN/LVN charge nurse should

Accepted Answer

A)  note the incident of tardiness in the charge nurse's personal file. 
B)  send a letter of reprimand to the nursing assistant. 
C)  give an oral reprimand to the nursing assistant. 
D)  arrange to terminate the nursing assistant before a pattern develops. 
A)  note the incident of tardiness in the charge nurse's personal file. 
B)  send a letter of reprimand to the nursing assistant. 
C)  give an oral reprimand to the nursing assistant. 
D)  arrange to terminate the nursing assistant before a pattern develops. A

Question 2

The LPN/LVN charge nurse has assigned tasks to the nursing assistant staff and the LPN/LVN orienting to the unit. On which statement about responsibility for outcomes should the LPN/LVN charge nurse base her or his actions?

Accepted Answer

A)  The LPN/LVN charge nurse has no further responsibility, because the staff members have accepted the assignments and are responsible for completing all tasks. 
B)  The LPN/LVN charge nurse is responsible for checking the outcomes of care of the LPN/LVN orientee only because he is not an official member of the staff. 
C)  The LPN/LVN charge nurse is responsible for checking the outcomes of care of the nursing assistants only, because the nursing assistants are unlicensed, whereas the LPN/LVN orientee is a licensed employee. 
D)  The LPN/LVN charge nurse is legally responsible for checking the outcomes of all assignments made. 
A)  The LPN/LVN charge nurse has no further responsibility, because the staff members have accepted the assignments and are responsible for completing all tasks. 
B)  The LPN/LVN charge nurse is responsible for checking the outcomes of care of the LPN/LVN orientee only because he is not an official member of the staff. 
C)  The LPN/LVN charge nurse is responsible for checking the outcomes of care of the nursing assistants only, because the nursing assistants are unlicensed, whereas the LPN/LVN orientee is a licensed employee. 
D)  The LPN/LVN charge nurse is legally responsible for checking the outcomes of all assignments made. D

Question 3

Assuming all the following are staff members on the unit, to whom should the LPN/LVN charge nurse assign a newly admitted 65-year-old resident with left hemiplegia and a large sacral decubitus requiring a sterile dressing change?

Accepted Answer

A)  LPN/LVN orientee with 1 week of experience 
B)  LPN/LVN with 2 years of experience 
C)  Nursing assistant with 3 years of experience 
D)  Nursing assistant who is a nursing student at a local college 
A)  LPN/LVN orientee with 1 week of experience 
B)  LPN/LVN with 2 years of experience 
C)  Nursing assistant with 3 years of experience 
D)  Nursing assistant who is a nursing student at a local college B

Question 4

A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?

Accepted Answer

A)  "Watch the resident's output closely today." 
B)  "I need to know if the resident is voiding sufficiently." 
C)  "The resident should void at least twice during the shift in quantities of 200 mL or more." 
D)  "Report to me immediately if the resident voids between now and 10 AM, and tell me the amount he voids. If he has not voided by 10 AM, please report this to me." 
A)  "Watch the resident's output closely today." 
B)  "I need to know if the resident is voiding sufficiently." 
C)  "The resident should void at least twice during the shift in quantities of 200 mL or more." 
D)  "Report to me immediately if the resident voids between now and 10 AM, and tell me the amount he voids. If he has not voided by 10 AM, please report this to me."

Question 5

The plan of care for a resident in the rehabilitation unit requires the resident to receive teaching about how to monitor blood glucose as part of discharge teaching. The RN is working with a resident whose condition is deteriorating. The LPN/LVN charge nurse has performed blood glucose monitoring many times but is new and has not received facility certification. The nursing assistant assigned to the patient is a diabetic and monitors blood glucose several times a day. Who should perform the teaching?

Accepted Answer

A)  RN 
B)  LPN/LVN charge nurse 
C)  Nursing assistant 
D)  Physician 
A)  RN 
B)  LPN/LVN charge nurse 
C)  Nursing assistant 
D)  Physician

Question 6

The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to

Accepted Answer

A)  verbally confront the employees with their behavior. 
B)  write reprimands to be placed in each employee's file. 
C)  ask for in-service classes on time management. 
D)  determine the reason staff members are taking longer breaks. 
A)  verbally confront the employees with their behavior. 
B)  write reprimands to be placed in each employee's file. 
C)  ask for in-service classes on time management. 
D)  determine the reason staff members are taking longer breaks.

Question 7

The LPN/LVN spends time exploring the agency mission statement with the nursing assistants who work that shift. They create a list of ways they can contribute to achieving the agency goals. This process is called

Accepted Answer

A)  stress management. 
B)  problem solving. 
C)  team building. 
D)  conflict resolution. 
A)  stress management. 
B)  problem solving. 
C)  team building. 
D)  conflict resolution.

Question 8

What LPN/LVN charge nurse behavior will best accomplish the goal of promoting team building?

Accepted Answer

A)  Using "I" statements exclusively when talking about the unit's mission and goals 
B)  Never using rewards to change nursing assistant behaviors because this strategy is manipulative 
C)  Assuming each nursing assistant is fully informed about the unit's mission and goals 
D)  Encouraging politeness, cooperation, respect, and trust 
A)  Using "I" statements exclusively when talking about the unit's mission and goals 
B)  Never using rewards to change nursing assistant behaviors because this strategy is manipulative 
C)  Assuming each nursing assistant is fully informed about the unit's mission and goals 
D)  Encouraging politeness, cooperation, respect, and trust

Question 9

The LPN/LVN charge nurse at the long-term care facility has assigned a newly licensed LPN/LVN to care for a resident needing a colostomy irrigation. The new LPN/LVN voices concern, because he has never performed a colostomy irrigation. What would be the best course of action for the LPN/LVN charge nurse?

Accepted Answer

A)  State, "A colostomy irrigation is just like giving an enema. You'll be fine." 
B)  Tell the new LPN/LVN, "I'll do the irrigation while you care for your other assigned residents." 
C)  Delegate the procedure to a willing nursing assistant. 
D)  Arrange to supervise the new LPN/LVN as he performs the irrigation. 
A)  State, "A colostomy irrigation is just like giving an enema. You'll be fine." 
B)  Tell the new LPN/LVN, "I'll do the irrigation while you care for your other assigned residents." 
C)  Delegate the procedure to a willing nursing assistant. 
D)  Arrange to supervise the new LPN/LVN as he performs the irrigation.

Question 10

During an emergency, the charge nurse tells the LPN/LVN, "I need you to place the patient on a non-rebreather mask now." The charge nurse has little regard for the LPN/LVN's input at this time. The charge nurse is displaying what leadership style?

Accepted Answer

A)  Autocratic 
B)  Situational 
C)  Democratic 
D)  Laissez-faire 
A)  Autocratic 
B)  Situational 
C)  Democratic 
D)  Laissez-faire

Question 11

The long-term care agency has recently announced that it will soon lay off six LPN/LVNs and hire eight nursing assistants. Today, the RN charge nurse presents the LPN/LVN charge nurse with a certificate recognizing her ability to manage effectively despite short staffing. The LPN/LVN responds somewhat politely but seems more angry than pleased. In terms of the Howlett hierarchy of needs, which of the following is the best explanation for the employee's reaction?

Accepted Answer

A)  The LPN/LVN is probably responding to the poor working conditions. 
B)  When job security is threatened, recognition needs assume lesser importance. 
C)  Achievement and advancement needs are more fundamental than recognition needs. 
D)  The adequacy of benefits is more basic to job satisfaction than affiliation needs. 
A)  The LPN/LVN is probably responding to the poor working conditions. 
B)  When job security is threatened, recognition needs assume lesser importance. 
C)  Achievement and advancement needs are more fundamental than recognition needs. 
D)  The adequacy of benefits is more basic to job satisfaction than affiliation needs.

Question 12

To discover the expanded role of the practical nurse, the LPN/LVN should investigate

Accepted Answer

A)  the state's Nurse Practice Act. 
B)  job descriptions for the practical nurse in local health care agencies. 
C)  information gained from practical nurses working in various clinical settings. 
D)  the opinions of physicians who service area nursing homes and extended care facilities. 
A)  the state's Nurse Practice Act. 
B)  job descriptions for the practical nurse in local health care agencies. 
C)  information gained from practical nurses working in various clinical settings. 
D)  the opinions of physicians who service area nursing homes and extended care facilities.

Question 13

A nursing assistant states, "I have never learned how to transfer a resident with end-stage Parkinson's disease from the bed to the chair." The nursing assistant refuses to transfer the resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.

Accepted Answer

A)  Reprimand the nursing assistant for not performing the job. 
B)  Encourage the nursing assistant to carry through with the transfer. 
C)  Arrange to teach the nursing assistant how to transfer the resident. 
D)  Mention that nursing assistants can be charged with insubordination if they do not perform their jobs. 
A)  Reprimand the nursing assistant for not performing the job. 
B)  Encourage the nursing assistant to carry through with the transfer. 
C)  Arrange to teach the nursing assistant how to transfer the resident. 
D)  Mention that nursing assistants can be charged with insubordination if they do not perform their jobs.

Question 14

Which understanding about leadership would help the LPN/LVN become a more skillful leader?

Accepted Answer

A)  Leaders in nursing are appointed by management to accomplish organizational goals. 
B)  Leaders rarely take risks and virtually never make mistakes. 
C)  Leaders have little confidence in themselves until they develop a power base. 
D)  Leaders see change as challenging and providing opportunities for improving quality of care. 
A)  Leaders in nursing are appointed by management to accomplish organizational goals. 
B)  Leaders rarely take risks and virtually never make mistakes. 
C)  Leaders have little confidence in themselves until they develop a power base. 
D)  Leaders see change as challenging and providing opportunities for improving quality of care.

Question 15

The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be:

Accepted Answer

A)  "Motivation is an inner force. You can't motivate someone else, but understanding the things that are important to workers can be helpful." 
B)  "Encouragement is the only way. If you praise and encourage the workers, you will have them eating out of your hand and doing their best." 
C)  "Money is the only thing that motivates workers. Since you can't set a higher salary, you can't change their motivation." 
D)  "Communicate! Communicate! Communicate! Be clear and specific. Spell things out. Give the impression that you know what you're talking about at all times." 
A)  "Motivation is an inner force. You can't motivate someone else, but understanding the things that are important to workers can be helpful." 
B)  "Encouragement is the only way. If you praise and encourage the workers, you will have them eating out of your hand and doing their best." 
C)  "Money is the only thing that motivates workers. Since you can't set a higher salary, you can't change their motivation." 
D)  "Communicate! Communicate! Communicate! Be clear and specific. Spell things out. Give the impression that you know what you're talking about at all times."

Question 16

A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI) is all about. The charge nurse should explain that the focus of CQI in a health care agency is

Accepted Answer

A)  saving time. 
B)  better patient care outcomes. 
C)  making money for the health care agency. 
D)  reducing stress for employees. 
A)  saving time. 
B)  better patient care outcomes. 
C)  making money for the health care agency. 
D)  reducing stress for employees.

Question 17

The LPN/LVN day shift charge nurse in a nursing home usually reports to the

Accepted Answer

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. 
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.

Question 18

The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is

Accepted Answer

A)  licensure in the state of practice. 
B)  experience with resident assignment. 
C)  the ability to coordinate patient care services. 
D)  a knowledge of the principles of delegation. 
A)  licensure in the state of practice. 
B)  experience with resident assignment. 
C)  the ability to coordinate patient care services. 
D)  a knowledge of the principles of delegation.

Question 19

An LPN/LVN is working in a health care facility that allows delegation of nursing duties to nursing assistants by the LPN/LVN. Which of the following duties could be delegated to the nursing assistant?

Accepted Answer

A)  Weighing a patient 
B)  Initial patient education 
C)  Assessing a patient's pain 
D)  Changing a sterile dressing 
A)  Weighing a patient 
B)  Initial patient education 
C)  Assessing a patient's pain 
D)  Changing a sterile dressing

Question 20

During a staff meeting, the charge nurse encourages feedback from staff nurses about improving patient safety. The charge nurse is displaying the _______________ leadership style.

Accepted Answer

democratic
A purely task-centered leader

The new nursing assistant arrived 1 hour late for duty on the second day of employment, giving the excuse of car trouble. The LPN/LVN charge nurse should

The LPN/LVN charge nurse has assigned tasks to the nursing assistant staff and the LPN/LVN orienting to the unit. On which statement about responsibility for outcomes should the LPN/LVN charge nurse base her or his actions?

Assuming all the following are staff members on the unit, to whom should the LPN/LVN charge nurse assign a newly admitted 65-year-old resident with left hemiplegia and a large sacral decubitus requiring a sterile dressing change?

A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?

The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to

The LPN/LVN spends time exploring the agency mission statement with the nursing assistants who work that shift. They create a list of ways they can contribute to achieving the agency goals. This process is called

What LPN/LVN charge nurse behavior will best accomplish the goal of promoting team building?

During an emergency, the charge nurse tells the LPN/LVN, "I need you to place the patient on a non-rebreather mask now." The charge nurse has little regard for the LPN/LVN's input at this time. The charge nurse is displaying what leadership style?

To discover the expanded role of the practical nurse, the LPN/LVN should investigate

A nursing assistant states, "I have never learned how to transfer a resident with end-stage Parkinson's disease from the bed to the chair." The nursing assistant refuses to transfer the resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.

Which understanding about leadership would help the LPN/LVN become a more skillful leader?

The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be:

A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI) is all about. The charge nurse should explain that the focus of CQI in a health care agency is

The LPN/LVN day shift charge nurse in a nursing home usually reports to the

The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is

An LPN/LVN is working in a health care facility that allows delegation of nursing duties to nursing assistants by the LPN/LVN. Which of the following duties could be delegated to the nursing assistant?

During a staff meeting, the charge nurse encourages feedback from staff nurses about improving patient safety. The charge nurse is displaying the _______________ leadership style.

Personal Resources of an Adult Learner

Academic Resources (Study Skills and Test Strategies)

Community Resources

How Practical/Vocational Nursing Evolved: 1836 to the Present

Critical Thinking: A Lifelong Journey

Ethics Applied to Nursing: Personal Versus Professional Ethics

Nursing and the Law: What Are the Rules?

Effective Communication: Health Care Team, Patients, Faculty, and Peers

Assertiveness: Your Responsibility

Cultural Uniqueness, Sensitivity, and Competence

Spiritual Needs, Spiritual Caring, and Religious Differences

The Nursing Process: Your Role

Nursing Theory, Research, and Evidence-Based Practice

The Interdisciplinary Health Care Team: The Role of the Practical/Vocational Nurse

Health Care Settings: Continuum of Care

The Health Care System: Financing, Issues, and Trends

Work Force Trends: How to Find a First Job You Will Love

Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act

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Exam 17: Collaboration: Leading and Managing

The new nursing assistant arrived 1 hour late for duty on the second day of employment, giving the excuse of car trouble. The LPN/LVN charge nurse should

The LPN/LVN charge nurse has assigned tasks to the nursing assistant staff and the LPN/LVN orienting to the unit. On which statement about responsibility for outcomes should the LPN/LVN charge nurse base her or his actions?

Assuming all the following are staff members on the unit, to whom should the LPN/LVN charge nurse assign a newly admitted 65-year-old resident with left hemiplegia and a large sacral decubitus requiring a sterile dressing change?

A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?

The LPN/LVN notices that the nursing assistants are taking longer breaks than agency policy permits and wishes to change this behavior as quickly as possible. The LPN/LVN's initial actions should be to

The LPN/LVN spends time exploring the agency mission statement with the nursing assistants who work that shift. They create a list of ways they can contribute to achieving the agency goals. This process is called

What LPN/LVN charge nurse behavior will best accomplish the goal of promoting team building?

During an emergency, the charge nurse tells the LPN/LVN, "I need you to place the patient on a non-rebreather mask now." The charge nurse has little regard for the LPN/LVN's input at this time. The charge nurse is displaying what leadership style?

To discover the expanded role of the practical nurse, the LPN/LVN should investigate

A nursing assistant states, "I have never learned how to transfer a resident with end-stage Parkinson's disease from the bed to the chair." The nursing assistant refuses to transfer the resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.

Which understanding about leadership would help the LPN/LVN become a more skillful leader?

The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be:

A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI) is all about. The charge nurse should explain that the focus of CQI in a health care agency is

The LPN/LVN day shift charge nurse in a nursing home usually reports to the

The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is

An LPN/LVN is working in a health care facility that allows delegation of nursing duties to nursing assistants by the LPN/LVN. Which of the following duties could be delegated to the nursing assistant?

During a staff meeting, the charge nurse encourages feedback from staff nurses about improving patient safety. The charge nurse is displaying the _______________ leadership style.

Personal Resources of an Adult Learner

Academic Resources (Study Skills and Test Strategies)

Community Resources

How Practical/Vocational Nursing Evolved: 1836 to the Present

Critical Thinking: A Lifelong Journey

Ethics Applied to Nursing: Personal Versus Professional Ethics

Nursing and the Law: What Are the Rules?

Effective Communication: Health Care Team, Patients, Faculty, and Peers

Assertiveness: Your Responsibility

Cultural Uniqueness, Sensitivity, and Competence

Spiritual Needs, Spiritual Caring, and Religious Differences

The Nursing Process: Your Role

Nursing Theory, Research, and Evidence-Based Practice

The Interdisciplinary Health Care Team: The Role of the Practical/Vocational Nurse

Health Care Settings: Continuum of Care

The Health Care System: Financing, Issues, and Trends

Work Force Trends: How to Find a First Job You Will Love

Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act

Filters