Question 1

The LPN/LVN charge nurse notices that a nursing assistant has not weighed her assigned residents. The best statement by the nurse is:

Accepted Answer

A)  "You didn't weigh your assigned residents this morning. Let's get with the program." 
B)  "I need to have you weigh your assigned residents and report to me by 10 AM." 
C)  "Would you mind explaining why you didn't weigh your residents today?" 
D)  "You've been goofing off lately. Not weighing your assigned residents is a good example of this." 
A)  "You didn't weigh your assigned residents this morning. Let's get with the program." 
B)  "I need to have you weigh your assigned residents and report to me by 10 AM." 
C)  "Would you mind explaining why you didn't weigh your residents today?" 
D)  "You've been goofing off lately. Not weighing your assigned residents is a good example of this."

Question 2

For an LPN/LVN to motivate staff members to meet the goals of the organization, it is helpful if the nurse

Accepted Answer

A)  practices intimidation. 
B)  understands work motivators. 
C)  offers laissez-faire leadership. 
D)  emphasizes policies rather than people. 
A)  practices intimidation. 
B)  understands work motivators. 
C)  offers laissez-faire leadership. 
D)  emphasizes policies rather than people.

Question 3

To which goal should the LPN/LVN give priority?

Accepted Answer

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. 
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.

Question 4

A leadership style that focuses on both the task and the employee is the

Accepted Answer

A)  autocratic style. 
B)  situational style. 
C)  democratic style. 
D)  laissez-faire style. 
A)  autocratic style. 
B)  situational style. 
C)  democratic style. 
D)  laissez-faire style.

Question 5

Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?

Accepted Answer

A)  Routine care for each resident 
B)  New problems for any resident 
C)  Prn medication administered 
D)  New medical orders 
A)  Routine care for each resident 
B)  New problems for any resident 
C)  Prn medication administered 
D)  New medical orders

Question 6

Which quality is rarely found in democratic leaders?

Accepted Answer

A)  Assertiveness 
B)  Arrogance 
C)  Desire for new learning 
D)  Effective communication 
A)  Assertiveness 
B)  Arrogance 
C)  Desire for new learning 
D)  Effective communication

Question 7

How can the LPN/LVN charge nurse meet needs for affiliation among staff on their shift?

Accepted Answer

A)  Reorient all staff to policies and shift routine. 
B)  Encourage attendance at continuing education seminars. 
C)  Arrange a social gathering for the staff on the shift. 
D)  Offer training in violence prevention. 
A)  Reorient all staff to policies and shift routine. 
B)  Encourage attendance at continuing education seminars. 
C)  Arrange a social gathering for the staff on the shift. 
D)  Offer training in violence prevention.

Question 8

A purely task-centered leadership style that thrives on power and involves telling someone what to do, with little regard for the employee as a person, is the ____________________ style.

Accepted Answer

autocratic
A purely task-centered leader

Question 9

The priority step the LPN/LVN charge nurse should take before delegating one of the charges to another LPN/LVN on staff is to

Accepted Answer

A)  determine whether the other LPN/LVN is competent to perform the task to be delegated. 
B)  check the Nurse Practice Act of the state to learn whether an LPN/LVN charge nurse is allowed to delegate duties. 
C)  delegate both the task and the responsibility that goes with the task. 
D)  determine the directions that will be provided to the person to whom the task is delegated. 
A)  determine whether the other LPN/LVN is competent to perform the task to be delegated. 
B)  check the Nurse Practice Act of the state to learn whether an LPN/LVN charge nurse is allowed to delegate duties. 
C)  delegate both the task and the responsibility that goes with the task. 
D)  determine the directions that will be provided to the person to whom the task is delegated.

Question 10

The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called

Accepted Answer

A)  autocratic. 
B)  democratic. 
C)  situational. 
D)  laissez-faire. 
A)  autocratic. 
B)  democratic. 
C)  situational. 
D)  laissez-faire.

Question 11

When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties, which task could be delegated to experienced, unlicensed assistive personnel who have been trained to perform the task?

Accepted Answer

A)  Calling the physician when a resident's condition deteriorates 
B)  Providing a performance evaluation for another nursing assistant 
C)  Taking the vital signs of a resident whose condition is not critical 
D)  Handling a grievance brought by a nursing assistant 
A)  Calling the physician when a resident's condition deteriorates 
B)  Providing a performance evaluation for another nursing assistant 
C)  Taking the vital signs of a resident whose condition is not critical 
D)  Handling a grievance brought by a nursing assistant

Question 12

A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the

Accepted Answer

A)  autocratic style. 
B)  situational style. 
C)  democratic style. 
D)  laissez-faire style. 
A)  autocratic style. 
B)  situational style. 
C)  democratic style. 
D)  laissez-faire style.

Question 13

The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor. The LPN/LVN charge nurse should

Accepted Answer

A)  report this finding to the RN supervisor. 
B)  send the person to the locker room to shower and put on clean clothes. 
C)  terminate the nursing assistant. 
D)  meet with the person to inform her of the problem and reinforce agency expectations. 
A)  report this finding to the RN supervisor. 
B)  send the person to the locker room to shower and put on clean clothes. 
C)  terminate the nursing assistant. 
D)  meet with the person to inform her of the problem and reinforce agency expectations.

Question 14

The LPN/LVN reads this statement, "Stress is the body's reaction to the mind's analysis of a situation." The LPN/LVN concludes that the critical factor to teach nursing assistants to help them control their stress levels is to

Accepted Answer

A)  manage how they think about a situation. 
B)  consider the stressful situation as subjectively as possible. 
C)  focus on developing good clinical skills. 
D)  apply time management principles. 
A)  manage how they think about a situation. 
B)  consider the stressful situation as subjectively as possible. 
C)  focus on developing good clinical skills. 
D)  apply time management principles.

Question 15

When a resident's family complains that their mother is receiving inferior care in the extended care facility, which action should the LPN/LVN charge nurse initially take?

Accepted Answer

A)  Gently explain that Continuous Quality Improvement (CQI) would not permit giving inferior care. 
B)  Mention that the staff is overworked and would be glad for the family's assistance. 
C)  Ask the family to be specific and give examples of "inferior care" the mother has received. 
D)  Tell the family that their reaction is based on guilt because of their need to place their mother in an extended care facility. 
A)  Gently explain that Continuous Quality Improvement (CQI) would not permit giving inferior care. 
B)  Mention that the staff is overworked and would be glad for the family's assistance. 
C)  Ask the family to be specific and give examples of "inferior care" the mother has received. 
D)  Tell the family that their reaction is based on guilt because of their need to place their mother in an extended care facility.

Question 16

Which behavior should the LPN/LVN charge nurse identify as dysfunctional behavior that violates OBRA regulations by threatening resident quality of life, health, or safety?

Accepted Answer

A)  The nursing assistant praises a resident who is having poststroke speech therapy for attempts to communicate verbally. 
B)  The nursing assistant asks to talk to the LPN/LVN charge nurse about changes the nursing assistant would like to make in a resident's plan of care. 
C)  The nursing assistant uses a sharp tone of voice and body posture, suggesting impatience when feeding a resident. 
D)  The nursing assistant offers to help coworkers after finishing his resident care assignment. 
A)  The nursing assistant praises a resident who is having poststroke speech therapy for attempts to communicate verbally. 
B)  The nursing assistant asks to talk to the LPN/LVN charge nurse about changes the nursing assistant would like to make in a resident's plan of care. 
C)  The nursing assistant uses a sharp tone of voice and body posture, suggesting impatience when feeding a resident. 
D)  The nursing assistant offers to help coworkers after finishing his resident care assignment.

Question 17

The 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home unit is asked by the only other staff member on duty, a nursing assistant, "Will it be all right if I go home tonight while you are giving report to the night shift? My husband needs the car so he can go to work." The best response by the charge nurse is:

Accepted Answer

A)  "It's all right tonight, but don't make a habit of it." 
B)  "Sure, our residents will be sound asleep by 11 PM." 
C)  "Have you lost your mind? What would happen if the owner dropped in for a surprise visit?" 
D)  "That won't be possible. You must be here to answer lights while I give report to the night staff." 
A)  "It's all right tonight, but don't make a habit of it." 
B)  "Sure, our residents will be sound asleep by 11 PM." 
C)  "Have you lost your mind? What would happen if the owner dropped in for a surprise visit?" 
D)  "That won't be possible. You must be here to answer lights while I give report to the night staff."

Question 18

A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.

Accepted Answer

A)  Write a note for the NA's file explaining that she did not leave the resident in his room. 
B)  Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were like her. 
C)  Report the NA's good efforts to the nursing home's administrator and board of directors. 
D)  Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room and how pleased the nurse is that the NA is concerned with the resident's need for socialization. 
A)  Write a note for the NA's file explaining that she did not leave the resident in his room. 
B)  Tell the NA she is a great nursing assistant and that the charge nurse wished all assistants were like her. 
C)  Report the NA's good efforts to the nursing home's administrator and board of directors. 
D)  Tell the NA that the charge nurse knows how hard she worked to get the resident out of his room and how pleased the nurse is that the NA is concerned with the resident's need for socialization.

Question 19

LPN/LVNs functioning in an expanded role are most often employed in

Accepted Answer

A)  critical care units. 
B)  pediatric clinics. 
C)  home health care. 
D)  long-term care. 
A)  critical care units. 
B)  pediatric clinics. 
C)  home health care. 
D)  long-term care.

Question 20

Which of the following is an example of objective, rational thinking rather than subjective, irrational thinking about nursing assistants whom the LPN/LVN charge nurse supervises?

Accepted Answer

A)  "I want nursing assistants to be on time for report." 
B)  "Neat appearance means good clinical skills." 
C)  "Nursing assistants who are late intend to take advantage of coworkers." 
D)  "Beware of nursing assistants who smile a lot. They're manipulative." 
A)  "I want nursing assistants to be on time for report." 
B)  "Neat appearance means good clinical skills." 
C)  "Nursing assistants who are late intend to take advantage of coworkers." 
D)  "Beware of nursing assistants who smile a lot. They're manipulative."

The LPN/LVN charge nurse notices that a nursing assistant has not weighed her assigned residents. The best statement by the nurse is:

For an LPN/LVN to motivate staff members to meet the goals of the organization, it is helpful if the nurse

To which goal should the LPN/LVN give priority?

A leadership style that focuses on both the task and the employee is the

Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?

Which quality is rarely found in democratic leaders?

How can the LPN/LVN charge nurse meet needs for affiliation among staff on their shift?

A purely task-centered leadership style that thrives on power and involves telling someone what to do, with little regard for the employee as a person, is the ____________________ style.

The priority step the LPN/LVN charge nurse should take before delegating one of the charges to another LPN/LVN on staff is to

The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called

When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties, which task could be delegated to experienced, unlicensed assistive personnel who have been trained to perform the task?

A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the

The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor. The LPN/LVN charge nurse should

The LPN/LVN reads this statement, "Stress is the body's reaction to the mind's analysis of a situation." The LPN/LVN concludes that the critical factor to teach nursing assistants to help them control their stress levels is to

When a resident's family complains that their mother is receiving inferior care in the extended care facility, which action should the LPN/LVN charge nurse initially take?

Which behavior should the LPN/LVN charge nurse identify as dysfunctional behavior that violates OBRA regulations by threatening resident quality of life, health, or safety?

A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.

LPN/LVNs functioning in an expanded role are most often employed in

Which of the following is an example of objective, rational thinking rather than subjective, irrational thinking about nursing assistants whom the LPN/LVN charge nurse supervises?

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 LPN/LVN charge nurse notices that a nursing assistant has not weighed her assigned residents. The best statement by the nurse is:

For an LPN/LVN to motivate staff members to meet the goals of the organization, it is helpful if the nurse

To which goal should the LPN/LVN give priority?

A leadership style that focuses on both the task and the employee is the

Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?

Which quality is rarely found in democratic leaders?

How can the LPN/LVN charge nurse meet needs for affiliation among staff on their shift?

A purely task-centered leadership style that thrives on power and involves telling someone what to do, with little regard for the employee as a person, is the ____________________ style.

The priority step the LPN/LVN charge nurse should take before delegating one of the charges to another LPN/LVN on staff is to

The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care. This leadership style is called

When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties, which task could be delegated to experienced, unlicensed assistive personnel who have been trained to perform the task?

A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the

The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor. The LPN/LVN charge nurse should

The LPN/LVN reads this statement, "Stress is the body's reaction to the mind's analysis of a situation." The LPN/LVN concludes that the critical factor to teach nursing assistants to help them control their stress levels is to

When a resident's family complains that their mother is receiving inferior care in the extended care facility, which action should the LPN/LVN charge nurse initially take?

Which behavior should the LPN/LVN charge nurse identify as dysfunctional behavior that violates OBRA regulations by threatening resident quality of life, health, or safety?

A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN/LVN charge nurse that would best encourage the employee to continue this effort.

LPN/LVNs functioning in an expanded role are most often employed in

Which of the following is an example of objective, rational thinking rather than subjective, irrational thinking about nursing assistants whom the LPN/LVN charge nurse supervises?

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