NR 446 CERTIFICATION EVALUATION 2026
TEST QUESTIONS AND ANSWERS UPDATED
◉ Can an LPN hang TPN? Answer: No
◉ Can an LPN hang NS with K? Answer: Yes - diluted
◉ Can an LPN hang blood? Answer: No
◉ Can an LPN hang a bolus? Answer: No
◉ Can an LPN do an IV push? Answer: No
◉ UAP assignments Answer: stable patients with chronic conditions
◉ Who should UAP's not work with? Answer: -no vitals on: acute
cardiac, new patient - depending on status, post-op (not stable
patients), if RN is in room, UAP can help but RN needs to be in room
◉ reactive planning Answer: occurs after a problem exists, goal is
just to get back to normal
,◉ inactivism Answer: another type of conventional planning, seeks
the status quo, not going to do anything, prevent change from
occurring, standing firm, slow incremental change
◉ preactivism Answer: utilize technology to accelerate change and
are future oriented. *Unsatisfied with the past or present,
preactivists do not value experience and believe that the future is
always preferable to the present.*
◉ interactive or proactive planning Answer: Planners who fall into
this category consider the past, present, and future and attempt to
plan the future of their organization rather than react to it. Because
the organizational setting changes often, adaptability is a key
requirement for proactive planning. Proactive planning occurs, then,
in anticipation of changing needs or to promote growth within an
organization and is required of all leader-managers so that personal
as well as organizational needs and objectives are met.
◉ Forecasting Answer: involves trying to estimate how a condition
will be in the future.
◉ SWOT analysis Answer: identifying internal strengths (S) and
weaknesses (W) and also examining external opportunities (O) and
threats (T)
-need to have an objective first
-subjective in nature
,◉ Strengths Answer: internal attributes that help an organization
achieve its objectives
◉ Weaknesses Answer: internal attributes resources that work
against a successful outcome
◉ Opportuninities Answer: external and positive, national focused,
evidence based practice
◉ Threats Answer: external and negative
◉ Planning Hierarchy Answer: 1) Mission
2) Philosophy
3) Goals
4) Objectives
5) Policies
6) Procedures
7) Rules
◉ Vision statement Answer: expresses what the organization should
become, where it wants to go strategically, future oriented
, ◉ MIssion statement Answer: a statement of the organization's
purpose - what it wants to accomplish in the larger environment, the
reason why the organization exists
◉ Philosophy Answer: comes out of vision and mission, about values
and beliefs
-organizational philosophy
-nursing service philosophy
◉ Goal Answer: a desired end toward which efforts are directed, the
aim of a philosophy
-SMART
◉ Objectives Answer: -more specific and measurable
-gets you towards the goal
◉ process objectives Answer: written in terms of the method to be
used
ex: 100% of staff nurses will orient new patients to the call-light
system, within 30 minutes of their admission, by first demonstrating
its appropriate use and then asking the patient to repeat said
demonstration.
◉ results-focused objective Answer: specify the desired outcome
TEST QUESTIONS AND ANSWERS UPDATED
◉ Can an LPN hang TPN? Answer: No
◉ Can an LPN hang NS with K? Answer: Yes - diluted
◉ Can an LPN hang blood? Answer: No
◉ Can an LPN hang a bolus? Answer: No
◉ Can an LPN do an IV push? Answer: No
◉ UAP assignments Answer: stable patients with chronic conditions
◉ Who should UAP's not work with? Answer: -no vitals on: acute
cardiac, new patient - depending on status, post-op (not stable
patients), if RN is in room, UAP can help but RN needs to be in room
◉ reactive planning Answer: occurs after a problem exists, goal is
just to get back to normal
,◉ inactivism Answer: another type of conventional planning, seeks
the status quo, not going to do anything, prevent change from
occurring, standing firm, slow incremental change
◉ preactivism Answer: utilize technology to accelerate change and
are future oriented. *Unsatisfied with the past or present,
preactivists do not value experience and believe that the future is
always preferable to the present.*
◉ interactive or proactive planning Answer: Planners who fall into
this category consider the past, present, and future and attempt to
plan the future of their organization rather than react to it. Because
the organizational setting changes often, adaptability is a key
requirement for proactive planning. Proactive planning occurs, then,
in anticipation of changing needs or to promote growth within an
organization and is required of all leader-managers so that personal
as well as organizational needs and objectives are met.
◉ Forecasting Answer: involves trying to estimate how a condition
will be in the future.
◉ SWOT analysis Answer: identifying internal strengths (S) and
weaknesses (W) and also examining external opportunities (O) and
threats (T)
-need to have an objective first
-subjective in nature
,◉ Strengths Answer: internal attributes that help an organization
achieve its objectives
◉ Weaknesses Answer: internal attributes resources that work
against a successful outcome
◉ Opportuninities Answer: external and positive, national focused,
evidence based practice
◉ Threats Answer: external and negative
◉ Planning Hierarchy Answer: 1) Mission
2) Philosophy
3) Goals
4) Objectives
5) Policies
6) Procedures
7) Rules
◉ Vision statement Answer: expresses what the organization should
become, where it wants to go strategically, future oriented
, ◉ MIssion statement Answer: a statement of the organization's
purpose - what it wants to accomplish in the larger environment, the
reason why the organization exists
◉ Philosophy Answer: comes out of vision and mission, about values
and beliefs
-organizational philosophy
-nursing service philosophy
◉ Goal Answer: a desired end toward which efforts are directed, the
aim of a philosophy
-SMART
◉ Objectives Answer: -more specific and measurable
-gets you towards the goal
◉ process objectives Answer: written in terms of the method to be
used
ex: 100% of staff nurses will orient new patients to the call-light
system, within 30 minutes of their admission, by first demonstrating
its appropriate use and then asking the patient to repeat said
demonstration.
◉ results-focused objective Answer: specify the desired outcome
