Comprehensive Review with Solved Questions
1. The newly licensed practical/vocational nurse (LPN/LVN) has reviewed the nurse practice act (NPA) of
the state of licensure. What is the purpose of this documentation?
A. Determine the quality of nursing care
B. Enforce the standards of nursing care
C. Define the scope of nursing practice
D. Set the nurse's educational requirements - Answer C. Define the scope of nursing practice
2. The nurse working in a nursing home correctly recognizes that duties include patient advocacy. Which
role is considered a primary duty of patient advocacy?
A. To complete all nursing responsibilities on time
B. To maintain the patient's right to privacy
C. To safeguard the well-being of every patient
D. To act as the patient's legal representative - Answer C. To safeguard the well-being of every patient
3. Th health care provider's order read "assist the patient with walking." The nurse allowed the patient
to walk alone. The patient fell, fracturing the humerus. Which verdict is the most likely occurrence?
A. The nurse will be found guilty of malpractice
B. The nurse will be guilty of negligence
C. The nurse will be charged with technical battery
D. The nurse will not be found liable for any harm - Answer B. The nurse will be guilty of negligence
4. The patient refused to take the medication his doctor ordered for relief of pain. The LPN/LVN knows
this is a patient right established by:
,A. The principle of beneficence
B. The doctrine of negligence
C. Specific nurse practice acts
D. The patient self - determination act - Answer D. The patient self - determination act
5. The LPN/LVN knows that one of the best defenses against a lawsuit is for a nurse to:
A. Work only in a large hospital or nursing home
B. Provide for every patient's needs a quickly as possible
C. Promote a positive nurse-patient relationship
D. Carry individual professional liability insurance - Answer C. Promote a positive nurse-patient
relationship
6. The nurse believes that all patients should be treated as individuals. The ethical principle that this
belief reflects is:
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Respect for people - Answer D. Respect for people
7.. LPN/LVNs have a code of professional and personal ethics to follow. The purpose of a code of ethics
is to:
A. Establish penalties for any unethical behavior
B. Promote trustworthy, countable LPN/LVNs
C. Make certain that all nurses are competent and always honest
D. Give the nurse guidelines for ethical decision making - Answer B. Promote trustworthy, countable
LPN/LVNs
, 8. The patient admitted for surgery has a lump in her breast. The patient's daughter asks the LPN/LVN if
her mother should have surgery. Which issue must be considered before responding?
A. Confidentiality and invasion of privacy
B. Informed consent, beneficence, and respect
C. Respect for people and personal autonomy
D. Nonmaleficence, justice, and liability - Answer A. Confidentiality and invasion of privacy
9. The nurse's first job as an LPN/LVN is on a unit that cares for terminally ill children. What action
should be taken by the nurse before helping families cope with their children's illnesses?
A. Study the nurse practice act to find rules relating to the medical care of terminally ill children
B. Spend time performing value clarification to aid in identifying her feelings about this new role
C. Evaluate her own personal mores and customs that may affect the practice of nursing in general
D. Review the state and federal laws that prescribe how a child may be treated when near death -
Answer C. Evaluate her own personal mores and customs that may affect the practice of nursing in
general
10. The LPN/LVN is reviewing the patient's medical record. The nurse notes the presence of an advance
directive. The nurse recognizes that the purpose of this documentation is to:
A. Help every person exercise the right to die with dignity
B. Encourage a person to determine how he or she will die
C. Allow a patient to exercise the right of autonomy
D. Provide a means to prevent medical treatment - Answer B. Encourage a person to determine how he
or she will die
11. The nurse knows that all patients have the right to nursing interventions regardless of their race,
religion, or gender. The ethical principle that best describes this concept is:
A. Nonmaleficence