Test Bank for Success in Practical/Vocational Nursing
(10th Edition) Comprehensive Q&A Study Guide with
Detailed Rationales 2026-2027
Chapter 1: History of Nursing
Q1: Which historical figure is credited with establishing the first
practical nursing school in the United States, specifically to train
women to care for the sick poor in their homes?
A) Florence Nightingale
B) Lillian Wald
C) Clara Barton
D) Mary Mahoney
CORRECT ANSWER>B) Lillian Wald.
Rationale: Lillian Wald and Mary Brewster founded the Henry
Street Settlement in New York in 1893. Wald coined the term
"public health nurse" and established the first training program
for practical nurses to care for the sick poor in their homes.
Chapter 2: The Practical/Vocational Nurse
Q2: Which document outlines the specific scope of practice,
educational requirements, and legal limits of licensure for the
Licensed Practical Nurse (LPN)?
,A) The Nurse Practice Act of the specific state
B) The ANA Code of Ethics
C) The NAPNES Standards of Practice
D) The Patient Care Partnership
CORRECT ANSWER>A) The Nurse Practice Act of the specific
state.
Rationale: Each state’s Nurse Practice Act legally defines what
an LPN/LVN can and cannot do, including educational
requirements, scope of practice, and grounds for disciplinary
action.
Chapter 3: Educational Preparation for Practical/Vocational
Nursing
Q3: The official credentialing body responsible for accrediting
practical/vocational nursing education programs in the United
States is the:
A) National Council of State Boards of Nursing (NCSBN)
B) National League for Nursing (NLN)
C) Accreditation Commission for Education in Nursing (ACEN)
D) American Nurses Association (ANA)
,CORRECT ANSWER>C) Accreditation Commission for Education
in Nursing (ACEN).
Rationale: ACEN (formerly NLNAC) is the primary accrediting
body for all types of nursing education programs, including
practical/vocational nursing. NCSBN administers the NCLEX, but
does not accredit schools.
Chapter 4: The Health Care Delivery System
Q4: A patient receives an influenza vaccine at a community
clinic. In the context of the health care delivery system, this is
an example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Restorative prevention
CORRECT ANSWER>A) Primary prevention.
Rationale: Primary prevention aims to prevent disease before it
occurs. Immunizations, health education, and lifestyle
modifications are classic examples of primary prevention.
Chapter 5: The Practical Nurse and the Health Care Team
, Q5: An LPN is assigned to care for a patient with a complex,
unstable medical condition requiring continuous intravenous
titration of cardiac medications. Based on the LPN scope of
practice, what is the most appropriate action?
A) Accept the assignment and ask another LPN for help.
B) Refuse the assignment and report the conflict to the charge
nurse.
C) Accept the assignment but delegate the IV titration to a UAP.
D) Call the physician to change the medication orders.
CORRECT ANSWER>B) Refuse the assignment and report the
conflict to the charge nurse.
Rationale: LPNs typically care for stable patients with
predictable outcomes. Administering IV titration medications to
an unstable patient usually falls outside the LPN scope of
practice. The nurse has a legal and ethical duty to refuse an
unsafe assignment and notify the charge nurse.
Chapter 6: Legal and Ethical Aspects of Nursing
Q6: A patient is scheduled for an elective surgical procedure.
The surgeon explains the risks, benefits, and alternatives, and
the patient signs the consent form. Which ethical principle is
being upheld by this process?
(10th Edition) Comprehensive Q&A Study Guide with
Detailed Rationales 2026-2027
Chapter 1: History of Nursing
Q1: Which historical figure is credited with establishing the first
practical nursing school in the United States, specifically to train
women to care for the sick poor in their homes?
A) Florence Nightingale
B) Lillian Wald
C) Clara Barton
D) Mary Mahoney
CORRECT ANSWER>B) Lillian Wald.
Rationale: Lillian Wald and Mary Brewster founded the Henry
Street Settlement in New York in 1893. Wald coined the term
"public health nurse" and established the first training program
for practical nurses to care for the sick poor in their homes.
Chapter 2: The Practical/Vocational Nurse
Q2: Which document outlines the specific scope of practice,
educational requirements, and legal limits of licensure for the
Licensed Practical Nurse (LPN)?
,A) The Nurse Practice Act of the specific state
B) The ANA Code of Ethics
C) The NAPNES Standards of Practice
D) The Patient Care Partnership
CORRECT ANSWER>A) The Nurse Practice Act of the specific
state.
Rationale: Each state’s Nurse Practice Act legally defines what
an LPN/LVN can and cannot do, including educational
requirements, scope of practice, and grounds for disciplinary
action.
Chapter 3: Educational Preparation for Practical/Vocational
Nursing
Q3: The official credentialing body responsible for accrediting
practical/vocational nursing education programs in the United
States is the:
A) National Council of State Boards of Nursing (NCSBN)
B) National League for Nursing (NLN)
C) Accreditation Commission for Education in Nursing (ACEN)
D) American Nurses Association (ANA)
,CORRECT ANSWER>C) Accreditation Commission for Education
in Nursing (ACEN).
Rationale: ACEN (formerly NLNAC) is the primary accrediting
body for all types of nursing education programs, including
practical/vocational nursing. NCSBN administers the NCLEX, but
does not accredit schools.
Chapter 4: The Health Care Delivery System
Q4: A patient receives an influenza vaccine at a community
clinic. In the context of the health care delivery system, this is
an example of which level of prevention?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Restorative prevention
CORRECT ANSWER>A) Primary prevention.
Rationale: Primary prevention aims to prevent disease before it
occurs. Immunizations, health education, and lifestyle
modifications are classic examples of primary prevention.
Chapter 5: The Practical Nurse and the Health Care Team
, Q5: An LPN is assigned to care for a patient with a complex,
unstable medical condition requiring continuous intravenous
titration of cardiac medications. Based on the LPN scope of
practice, what is the most appropriate action?
A) Accept the assignment and ask another LPN for help.
B) Refuse the assignment and report the conflict to the charge
nurse.
C) Accept the assignment but delegate the IV titration to a UAP.
D) Call the physician to change the medication orders.
CORRECT ANSWER>B) Refuse the assignment and report the
conflict to the charge nurse.
Rationale: LPNs typically care for stable patients with
predictable outcomes. Administering IV titration medications to
an unstable patient usually falls outside the LPN scope of
practice. The nurse has a legal and ethical duty to refuse an
unsafe assignment and notify the charge nurse.
Chapter 6: Legal and Ethical Aspects of Nursing
Q6: A patient is scheduled for an elective surgical procedure.
The surgeon explains the risks, benefits, and alternatives, and
the patient signs the consent form. Which ethical principle is
being upheld by this process?
