Advancement and
Leadership in Nursing
Study Guide & Exam
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Updated 2026 Questions and Answers
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Rationales
Included
, CLTC: After application processed reference materials 1. of 150 multiple-choice questions (similar to NCLEX)
available to help prepare for exam 2. may be given at facility; applicant must arrange for proctor to monitor exam
3. exam also offered online
4. 2½ hrs allowed for exam
5. successful completion of exam: nurse receives certificate & lapel pin
certification period lasts for several years renewed by meeting requirements, 20+ units specific continuing education;
members of NFLPN, discounted fee for exam
NAPNES identifies content of exam relating to LTC 1. Physiologic integrity; goal: promotion of quality of life
residents as: 2. Psychosocial integrity; goal: quality of life
3. Specialty practice issues; goal: improvement of quality of life & to serve as
resource to others
4. Leadership/mgmnt; goal: utilizes nursing process &
communication/organizational skills to be a resource person (team leading
included)
Another component of NFLPN/NAPNES certification 1. field of pharmacology (similar to LTC certification)
program is in: 2 can use initials NCP (NAPNES Certified in Pharmacology) after name, along
w/LPN/LVN
Component of exam in Pharmacology 1 General principles of pharmacology
2 Pharmacology & role of LPN/LVN
3 Drug therapy affecting specific body systems
4 Drug therapy in infection
5 Drug therapy in cancer
Certification programs are also available for LPN/LVNs 1 (IV) therapy/rehabilitation
2 fetal monitoring (FHM), Alzheimer's disease, cardiology, phlebotomy (blood
drawing), dialysis, (HIV) care, wound care being proposed
3 few nurses certified in: massage therapy, Lamaze delivery, Reiki therapy (via
internet)
some cases, programs give credits for previous nursing some cases, they give credit for life experiences
education & experience
may be enrolled in 1-plus-1 program 2-year program, students eligible to take NCLEX-PN exam after 1st yr of
education; then licensed as LPN/LVNs; 2nd yr of program builds on 1st yr,
graduates of 2-yr program eligible to take NCLEX-RN exam & licensed as RNs
1-plus-1 programs may recruit LPN/LVNs from other programs for 2nd yr of education; LPNs may be required
to test out of specific skills & classes; test out includes written & clinical
demonstration components, designed to establish student is able to meet
objectives of original course; nurse enrolling from another nursing program
may not be able to test out of all classes, may be required to retake classes to
meet requirements of new school