Test Bank for Nursing Leadership, Management, and
Professional Practice for the LPN/LVN 7th Edition by
Tamara R. Dahlkemper | ISBN 9781719641487 | 450
Practice Questions with Rationales | All 20 Chapters
Covered | 2025–2026 Edition | A+ Exam Prep
The test bank for Nursing Leadership, Management, and Professional Practice for the
LPN/LVN, 7th Edition by Tamara R. Dahlkemper is a comprehensive study resource designed to
help LPN/LVN students prepare for exams.
,1. Which nurse is credited with establishing professional nursing training and emphasizing
sanitation?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Rationale: Florence Nightingale founded the Nightingale Training School and improved
hospital sanitation, shaping modern professional nursing.
2. Which statement best describes the LPN/LVN scope of practice?
A. Independently making medical diagnoses
B. Providing care under the direction of an RN or physician according to the state nurse
practice act
C. Prescribing medications without supervision
D. Performing surgery independently
Rationale: The LPN/LVN practices within a defined scope regulated by the state nurse
practice act and under appropriate supervision.
3. Which health care payment model emphasizes quality outcomes and cost efficiency?
A. Fee-for-service
B. Value-based care
C. Charitable care only
D. Private pay only
Rationale: Value-based care links payment to quality, safety, and cost-effective
outcomes.
4. An LPN/LVN suspects a coworker is diverting narcotics. What is the best first action?
A. Ignore the concern to avoid conflict
B. Report the concern according to facility policy and chain of command
C. Confront the coworker in front of patients
D. Document the suspicion only in a personal notebook
Rationale: Suspected diversion is a safety and legal issue that must be reported through
established facility channels.
5. Which body enforces the nurse practice act in most states?
A. The Joint Commission
B. The State Board of Nursing
C. The American Nurses Association
D. The hospital ethics committee
, Rationale: The State Board of Nursing regulates licensure and enforces the nurse
practice act.
6. Which leadership style involves shared decision-making with staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Rationale: Democratic leadership encourages staff participation and shared decision-
making.
7. In planned change, which stage involves recognizing the need for change and preparing
for it?
A. Unfreezing
B. Refreezing
C. Moving
D. Resisting
Rationale: Unfreezing is the initial stage in Lewin’s change theory, where readiness for
change is created.
8. Which organizational structure supports shared governance and staff empowerment?
A. Rigid hierarchical structure
B. Decentralized or flat structure
C. Strict autocratic structure
D. Purely bureaucratic structure
Rationale: Decentralized structures give staff more autonomy and support shared
governance.
9. Which statement is an example of therapeutic communication?
A. “Why did you do that?”
B. “Tell me more about how you are feeling.”
C. “Don’t worry about it.”
D. “You should have known better.”
Rationale: Therapeutic communication uses open-ended, nonjudgmental responses that
encourage expression.
10. Two staff members are arguing loudly near the nurses’ station. What is the best initial
action?
A. Ignore the argument
B. Move the discussion to a private area and use I-statements
, C. Report them immediately to the State Board of Nursing
D. Assign them to work together for the rest of the shift
Rationale: Conflict should first be addressed privately and professionally to promote
resolution.
11. Which task is most appropriate for an RN to delegate to an LPN/LVN?
A. Performing initial admission assessment
B. Administering oral medications to a stable patient
C. Developing the nursing diagnosis
D. Performing independent discharge planning
Rationale: LPN/LVNs can administer medications to stable patients within their scope
and facility policy.
12. Which action best demonstrates teamwork and collaboration?
A. Working with the RN, UAP, and therapist to meet patient goals
B. Completing all tasks without speaking to coworkers
C. Avoiding input from other disciplines
D. Making decisions without patient involvement
Rationale: Collaboration involves multiple team members working together toward
common patient goals.
13. Which patient should the LPN/LVN assess first?
A. A patient requesting pain medication due in 2 hours
B. A patient with new-onset shortness of breath
C. A patient waiting for discharge teaching
D. A patient requesting a bath
Rationale: New-onset shortness of breath is a potential emergency and takes priority.
14. Which factor is most important when assigning patient care?
A. Staff preference only
B. Patient acuity and staff competency
C. Seniority only
D. Random rotation
Rationale: Assignments should match patient needs with the skills and competency of
the staff member.
15. Which action best demonstrates cost containment by the LPN/LVN?
A. Using supplies appropriately and documenting charges accurately
B. Hoarding extra supplies
C. Skipping documentation to save time
Professional Practice for the LPN/LVN 7th Edition by
Tamara R. Dahlkemper | ISBN 9781719641487 | 450
Practice Questions with Rationales | All 20 Chapters
Covered | 2025–2026 Edition | A+ Exam Prep
The test bank for Nursing Leadership, Management, and Professional Practice for the
LPN/LVN, 7th Edition by Tamara R. Dahlkemper is a comprehensive study resource designed to
help LPN/LVN students prepare for exams.
,1. Which nurse is credited with establishing professional nursing training and emphasizing
sanitation?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Rationale: Florence Nightingale founded the Nightingale Training School and improved
hospital sanitation, shaping modern professional nursing.
2. Which statement best describes the LPN/LVN scope of practice?
A. Independently making medical diagnoses
B. Providing care under the direction of an RN or physician according to the state nurse
practice act
C. Prescribing medications without supervision
D. Performing surgery independently
Rationale: The LPN/LVN practices within a defined scope regulated by the state nurse
practice act and under appropriate supervision.
3. Which health care payment model emphasizes quality outcomes and cost efficiency?
A. Fee-for-service
B. Value-based care
C. Charitable care only
D. Private pay only
Rationale: Value-based care links payment to quality, safety, and cost-effective
outcomes.
4. An LPN/LVN suspects a coworker is diverting narcotics. What is the best first action?
A. Ignore the concern to avoid conflict
B. Report the concern according to facility policy and chain of command
C. Confront the coworker in front of patients
D. Document the suspicion only in a personal notebook
Rationale: Suspected diversion is a safety and legal issue that must be reported through
established facility channels.
5. Which body enforces the nurse practice act in most states?
A. The Joint Commission
B. The State Board of Nursing
C. The American Nurses Association
D. The hospital ethics committee
, Rationale: The State Board of Nursing regulates licensure and enforces the nurse
practice act.
6. Which leadership style involves shared decision-making with staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Rationale: Democratic leadership encourages staff participation and shared decision-
making.
7. In planned change, which stage involves recognizing the need for change and preparing
for it?
A. Unfreezing
B. Refreezing
C. Moving
D. Resisting
Rationale: Unfreezing is the initial stage in Lewin’s change theory, where readiness for
change is created.
8. Which organizational structure supports shared governance and staff empowerment?
A. Rigid hierarchical structure
B. Decentralized or flat structure
C. Strict autocratic structure
D. Purely bureaucratic structure
Rationale: Decentralized structures give staff more autonomy and support shared
governance.
9. Which statement is an example of therapeutic communication?
A. “Why did you do that?”
B. “Tell me more about how you are feeling.”
C. “Don’t worry about it.”
D. “You should have known better.”
Rationale: Therapeutic communication uses open-ended, nonjudgmental responses that
encourage expression.
10. Two staff members are arguing loudly near the nurses’ station. What is the best initial
action?
A. Ignore the argument
B. Move the discussion to a private area and use I-statements
, C. Report them immediately to the State Board of Nursing
D. Assign them to work together for the rest of the shift
Rationale: Conflict should first be addressed privately and professionally to promote
resolution.
11. Which task is most appropriate for an RN to delegate to an LPN/LVN?
A. Performing initial admission assessment
B. Administering oral medications to a stable patient
C. Developing the nursing diagnosis
D. Performing independent discharge planning
Rationale: LPN/LVNs can administer medications to stable patients within their scope
and facility policy.
12. Which action best demonstrates teamwork and collaboration?
A. Working with the RN, UAP, and therapist to meet patient goals
B. Completing all tasks without speaking to coworkers
C. Avoiding input from other disciplines
D. Making decisions without patient involvement
Rationale: Collaboration involves multiple team members working together toward
common patient goals.
13. Which patient should the LPN/LVN assess first?
A. A patient requesting pain medication due in 2 hours
B. A patient with new-onset shortness of breath
C. A patient waiting for discharge teaching
D. A patient requesting a bath
Rationale: New-onset shortness of breath is a potential emergency and takes priority.
14. Which factor is most important when assigning patient care?
A. Staff preference only
B. Patient acuity and staff competency
C. Seniority only
D. Random rotation
Rationale: Assignments should match patient needs with the skills and competency of
the staff member.
15. Which action best demonstrates cost containment by the LPN/LVN?
A. Using supplies appropriately and documenting charges accurately
B. Hoarding extra supplies
C. Skipping documentation to save time
