The Evolution of Nursing (Licensed Practical Nurse) Exam Questions with Correct Answers

For which circumstance is the nurse most likely to seek advice from the National Association for Practical Nurse Education and Service (NAPNES)? 1. Being bullied and harassed by RN supervisor and coworkers 2. Observing unprofessional behavior among nursing students 3. Looking for a new job that provides opportunities to learn advanced skills 4. Seeking to compare a facility policy to standards set for LPN/LVN practice - ANSWER-Seeking to compare a facility policy to standards set for LPN/LVN practice Rationale: NAPNES would assist a nurse who is seeking information about LPN/LVN standards. The purposes of NAPNES and National Federation of Licensed Practical Nurses (NFLPN) are to: -Set standards for practical/vocational nursing programs. -Promote and protect practical/vocational nursing. -Educate and inform the general public about practical/vocational nursing. For issues related to interpersonal conflict, the nurse would first attempt assertive communication with those who are bullying or harassing. If this is unsuccessful, it would be appropriate to go up the chain of command. Issues with nursing students can be reported to the nursing instructor or the education liaison. For job seeking, the nurse would use personal contacts, the Internet, or nurse recruiters. Which nursing action typifies the role of the LPN/LVN in case management nursing? 1. Selects a clinical pathway to map time frames during hospitalization 2. Coordinates and plans the care for a group of patients 3. Cross-trains to assume duties that are usually performed by RNs 4. Assists the RN in attaining desired patient outcomes of care - ANSWER-Assists the RN in attaining desired patient outcomes of care Rationale: Case management is a modified system to deliver care. The LPN/LVN assists the RN to achieve desired outcomes. The RN selects the clinical pathway and coordinates and plans patient care for individuals and groups of patients. Cross-training is another type of modified system of care. While cross-training is intended to expand the role of the employee, the LPN/LVN must not exceed scope of practice and cannot be expected to assume RN responsibilities. In which setting are most LPN/LVNs employed?