PRN 0092 EXAM QUESTIONS AND ANSWERS
1. Which statement accurately describes the primary purpose of the state nurse practice
act (NPA)?
a.
To test and license LPN/LVNs.
b.
To define the scope of LPN/LVN practice.
c.
To improve the quality of care provided by the LPN/LVN.
d.
To limit the LPN/LVN employment placement. - Answers :b. To define the scope of
LPN/LVN practice.
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
that the vocational nurse has not been taught during her educational program. How
should the vocational nurse respond?
a.
Ask a more experienced nurse to demonstrate the procedure.
b.
Look up the procedure in the procedure manual.
c.
Attempt to perform the procedure with supervision.
d.
Inform the charge nurse of her lack of training in this procedure. - Answers :d. Inform
the charge nurse of her lack of training in this procedure.
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
term care facility acts in which capacity?
a.
Working under direct supervision of an RN on the unit
b.
Working with the RN in the building
c.
Working under general supervision by the RN available on site or by phone
d.
Working as an independent vocational nurse - Answers :c. Working under general
supervision by the RN available on site or by phone
A patient asks the nurse what Medicare Part A covers. Which response is correct?
a.
Medicare Part A covers inpatient hospital costs.
b.
Medicare Part A covers reimbursement to the physician.
c.
,Medicare Part A covers outpatient hospital services.
d.
Medicare Part A covers ambulance transportation. - Answers :a. Medicare Part A
covers inpatient hospital costs.
Which is the main cost-containment component of diagnosis-related groups (DRGs)?
a.
Hospitals focus only on the specific diagnosis.
b.
Hospitals treat and discharge patients quickly.
c.
Reduced cost drugs are ordered for specific diagnoses.
d.
Diagnostic group classification streamlines care. - Answers :b. Hospitals treat and
discharge patients quickly.
The nurse is educating a patient that is a member of a health maintenance organization
(HMO). Which information should the nurse include?
a.
Seek the opinion of an alternate health care provider.
b.
Obtain insurance approval for medical services prior to treatment.
c.
Provide detailed documentation of all care received for his condition.
d.
Wait at least 6 months to see a specialist. - Answers :b. Obtain insurance approval for
medical services prior to treatment.
The nurse is assessing a group of patients. Which patient would most likely qualify for
Medicaid?
a.
A 35-year-old unemployed single mother with diabetes
b.
A 70-year-old Medicare recipient with retirement income who needs to be in a long-term
care facility
c.
An 80-year-old blind woman living in her own home who has inadequate private
insurance
d.
A 67-year-old stroke victim with Medicare Part A and an income from investments -
Answers :a. A 35-year-old unemployed single mother with diabetes
Which area is the major focus of Healthy People 2020 and the primary mechanism
through which to improve the health of Americans in the second decade of the century?
a.
Research funding
,b.
Health information distribution
c.
Healthy lifestyle encouragement
d.
Health improvement program designs - Answers :c. Healthy lifestyle encouragement
Which term explains the type of care that addresses interventions for all dimensions of a
patient's life?
a.
Focused care
b.
General care
c.
Directed care
d.
Holistic care - Answers :d. Holistic care
A patient furiously says, "My doctor was so busy giving me instructions that he didn't
hear what I was trying to ask him!" Which response is most empathetic?
a.
"When people ignore me, I really get mad."
b.
"I'm sure that the doctor was rushed and unaware of your needs."
c.
"I'll bet that made you feel very frustrated."
d.
"Take a deep breath and plan what you will say to him tomorrow." - Answers :c. "I'll bet
that made you feel very frustrated."
11. The nurse is explaining differences in a therapeutic relationship and a social
relationship to a patient. Which information about therapeutic relationships is most
important for the nurse to include in the explanation?
a.
Therapeutic relationships lack formal boundaries.
b.
Therapeutic relationships are goal directed.
c.
Therapeutic relationships meet the needs of each person in the relationship.
d.
Therapeutic relationships extend past the hospitalization period. - Answers :b.
Therapeutic relationships are goal directed.
The long-term care facility nurse is caring for a newly admitted 80-year-old patient who
is depressed. Which approach is best for the nurse to employ?
a.
, Encourage the resident to engage in an activity.
b.
Remind the resident of reasons to be positive.
c.
Point out episodes of negative behavior.
d.
Present a bright and cheerful behavior. - Answers :a. Encourage the resident to engage
in an activity.
The nurse is caring for a patient who has been on antidepressants for 3 days. The
patient tearfully says, "I still feel terrible. I don't think anything can help how I feel."
Which response is best?
a.
"I will tell the charge nurse how you are feeling."
b.
"You just need to be patient and give your medicine some time to work."
c.
"Look how much you have improved since you were admitted to the facility."
d.
"It must be frustrating to be going through this difficult time." - Answers :d. "It must be
frustrating to be going through this difficult time."
An overweight male patient rips off his hospital gown, throws it out the door, and shouts,
"I'm not wearing this stupid gown! It is too small, too short, and exposes my backside to
the world!" Which response is most appropriate?
a.
Remind patient of the need to wear the gown for convenience in care.
b.
Confer with the patient for methods to acquire a larger gown.
c.
Replace the torn gown with another.
d.
Inform the charge nurse of the hostile behavior. - Answers :b. Confer with the patient for
methods to acquire a larger gown.
The nurse is communicating with a patient who voices concern about an upcoming
high-risk procedure. Which statement best demonstrates empathy?
a.
"Would you like to talk about your feelings regarding the procedure?"
b.
"My mother had the same procedure and did very well."
c.
"I can't imagine how you feel."
d.
"It must be difficult preparing for the procedure; how are you feeling?" - Answers :d. "It
must be difficult preparing for the procedure; how are you feeling?"
1. Which statement accurately describes the primary purpose of the state nurse practice
act (NPA)?
a.
To test and license LPN/LVNs.
b.
To define the scope of LPN/LVN practice.
c.
To improve the quality of care provided by the LPN/LVN.
d.
To limit the LPN/LVN employment placement. - Answers :b. To define the scope of
LPN/LVN practice.
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
that the vocational nurse has not been taught during her educational program. How
should the vocational nurse respond?
a.
Ask a more experienced nurse to demonstrate the procedure.
b.
Look up the procedure in the procedure manual.
c.
Attempt to perform the procedure with supervision.
d.
Inform the charge nurse of her lack of training in this procedure. - Answers :d. Inform
the charge nurse of her lack of training in this procedure.
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
term care facility acts in which capacity?
a.
Working under direct supervision of an RN on the unit
b.
Working with the RN in the building
c.
Working under general supervision by the RN available on site or by phone
d.
Working as an independent vocational nurse - Answers :c. Working under general
supervision by the RN available on site or by phone
A patient asks the nurse what Medicare Part A covers. Which response is correct?
a.
Medicare Part A covers inpatient hospital costs.
b.
Medicare Part A covers reimbursement to the physician.
c.
,Medicare Part A covers outpatient hospital services.
d.
Medicare Part A covers ambulance transportation. - Answers :a. Medicare Part A
covers inpatient hospital costs.
Which is the main cost-containment component of diagnosis-related groups (DRGs)?
a.
Hospitals focus only on the specific diagnosis.
b.
Hospitals treat and discharge patients quickly.
c.
Reduced cost drugs are ordered for specific diagnoses.
d.
Diagnostic group classification streamlines care. - Answers :b. Hospitals treat and
discharge patients quickly.
The nurse is educating a patient that is a member of a health maintenance organization
(HMO). Which information should the nurse include?
a.
Seek the opinion of an alternate health care provider.
b.
Obtain insurance approval for medical services prior to treatment.
c.
Provide detailed documentation of all care received for his condition.
d.
Wait at least 6 months to see a specialist. - Answers :b. Obtain insurance approval for
medical services prior to treatment.
The nurse is assessing a group of patients. Which patient would most likely qualify for
Medicaid?
a.
A 35-year-old unemployed single mother with diabetes
b.
A 70-year-old Medicare recipient with retirement income who needs to be in a long-term
care facility
c.
An 80-year-old blind woman living in her own home who has inadequate private
insurance
d.
A 67-year-old stroke victim with Medicare Part A and an income from investments -
Answers :a. A 35-year-old unemployed single mother with diabetes
Which area is the major focus of Healthy People 2020 and the primary mechanism
through which to improve the health of Americans in the second decade of the century?
a.
Research funding
,b.
Health information distribution
c.
Healthy lifestyle encouragement
d.
Health improvement program designs - Answers :c. Healthy lifestyle encouragement
Which term explains the type of care that addresses interventions for all dimensions of a
patient's life?
a.
Focused care
b.
General care
c.
Directed care
d.
Holistic care - Answers :d. Holistic care
A patient furiously says, "My doctor was so busy giving me instructions that he didn't
hear what I was trying to ask him!" Which response is most empathetic?
a.
"When people ignore me, I really get mad."
b.
"I'm sure that the doctor was rushed and unaware of your needs."
c.
"I'll bet that made you feel very frustrated."
d.
"Take a deep breath and plan what you will say to him tomorrow." - Answers :c. "I'll bet
that made you feel very frustrated."
11. The nurse is explaining differences in a therapeutic relationship and a social
relationship to a patient. Which information about therapeutic relationships is most
important for the nurse to include in the explanation?
a.
Therapeutic relationships lack formal boundaries.
b.
Therapeutic relationships are goal directed.
c.
Therapeutic relationships meet the needs of each person in the relationship.
d.
Therapeutic relationships extend past the hospitalization period. - Answers :b.
Therapeutic relationships are goal directed.
The long-term care facility nurse is caring for a newly admitted 80-year-old patient who
is depressed. Which approach is best for the nurse to employ?
a.
, Encourage the resident to engage in an activity.
b.
Remind the resident of reasons to be positive.
c.
Point out episodes of negative behavior.
d.
Present a bright and cheerful behavior. - Answers :a. Encourage the resident to engage
in an activity.
The nurse is caring for a patient who has been on antidepressants for 3 days. The
patient tearfully says, "I still feel terrible. I don't think anything can help how I feel."
Which response is best?
a.
"I will tell the charge nurse how you are feeling."
b.
"You just need to be patient and give your medicine some time to work."
c.
"Look how much you have improved since you were admitted to the facility."
d.
"It must be frustrating to be going through this difficult time." - Answers :d. "It must be
frustrating to be going through this difficult time."
An overweight male patient rips off his hospital gown, throws it out the door, and shouts,
"I'm not wearing this stupid gown! It is too small, too short, and exposes my backside to
the world!" Which response is most appropriate?
a.
Remind patient of the need to wear the gown for convenience in care.
b.
Confer with the patient for methods to acquire a larger gown.
c.
Replace the torn gown with another.
d.
Inform the charge nurse of the hostile behavior. - Answers :b. Confer with the patient for
methods to acquire a larger gown.
The nurse is communicating with a patient who voices concern about an upcoming
high-risk procedure. Which statement best demonstrates empathy?
a.
"Would you like to talk about your feelings regarding the procedure?"
b.
"My mother had the same procedure and did very well."
c.
"I can't imagine how you feel."
d.
"It must be difficult preparing for the procedure; how are you feeling?" - Answers :d. "It
must be difficult preparing for the procedure; how are you feeling?"
