Answers 2025
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. ,- ,CORRECT ,ANSWER-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. ,- ,CORRECT
,ANSWER-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 ,- ,CORRECT ,ANSWER-c. ,Working
,under ,general ,supervision ,by ,the ,RN ,available ,on ,site ,or ,by ,phone
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. ,- ,CORRECT ,ANSWER-b. ,Obtain
,insurance ,approval ,for ,medical ,services ,prior ,to ,treatment.
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. ,- ,CORRECT ,ANSWER-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. ,- ,CORRECT ,ANSWER-b. ,Hospitals
,treat ,and ,discharge ,patients ,quickly.
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 ,-
,CORRECT ,ANSWER-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 ,- ,CORRECT ,ANSWER-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 ,- ,CORRECT ,ANSWER-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." ,- ,CORRECT
,ANSWER-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. ,- ,CORRECT
,ANSWER-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. ,- ,CORRECT ,ANSWER-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." ,- ,CORRECT ,ANSWER-
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. ,- ,CORRECT ,ANSWER-b. ,Confer
,with ,the ,patient ,for ,methods ,to ,acquire ,a ,larger ,gown.