NFDN 2008 FINAL Exam 2025 Complete Questions and Correct Answers

True or false: A practical nurse is required to write and pass a national examination to qualify a practice permit to work as an LPN - ANSWER-True Practice permit = license True or false: The primary purpose of the national registration examination is to determine how well students can recall information taught to them in the practical nurse program - ANSWER-False True or false: Applications for writing the national examination are submitted to the College of Licensed Practical Nurses of Alberta - ANSWER-True True and false: A candidate must present a college transcript of marks for admittance to the examination writing room - ANSWER-False they already have it True or false: A candidate may write the national examination no more than three times - ANSWER-True True or false: The candidate will be informed of the examination results by telephone - ANSWER-False A nurse must make an unoccupied bed. What is the first step of the procedure for making the bed? A. Washing hands B. Pulling the curtain C. Collecting clean linen D. Placing the bottom sheet - ANSWER-A Hospital care lies in which level of prevention? A. Secondary prevention B. Morbidity prevention C. Primary prevention D. Tertiary prevention - ANSWER-D NFDN 2008 NFDN 2008 NFDN 2008 The nurse administers a cathartic to a patient. What therapeutic outcome should the nurse expect when assessing the patient's response to this medication? A. Increased urinary output B. Decreased anxiety C. Bowel movement D. Pain relief - ANSWER-C Cathartic = increases peristalsis to promote bowel movement A nurse is caring for several patients on bladder-retraining programs and a variety of toileting time frames are employed. Which time frame for toileting is always included in a toileting schedule? A. Every 2 hours when awake B. When going to bed at night C. At 8AM, 2PM, 8PM and 2PM D. Every 4 hours and through the night - ANSWER-A Trying to train bladder to hold in urine A nurse is going to assist a heavy patient higher in bed. What should the nurse do to prevent self-injury? A. Keep the knees and ankles straight B. Straighten the knees while bending at the waist C. Place the feet together and keep the knees bent D. Position the feet apart with one foot forward - ANSWER-D A patient has dependent edema of the ankles and feet and is obese. Which diet should the nurse expect the health-care provider to order? A. Low in sodium and high in fat B. Low in sodium and low in calories C. High in sodium and high in protein D. High in sodium and low in carbohydrates - ANSWER-B A nurse is assessing a patient who reports being incontinent. What question should the nurse ask to elicit information related to urge incontinence? A. "Does urination occur immediately after coughing?" B. "Do you begin urinating before you get to the bathroom?" C. "Do you begin urinating immediately after feeling the need to urinate?" D. "Does urination occur unpredictably without feeling the need to urinate?" - ANSWER C NFDN 2008 NFDN 2008 Mr Smith has dysphagia and severe hypertension. The doctor has ordered an oral antihypertensive medication. Which of the following actions would be most important for the practical nurse to take? A. Provide Mr Smith with health teaching about potassium intake. B. Assess Mr. Smith's vitals and monitor fluid intake C. Check to see if a parenteral form of the medication is available. D. Assess Mr Smith's swallowing abilities - ANSWER-D Bill, 19 yrs, has Type 1 diabetes mellitus. He has been seen in emergency 3 times during the hockey playoffs with manifestations of double vision, irrational and disoriented behaviour and slurred speech. What should the PN do? A. Arrange daily blood glucose monitoring with the lab until Bill is stable. B. Discuss Bill's behavioral responses to insulin with a diabetic counselor. C. Consult with the dietician about reassessing Bill's energy needs and diet D. Suggest that Bill discuss his insulin requirements with the physician - ANSWER-C Hasn't adjusted insulin to fit increased activity level (now hypoglycemic) 30 minutes after the start of a blood transfusion your client, aged 45, is shivering and states "I feel cold." The PN notes urticaria on the client's thorax. What should the PN do first? A. Stop the transfusion B. Cover client with a warm blanket C. Check temperature and vital signs D. Continue to observe client for transfusion reactions - ANSWER-A John is 49 and is admitted with severe hypotension. Each time he gets out of bed, he becomes weak and falls to the floor. How can the practical nurse protect John from falling? A. Raise the side rails on the bed so he cannot get up by himself. B. Advise him not to get out of bed while his BP is low C. Ask him to use the call bell for help before getting up D. Relocate him to a room closer to the nursing station - ANSWER-C only relocate patients that are lacking cognition/orientation The PN assesses Eva, 6 months old. What finding would indicate that Eva is developing at a higher level than other children? A. She is bored when left alone B. She voluntarily grasps and object C. She recognizes her parents NFDN 2008 NFDN 2008 D. She waves bye-bye - ANSWER-D Jim, age 70, is hospitalized with pneumonia. The PN finds him on the floor with his oxygen mask off and his Foley catheter pulled out. Which action should the PN take initially? A. Replace the oxygen immediately B. Examine the urinary meatus C. Assess Jim's current condition D. Place a pillow under his head - ANSWER-A What two documents do employers use when developing position descriptions and conducting evaluations? - ANSWER-CLPNA's LPN Standards of Practice and the Code of Ethics What is the purpose of the CPNRE and licensure? - ANSWER-protects the public by ensuring that entry-level practical nurses have the competencies required to practise safely and effectively What is the purpose of a professional portfolio - ANSWER-showcases talents, most relevant skills, and charts professional growth What is a specialty certification - ANSWER-course and exam to specialize in an area of nursing such as dialysis or perioperative care looks good to employers, improves competency, can extend scope of practice "grey area" What is the importance of continuing competency - ANSWER-nurses must continually enhance and expand their knowledge and abilities to maintain a level of competence equal to their roles, responsibilities, and practice settings What percentage of LPNs are audited annually - ANSWER-20% 3 Steps to CCP - ANSWER-1. Self-assessment 2. Learning Plan 3. List of activities Describe the self-assessment step of CCP - ANSWER-First step; happens before licence renewal - self reflection - identify practice areas for further development - build a learning plan (2nd step) Describe the 4 components of the learning plan step of CCP - ANSWER-Second step NFDN 2008 NFDN 2008 - continuing competence goals - resources and strategies - target date - evaluation Describe the list of activities step in CCP - ANSWER-Third step - Complete learning - Monitor practice hours - Keep track of activities that relate to competency throughout the year (and keep proof such as certificates, attendance, documentation etc) How many hours must LPNs work when audited - ANSWER-Minimum of 1000 hours in the previous 4 year period Hours can be validated by the CCP process When do audits begin - ANSWER-May 1 - June 30 and to be done throughout the year What is the rubric for a CPP audit (3) - ANSWER-1. Describing learning activity that met the goal 2. Identifying the impact the learning had on practice 3. Evaluating how the learning changed the LPNS thinking and/or behaviour What is evidence-informed practice - ANSWER-using evidence to identify the potential benefits, harms , and costs of any intervention and also acknowledges that what works in one context might not in another What is research utilization - ANSWER-the use of research findings in practice to improve care What is transition shock - ANSWER-clash between learned ideals and actual nursing practice contributing factors: high psychological demands,lack of social support, fear or anxiety, job strain, desire to leave the job What is role transition - ANSWER-move from familiar role to an unfamiliar role What does ROLES stand for - ANSWER-Responsibilities Opportunities Lines of Communication Expectations Support NFDN 2008 NFDN 2008 What does 3-6 months of nursing experience include - ANSWER-- integration - development of professional role - crisis management - collaboration - inter and intra professional communication What does 6-12 months of nursing experience include - ANSWER-- knowing, stabilization - building professional engagement - work commitment - focus on career plans/honing of professional goals When does the "doing" stage occur and what does it involve - ANSWER-first 3 months orientation, learning structure and function, transition from learner to competent What are the benefits of a union membership - ANSWER-- collective negotiation - job security - collective voice to the employer - fair working conditions What is a collective agreement - ANSWER-A written contract between the employer and a union that outlines many of the terms and conditions of employment for employees Result of collective bargaining What is collective bargaining - ANSWER-offering!! negotiation of wages and other conditions of employment by an organized body of employees (union) What is a grievance - ANSWER-formal complaint What is a lockout/shutout - ANSWER-Opposite of a strike, employees were told not to come in to work until they agreed to company's paycuts What is negotiation - ANSWER-A give-and-take decision-making process involving two or more parties with different preferences What is mediation - ANSWER-A neutral third party acts as a mediator and works with both sides in the dispute to facilitate a resolution What is arbitration - ANSWER-a settlement negotiated by an outside/neural party (usually judge) final and binding decision NFDN 2008 NFDN 2008 What is work-to-rule - ANSWER-Workers obey their employment contracts but do not do anything "extra" as they normally might What is strike action - ANSWER-A large number of workers stop working in protest. Strikes are usually done by a labor union to get better pay, hours, or working conditions What is a professional organization - ANSWER-- Non profit - Voluntary - Acts in interests of their members and patients Roles of a professional association - ANSWER-- registration of members - regulation and discipline of members]- scope of practice; standards of care - represents concerns of the public, government and allied health professions - provision of education loans and scholarships Roles of a union - ANSWER-- regulation of relations between nurses and their employers - negotiation of written contracts with employers - promotion of the knowledge of nurses through education and research - promotion of the highest standards of health care - promotion of unity within the labour movement, the nursing profession, and other allied fields - promote of occupational health and safety What is the legislative authority of a union - ANSWER-Provincial Labour Relations Boards (AUPE) Memberships of the professional association vs union - ANSWER-professional association = all nurses registered in the province union = all nurses registered in the province excluding management and administration What is the legislative authority of the professional association - ANSWER-Health Professions Act (HPA) What is one of the purposes of a professional association A. To negotiate for improved working conditions for LPNs B. To protect the public from unsafe practice C. To prepare students to pass the practical nurse exam D. To obtain clinical placements for practical nurse students - ANSWER-B How is formal organization culture expressed - ANSWER-expressed via mission, vision, and philosophy statements, job descriptions and policies and procedures NFDN 2008 NFDN 2008 How is informal organization culture expressed - ANSWER-expressed by the day-to-day experiences of staff and patients What does a mission statement reflect - ANSWER-reflects the purpose and direction of the health care organization Is a mission statement static or dynamic - ANSWER-Dynamic Covenant Health mission statement - ANSWER-serving the minds, bodies and spirits of those most vulnerable with compassion Alberta Health Services mission statement - ANSWER-to provide a patient-focused, quality health system that is accessible and sustainable Capital Care mission statement - ANSWER-to provide person centred care with dignity and kindness CLPNA mission statement - ANSWER-to regulate and lead the profession in a manner that prote What does a philosophy statement do for an organization - ANSWER-provides direction Is consult to mental health counsellor an out house or in house supportive program - ANSWER-Out house (employer recommended) What is horizontal violence - ANSWER-workplace bullying among nurses at the same professional level What is workplace violence - ANSWER-verbal, physical, or sexual abuse of staff by other staff members, residents, or visitors What is lateral violence - ANSWER-occurs between individuals at different power levels on the nursing hierarchy and may be directed downward What does a "wishbones" person do - ANSWER-spend all their time wishing somebody would do the work What does a "jawbones" person do - ANSWER-Do all the talking but little else What does a "knucklebones" person do - ANSWER-knock everything that everybody tries to do What does a "backbones" person do - ANSWER-Take on the task and do the work What do company objectives do - ANSWER-guide the employee so they can implement/evaluate the services the provide NFDN 2008 NFDN 2008 What does a company's vision reflect - ANSWER-their goals What are values - ANSWER-beliefs held by an organization What is the systems theory - ANSWER-Unifying whole as opposed to a series of unrelated parts What is bureaucracy - ANSWER-Centralization of authority What makes up the governing body of CLPNA - ANSWER-Council including: LPNs elected from 7 districts, a president, and 3 public representatives appointed by provincial government (to represent the people of Alberta) What is the role of CLPNA committees - ANSWER-make decisions of self-regulation to members, stakeholders and public area of education, unprofessional conduct and continuing competence What are professional sanctions - ANSWER-Consequences of the LPN not adhering to the CLPNA Standards of Practice What is misconduct - ANSWER-Unacceptable behaviour within the scope of practice What is incompetence - ANSWER-Failure to meet minimum accepted standards What is conduct unbecoming a member of the profession - ANSWER-Behaviour outside of a professions practice that may bring the profession into disrepute What committee within CLPNA deals with sanctions - ANSWER-Hearing Tribunal Committee What is the difference between a standard and a competency - ANSWER-Standard = emphasizes content knowledge Competency = emphasizes the application of skills, knowledge and dispositions Examples of specializations that require more education - ANSWER-immunizations, advanced foot care, dialysis, operating room, orthopedics, wound care, mental health, occupational health and safety and oncology Why does the CLPNA have a Continuing Competency Program A. Alberta physicians have requested this program. B. The alberta government passed the Health Professions Act. All colleges under HPA have a CCP. NFDN 2008 NFDN 2008 C. The Capital Health Authority started this initiative and the CLPNA thought it was of benefit for LPN job security. D. All other Canadian provinces have this in place already. - ANSWER-B The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months. The unit leader is frustrated by how lit