,NU 180/NU180 Exam 3 – Nursing and Healthcare II
– Actual Q&A (GCN) (Updated PDF)
1. Which aim of the Institute of Medicine is most directly focused on improving
healthcare quality?
A) Ensuring care is safe, timely, effective, efficient, equitable, and client-
centered
B) Reducing the number of practicing nurses
C) Limiting access to specialty care
D) Standardizing all nursing salaries
Correct Answer: A) Ensuring care is safe, timely, effective, efficient, equitable,
and client-centered
Rationale: The Institute of Medicine defines quality healthcare as care that is
safe, timely, effective, efficient, equitable, and client-centered. Reducing nurses,
limiting access, and standardizing salaries are not IOM aims. This framework
guides quality improvement and patient safety initiatives across healthcare
settings.
2. Which group of agencies is part of the U.S. Public Health Service?
A) Department of Defense and Veterans Health Administration
B) NIH, FDA, CDC, and the Substance Abuse and Mental Health Services
Administration
C) Centers for Medicare & Medicaid Services and the Environmental Protection
Agency
D) Occupational Safety and Health Administration and the Federal Emergency
Management Agency
,Correct Answer: B) NIH, FDA, CDC, and the Substance Abuse and Mental Health
Services Administration
Rationale: The U.S. Public Health Service includes the National Institutes of
Health, Food and Drug Administration, Centers for Disease Control and
Prevention, and the Substance Abuse and Mental Health Services
Administration. Other agencies such as CMS, EPA, and OSHA operate outside
the Public Health Service structure.
3. In which step of the nursing process is the LPN/LVN most independent?
A) Diagnosis of medical conditions
B) Prescribing medications
C) Data collection and implementation
D) Final evaluation of outcomes only
Correct Answer: C) Data collection and implementation
Rationale: The LPN/LVN scope of practice allows the greatest independence in
data collection and implementation of the nursing plan. Diagnosis and final
evaluation are primarily RN responsibilities, and prescribing is outside nursing
scope. This distinction reflects the licensed practical/vocational nurse role
within the nursing process.
4. How should a newly employed LPN/LVN view HIPAA implementation at a
healthcare agency?
A) All agencies follow exactly the same HIPAA procedures
, B) Federal HIPAA guidelines eliminate the need for agency-specific policies
C) Only physicians must follow HIPAA
D) Each agency may interpret HIPAA provisions somewhat differently
Correct Answer: D) Each agency may interpret HIPAA provisions somewhat
differently
Rationale: HIPAA sets federal standards, but individual healthcare agencies may
implement and interpret provisions somewhat differently through their own
policies and procedures. The LPN/LVN must learn the specific agency's HIPAA
practices. Assuming uniformity or ignoring agency policies can lead to privacy
breaches.
5. Who is responsible for obtaining informed consent from a patient before a
procedure?
A) The doctor
B) The LPN/LVN
C) The nursing assistant
D) The unit secretary
Correct Answer: A) The doctor
Rationale: Informed consent must be obtained by the physician or provider
performing the procedure. Nurses, including LPN/LVNs, may witness the
signature but cannot obtain consent or provide the necessary explanation of
risks, benefits, and alternatives. Therefore the doctor is responsible for this legal
and ethical duty.
– Actual Q&A (GCN) (Updated PDF)
1. Which aim of the Institute of Medicine is most directly focused on improving
healthcare quality?
A) Ensuring care is safe, timely, effective, efficient, equitable, and client-
centered
B) Reducing the number of practicing nurses
C) Limiting access to specialty care
D) Standardizing all nursing salaries
Correct Answer: A) Ensuring care is safe, timely, effective, efficient, equitable,
and client-centered
Rationale: The Institute of Medicine defines quality healthcare as care that is
safe, timely, effective, efficient, equitable, and client-centered. Reducing nurses,
limiting access, and standardizing salaries are not IOM aims. This framework
guides quality improvement and patient safety initiatives across healthcare
settings.
2. Which group of agencies is part of the U.S. Public Health Service?
A) Department of Defense and Veterans Health Administration
B) NIH, FDA, CDC, and the Substance Abuse and Mental Health Services
Administration
C) Centers for Medicare & Medicaid Services and the Environmental Protection
Agency
D) Occupational Safety and Health Administration and the Federal Emergency
Management Agency
,Correct Answer: B) NIH, FDA, CDC, and the Substance Abuse and Mental Health
Services Administration
Rationale: The U.S. Public Health Service includes the National Institutes of
Health, Food and Drug Administration, Centers for Disease Control and
Prevention, and the Substance Abuse and Mental Health Services
Administration. Other agencies such as CMS, EPA, and OSHA operate outside
the Public Health Service structure.
3. In which step of the nursing process is the LPN/LVN most independent?
A) Diagnosis of medical conditions
B) Prescribing medications
C) Data collection and implementation
D) Final evaluation of outcomes only
Correct Answer: C) Data collection and implementation
Rationale: The LPN/LVN scope of practice allows the greatest independence in
data collection and implementation of the nursing plan. Diagnosis and final
evaluation are primarily RN responsibilities, and prescribing is outside nursing
scope. This distinction reflects the licensed practical/vocational nurse role
within the nursing process.
4. How should a newly employed LPN/LVN view HIPAA implementation at a
healthcare agency?
A) All agencies follow exactly the same HIPAA procedures
, B) Federal HIPAA guidelines eliminate the need for agency-specific policies
C) Only physicians must follow HIPAA
D) Each agency may interpret HIPAA provisions somewhat differently
Correct Answer: D) Each agency may interpret HIPAA provisions somewhat
differently
Rationale: HIPAA sets federal standards, but individual healthcare agencies may
implement and interpret provisions somewhat differently through their own
policies and procedures. The LPN/LVN must learn the specific agency's HIPAA
practices. Assuming uniformity or ignoring agency policies can lead to privacy
breaches.
5. Who is responsible for obtaining informed consent from a patient before a
procedure?
A) The doctor
B) The LPN/LVN
C) The nursing assistant
D) The unit secretary
Correct Answer: A) The doctor
Rationale: Informed consent must be obtained by the physician or provider
performing the procedure. Nurses, including LPN/LVNs, may witness the
signature but cannot obtain consent or provide the necessary explanation of
risks, benefits, and alternatives. Therefore the doctor is responsible for this legal
and ethical duty.
