NFDN EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
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
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
D. She waves bye-bye - Answer-D
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
- 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
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
COMPLETE SOLUTIONS
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
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
D. She waves bye-bye - Answer-D
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
- 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
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
