NURSING LEADERSHIP, MANAGEMENT, AND PROFESSIONAL PRACTICE FOR LPN AND LVN 7TH
EDITION TAMARA R. DAHLKEMPER – TEST BANK WITH PRACTICE – QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES Q&A | INSTANT DOWNLOAD PDF.
Core Domains:
- Leadership Styles and Management Theories
- Legal Responsibilities and Scope of Practice
- Ethical Principles in Nursing Practice
- Effective Communication and Conflict Resolution
- Delegation and Supervision Guidelines
- Quality Improvement and Patient Safety
- Cultural Competence and Client Advocacy
- Time Management and Prioritization
Introduction
This comprehensive assessment is designed to evaluate the leadership, management, and professional practice
competencies of Practical and Vocational Nurses. Grounded in foundational nursing theories and contemporary
clinical realities, this exam assesses critical skills including legal compliance, ethical decision-making, effective
delegation, and resource management. Utilizing both knowledge-based multiple-choice items and complex, real-
world clinical scenarios, the instrument measures the examinee's ability to apply critical thinking and sound clinical
judgment in diverse healthcare settings. Ultimately, this assessment ensures that the practitioner is fully prepared
to deliver safe, effective, and collaborative client care while upholding the highest professional standards.
Section One: Questions 1–100
Question 1
,A licensed practical nurse (LPN) is assigned to care for a group of clients. Which client should the nurse assess
first?
A. A client with chronic obstructive pulmonary disease (COPD) with an oxygen saturation of 89% on 2 L/min of
oxygen.
B. A client who underwent an appendectomy 4 hours ago and reports a pain level of 6 on a 1–10 scale.
C. A client admitted with heart failure who gained 1 pound overnight and has 1+ ankle edema.
D. A client with diabetes mellitus who received subcutaneous regular insulin 30 minutes ago and is now sweaty
and tachycardic.
🟢 D. A client with diabetes mellitus who received subcutaneous regular insulin 30 minutes ago and is now
sweaty and tachycardic.
🔴 RATIONALE: Diaphoresis and tachycardia are classic signs of hypoglycemia, an acute metabolic complication
requiring immediate intervention to prevent neurological injury. The remaining clients exhibit expected findings for
their respective chronic conditions or postoperative status.
Question 2
An LPN is working under the supervision of a registered nurse (RN). Which task is most appropriate for the LPN
to delegate to an unlicensed assistive personnel (UAP)?
A. Ambulating a client who is 2 days postoperative following a total knee arthroplasty and has stable vital signs.
B. Assisting a newly admitted client with a history of dysphagia during their first meal.
C. Feeding a client who is experiencing an acute exacerbation of myasthenia gravis.
,D. Transporting a client who just returned to the unit following a cardiac catheterization.
🟢 A. Ambulating a client who is 2 days postoperative following a total knee arthroplasty and has stable vital
signs.
🔴 RATIONALE: Delegation to UAPs must involve routine tasks with predictable outcomes on stable clients. A
client who is 2 days postoperative with stable vital signs meets these criteria. Dysphagia assessment, acute
exacerbations, and immediate post-procedure monitoring require nursing judgment.
Question 3
A nurse manager notes that a staff nurse frequently arrives 15 to 20 minutes late for shifts, leaving the preceding
shift short-handed. Which leadership style is the manager demonstrating if they choose to ignore the behavior,
hoping it will resolve itself?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
🟢 B. Laissez-faire
🔴 RATIONALE: A laissez-faire leader avoids taking control, making decisions, or addressing conflicts directly,
often leaving staff to function without clear direction or accountability. This passive approach allows performance
issues to persist.
Question 4
, An LPN is caring for an older adult client who refuses to take a prescribed antihypertensive medication, stating, "It
makes me feel too dizzy." Which ethical principle is the nurse upholding by respecting the client's decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Fidelity
🟢 C. Autonomy
🔴 RATIONALE: Autonomy refers to the client's right to self-determination and to make informed decisions about
their own healthcare, including the right to refuse treatments or medications.
Question 5
Which document establishes the legal boundaries and criteria for licensure for practical and vocational nurses
within a specific state?
A. The American Nurses Association (ANA) Code of Ethics
B. The State Nurse Practice Act
C. Institutional Policy and Procedure Manuals
D. National League for Nursing (NLN) Guidelines
🟢 B. The State Nurse Practice Act
EDITION TAMARA R. DAHLKEMPER – TEST BANK WITH PRACTICE – QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES Q&A | INSTANT DOWNLOAD PDF.
Core Domains:
- Leadership Styles and Management Theories
- Legal Responsibilities and Scope of Practice
- Ethical Principles in Nursing Practice
- Effective Communication and Conflict Resolution
- Delegation and Supervision Guidelines
- Quality Improvement and Patient Safety
- Cultural Competence and Client Advocacy
- Time Management and Prioritization
Introduction
This comprehensive assessment is designed to evaluate the leadership, management, and professional practice
competencies of Practical and Vocational Nurses. Grounded in foundational nursing theories and contemporary
clinical realities, this exam assesses critical skills including legal compliance, ethical decision-making, effective
delegation, and resource management. Utilizing both knowledge-based multiple-choice items and complex, real-
world clinical scenarios, the instrument measures the examinee's ability to apply critical thinking and sound clinical
judgment in diverse healthcare settings. Ultimately, this assessment ensures that the practitioner is fully prepared
to deliver safe, effective, and collaborative client care while upholding the highest professional standards.
Section One: Questions 1–100
Question 1
,A licensed practical nurse (LPN) is assigned to care for a group of clients. Which client should the nurse assess
first?
A. A client with chronic obstructive pulmonary disease (COPD) with an oxygen saturation of 89% on 2 L/min of
oxygen.
B. A client who underwent an appendectomy 4 hours ago and reports a pain level of 6 on a 1–10 scale.
C. A client admitted with heart failure who gained 1 pound overnight and has 1+ ankle edema.
D. A client with diabetes mellitus who received subcutaneous regular insulin 30 minutes ago and is now sweaty
and tachycardic.
🟢 D. A client with diabetes mellitus who received subcutaneous regular insulin 30 minutes ago and is now
sweaty and tachycardic.
🔴 RATIONALE: Diaphoresis and tachycardia are classic signs of hypoglycemia, an acute metabolic complication
requiring immediate intervention to prevent neurological injury. The remaining clients exhibit expected findings for
their respective chronic conditions or postoperative status.
Question 2
An LPN is working under the supervision of a registered nurse (RN). Which task is most appropriate for the LPN
to delegate to an unlicensed assistive personnel (UAP)?
A. Ambulating a client who is 2 days postoperative following a total knee arthroplasty and has stable vital signs.
B. Assisting a newly admitted client with a history of dysphagia during their first meal.
C. Feeding a client who is experiencing an acute exacerbation of myasthenia gravis.
,D. Transporting a client who just returned to the unit following a cardiac catheterization.
🟢 A. Ambulating a client who is 2 days postoperative following a total knee arthroplasty and has stable vital
signs.
🔴 RATIONALE: Delegation to UAPs must involve routine tasks with predictable outcomes on stable clients. A
client who is 2 days postoperative with stable vital signs meets these criteria. Dysphagia assessment, acute
exacerbations, and immediate post-procedure monitoring require nursing judgment.
Question 3
A nurse manager notes that a staff nurse frequently arrives 15 to 20 minutes late for shifts, leaving the preceding
shift short-handed. Which leadership style is the manager demonstrating if they choose to ignore the behavior,
hoping it will resolve itself?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
🟢 B. Laissez-faire
🔴 RATIONALE: A laissez-faire leader avoids taking control, making decisions, or addressing conflicts directly,
often leaving staff to function without clear direction or accountability. This passive approach allows performance
issues to persist.
Question 4
, An LPN is caring for an older adult client who refuses to take a prescribed antihypertensive medication, stating, "It
makes me feel too dizzy." Which ethical principle is the nurse upholding by respecting the client's decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Fidelity
🟢 C. Autonomy
🔴 RATIONALE: Autonomy refers to the client's right to self-determination and to make informed decisions about
their own healthcare, including the right to refuse treatments or medications.
Question 5
Which document establishes the legal boundaries and criteria for licensure for practical and vocational nurses
within a specific state?
A. The American Nurses Association (ANA) Code of Ethics
B. The State Nurse Practice Act
C. Institutional Policy and Procedure Manuals
D. National League for Nursing (NLN) Guidelines
🟢 B. The State Nurse Practice Act
