Deck 19: Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act

Question 1

Which phrases describe the format of the NCLEX-PN examination? (Select all that apply.)

A) Uses multiple choice questions exclusively
B) Includes questions of varying levels of difficulty
C) May have fill-in-the-blank questions
D) Uses charts, tables, and graphics as parts of questions
E) Requires tester to select a single best answer for every question
F) Tests the cognitive levels of knowledge, comprehension, application, and analysis
G) Integrates three of the four steps of the nursing process used by LPN/LVNs

Answer 1

Includes questions of varying levels of difficulty
May have fill-in-the-blank questions
Uses charts, tables, and graphics as parts of questions
Tests the cognitive levels of knowledge, comprehension, application, and analysis

Question 2

LPN/LVN licensure by endorsement in the United States and its territories is possible because

A) English is the spoken language of each locale.
B) the NCLEX-PN examination is used by the board of nursing of each locale.
C) computer-adaptive testing maximizes testing efficiency.
D) the NCLEX-PN examination test plan reflects current practice.

Answer 2

the NCLEX-PN examination is used by the board of nursing of each locale.

Question 3

The SP/VN reviewing for the NCLEX-PN examination should study based on an understanding that the category of patient need that is most heavily tested is

A) the clinical problem-solving process.
B) safe, effective care environment.
C) health promotion and maintenance.
D) physiologic integrity.

Answer 3

physiologic integrity.

Question 4

When an SP/VN asks for advice about how to "reduce anxiety before the NCLEX-PN examination," the LPN/LVN should respond, "An effective strategy for reducing test anxiety prior to the NCLEX-PN examination is to

A) maintain a confident, positive attitude about your abilities and the outcome."
B) drink 3 ounces of an alcoholic beverage 30 minutes before the test."
C) prepare yourself for the worst by picturing yourself having to reapply."
D) use scrap paper to keep track of the number of questions you think you answered correctly and incorrectly."

Question 5

The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Safe, Effective Care Environment category includes

A) the aging process.
B) abuse and neglect.
C) advance directives.
D) medication administration.

Question 6

The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Physiological Integrity category includes

A) newborn care.
B) stress management.
C) medical emergencies.
D) accident/error prevention.

Question 7

The fundamental difference between holding licensure as an LPN/LVN and having a temporary permit is that a temporary permit

A) is surrendered after 2 years; a license is never surrendered.
B) requires close RN supervision; a license gives permission to practice without RN supervision.
C) certifies minimal competency in LPN/LVN skills; a license guarantees safe practice.
D) provides permission to work as a GP/VN; a license certifies minimal competence in LPN/LVN skills.

Question 8

The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Health Promotion and Maintenance category includes

A) ethical practice.
B) family planning.
C) crisis intervention.
D) basic pathophysiology.

Question 9

Preparation for the NCLEX-PN examination should include

A) cramming difficult concepts the night before the examination.
B) rereading each textbook used in the program of study.
C) going to a party the evening before the test.
D) reviewing content summaries and focusing on identified areas of weakness.

Question 10

The LPN/LVN tells a peer, "I want to be endorsed in state X. What step do you think I should take first?" The best response would be:

A) "Ask our state board to send you a copy of your NCLEX-PN examination score."
B) "Photocopy your license and current registration."
C) "Write to the board of nursing in state X and ask for instructions."
D) "Request our state board to inactivate your license."

Question 11

What advice should the testing candidate consider the best method for preparing to take the NCLEX-PN examination?

A) "Participate in an all-night cram session the night before the test."
B) "Rely on your intuition to answer questions when you do not know the answer."
C) "Study throughout the year and review systematically before the exam."
D) "Quiz previous graduates about test content and study what they mention."

Question 12

The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Psychosocial Integrity category includes

A) surgical asepsis.
B) human sexuality.
C) therapeutic communication.
D) nutrition and oral hydration.

Question 13

Which statements provide accurate information about determination of pass/fail by NCLEX-PN computerized adaptive testing? (Select all that apply.)

A) Only questions testing the application or analysis level of cognition are scored.
B) Each question that appears on the screen must be answered; none can be skipped.
C) Of the more difficult questions asked, 50% must be answered correctly to pass.
D) One's score must be at least 75% of the 205 total questions asked.

Question 14

The practical/vocational nursing student tells a colleague, "I know I'm going to fail the NCLEX-PN examination. I've heard that a huge amount of the examination is psychology related, and I hated psychology!" The reply that shows the best understanding of the NCLEX-PN examination is

A) "You'd better retake the psychology course."
B) "There are equal numbers of questions related to each aspect of patient needs."
C) "Psychosocial integrity is the basis for 8% to 14% of the questions."
D) "I've heard there's more emphasis on care planning than anything else."

Question 15

One practical/vocational nursing student tells another student, "I'm computer phobic! I never understand what keys I'm supposed to use to get the thing to work." The reply that shows the best understanding about NCLEX-PN examination testing is:

A) "No problem! The question comes up on the screen, and you speak the letter of the correct answer aloud to the voice-activated computer."
B) "You answer practice questions before the examination begins to get you used to using the computer."
C) "You'll be able to ask the test proctor for help if you get mixed up."
D) "If you can't get the hang of the computer, they'll let you use paper and pencil."

Question 16

Which phrases accurately describe computerized adaptive testing (CAT) as used in the NCLEX-PN examination? (Select all that apply.)

A) Selects questions of varying difficulty, depending on previous responses
B) Provides an individualized examination for each tester
C) Requires the tester to answer a minimum of 85 questions
D) Selects an equal number of questions from the four categories of patient need
E) Ends testing when 50% of the questions have been answered correctly

Question 17

The requirement for taking the NCLEX-PN examination that is universal to every U.S. state and territory is

A) the ability to pay fees using a major credit card.
B) holding a valid temporary work permit.
C) a conviction-free legal record.
D) completion of a PN/VN program.

Question 18

Which statement pertains to a temporary work permit?

A) It is issued automatically upon completion of the LPN/LVN program.
B) It permits one to work as an LPN/LVN.
C) It is required to take the NCLEX-PN examination.
D) It is revoked once the NCLEX-PN examination result is reported.
E) It allows one to assume LPN/LVN charge nurse duties.

Question 19

Endorsement for an LPN/LVN taking the NCLEX-PN examination means that

A) the LPN/LVN will never risk losing his or her license.
B) the LPN/LVN may apply for licensure in a different state or territory without retesting.
C) the LPN/LVN is entitled only to practice in the state in which he or she took the NCLEX-PN examination.
D) the LPN/LVN must retake the NCLEX-PN examination if wishing to practice nursing in another state or territory.

Question 20

Prior to taking the NCLEX-PN examination, candidates sign a confidentiality clause. A candidate would be in violation of "terms of confidentiality" when doing which of the following?

A) The candidate asks the examination proctor a question.
B) The candidate informs others that she has taken the exam.
C) The candidate discusses the examination with his instructor.
D) The candidate refrains from discussing the examination with others.

Question 21

Which phrases identify differences between taking the NCLEX-PN examination and a "regular" test in a nursing program? (Select all that apply.)

A) One can skip questions and return to them in a program exam.
B) One will be penalized for guessing on the NCLEX-PN examination.
C) There are a variety of question formats on the NCLEX-PN examination.
D) One should stop reading possible answers on the NCLEX-PN examination as soon as selecting the correct answer.
E) The NCLEX-PN examination is individualized; program examinations are identical for all testers.

Question 22

Which of the following are needed by the candidate to arrange for and take the NCLEX-PN examination? (Select all that apply.)

A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card

Question 23

The NCLEX-PN examination measures the _____________ competencies needed to practice practical/vocational nursing.