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CLPNA JURISPRUDENCE EXAM
- What legislation governs the practice of Licensed Practical Nurses (LPNs) in Alberta? A. The Regulated Health Professions Act (RHPA) B. The Health Professions Act (HPA) C. The Public Health Act D. The Nursing Act Answer: B. The Health Professions Act (HPA) Explanation: LPNs in Alberta are regulated under the Health Professions Act (HPA), which sets out the responsibilities and expectations for all regulated health professionals.
- Who is responsible for ensuring that an LPN maintains competence in their practice? A. The employer B. The College of Licensed Practical Nurses of Alberta C. The LPN themselves D. The Government of Alberta Answer: C. The LPN themselves Explanation: Self-regulation means LPNs are responsible for maintaining their own competence through continuous learning and professional development.
- Which of the following is NOT a principle in the CLPNA Code of Ethics? A. Responsibility to the public B. Responsibility to the profession C. Responsibility to the employer D. Responsibility to the patient/client Answer: C. Responsibility to the employer Explanation: The CLPNA Code of Ethics emphasizes responsibility to the public, clients, self, and the profession, but not specifically to the employer, although professional behavior at work is expected.
- If an LPN witnesses a colleague diverting narcotics, what is their legal obligation? A. Report it only if harm is caused B. Discuss it with another colleague first C. Report it to the CLPNA or employer immediately D. Ignore it to avoid workplace conflict Answer: C. Report it to the CLPNA or employer immediately Explanation: LPNs have a professional duty to report unethical, unsafe, or illegal conduct to protect the public.
- Which of the following is an example of a boundary violation? A. Offering emotional support to a patient B. Discussing the patient's care plan C. Sharing your personal phone number with a patient D. Educating a patient about their medication Answer: C. Sharing your personal phone number with a patient Explanation: Boundary violations occur when a professional relationship becomes too personal or inappropriate.
- What should an LPN do if they are asked to perform a task outside their scope? A. Refuse and report the request if needed B. Perform it if a colleague supervises C. Try it and ask for help if needed D. Delegate the task to someone else Answer: A. Refuse and report the request if needed Explanation: LPNs must not perform tasks outside their legal scope and are responsible for speaking up when such requests are made.
- The Standards of Practice for LPNs are: A. Optional guidelines B. Legal requirements C. Suggestions for behavior D. Only for hospital settings Answer: B. Legal requirements Explanation: The CLPNA Standards of Practice are enforceable expectations for all LPNs and must be followed in all practice settings.11. What is the role of the CLPNA? A. Represent LPNs in union negotiations B. Advocate for increased salaries C. Regulate the profession to protect the public
D. Provide employment to LPNs Answer: C. Regulate the profession to protect the public Explanation: CLPNA's primary role is to regulate LPNs in the public interest, ensuring safe, competent, and ethical nursing care.
- When is informed consent required? A. Only before surgery B. Before any assessment or treatment C. Only for medications D. Only when the client is unconscious Answer: B. Before any assessment or treatment Explanation: Informed consent is needed before any procedure or treatment, including routine care, and must be voluntary and informed.
- An LPN receives a friend as a new client. What is the best action? A. Continue care as usual B. Accept the client and treat them like any other C. Transfer care to another provider D. Ask the friend to sign a waiver Answer: C. Transfer care to another provider Explanation: Treating friends or family can lead to conflicts of interest or boundary violations.
- How often must LPNs renew their practice permit in Alberta? A. Every 5 years B. Annually C. Every 2 years D. Only when changing jobs
- Which of the following breaches client confidentiality? A. Sharing client information with the care team B. Discussing a client in a hospital elevator C. Documenting in the client’s chart D. Reporting to another nurse in private Answer: B. Discussing a client in a hospital elevator Explanation: Public discussions about clients are a breach of confidentiality.
- What is professional accountability? A. Doing what your manager tells you B. Being responsible for your own actions and decisions C. Following other nurses' orders D. Refusing to report colleagues Answer: B. Being responsible for your own actions and decisions Explanation: LPNs are accountable for their professional conduct, decisions, and actions.
- What is fitness to practice? A. Passing a physical test B. Being free from illness C. Having the necessary health, mental, and ethical condition to practice safely D. Having a gym membership Answer: C. Having the necessary health, mental, and ethical condition to practice safely Explanation: LPNs must be mentally, physically, and emotionally capable to provide safe care.
- What must an LPN do before accepting a new role or responsibility?
A. Ask a colleague B. Accept first and learn later C. Ensure they have the knowledge, skill, and judgment D. Wait for permission from the CLPNA Answer: C. Ensure they have the knowledge, skill, and judgment Explanation: LPNs must ensure competence and readiness before accepting new tasks.
- Which of the following is part of the CLPNA’s complaint process? A. Informal discussion with the complainant B. Investigation and possible disciplinary action C. Automatic dismissal D. Public shaming of the LPN Answer: B. Investigation and possible disciplinary action Explanation: The CLPNA investigates complaints to determine if disciplinary action is necessary to protect the public.
- What is the first step if an LPN is unsure about how to perform a procedure? A. Attempt the procedure anyway B. Ignore the task C. Seek guidance or training D. Delegate the task Answer: C. Seek guidance or training Explanation: LPNs are responsible for seeking education or clarification before performing unfamiliar tasks.
- When documenting, what principle must LPNs follow? A. Chart only at the end of the shift B. Use only abbreviations
Explanation: A therapeutic relationship is based on trust, respect, and professional boundaries.
- When is an LPN permitted to share a client's health information without consent? A. When it’s requested by a friend or family member B. When ordered by a court C. When a media outlet asks for it D. When the client has passed away Answer: B. When ordered by a court Explanation: Disclosure without consent is only allowed in specific situations such as a court order or legal obligation.
- Which of the following actions helps ensure cultural safety in nursing care? A. Using medical terms regardless of client understanding B. Ignoring a client’s cultural preferences C. Asking about the client's values and preferences D. Assuming all clients need the same care Answer: C. Asking about the client's values and preferences Explanation: Culturally safe care involves respecting and incorporating client preferences and beliefs into care.
- What must be in place before an LPN delegates a restricted activity to an unregulated worker? A. Employer policy approval only B. The LPN must no longer wish to perform the task C. Supervision and competence of the delegatee D. A verbal order from another nurse Answer: C. Supervision and competence of the delegatee
Explanation: LPNs may delegate tasks only if the person is trained, competent, and supervised appropriately.
- What is the primary role of CLPNA’s Continuing Competency Program (CCP)? A. Penalize non-performing nurses B. Help employers choose the best staff C. Promote lifelong learning and public safety D. Replace formal education Answer: C. Promote lifelong learning and public safety Explanation: The CCP ensures LPNs continue learning and adapting to support safe practice.
- What is the first thing an LPN should do after witnessing workplace bullying? A. Ignore it B. Participate to avoid being a target C. Report it according to employer and CLPNA policies D. Quit their job Answer: C. Report it according to employer and CLPNA policies Explanation: LPNs have a duty to maintain a safe and respectful work environment and report bullying.
- How does an LPN demonstrate professional integrity? A. Prioritizing speed over quality B. Covering up small errors to avoid punishment C. Being honest and accountable for actions D. Making decisions based on convenience Answer: C. Being honest and accountable for actions Explanation: Integrity means acting ethically, honestly, and taking responsibility for one’s practice.
- In what circumstance can an LPN act as a witness to informed consent? A. When the client is a family member B. When the client has not fully understood the procedure C. When the LPN has verified the consent process D. When the physician is not available Answer: C. When the LPN has verified the consent process Explanation: LPNs may witness informed consent only if the client appears to understand and agree voluntarily.
- What is the primary duty of a self-regulated health professional? A. Advocate for their profession B. Work independently without rules C. Protect the public through safe practice D. Follow employer instructions only Answer: C. Protect the public through safe practice Explanation: The goal of self-regulation is to ensure public safety, not just professional or employer loyalty.
- Which of the following is an example of falsifying documentation? A. Correcting a mistake and signing it B. Charting an assessment that wasn’t done C. Charting late with a “late entry” label D. Documenting in military time Answer: B. Charting an assessment that wasn’t done Explanation: Falsifying records includes writing anything that did not happen.
- Who determines the standards of practice for Alberta LPNs? A. The LPNs themselves B. The client’s family
C. The CLPNA D. Alberta Health Services Answer: C. The CLPNA Explanation: The CLPNA sets the Standards of Practice for LPNs to ensure professional conduct and competence.
- Which of the following is a restricted activity under Alberta legislation? A. Taking a manual blood pressure B. Assisting with dressing C. Inserting a catheter D. Helping a client walk Answer: C. Inserting a catheter Explanation: Some tasks like catheterization are classified as restricted activities and require specific authorization and competence.
- What is required for a client to provide valid informed consent? A. Be under 16 years old B. Be coerced by family C. Understand the nature and consequences of the decision D. Have someone else decide for them Answer: C. Understand the nature and consequences of the decision Explanation: Informed consent is only valid if the client understands and agrees voluntarily.
- Which of the following is the best indicator of professionalism? A. Wearing scrubs B. Timely documentation C. Gossiping only after hours D. Using casual language with clients
Explanation: LPNs have an ethical duty to report concerns related to client safety, including impaired coworkers.
- When may an LPN perform a restricted activity? A. When a colleague asks B. Only under physician supervision C. When authorized, competent, and supported by employer policy D. Only in emergency situations Answer: C. When authorized, competent, and supported by employer policy Explanation: LPNs may perform restricted activities if they are authorized by regulation, properly trained, and within employer guidelines.
- A client offers a small gift. What should the LPN do? A. Accept all gifts B. Refuse gifts in all circumstances C. Evaluate the intent and consult employer/CLPNA policies D. Accept and post about it on social media Answer: C. Evaluate the intent and consult employer/CLPNA policies Explanation: Gifts may compromise professional boundaries and must be handled thoughtfully.
- What does “scope of practice” mean? A. What LPNs prefer to do B. The tasks all nurses can perform C. The roles and responsibilities permitted by legislation and regulation D. The employer's personal expectations Answer: C. The roles and responsibilities permitted by legislation and regulation Explanation: Scope of practice defines what LPNs are educated, authorized, and competent to perform.
- Who is responsible for determining whether an LPN is competent to perform a task? A. The client B. The supervisor C. The LPN D. The physician Answer: C. The LPN Explanation: LPNs are accountable for assessing their own competence before accepting a task.
- Which of the following actions best promotes interprofessional collaboration? A. Giving orders to other team members B. Avoiding communication to prevent conflict C. Respecting and working with the roles of others D. Refusing to accept input from others Answer: C. Respecting and working with the roles of others Explanation: Collaborative care involves mutual respect and open communication among healthcare team members.
- What should an LPN do if a client shares information about abuse? A. Promise to keep it secret B. Tell the family C. Follow mandatory reporting obligations D. Ignore it if the client is an adult Answer: C. Follow mandatory reporting obligations Explanation: LPNs must report abuse as required by law and employer policy.
- What is an example of a boundary violation?
C. Sit quietly and offer support D. Tell the client to stop crying Answer: C. Sit quietly and offer support Explanation: Offering emotional presence and support is part of therapeutic communication.
- Why is accurate documentation essential? A. It avoids conversations with clients B. It allows for billing C. It is a legal record of care and supports client safety D. It helps with social media updates Answer: C. It is a legal record of care and supports client safety Explanation: Documentation is legal proof of care provided and supports continuity and accountability.
- Which of the following demonstrates ethical nursing practice? A. Charting for a coworker who is busy B. Completing tasks without client consent C. Maintaining confidentiality at all times D. Accepting gifts from all clients Answer: C. Maintaining confidentiality at all times Explanation: Ethical practice includes protecting client privacy and upholding professional standards.
- What is an LPN’s legal responsibility when documenting care? A. Only document major events B. Include personal opinions C. Record facts and observations in a timely and objective manner D. Use humorous language to ease tension
Answer: C. Record facts and observations in a timely and objective manner Explanation: Nursing documentation must be accurate, objective, and timely.
- What should an LPN do if a client does not speak English? A. Proceed with care anyway B. Get a qualified interpreter C. Ask a family member to translate D. Give written instructions only Answer: B. Get a qualified interpreter Explanation: Effective communication includes using a professional interpreter to ensure informed consent and understanding.
- A client with dementia refuses medication. What is the LPN’s next step? A. Force the medication B. Leave the client alone C. Reassess capacity and notify the health team D. Hide the medication in food Answer: C. Reassess capacity and notify the health team Explanation: Capacity must be assessed, and decisions must be made in the client’s best interest following policy.
- What is the first responsibility of an LPN during an emergency? A. Call the family B. Wait for instructions C. Ensure personal and client safety D. Finish documentation Answer: C. Ensure personal and client safety Explanation: In emergencies, safety is always the top priority.
