Bridge Course for LPN to RN Final Exam
Course Introduction
This course is designed for Licensed Practical Nurses (LPNs) seeking to transition into the role of Registered Nurse (RN). It builds upon foundational nursing knowledge and skills acquired as an LPN and introduces advanced concepts in patient assessment, critical thinking, clinical decision-making, and evidence-based practice. Emphasis is placed on expanding the scope of nursing interventions, leadership, communication, and managing complex patient care in diverse healthcare settings. The course also prepares students for the additional responsibilities and expectations facing RNs, aligning content with NCLEX-RN exam requirements.
Recommended Textbook LPN to RN Transitions 4th Edition by Lora Claywell
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18 Chapters
345 Verified Questions
345 Flashcards
Source URL: https://quizplus.com/study-set/1216 Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/24040
Sample Questions
Q1) There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night. The student has already taken a vacation day from work Thursday night so that she can stay home and study. She is considering skipping her exercise class on Thursday morning to go to the library to prepare for the test. Which response best identifies the student's outcome priority?
A) Exercise class
B) Going to the library
C) Avoiding work by taking a vacation
D) Doing well on the test on Friday
Answer: D
Q2) An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has been asking questions about eating better. The nurse can interpret this behavior as which stage of Lewin's Change Theory?
A) Moving
B) Unfreezing
C) Action
D) Refreezing
Answer: B
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Chapter 2: Assessing Yourself and Designing Success
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/24041
Sample Questions
Q1) After a particularly challenging examination, a student is overheard in the hallway exclaiming, "That instructor just grades too hard! She only gave me a B on the test!" This student is exhibiting traits of a(n)
A) external locus of control.
B) internal locus of control.
C) perfectionist.
D) realist.
Answer: A
Q2) The student is listening to a lecture on self-defeating behaviors. Which statement by the student indicates that teaching has been effective?
A) "Nit-picking is viewing situations from a negative aspect."
B) "Pessimism is looking for all imperfections."
C) "Worrying is being concerned over issues that may or may not be in your control."
D) "Perfectionism is rejecting responsibility for actions or inactions."
Answer: C
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4
Chapter 3: Study Habits and Test-Taking Skills
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/24042
Sample Questions
Q1) A patient comes to the emergency department with complaints of crushing chest pain that radiates down his left arm. While reviewing his health history with the RN, the patient states that he has been getting over a cold. He also has seasonal allergies and is allergic to peanuts. The nurse interprets the major detail for the patient's ER visit as the patient
A) has a peanut allergy.
B) is experiencing crushing chest pain.
C) is getting over a cold.
D) has seasonal allergies.
Answer: B
Q2) A student is reviewing new material for an upcoming test. She has decided to highlight so that she can come back later to easily review the material. How can she use highlighting to be successful?
A) She should highlight the first time she reads the material.
B) She should highlight no more than 20% of the material.
C) She should use only one method of highlighting.
D) She should highlight the entire chapter.
Answer: B
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Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24043
Sample Questions
Q1) An LPN/LVN in RN school is experiencing frustration because the expectations of her as a nurse at work are very different from her role as a student in nursing school, and fulfilling both is confusing at times. She has an appropriate understanding of her situation when she states that it is known as
A) role conflict.
B) dissociative behavior.
C) coping mechanism.
D) license confusion.
Q2) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association (ANA)."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
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6
Chapter 5: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24044
Sample Questions
Q1) Betty Neuman's Systems Model for nursing emphasizes the holistic aspects of nursing from a systems-based perspective. Which of the following is not an example of the clinical application of this theory?
A) Caring for the patient at the primary, secondary, and tertiary levels of care
B) Evaluating patient stability
C) Focusing on the nurse-patient relationship
D) Evaluating the effect of stressors on the patient
Q2) Which statement by a nurse reflects an accurate understanding of systems theory?
A) "My patient has anemia reflected by low RBC, Hgb, and Hct values, so I have to monitor for fatigue, dyspnea, and tachycardia."
B) "It is my responsibility to provide my patients with basic human needs including food, water, and sleep."
C) "Would you like me to call the chaplain for you to discuss your feelings about your upcoming surgery?"
D) "My patient's daughter makes all decisions and living arrangements for my patient such as reserving a home health aide and Meals on Wheels during the week."
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Chapter 6: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/24045
Sample Questions
Q1) Determine which example is true of measurability within the context of the nursing diagnosis.
A) The patient will list signs of infection such as redness, pain, swelling, and warmth by the end of the shift.
B) The patient will be pain-free and then walk to the bathroom.
C) The patient reported abdominal pain for 2 days but denies nausea, vomiting, and diarrhea.
D) The patient received Dilaudid 1 mg IV and 2 hours later received Lortab 500/5.
Q2) The nurse is using Gordon's 11 categories for data collection in performing a health assessment. Which of the following represents assessment of cognition?
A) How educated is the patient?
B) How does the patient describe his or her health?
C) Is the patient well nourished?
D) Has the patient had treatment for emotional problems?
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8
Chapter 7: Critical and Diagnostic Thinking for Better Clinical Judgment
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/24046
Sample Questions
Q1) As elements of reasoning and critical thought, why are implications or consequences of outcomes important to consider?
A) They can help the nurse make confident clinical decisions.
B) They help the nurse understand complex ideas and events.
C) They help the nurse understand how the patient is responding to the demands of the treatment.
D) They can be expected or unexpected and affect the completion of a nursing intervention.
Q2) The nurse has received a shift report. Which patient should the nurse assess first?
A) The patient diagnosed with type 2 diabetes mellitus who is complaining of dizziness with a glucose level of 120.
B) The patient diagnosed with sleep apnea who is complaining of a morning headache.
C) The patient diagnosed with diverticulitis who has a hard, rigid, abdomen and a temperature of 101.3°F.
D) The patient diagnosed with a stomach virus who vomited three times during the previous shift.
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Chapter 8: Practicing Evidence-Based Decision Making
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/24047
Sample Questions
Q1) Which goals best justify the need for evidence-based practice (EBP) in nursing? (Select all that apply.)
A) Redesign the health care system and recruit more nurses.
B) Improve patient outcomes with evaluations that track outcomes.
C) Introduce national health care guidelines and standards.
D) Restructure health care delivery and improve quality of health care.
E) Apply clinical experience to improve patient care.
Q2) If you had access to the following databases for your research, which would you choose to review clinical trials on effective smoking cessation therapies?
A) The Cochrane Library
B) HealthStar
C) Medline
D) InfoPOEMS
Q3) Can you explain how the nurse's use of PICO helps to formulate an effective clinical question?
A) PICO organizes the elements that guide the clinical question.
B) PICO formulates an answer to the clinical question.
C) PICO explains the hierarchy of evidence.
D) PICO identifies the strength of the evidence.
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Page 10
Chapter 9: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/24048
Sample Questions
Q1) When considering the creation of an environment for emotional support in a therapeutic relationship, the primary focus of the nurse should be
A) removing stressors that cause anxiety and fear.
B) developing a trusting relationship.
C) encouraging the patient to become independent.
D) allowing the patient to be in control of medical decision-making.
Q2) Which statement, if made by the nurse, is an example of a communication technique that can facilitate communication?
A) "Yes, I agree with you."
B) "You need to talk to your doctor."
C) "I know just how you feel."
D) "What are you thinking about?"
Q3) The nurse is preparing to assess a newly admitted Chinese patient. Which of the following would be most appropriate to assess first?
A) Pain
B) Language barrier
C) Family support
D) Religious preference
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Chapter 10: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24049
Sample Questions
Q1) The nurse recognizes that new parents may be ready to learn about their newborn after the birth. What understanding leads the nurse to this conclusion?
A) The baby will not be discharged until the parents have the training.
B) The nurses on the mother-baby division do a better job of teaching baby care.
C) The parents now have the motivation to learn because the baby has been born.
D) The parents have no choice at this point.
Q2) A 63-year-old patient is uncertain whether she can self-inject her medication. Which would be most likely to be an effective strategy at this time?
A) Start with the details about her condition, why she has it, and the importance of her medication.
B) In the first session, teach the patient how and why to rotate her abdominal injection sites.
C) Start with information about avoiding rubbing or putting pressure on the site after an injection.
D) In the first session let the patient handle a syringe while the nurse prepares and administers the next injection with another syringe.
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Chapter
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/24050
Sample Questions
Q1) It has been said that Florence Nightingale revolutionized nursing. Which example supports this statement?
A) She encouraged men to become nurses.
B) She encouraged nurses to serve physicians in order to learn from them.
C) She instituted changes that affected patient survival rates.
D) She organized nursing in America.
Q2) Which is the dominant focus of patient care in the current health care environment?
A) To increase cost to increase profit
B) To contain rising costs
C) To ignore rising costs
D) To manage care according to cost
Q3) What is the function of Continuous Quality Improvement?
A) To improve staff compliance with training
B) To assist staff in building on nursing skills
C) To assess patient care, from admission to discharge
D) To improve collaboration of staff
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13
Chapter 12: Upholding Legal and Ethical Principles
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/24051
Sample Questions
Q1) A nurse is working with a patient who is well known to the public. Shortly before lunch, a news reporter walks into the nursing unit and begins questioning the nurse. The nurse knows that if she gives out patient information without the patient's consent, she would be failing to comply with which law?
A) Informed consent
B) Health Insurance Portability and Accountability Act (HIPAA) of 1996
C) Hospital policy
D) Common law
Q2) The RN is listening to a lecture on malpractice. Which statement indicates that the teaching has been effective?
A) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and insurance."
B) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and battery."
C) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and intent."
D) "The elements that must be present to prove malpractice are: duty, breach of duty, actual injury and causation."
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Page 14
Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/24052
Sample Questions
Q1) An RN has been working on a cardiac unit for 1 year and has settled comfortably into an efficient, safe, and organized routine for each shift. However, whenever an urgent issue arises, the nurse feels uncomfortable. It is most likely that this nurse is functioning at which skill level?
A) Novice
B) Proficient
C) Competent
D) Expert
Q2) The medical team determines that a patient needs to be transferred to another facility to continue receiving the most appropriate and beneficial care. The transfer process has been slow and difficult, and the nurse is struggling to care for the transferring patient along with her other assigned patients. What is the best action the nurse can take to improve her situation?
A) Continue to do the best that she can do for all of her patients.
B) Inform the medical team that the transfer will have to wait for the next shift.
C) Involve management so that the nurse can focus on patient care.
D) Ask her co-workers to manage her patient assignment.
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Page 15
Chapter 14: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/24053
Sample Questions
Q1) All of these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the RN to delegate to a nursing assistant?
A) Assist the patient in choosing high-nutrition items from the menu.
B) Monitor the patient for skin breakdown over the bony prominences.
C) Assess the patient's strength while ambulating the patient in the room.
D) Offer the patient the ordered nutritional supplement between meals.
Q2) A nurse manager must confront an employee about excessive absenteeism. During the confrontation with this employee, which introductory statement is most appropriate?
A) "Is there something occurring in your life that is interfering with your attendance at work?"
B) "What is your understanding of our absenteeism policy and being placed on probation?"
C) "You are always calling in sick and leaving the staff in a real mess."
D) "Let's pull the policy manual out and read the absenteeism policy together."
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16
Chapter 15: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24054
Sample Questions
Q1) While obtaining a health history of a patient who has a large infected wound on the foot, the nurse learns that the patient has taken goldenseal to boost immune function rather than taking antibiotics for the infection. Which action by the nurse is initially most appropriate?
A) Instruct the patient about the reasons for antibiotic use with infection.
B) Ask the patient, "How do you feel about using both antibiotics and natural remedies?"
C) Tell the patient that the doctor is likely to prescribe antibiotics.
D) Tell the patient that studies of goldenseal show that it is not effective in treating infection.
Q2) A patient has had no visitors for the 2 weeks he has been on your unit. The patient seems dejected and insists on having his few belongings in sight at all times. The nurse realizes that he may be experiencing what kind of need?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/24055
Sample Questions
Q1) A stroke patient has been discharged from the hospital and requires care at home. Family support includes the patient's husband and one adult child who lives 90 minutes away with her family, who helps as often as possible. The husband has had to miss work often and has stopped playing golf weekly to care for his wife. What tertiary care service may be a benefit not only to the family members but to also the patient?
A) Home health care
B) Respite care
C) Hospice care
D) Extended care
Q2) Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?
A) "Would you like a chaplain to come pray with you?"
B) "Do you turn to spiritual guidance as a source of strength in illness?"
C) "What helps you most when you feel afraid?"
D) "What is most frightening about your situation?"
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Chapter 17: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/24056
Sample Questions
Q1) Which of the following is an example of an anxiety-causing situation below that is potentially caused by a role transition from licensed practical nurse/license vocational nurse (LPN/LVN) to RN?
A) A shift assignment of four patients
B) Managing care based on your knowledge and skills
C) Changing work shifts from days to nights
D) Delegating tasks to LPNs/LVNs and medical assistants
Q2) It is 0800 and the nurse just received report. Which patient situation demands the nurse's immediate attention? The patient
A) with a blood glucose of 200.
B) who needs a 0800 vancomycin level drawn.
C) receiving a blood transfusion who reports slight itching and chills.
D) with a serum potassium level of 4.3 mEq/dL who is receiving digoxin.
Q3) As a graduate nurse, which statement strongly suggests future success in the current nursing practice environment?
A) "I am really good at performing nursing skills."
B) "I always get my work done on time."
C) "When possible I attend all staff meetings."
D) "I am actively involved in decision-making on the unit."
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Page 19
Chapter 18: Prepare Now to Pass NCLEX-RN
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24057
Sample Questions
Q1) The use of CAT has drastically changed the process of licensure testing. The graduate nurse understands this process when she makes which statements? (Select all that apply.)
A) "The implementation of CAT allows me to choose what study material to use when testing."
B) "CAT allows me to choose a testing center that is close to my home."
C) "CAT gives me the flexibility to select a testing time and date that fits into my work schedule."
D) "CAT implementation allows me to schedule multiple testing dates, in case I cannot make one."
E) "CAT ensures easier questions than the older written tests."
Q2) Every 3 years the NCSBN conducts practice analysis to determine the expectations for entry level nurses who are newly licensed. The nurse manager understands and can state that nursing care activities are analyzed in relation to all of the following except A) frequency of performance.
B) time commitment.
C) impact on maintaining client safety.
D) client care setting where the activities are performed.
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