LPN to RN Transition Final Exam Questions
Course Introduction
The LPN to RN Transition course is designed to facilitate the progression of Licensed Practical Nurses (LPNs) to Registered Nurses (RNs) by building on existing knowledge and clinical skills. The course provides an in-depth review of nursing concepts, critical thinking, patient-centered care, and the expanded roles and responsibilities of an RN. Emphasis is placed on advanced assessment techniques, care planning, delegation, leadership, and evidence-based practice. Students will engage in both theoretical and clinical experiences that prepare them for the advanced dynamics of RN practice, fostering professional growth and preparing them to meet the complex needs of diverse patient populations.
Recommended Textbook
LPN to RN Transitions 3rd Edition by Lora Claywell
Available Study Resources on Quizplus
19 Chapters
398 Verified Questions
398 Flashcards
Source URL: https://quizplus.com/study-set/1117 Page 2
Chapter 1: Honoring Your Past, Planning Your Future
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows that LPN/LVNs who enter nursing school to become RNs come into the learning environment with prior knowledge and understanding. Which statement by the nursing advisor best describes her understanding of the effect experience may have on learning?
A) "Experience may be a source of insight or a barrier."
B) "Experience is usually a stumbling block for LPN/LVNs."
C) "Experience never makes learning more difficult."
D) "Once something is learned, it can never be truly modified."
Answer: A
Q2) A(n) ________ effect experience is one in which movement of the learner toward the desired outcome was constructive.
Answer: POSITIVE
Experiences may be either positive or negative in effect based on the influence on the ultimate outcome.
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Managing Time and Designing Success
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21949
Sample Questions
Q1) A lab instructor is observing placement of a Foley catheter by a senior nursing student. If the student is in the active conceptualization phase of Kolb's Theory of Experiential Learning, what action can the lab instructor expect from the student?
A) The student will need to observe placement before proceeding.
B) The student assists the instructor in placing the catheter.
C) The student places the Foley catheter without assistance.
D) The student verbalizes beginning to understand catheter placement.
Answer: C
Q2) A student exclaims, "I have to make a 100% on this test because anything less is just like failing in my book. I either know it or I don't and if I don't know it now, I never will." This student is obviously stressed, and the statements represent:
A) awareness reduction.
B) cognitive distortions.
C) positive coping mechanisms.
D) acceptance of reality.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
4
Chapter 3: Classroom Study Habits That Work
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21950
Sample Questions
Q1) A first semester student is struggling in class and did not do well on her last exam. She has determined the problem to be her lack of skill in note-taking. What can the student do in order to take more effective notes during lecture?
A) Focus on writing key words and phrases.
B) Photocopy someone else's notes.
C) Write verbatim all that is said.
D) Practice memorization in class instead of taking notes.
Answer: A
Q2) Multiple incorrect options on a test are known as:
A) stems.
B) structured responses.
C) distractors.
D) negative indicators.
Answer: C
Q3) The five-step method of thoroughly studying is composed of which steps in order?
A) Scan, skim, survey, read, recite, review.
B) Scan, skim, read, recite, review, reread.
C) Survey, question, read, recite, review.
D) Survey, question, read, review, reread.
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 5
Chapter 4: Basic Math Review: Preparing for Medication
Calculations
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/21951
Sample Questions
Q1) Pronestyl 4 g in 1000 mL D W. Infuse at 2½ mg/min.
Q2) Aminophylline 250 mg in 500 mL. Infuse at 30 mg/hr.
Q3) What volume of Heparin is one dose?
Ordered: Heparin 12,000 units SC q12h
Available: Heparin 20,000 units/mL
Q4) Ordered: Dilantin 40 mg PO BID
Pediatric dose range: 5 to 7 mg/kg/day
Child's weight: 6.7 kg
Available: Dilantin 30 mg/5 mL susp
Q5) Ticar 500 mg IV q6h. Dilute in 75 mL D W and give over 45 minutes via Buretrol set with a drop factor of 60 gtt/mL.
Q6) Ordered: Nebcin 10 mg IM q8h
Pediatric dose: 2.5 mg/kg/dose
Neonate's weight: 4000 g
Available: Nebcin 40 mg/mL
Q7) Give 1000 mL D ½NS q6h. Drop factor is 15 gtt/mL.
Page 6
Q8) 0.45% NaCl 1000 mL over 6 hours
Q9) Give 1500 mL 0.9 NS with 20 mEq K over 12 hours. Drop factor is 15 gtt/min.
Q10) Magnesium sulfate 5 gm in 100 mL D W to infuse over 3 hours
Q11) Calcium gluconate 10% 16 mEq in 100 mL D W over 30 minutes
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: Passing NCLEX-RN
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21952
Sample Questions
Q1) A graduate nurse is submitting documentation so that she may take the NCLEX-RN within a few months. Which action shows an understanding of the content of the most updated test plan?
A) Spending additional study time reviewing health promotion and maintenance
B) Taking a cardiology course before the exam
C) Reviewing notes from previous nursing classes
D) Setting aside time to study pathophysiology of the brain
Q2) A student is preparing to begin her final semester of nursing school. She is aware that academic and nonacademic factors can affect her ability to pass the NCLEX-RN. Which statements indicate an understanding of the nonacademic factors? (Select all that apply.)
A) "My self-esteem can impact my performance on the exam."
B) "Having test anxiety can prevent me from testing well."
C) "My ability to focus on studying can lead to a pass or fail."
D) "Role strain is a factor in testing success."
E) "Being good at testing would certainly help me pass."
To view all questions and flashcards with answers, click on the resource link above.
8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21953
Sample Questions
Q1) The RN is caring for the following patients. Which patient and task are most appropriate to assign to the LPN/LVN?
A) A 34-year-old female patient who will need discharge teaching
B) A 40-year-old postoperative male patient who needs a dressing change
C) A 64-year-old female patient who needs a bed bath
D) A 79-year-old patient whose plan of care needs to be updated
Q2) The RN understands that the National League for Nursing (NLN) delineates three professional roles of the associate degree nurse when she lists all of the following except:
A) manager of care.
B) team player.
C) provider of care.
D) member of profession.
Q3) The nurse would assume the care provider role of educator during which action?
A) Leading a hand washing initiative to reduce infection rates
B) Answering a new mother's questions about breastfeeding
C) Working with colleagues to transfer a patient into a rehab center
D) Requesting more pain medications for a patient who is recovering from a total hip replacement
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/21954
Sample Questions
Q1) 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
Q2) _____ defined nursing as "that care which puts a person in the best possible condition for nature to restore or to preserve health, and to prevent or to cure disease or injury."
A) Barton
B) Nightingale
C) Breckenridge
D) Dix
Q3) Based on what you know, what events would you select to show the contributions that Isabel Hampton Robb made to nursing? (Select all that apply.)
A) Established a visiting nurse service
B) Reduced student working hours
C) Wrote a book on the history of nursing
D) Promoted licensure exams
E) Fought for women's rights and the right to vote
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 8: Upholding Legal and Ethical Principles
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) The RN understands administrative law when she says, "Administrative law governs: A) federal treaties."
B) the operations of government."
C) the conduct of judges."
D) the United States Supreme Court."
Q2) Which statement made by the nursing student indicates an accurate understanding of culturally competent care?
A) "It means having knowledge of the health-related beliefs and practices of all cultures."
B) "It is the ability to care only for individuals from one's own culture."
C) "It means working within the cultural context of individuals, families, and communities."
D) "It means avoiding discussing the patient's practices or beliefs because they may not agree with your own."
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 9: Care and Safety Standards, Competence, and Nurse Accountability
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) In a situation involving a medication error, the hospital policy is to use root-cause analysis to evaluate the situation fully. In the root-cause analysis process, which action would take place?
A) A committee is formed to determine the risk of litigation.
B) A committee is formed to determine the punishment for those involved.
C) A committee is formed that can reconstruct the events leading to the error.
D) A committee is formed that can correct the error and avoid damages.
Q2) A nurse manager is reviewing an incident report submitted by the previous day's charge nurse. The incident report indicates that the wrong IV antibiotic was given to a patient. What is the best way for the nurse manager to address this incident with the nurse involved so that it may be prevented in the future?
A) Provide education to the nurse on how to assess the five rights before medication administration.
B) Punish the nurse for the error by sending her home for the day.
C) Allow the nurse one error, and educate her if the same mistake happens again.
D) Ask the charge nurse to educate the nurse because she caught the error.
To view all questions and flashcards with answers, click on the resource link above. Page 12
Chapter 10: Using Nursing Theory to Guide Professional Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21957
Sample Questions
Q1) What changes in nursing practice did Florence Nightingale make to improve the personal care of patients?
A) Behaviors
B) Environment
C) Culture
D) Communication
Q2) 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
Q3) Identify the catalyst of Jean Watson's Theory of Care.
A) Personal values and beliefs
B) Belief that nursing practice should be autonomous
C) Changes in health care delivery and patient satisfaction survey responses
D) Theories promoting the capacity of self-care
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 11: Providing Patient-Centered Care Through the Nursing Process
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) In the assessment phase of the nursing process, there are several ways to collect data. Which statements reflect the need for more training? (Select all that apply.)
A) "The patient is talking in full sentences with visitors and appears to be breathing without distress."
B) "Bowel sounds are hypoactive in all four quadrants; no pain with palpation."
C) "Mrs. Collins, are you experiencing any pain right now?"
D) "According to the chart, the patient slept well last night as a result of the pain medicine administered at 2100."
E) "The abdominal wound is slightly red at the approximated edges, no edema noted."
Q2) While the nurse is taking the health history, the patient states, "My father and grandfather both had heart attacks and were unable to be very active afterward." This statement is related to the functional health pattern of:
A) activity-exercise.
B) cognitive-perceptual.
C) health perception-health management.
D) coping-stress tolerance.
To view all questions and flashcards with answers, click on the resource link above.
Page 14
Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) A novice RN is caring for a patient who is saying that something is wrong. Vital signs are normal and there are no new specific findings. The novice RN calls another, more experienced RN who briefly talks with the patient, calls the health care provider, and initiates a transfer to the ICU. Which statement is most likely true of the more experienced RN?
A) The experienced RN is an advanced beginner with better assessment skills than the novice nurse.
B) The experienced RN is proficient in assessment and the use of hospital protocol.
C) The experienced RN is an expert nurse with intuitive judgment that the experienced nurse cannot quite explain.
D) The experienced RN is arrogant, foolish, and likely to get in trouble for her assertive behavior.
Q2) Which of the following is the best example of an open-ended question regarding a patient's pain?
A) "For how many weeks have you been having this pain?"
B) "Does it feel like a burning pain?"
C) "Where on your body does the pain begin and end?"
D) "Can you describe your pain for me?"
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 13: Practicing Evidence-Based Decision Making
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) What is the relationship between the design and layout when creating a critical appraisal tool?
A) Design and layout differ but measure the same areas.
B) Design and layout differ, and reliability measures differ.
C) Design, layout, and reliability are similar but relevancy differs.
D) Design, layout, and reliability differ but trustworthiness is the same.
Q2) What are the problems with variables? (Select all that apply.)
A) Vary from subject to subject
B) Determined through statistics
C) Difficult to account for them
D) Challenging to explain in relation to the study topic
E) Testing whether a correlation exists between results
Q3) The nurse wants to know how similar the 7-minute screen (7MS) is to the Mini-Mental State Examination (MMSE) in accurately screening for dementia. Can you distinguish the correct clinical question category for this type of question?
A) Prognosis
B) Diagnostic
C) Harm/etiology
D) Prevention
To view all questions and flashcards with answers, click on the resource link above.
Page 16
Chapter 14: Communicating With Patients and Co-Workers
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) The instructor asks the nursing student to define therapeutic communication. The student's most appropriate response is that therapeutic communication refers to:
A) psychotherapy.
B) social communication.
C) developing a trusting relationship.
D) emotional commitment to another.
Q2) A patient scheduled for surgery has a severe level of anxiety. Which action, if taken by the nurse, would be most appropriate at this time?
A) Providing teaching about the upcoming surgery and what to expect
B) Telling the patient that there is nothing to worry about
C) Calling the patient's family and demanding that they help out
D) Asking the patient about her concerns, feelings, and perceptions about the surgery
Q3) When preparing for patient teaching what should the nurse do first?
A) Assess the learner's needs.
B) List key points to be presented.
C) Collect the teaching materials.
D) Think about how the skill can be done at home.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 15: Teaching Patients and Their Families
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21962
Sample Questions
Q1) Adult patients are adult learners. Knowing this, the nurse understands the assumptions about adult learners that will help the nurse plan and provide the appropriate education. Which statement provides proof that more instruction about adult learners is needed?
A) "Adults will learn as the need develops and the learning will fulfill that need."
B) "Adults use their lives as the point of reference for all learning."
C) "Adults are visual learners and learn best by taking notes."
D) "Adults prefer to have a say in their learning."
Q2) Which fact would you select to describe the mandate by The Joint Commission (TJC) regarding educating patients? The training and education must be:
A) specific to the assessed needs, interdisciplinary, and evaluated for effectiveness.
B) specific to the assessed needs, cost-effective, and focused.
C) based on the patient's ability to learn, cost-effective, and timely.
D) specific to assessed needs, timely, and delivered by only one person for continuity.
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 16: Leading, Delegating, and Collaborating
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21963
Sample Questions
Q1) A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the patient has traditional beliefs about health and illness. Being a patient advocate, the best action by the nurse is to:
A) avoid asking any questions unless the patient initiates conversation.
B) obtain further information about the patient's cultural beliefs from the family member.
C) ask the patient whether it is important that cultural healers are contacted.
D) explain the usual hospital routines for meal times, care, and family visits.
Q2) Which patient should be assigned to an experienced LPN/LVN?
A) One day post-op coronary artery bypass graft (CABG) who is on telemetry with T 37.1° C, BP 95/50, P 92, R 18
B) Two day post-op appendectomy with T 36.8° C, BP 118/78, P 78, R 18
C) Snake bite 2 days prior with hematuria, melena, and blood seepage at the IV site with stable vital signs
D) One day post cerebral vascular accident (CVA) on a heparin drip experiencing increasing hemiplegia, with stable vital signs
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 17: Promoting Healthful Living in the Primary Care Setting
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21964
Sample Questions
Q1) 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
Q2) The priority health promotion nursing diagnoses for an overweight, but not yet obese, patient who is learning about weight reduction may include:
A) the potential for obesity.
B) the potential for impaired mobility.
C) alteration in nutrition.
D) health-seeking behaviors or knowledge deficit.
Q3) Which family would the nurse consider healthy?
A) A family in which the parents do not allow their 10-year-old child to make basic decisions.
B) A family that encourages independence while supporting each other.
C) A family that does not require a specific curfew for their 16-year-old son.
D) A family that does not allow their 15-year-old child to be an individual.
Page 20
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Managing Care in Secondary and Tertiary
Health Care
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) Which of the following is an example of a responsible resource manager in an acute care facility?
A) Listens to staff input about implementing a new procedure
B) Consumes foods and drinks kept on the unit for patients
C) Considers the unit's patient census when determining staffing
D) Uses supplies that are not accounted for
Q2) According to Orem, people enter the acute health care setting when they are experiencing either a self-care or a:
A) dependent-care agency.
B) community-care agency.
C) dependent-care deficit.
D) community-care deficit.
Q3) By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?
A) Trust
B) Social support
C) Environmental
D) Dependence
To view all questions and flashcards with answers, click on the resource link above. Page 21
Chapter 19: Reflecting on Your Transition
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21966
Sample Questions
Q1) A patient who had recent abdominal surgery is becoming increasingly agitated and confused. He has pulled out his IV and his nasogastric tube. His skin is pale and clammy, heart rate 120 bpm, BP 130/60. The physician has been called. What nursing action is most important at this time?
A) Gather needed supplies and assign the aide to remain with the patient.
B) Stay with the patient and have another nurse obtain needed supplies.
C) Administer pain medication and then recheck vital signs.
D) Assign the aide to retake vital signs every 15 minutes.
Q2) 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."
To view all questions and flashcards with answers, click on the resource link above.