LPN to RN Transition Solved Exam Questions
Course Introduction
The LPN to RN Transition course is designed to facilitate the advancement of licensed practical nurses (LPNs) to the role of registered nurse (RN). This course focuses on expanding clinical knowledge, critical thinking, and leadership skills while building on the foundational nursing concepts learned in practical nursing programs. Emphasis is placed on the nursing process, patient assessment, evidence-based practice, and the management of complex health conditions across the lifespan. The course also explores professional responsibilities, ethical considerations, and the scope of practice differences between LPNs and RNs, preparing students for entry into upper-level nursing coursework and the increased responsibilities of the RN role.
Recommended Textbook LPN to RN Transitions 4th Edition by Lora Claywell
Available Study Resources on Quizplus
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
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/24040
Sample Questions
Q1) 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
Q2) The RN is talking with the unit manager about ways to improve patient care. The manager introduces the concept of a cohort. Which statement by the RN indicates that the teaching has been effective?
A) "A cohort is a web of connections".
B) "A cohort is a group of people who share common experiences with each other".
C) "A cohort is a group linked together for common purposes".
D) "A cohort consists of groups of individuals that make up a whole".
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Assessing Yourself and Designing Success
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/24041
Sample Questions
Q1) A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism?
A) Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself.
B) Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself.
C) Perfectionism is the only means by which we can truly improve.
D) Perfectionism is a character flaw and cannot be addressed.
Answer: A
Q2) The nurse understands that there are four key habits for managing the work of success. Which action by the nurse demonstrates her understanding?
A) Participating in a yoga class
B) Analyzing case studies on her day off
C) Taking time at the beginning of the work shift to make a plan for her day
D) Setting short- and long-term goals
Answer: C
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Study Habits and Test-Taking Skills
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/24042
Sample Questions
Q1) The student is attending a lecture on improving test taking. Which statement indicates that the teaching has been effective?
A) "Multiple incorrect options on a test are stems".
B) "Multiple incorrect options on a test are structured responses".
C) "Multiple incorrect options on a test are distracters".
D) "Multiple incorrect options on a test are negative indicators".
Answer: C
Q2) The RN is performing an assessment on a patient being admitted for back pain. The nurse interprets which of the patient's statements as a minor detail?
A) The patient has not been able to void in 12 hours.
B) The patient ate 90% of his meal.
C) The patient reports being unable to walk.
D) The patient was involved in a car accident 2 days ago.
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
5
Chapter 4: 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/24043
Sample Questions
Q1) 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.
Q2) An RN student is discussing formal role socialization with her nursing professor. The professor believes the RN student has a good understanding when she states that formal role socialization
A) "can occur in any informal setting."
B) "occurs during patient teaching."
C) "does not occur in the classroom setting."
D) "only occurs spontaneously."
Q3) Which function falls within the LPN/LVN's scope of practice?
A) Formulating the plan of care
B) Collecting data
C) Selecting nursing diagnoses
D) Setting goals, objectives, and outcomes
To view all questions and flashcards with answers, click on the resource link above.
Chapter 5: 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/24044
Sample Questions
Q1) Which theory focuses on patterns, life processes, and wholeness and describes seeing the life process as a progression believing that health and the evolving pattern of consciousness are the same?
A) Theory of Goal Attainment
B) Theory of Health as Expanding Consciousness: Margaret Newman
C) Theory of Interpersonal Relations
D) Roy Adaptation Model
Q2) What example illustrates the conclusion that can be drawn from inductive reasoning?
A) Bachelors are unmarried men and Danny is unmarried; therefore, Danny is a bachelor.
B) Every eagle seen this week has dark feathers; therefore, all eagles have dark feathers.
C) Most Ford vehicles are reliable, so the Ford you just bought will be reliable, too.
D) All dogs have fleas; therefore, my dog has fleas.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 6: 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/24045
Sample Questions
Q1) Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
A) Pain
B) Reduced gas exchange
C) Reduced stamina
D) Need for health teaching
Q2) Which outcome statement is a properly written goal?
A) "The patient will be free of pain."
B) "The patient will verbalize the importance of lifestyle changes."
C) "The patient will get up into the chair one time daily for 1 hour."
D) "The patient will demonstrate breathing techniques by the end of shift."
Q3) A patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week. Which nursing diagnosis is a priority?
A) Dehydration related to fluid loss
B) Inadequate nutrition related to anorexia
C) Excessive fluid related to reduced urine output
D) Reduced skin integrity related to lower fluid intake
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 7: Critical and Diagnostic Thinking for Better Clinical Judgment
Available Study Resources on Quizplus for this Chatper
19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/24046
Sample Questions
Q1) 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.
Q2) Which patient would the nurse see first at the start of the shift?
A) A patient admitted yesterday with osteomyelitis of the right arm with a T of 101.0°F.
B) A patient with hepatic encephalopathy who is being rude to the nursing assistant.
C) A patient with lupus who has been on long-term corticosteroids and whose blood sugar is 180.
D) A patient with circumferential burns of the right leg who is complaining of numbness in the right foot.
To view all questions and flashcards with answers, click on the resource link above.
Page 9
Chapter 8: Practicing Evidence-Based Decision Making
Available Study Resources on Quizplus for this Chatper
24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/24047
Sample Questions
Q1) Which question should the nurse ask in order to judge the validity of a research study?
A) What reliability information has been provided?
B) Are the instrument measures applied consistently?
C) Does the instrument measure what it is supposed to measure?
D) How much random error exists?
Q2) 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.
Q3) The American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program for hospitals to address quality patient care. What is the significance of achieving magnet status?
A) Excellence in quality patient care and recruitment and retention of nurses
B) Excellence in research, patient care, and retention of physicians
C) Excellence in recruiting nurses, early discharge, and effective billing
D) Excellence in recruitment and retention of ancillary caregivers
To view all questions and flashcards with answers, click on the resource link above. Page 10
Chapter 9: 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/24048
Sample Questions
Q1) A nurse has a plan for teaching the patient about a newly diagnosed disease. On entering the room the nurse realizes that the patient is blind. What considerations for communication should the nurse be aware of?
A) Tone, pitch, inflection, and intensity affect how messages are communicated.
B) Messages are clearer when verbal communication and nonverbal cues are opposite.
C) Verbal communication must be understood within the context of a patient's culture, gender, and age.
D) Facial expressions and eye contact are characteristics of verbal communication.
Q2) The nurse is caring for a patient 2 hours after a left above-the-knee amputation. The patient states, "My left leg is really hurting, and that medicine you gave me earlier didn't help." Which response is the most therapeutic, if made by the nurse?
A) "That's impossible!"
B) "You'll have to talk to your doctor."
C) "Keep your chin up."
D) "I will call your physician."
To view all questions and flashcards with answers, click on the resource link above.
11
Chapter 10: Teaching Patients and Their Families
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24049
Sample Questions
Q1) Which fact would you select to describe the mandate by The Joint Commission 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.
Q2) 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.
Q3) Which patient characteristic must a nurse consider when planning teaching?
A) Literacy level
B) Discharge instructions
C) Good lighting
D) Pain medication
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 11: 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/24050
Sample Questions
Q1) The nurse is listening to a lecture on Florence Nightingale. Which statement indicates that the teaching has been effective?
A) "Nursing is defined as doing as much as possible for each patient."
B) "Nursing involves helping the patient restore health and prevent disease or injury."
C) "Nursing is management of the patient and control of the environment."
D) "Nursing is focused solely on care of the sick patient."
Q2) 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
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
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 12: Upholding Legal and Ethical Principles
Available Study Resources on Quizplus for this Chatper
29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/24051
Sample Questions
Q1) The nurse accidentally administers the wrong dose of a medication. Her first action would be to
A) notify the physician.
B) fill out an incident report.
C) assess the patient.
D) tell her supervisor.
Q2) The RN understands the importance of providing culturally competent nursing care when she does which of the following? (Select all that apply.)
A) Uses flexibility to accommodate the patient
B) Becomes knowledgeable about other cultures
C) Lets go of negative attitudes about other cultures
D) Believes that her culture is superior
E) Avoids patients of different cultures
Q3) 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."
To view all questions and flashcards with answers, click on the resource link above.
14
Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
Available Study Resources on Quizplus for this Chatper
17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/24052
Sample Questions
Q1) Which action would indicate that the RN is practicing at the proficient level?
A) Asks another nurse to be present while a Foley catheter is inserted
B) Becomes frazzled when two patients are unexpectedly admitted at the same time
C) Thinks critically about situations and is able to anticipate patient needs
D) Assumes the role of charge nurse while managing a tough patient assignment
Q2) A nurse has just realized that her license is due to expire in 5 months. The nurse knows that she is responsible for maintenance of her license in order to continue practicing as a nurse. What would be the best action for her to take?
A) Put off obtaining the continuing education credits until 1 month before the expiration date.
B) Immediately begin working on obtaining the continuing education credits.
C) Email the nursing board to inquire about why she was not notified earlier.
D) Forgo obtaining the continuing education credits and hope that she does is not audited.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 14: Leading, Delegating, and Collaborating
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/24053
Sample Questions
Q1) A newly admitted patient has several orders the physician has written. As manager of care, a graduate RN knows that three of the following tasks can be routinely delegated to a nursing assistant, but one of them must be reserved for the RN to complete. Which task must the RN complete?
A) Reminding to use the incentive spirometer
B) Irrigating of a urinary catheter
C) Conducting fingerstick glucose tests
D) Collecting data for intake and output
Q2) Which statement best reflects that the nurse manager has taken the first action in the decision-making process?
A) "We could hire four additional nursing assistants."
B) "We need to decrease patient falls."
C) "Patient falls have decreased by 20%."
D) "Here is the revised staffing schedule."
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 15: 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/24054
Sample Questions
Q1) A patient has chosen to see a Family Nurse Practitioner (FNP) to assist with health promoting activities. Which of the following services provided by the FNP is the best example of a health promotion activity?
A) Teaching about a low-fat diet for a patient with a blood pressure of 136/82
B) Prescribing a cholesterol-lowering medication
C) Scheduling a cardiac stress test
D) Prescribing an anticoagulant for a patient with atrial fibrillation
Q2) After the nurse implements diet instruction with a patient with heart disease, the patient can explain the information but fails to make the recommended dietary changes. The nurse's evaluation is that
A) learning did not occur because the patient's behavior did not change.
B) the nursing responsibility for helping the patient make dietary changes has been fulfilled.
C) choosing not to follow the diet is the behavior that resulted from the learning. D) the teaching methods were ineffective in helping the patient learn the dietary information.
To view all questions and flashcards with answers, click on the resource link above.
17
Chapter 16: Managing Care in Secondary and Tertiary
Health Care
Available Study Resources on Quizplus for this Chatper
14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/24055
Sample Questions
Q1) The nurse is listening to a lecture on the acute care environment and the role of the RN. Which statement indicates that the teaching has been effective?
A) "The RN ensures more independence in self-care ability."
B) "The RN avoids discussing wait times as the patient progresses through the illness state."
C) "The RN changes the medical plan of care according to the RN's assessments."
D) "The RN delegates the majority of decisions to the medical assistants."
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?"
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 17: Reflecting on Your Transition
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/24056
Sample Questions
Q1) Which patient is at greatest risk for injury and requires the nurse's immediate attention? The patient who had a(n)
A) paracentesis 20 minutes ago and is sitting in bed with the arms resting on the overbed tray.
B) surgical repair of an incarcerated hernia yesterday and now has slight bruising at the incision site.
C) echocardiogram that showed an ejection fraction of 40% and has a resting heart rate of 110 occasional PVCs.
D) needle liver biopsy 1 hour ago and is now thrashing about in bed and complaining of severe abdominal pain.
Q2) What could a nurse say who believed that a nursing student has a duty to understand pertinent clinical information to make sound clinical judgments?
A) "Sometimes work does get in the way of studying."
B) "Nursing school is difficult, and striving for average is understandable."
C) "You should be honest when critically reflecting on your strengths and weaknesses."
D) "Experience after nursing school will provide real nursing knowledge."
To view all questions and flashcards with answers, click on the resource link above.
19
Chapter 18: Prepare Now to Pass NCLEX-RN
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/24057
Sample Questions
Q1) A student is designing a study plan to prepare for NCLEX. The student analyzes testing processes and determines which goal is the best preparation process?
A) Review the medical surgical book 15 minutes each day for each disease process in the book.
B) Answer 2500 to 3000 NCLEX-type questions before taking boards.
C) Make flash cards to study lab values.
D) Outline chapters for exams with a score of less than 80%.
Q2) A student is studying the KATTS Framework in class. She has offered to tutor a friend who is struggling to grasp the concept of the framework. She knows that her teaching has been effective when her friend states that the KATTS Framework consists of all of the following, except
A) knowledge base.
B) anxiety control.
C) time management skills.
D) test-taking skills.
To view all questions and flashcards with answers, click on the resource link above.