Nursing Transition Courses Exam
Review
Course Introduction
Nursing Transition Courses are designed to support students and practicing professionals as they move between different roles, educational levels, or healthcare settings within the nursing field. These courses focus on bridging gaps in knowledge, clinical skills, and professional expectations, helping learners adapt to new responsibilities and environments. Key topics often include advanced patient care techniques, leadership development, ethical decision-making, effective communication strategies, and the integration of evidence-based practices. Through a combination of theoretical instruction, practical simulations, and reflective activities, these courses prepare participants for success in their evolving nursing careers and foster lifelong learning and adaptability.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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Sample Questions
Q1) Which learner is fulfilling an important student responsibility when receiving examination results?
A) The student who looks at the test grade and hands the test and answer sheet back
B) The student who argues each wrong answer with the instructor
C) The student who tries to understand mistakes made on the test
D) The student who appears interested in the test results
Answer: C
Q2) What understanding about the goal of evaluation would be most helpful to a student in a nursing program?
A) Evaluation lowers learner self-esteem.
B) Evaluation ridicules student performance.
C) Evaluation identifies behaviors that stand in the way of meeting goals.
D) Evaluation informs the learner of things that annoy the instructor.
Answer: C
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) A nurse is presenting information on time management to the clinical team at a nursing home.Select information to present that describes positive aspects of time management.
A) Time management helps one use time more efficiently.
B) Time management prevents one from doing what he or she wants to do.
C) Time management helps one use time more effectively.
D) Time management makes individuals slaves to their schedules.
E) Time management promotes smarter, not harder, work.
Answer: A,C,E
Q2) A nursing student has used time management strategies for one semester.The goal was to achieve a B average,but the actual grade was a C+.The student considers how to modify use of time.This process is called
A) planning.
B) implementation.
C) evaluation.
D) delegation.
Answer: C
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Chapter 3: Learning Methods and Skills: How Do You Learn?
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Sample Questions
Q1) The nurse could best describe an individual with attention deficit disorder (ADD)by stating that the individual
A) has a lower-than-average IQ.
B) is able to organize and follow through without difficulty.
C) has an undependable memory and learning system.
D) is emotionally stable and attentive to tasks.
Answer: C
Q2) A person who learns best by using an organized method that involves categorizing,classifying,and working with abstract patterns and relationships is known as what type of learner?
A) Spatial learner
B) Musical learner
C) Linguistic learner
D) Logical/mathematical learner
Answer: D
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5
Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) Which is a strategy of effective reading?
A) Read in a monotone with no inflection.
B) Read in phrases, a few words at a time, rather than word by word.
C) Read at the same pace regardless of difficulty.
D) Do not mark your book or ebook.
Q2) A nursing student is asked to identify distractions that limit the ability to concentrate.An example of an external distraction is
A) anxiety.
B) daydreaming.
C) mental fatigue.
D) background noise.
Q3) A nursing student tells a peer,"After working nights,I have a problem staying focused during the afternoon lectures.My mind wanders,and all of a sudden I realize that I'm lost." What helpful hints should the peer offer?
A) If possible, sleep before coming to class.
B) Complete readings after attending lecture.
C) Write down key concepts and examples.
D) Ask questions during and after class.
E) Try to write everything the lecturer says.
Page 6
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A nursing student could best explain an Internet search engine to a peer by saying it is most like
A) a book or periodical index.
B) a clinical contact with a patient.
C) a videotape.
D) the vertical file.
Q2) A nursing student uses the Internet to learn about the use of antidepressant medications.Select the domain names that would suggest that information on the site is credible.
A).com
B).gov
C).edu
D).net
Q3) When a nursing student needs a journal article from a periodical that is not available in the holdings of the learning resource center,the student should
A) try to find a substitute article.
B) request an interlibrary loan.
C) go to the stacks and look again.
D) check the vertical file.
Page 7
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) Which cycle is associated with being a co-dependent individual?
A) Experience fear, resort to manipulation, develop angry feelings toward victim
B) Rescue someone, view the rescued individual disrespectfully, experience feelings of victimization
C) Abuse a loved one, feel remorse, try to undo, experience increasing tension, abuse again
D) Express love, experience dissatisfaction, engage in violence
Q2) During report,the LPN/LVN relates that although her assigned patient was ambulatory,she provided a bed bath,special foot care,and nail care; she justified the care by saying that the patient seemed very tired.The nurse also mentioned that the patient had a number of personal problems for which she provided counseling.The charge nurse recognizes these behaviors as suggesting
A) conscientious nursing.
B) empathetic response.
C) conflict avoidance.
D) co-dependence.
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8
Chapter 7: How Practical/Vocational Nursing Evolved: 1836
to Present
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Sample Questions
Q1) After licensing,the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN)and allowed by the Nurse Practice Act.Delegation is allowed as long as which requirements are met?
A) An RN is willing to teach the skill.
B) An RN observes the return demonstration.
C) An RN delegates complex patients to the LPN/LVN.
D) An RN delegates formulating nursing diagnoses to the LPN/LVN.
E) An RN documents the teaching or learning process for the LPN/LVN's file in the place of employment.
Q2) The role of self-defined practical nurses throughout history has been to
A) care for the ill, injured, and dying and for birthing mothers.
B) compete with physicians and surgeons.
C) perform complex nursing skills independently.
D) make contact with the gods on behalf of the ill person.
Q3) The "first real school of nursing" was located in A) Israel
B) Greece.
C) Italy.
D) Germany.
Page 9
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) A nursing student determines that she needs to increase her reading effectiveness.Identify two effective strategies for accomplishing this goal that can be implemented immediately.Select all that apply.
A) Read one word at a time.
B) Move her lips while reading.
C) Read recreational literature more slowly than technical material.
D) Underline unfamiliar words.
Q2) The nursing student has learned the principles of determining and recording intake and output.When the student cares for a patient who has had a liquid breakfast and has voided twice and vomited once,the student documents intake and output in the patient's chart using the cognitive level known as
A) knowledge.
B) comprehension.
C) application.
D) analysis.
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
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10
Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) The patient's nursing diagnosis is pain associated with walking related to knee injury.The LPN/LVN should accurately identify the patient problem as
A) arthritis.
B) unwillingness to exercise.
C) need for knee brace.
D) knee pain.
Q2) Which of the following are examples of subjective data?
A) A patient has an offensive body odor.
B) A patient complains of feeling stressed.
C) A patient complains of feeling anxious.
D) A patient complains of substernal chest pain.
E) A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom."
Q3) A nurse is gathering data about a patient.The nurse determines that which of the following is subjective data?
A) The patient complains of excruciating, crushing chest pain.
B) The patient is short of breath and coughs up green sputum.
C) The patient has gained 1 lb within the past 24 hours.
D) The patient is experiencing sinus tachycardia and peripheral edema.
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Page 11
Chapter 10: Nursing Theory,Research,and Evidence-Based Practice
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Sample Questions
Q1) The nursing instructor provides positive feedback to the student LPN/LVN after observing the student administer an intramuscular injection to a patient.According to Maslow's human needs theory,the instructor is helping to meet the student's
A) physiological needs.
B) safety needs.
C) love and belonging needs.
D) esteem needs.
Q2) According to the culture care theory,the two kinds of care in every culture are
A) practical and generic.
B) generic and professional.
C) professional and nonprofessional.
D) practical and professional.
Q3) Research studies in nursing are important because they generate knowledge for which of the following?
A) Clinical practice
B) Surgical procedures
C) Nursing education
D) Delivery of nursing
E) Prescribing medications
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) The nurse is asked to explain the meaning of ethics to a patient.The nurse should correctly state,"Ethics is a system of standards that refer to ideas and actions in terms of being (select all that apply):
A) right and wrong."
B) moral and immoral."
C) legal and illegal."
D) good and bad."
E) ought and ought not."
F) like and dislike."
G) rights and duties."
Q2) Which situation can be identified as abandonment of patients by the nurse?
A) Calling in sick
B) Floating to a unit after a 2-day orientation to the unit
C) Starting to care for patients on wing A and being reassigned to wing B
D) Going off duty without giving report rather than care for patients on an unfamiliar unit
Q3) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
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Page 13
Chapter
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Sample Questions
Q1) A legal document that describes the kind of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a(n)____________________.
Q2) The student nurse caring for a patient with a large decubitus ulcer photographs the ulcer without obtaining permission from the patient.The patient developed the ulcer while being cared for at home by her physician husband.The student plans to give the patient's history and use the photograph in a paper she is writing.The instructor explains to the student that this action is unacceptable and could result in a court action for A) battery.
B) malpractice.
C) negligence.
D) libel.
Q3) A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
A) carrying malpractice insurance.
B) requesting supervision for all care.
C) not signing her or his name to patient medical records.
D) maintaining good relationships with patients and families.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) A patient asks a practical/vocational nursing student the following questions.To which option should the nurse respond,"I don't know the answer to your question,but I'll find someone who will discuss it with you"?
A) "What do you mean when you say 'vital signs'?"
B) "May I get out of bed?"
C) "How do I call a nurse when I need one?"
D) "How much longer do I have to live?"
Q2) The nurse demonstrates commitment to the patient by
A) delivering nursing care skillfully.
B) using humor to poke fun at the patient.
C) giving advice to solve the patient's problems.
D) talking about what the nurse plans to do after work.
Q3) A nurse tells a patient,"There you are with varicose veins,sitting with your legs crossed at the knee.How often have we told you not to do that?" This communication demonstrates
A) giving advice.
B) probing.
C) chiding.
D) requesting information.
Page 15
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) A nurse demonstrates assertive behavior by doing which of the following?
A) Assuming a patient would like to skip the bath when the patient's spouse comes to visit
B) Being unable to continue suctioning a patient because she is concerned the patient will not like her for doing it
C) Experiencing a feeling of devastation when the patient questions her ability to insert an intravenous catheter
D) Requesting to speak with the physician privately when she feels that the physician has ordered an inappropriate treatment
Q2) A nurse experiences potential danger from a patient who is highly suspicious and fears being harmed.Which behaviors by the nurse will help alleviate the threat of violence?
A) Stand in the doorway of the room.
B) Maintain an open position with the hands in view.
C) Occasionally touch the patient gently on the forearm.
D) Turn away from the patient to demonstrate lack of fear.
E) Speak in a quiet, controlled voice.
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Page 16
Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Q1) The role of the LPN/LVN can best be described as which of the following?
A) Initiates all health teaching
B) Works in an independent role
C) Initiates all phases of the nursing process
D) Assists with all phases of the nursing process
Q2) The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
A) The LPN/LVN is able to administer oral medications.
B) The LPN/LVN is a first-line manager responsible to the RN.
C) The LPN/LVN formulates nursing diagnoses and care plans.
D) The LPN/LVN interprets and implements research findings.
Q3) The member of the health care team responsible for performing treatments to assist the patient to breathe more efficiently and effectively is the
A) occupational therapist.
B) physical therapist.
C) respiratory therapist.
D) psychotherapist.
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Page 17
Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Which statement about culture will help the nurse implement culturally competent care?
A) Each culture measures other cultures using its own ways as the norm.
B) Culture is primarily based on genetic inheritance.
C) Stereotypes about cultures can be accepted as true.
D) Cultural diversity is based entirely on race.
Q2) The nurse sets a goal to avoid stereotyping culturally diverse patients.Which of the following measures will help the nurse attain this goal?
A) Automatically apply all information known about a culture to patients of that cultural group.
B) Assume that all individuals from Southeast Asia practice Buddhism.
C) Refer to textbook information about cultural groups to predict individual behavior.
D) Gather information about how the patient believes illness can best be treated.
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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18
Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A religion in which members observe the Sabbath from sunset on Friday to sunset on Saturday is
A) Mormonism.
B) Catholicism.
C) Islam.
D) Seventh-Day Adventist.
Q2) A patient following a kosher diet consumes a breakfast of toast,eggs,and turkey bacon.The LPN/LVN is aware that 6 hours must pass before the patient is offered A) water.
B) juice.
C) milk.
D) coffee.
Q3) A religion that was founded by Joseph Smith in the nineteenth century is A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.
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Page 19
Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) Which agencies are considered part of the U.S.Public Health Service?
A) National Institutes of Health
B) Food and Drug Administration
C) Veterans Administration
D) Centers for Disease Control and Prevention
E) American Cancer Society
F) Alcohol, Drug Abuse, and Mental Health Administration
Q2) A resident who is terminally ill and his family are considering hospice.They ask the nurse for information about hospice.Which of the following would be information the nurse could correctly relay?
A) Maintaining comfort as death approaches is the hospice philosophy.
B) Hospice care may be provided at home or in a freestanding agency.
C) Family members are encouraged to care for the individual.
D) Hospice can be tailored to meet the individual's and the family's needs.
E) The cost of hospice is more than the cost of hospital care.
F) Respite care is available when the individual is cared for at home.
Q3) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
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Page 20
Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) Which of the following constitutes a problem that affects data collected by the nurse interviewing an elderly,chronically ill patient? Many elderly who are covered only by Medicare Parts A and B find it difficult to pay the cost of
A) hospital care for an acute short-term illness.
B) prescription drugs while living at home.
C) post-hospitalization rehabilitation services in a skilled nursing facility.
D) doctor's office visits, Pap smears, and mammography.
Q2) Which of the following is a quality improvement activity in which the LPN/LVN engages routinely?
A) Collecting data for care plan development
B) Identifying nursing diagnoses
C) Initiating patient teaching about medications
D) Evaluating patient goal attainment
Q3) Once a deductible has been met,the percentage of the total bill paid by the insured person is known as the
A) premium.
B) deductible.
C) copayment.
D) coinsurance.
Page 21
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Chapter 20: Leadership Skills
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Sample Questions
Q1) Which of the following is an example of objective,rational thinking rather than subjective,irrational thinking about nursing assistants whom the LPN/LVN charge nurse supervises?
A) "I want nursing assistants to be on time for report."
B) "Neat appearance means good clinical skills."
C) "Nursing assistants who are late intend to take advantage of co-workers."
D) "Beware of nursing assistants who smile a lot. They're manipulative."
Q2) The LPN/LVN spends time exploring the agency mission statement with the nursing assistants who work that shift.They create a list of ways they can contribute to achieving the agency goals.This process is called
A) stress management.
B) problem-solving.
C) team building.
D) conflict resolution.
Q3) Which quality is rarely found in democratic leaders?
A) Assertiveness
B) Arrogance
C) Desire for new learning
D) Effective communication
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Page 22
Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Q1) The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor.The LPN/LVN charge nurse should
A) report this finding to the RN supervisor.
B) send the person to the locker room to shower and put on clean clothes.
C) terminate the nursing assistant.
D) meet with the person to inform her of the problem and reinforce agency expectations.
Q2) When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties,which task could be delegated to experienced,unlicensed assistive personnel who have been trained to perform the task?
A) Calling the physician when a resident's condition deteriorates
B) Providing a performance evaluation for another nursing assistant
C) Taking the vital signs of a resident whose condition is not critical
D) Handling a grievance brought by a nursing assistant
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Q1) Which questions should the nurse identify as illegal for the interviewer to ask and therefore the nurse need not feel obligated to answer directly?
A) "Have you been hospitalized within the past year?"
B) "What are two important things about yourself that you would like me to know?"
C) "Do you have a criminal record?"
D) "What would you say is your greatest weakness in the clinical area?"
Q2) Which of the following individuals is most likely to provide the most authoritative,positive reference for a student nurse who is beginning to search for postgraduation employment?
A) Instructor A, who has provided positive feedback during clinical labs
B) Program director B, who is familiar with the student nurse's academic record
C) Nurse C, who is the student nurse's acquaintance at the health club
D) Student nurse D, who is a peer enrolled in the same nursing program
Q3) Which is a basic rule when writing a letter of resignation?
A) Avoid venting negative feelings.
B) Honesty is the best policy; say how it is.
C) List suggestions for agency improvement.
D) Prior notice is highly overrated; just don't show up any more.
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24
Chapter 23: The NCLEX-PN Examination
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Q1) 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."
Q2) 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.
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Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Q1) The quality that is the greatest asset for the LPN/LVN working in home health care is A) flexibility.
B) judgmental attitude.
C) sympathetic approach.
D) preference for working alone.
Q2) Which statement explains a major deterrent to setting up LPN/LVN-to-RN programs?
A) There is a lack of interest by LPN/LVNs in becoming RNs.
B) There is a belief that practical/vocational nurse courses are inferior (or not sufficient) and must be repeated at the collegiate level.
C) The abundance of RNs in recent years has crowded the field and created an LPN/LVN job shortage.
D) Practical/vocational nurse programs have increased curriculum content to make it possible for graduates to function in RN roles.
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
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