Professional Issues for LPN to RN Students Exam Practice Tests
Course Introduction
This course explores the professional issues and challenges faced by Licensed Practical Nurses (LPNs) transitioning to Registered Nurse (RN) roles. Students will examine topics such as scope of practice, ethical and legal considerations, professional accountability, leadership skills, interprofessional collaboration, and the impact of healthcare policies on practice. Emphasis is placed on developing critical thinking, communication, and advocacy skills necessary for the expanded roles and responsibilities of the RN, as well as strategies for navigating workplace dynamics and supporting lifelong professional growth.
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) An Orthopedic Nurse is contemplating changes in her professional life and identifying goals. Which action should the nurse take if she is interested in pursuing a long-term goal?
A) Studies for a telemetry exam scheduled for next week
B) Enrolls in a Nurse Practitioner program
C) Attends a seminar to become a charge nurse
D) Continues to work on the orthopedic floor full-time
Answer: B
Q2) The nurse educator is presenting a lecture on experience and learning to a group of RNs. Which statement by one of the RNs indicates that teaching has been effective?
A) "Experiences always help educational endeavors".
B) "The process of unlearning is easier than the initial learning".
C) "Learning can often be more difficult if previous knowledge is contradicted".
D) "Experiences rarely serve the student in the learning process".
Answer: C
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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) 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
Q2) A nursing student is learning about effective time management in her first semester of nursing school. Which action by the student indicates that she understands the first critical step?
A) Setting goals based on the desired outcome
B) Prioritizing goals in order of simple to complex
C) Prioritizing tasks in chronological order
D) Assessing the reality of the complete situation
Answer: D
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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 struggling student admits that she is reading the same paragraph over and over when she tries to read the text. The instructor recognizes this as inhibitory to her comprehension of the material. Which suggestion could the instructor make to the student to help correct the situation?
A) "Just keep trying. Maybe you need to read it over a few times to get it."
B) "Maybe you are waiting too late at night to study. Try studying earlier in the day."
C) "Try putting your finger under the words one at a time."
D) "If the words are a stumbling block, study them alone first, and then as you read, you will be less likely to stumble over them and regress."
Answer: D
Q2) A nursing student is preparing for her first day of lecture. She knows that in order to succeed, she should
A) skip the first day of class and read the material at home.
B) sit in the front of the room, away from distractions.
C) take notes from the book during lecture time.
D) sit in the back of the class, next to her best friend.
Answer: B
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Page 5
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) Which of the following is an example of professional advocacy in nursing?
A) Charting and writing up a medication error
B) Writing up a nursing assistant for excessive absences
C) Writing one's senator concerning mandatory overtime
D) Mentoring a new graduate RN who is new to the unit
Q2) 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
Q3) An RN has called the physician to explain that the patient is having second thoughts about a procedure and would like to learn more about the alternatives before proceeding. In this instance the RN is enacting the element of the RN role known as A) counselor.
B) researcher.
C) advocate.
D) mentor.
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Chapter 5: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an example of the application of Levine's Conservation Model to the clinical setting?
A) Teaching the patient to self-administer insulin
B) Encouraging the patient to ambulate
C) Obtaining a wheelchair for the patient
D) Arranging for the patient's family to visit
Q2) The nurse is listening to a lecture on nursing conceptual models. Which statement indicates that the teaching has been effective?
A) "Nursing conceptual models provide a broad explanation of the world".
B) "Nursing conceptual models are composed of a defined and interrelated set of concepts".
C) "Nursing conceptual models are abstract concepts that propose outcomes".
D) "Nursing conceptual models are related constructs that broadly explain a phenomenon of interest".
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
Page 7
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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) Errors may occur with the use of data in formulating an appropriate nursing diagnosis. Based on what you know, which of the following represents the main source of errors in the nursing diagnosis process?
A) Making assumptions without supporting data
B) Placing data in incorrect categories
C) Not validating data with the patient
D) Relying on team members for data
Q2) The nurse is planning care for a patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis of noncompliance with treatment regimen related to side effects of medications?
A) The patient will state two lifestyle modifications for weight management by (date certain).
B) The patient will be compliant with the treatment regimen by (date certain).
C) The patient will understand the disease process by (date certain).
D) The patient's blood pressure will never increase.
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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) 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.
Q2) Which statement best assists the nurse in planning care for the patient who is not adhering to the treatment regimen?
A) Patients' health attitudes directly affect behavior and therefore influence adherence.
B) Patients usually go to the hospital without preconceived ideas about what is wrong with them.
C) Most patients adhere to the advice of health care providers even if they do not believe that the treatment will work.
D) Noncompliance with prescribed treatment is irrational behavior.
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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) The process of understanding and applying researched clinical evidence to nursing practice requires the nurse to become information literate. Which action by the nurse best describes the use of information literacy?
A) Identifies a specific clinical problem, accesses appropriate resources, and assesses the relevancy of use of information for that particular patient's problem
B) Identifies a particular patient problem and immediately notifies the physician and family for treatment
C) Identifies the lack of research skills and consults a librarian for a workshop on conducting research studies
D) Identifies the lack of research skills and consults a scientific researcher to teach basic computer information
Q2) Which of the following is an example of direct research utilization?
A) Advocating for a change in policy
B) Basing practice on current research available
C) Implementing new techniques for practice
D) Critiquing a research study
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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) The physician orders a dose of morphine that the nurse considers excessive. The nurse should
A) administer the medication.
B) ask another nurse to administer the medication.
C) call the supervisor.
D) contact the physician.
Q2) The student nurse is listening to a lecture on communication. Which statement indicates that the teaching has been effective?
A) "A communication blocker is silence."
B) "A communication blocker is eye contact."
C) "A communication blocker is advising."
D) "A communication blocker is clarifying."
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.
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11
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) A patient has been newly diagnosed with type 2 diabetes. The teaching begins in the hospital with an interdisciplinary approach and continues with outpatient classes. However, the patient continues to state, "I know I do not need to spend my time doing all this because I will be fine once I get out from under all this stress." The barrier to learning that the nurse recognizes and must deal with is the
A) patient already knows all she needs to know, so more education is not necessary.
B) patient doesn't know what she doesn't know, so the circle will continue.
C) patient's blood sugar is keeping her from thinking clearly, so it is too soon to try to teach her.
D) patient is in denial and that will need to be dealt with before she will accept the diagnosis and thus the education related to it.
Q2) Which item would most likely be a barrier to learning for a patient who must begin to care for a large open wound at home?
A) Curiosity about the new experience and equipment
B) Tendency for uneasiness about making mistakes
C) Ability to prioritize tasks
D) Understanding that he can promote his own healing
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Page 12
Chapter 11: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/24050
Sample Questions
Q1) 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
Q2) 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."
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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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) Which statements by the nursing student describe how ethics help nurses solve dilemmas in health care? (Select all that apply.)
A) "Ethics requires us to analyze our actions or potential actions critically."
B) "Ethics assists us in determining the right course of action to take."
C) "Ethics allows nurses to let others more qualified make decisions for us."
D) "Ethics allows nurses to take a break from the situation by waiting for the ethics committee."
E) "Ethics causes problems in health care rather than helps."
Q2) The RN student has been studying ethics in health care. Based on what she has learned, how would she explain the bioethical principle of autonomy?
A) It states that the physician knows what is best for the patient.
B) It does not apply to informed consent.
C) It refers to patient self-determination.
D) It states that every patient has a right to health care.
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."
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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 realizes that she inadvertently gave a patient who was NPO for surgery his otherwise normally scheduled PO medications. Which action would she take if she were exhibiting professional accountability?
A) Report the error to the charge nurse and follow up with the patient's surgeon.
B) Report the incident to the charge nurse and blame the co-worker who interrupted her medication pass.
C) Keep the incident to herself so that the patient's surgery will not be canceled.
D) Report the incident the next day that she works.
Q2) 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.
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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) The RN is planning care for the day. Which would be the most appropriate task to assign to the nursing assistant?
A) Collecting a 24-hour urine specimen
B) Feeding the patient who has difficulty swallowing
C) Changing the dressing on an abdominal wound
D) Monitoring a tube feeding
Q2) 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.
Q3) Which of these tasks is appropriate for the RN to delegate to a licensed practical nurse/license vocational nurse (LPN/LVN)?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
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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) A nurse is caring for a non-English-speaking Asian patient whose cultural practices are not familiar to the nurse. The nurse is curious about practices regarding communication and eye contact. The nurse should
A) tell the patient that it is cultural practice in the United States to maintain good eye contact when communicating with someone.
B) observe the behaviors and interactions between the patient and other members of the culture.
C) avoid all eye contact unless the patient establishes eye contact.
D) use eye contact and communication techniques that are most comfortable for the nurse.
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) Some cultures see personal touching as an insult unless you are intimately related. In the acute care setting, the need for touching to administer care may produce what within the patient?
A) Cultural strain
B) Impaired functioning
C) Cultural insult
D) Increased self-care deficit
Q2) 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."
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18
Chapter 17: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
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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) The nurse enters the room of a sleeping patient to administer the 0200 dose of antibiotic that has been ordered every 6 hours. Which action would most effectively maintain a therapeutic blood level of this medication?
A) Administer the medication whenever the client awakens.
B) Omit this dose and chart the reason for doing so.
C) Awaken the patient and administer the medication.
D) Let the patient sleep and double the next dose.
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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) 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.
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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