Role Transition from LPN to RN Textbook Exam Questions
Course Introduction
This course explores the critical transition from Licensed Practical Nurse (LPN) to Registered Nurse (RN), focusing on the expansion of roles, responsibilities, and scope of practice. Students will examine differences in clinical decision-making, leadership, and patient care management, as well as the legal and ethical frameworks that distinguish the RN role. Key concepts include advanced clinical skills, interdisciplinary collaboration, patient education, and evidence-based practice. The course supports practical skill development and professional identity formation, preparing students to navigate new challenges and excel in the broader, more autonomous position of a registered nurse.
Recommended Textbook LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
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Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) A nurse notices a posting for a management position for which she is qualified. If the nurse is in the moving phase of Lewin's Change Theory, which statement reflects the action she is most likely to take?
A) Does nothing to obtain the position
B) Applies for the position
C) Identifies that change is needed
D) Settles into the routine of her job
Answer: B
Q2) A student nurse and the staff RN are discussing recent changes on the nursing unit. Which of the following are examples of change processes? (Select all that apply.)
A) Coercive
B) Collaborative
C) Technocratic
D) Planned
E) Organized
Answer: A, C, D
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Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A clinical instructor notices that one of her students worries a lot, expects negative outcomes for most situations, strives for perfection, and seems to look for the tiniest faults in her work. The clinical instructor interprets these behaviors as:
A) commitment to learning.
B) assuming an external locus of control.
C) self-directedness.
D) self-defeating behaviors.
Answer: D
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
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4
Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A student has just listened to a lecture on better strategies for studying. Which of the student's actions indicate understanding? (Select all that apply.)
A) Wait until the evening to study.
B) Begin with the most difficult subjects.
C) Create a conducive study environment.
D) Record the lectures and listen to them in your car.
E) Begin to study the day before an exam.
Answer: B, C, D
Q2) A student nurse feels that his reading skills are not adequate. Which action would he take in order to have effective reading skills?
A) Focus on improving reading speed.
B) Read slowly and thoroughly.
C) Ask his friends and family read to him.
D) Passively engage in reading.
Answer: A
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Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) Piperacillin 2.5 gm IV q6h. Dilute in 100 mL D W and infuse over 30 minutes. Secondary set delivers 20 gtt/mL.
Q2) What volume of PCN G is in one dose?
Ordered: PCN G 1.25 mil units
Available: Multidose vial labeled 500,000 units/mL after reconstitution
Q3) 250 mL D10W over 10 hours
Q4) How much is one dose of Lanoxin?
Ordered: Lanoxin 375 mcg IV in the morning
Available: Lanoxin ampule labeled 0.5 mg/2 mL
Q5) Staphcillin 1 g in 100 mL D W over 45 minutes
Q6) Ordered: Gantrisin 1.5 g PO QID
Pediatric dose range: 150 to 200 mg/kg/day
Child's weight: 30.4 kg
Available: Gantrisin 500-mg tablets
Q7) Ordered: Dobutrex 5 mcg/kg/min IV. Client weighs 145 lb.
Available: Dobutrex 250 mg in 250 mL D W
Q9) 1000 mL 0.45 NS to infuse over 8 hours Page 6
Q8) Calcium gluconate 10% 16 mEq in 100 mL D W over 30 minutes
Q10) 500 mL 0.9 normal saline to infuse over 2 hours
Q11) KCl 20 mEq in 150 mL D W to infuse over 2 hours
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Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Studies have found that students tend to answer questions at a slower pace as they proceed through exams. With this in mind, students should be aware of _____ during school exams as practice for the NCLEX-RN.
A) what their classmates are doing
B) the amount of time they are spending on each question
C) the wording of each question.
D) which questions they answer first
Q2) It is critical that students have _____ and believe that they can pass the NCLEX-RN exam.
A) good study habits
B) a positive attitude
C) a good support system
D) adequate sleep
Q3) When taking the NCLEX-RN, students may pass or fail after completing _____ or up to _____ questions.
A) 65; 100
B) 75; 265
C) 85; 250
D) 80; 200
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Page 8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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20 Verified Questions
20 Flashcards
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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) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
Q3) 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
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Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) It has been said that Florence Nightingale revolutionized nursing. Which example supports this statement?
A) She encouraged men to become nurses.
B) She encouraged nurses to serve physicians in order to learn from them.
C) She instituted changes that affected patient survival rates.
D) She organized nursing in America.
Q2) Which action by the nurse shows the use of the nursing process?
A) The nurse works with the health care team to set outcomes and plan interventions for the patient.
B) The same nurse admits the patient and then discharges him the next day.
C) The nurse works with the patient to set outcomes and plan interventions.
D) The nurse sends the provider in for an immediate assessment of the patient.
Q3) What is the major social factor that has developed the role of nursing to what it is today?
A) Society's attitude toward the role of women
B) Society's lack of qualified health providers
C) Society's lack of resources to pay for health care
D) Society's lack of education about health care
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Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) The four elements that must be present for a person to recover damages as the result of alleged malpractice are duty, breach of duty, actual injury, and:
A) insurance.
B) battery.
C) intent.
D) causation.
Q2) The nurse has an adequate understanding of a tort when she makes which statement?
A) "A tort is a legal wrong committed against another person or their property."
B) "A tort refers to the nurse's duty to practice within the boundaries of the nurse's role."
C) "A tort is a principle concerned with being fair or just."
D) "A tort refers to truth telling and not intentionally misleading patients."
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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Chapter 9: Care and Safety Standards, Competence, and Nurse Accountability
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) A patient on a medical-surgical floor is unhappy with the care he is receiving from his physician and wants to speak to someone about it. Who should his nurse consult first?
A) The director of medical-surgical nursing
B) The patient's physician
C) The nurse's immediate supervisor
D) Another nurse on the floor
Q2) There are a number of characteristics that will help a novice nurse find success in a mentoring relationship. Which action represents one of these positive characteristics?
A) The novice nurse asks clear, thoughtful questions and seeks clarifications.
B) The novice nurse is patient and waits for the mentor to approach with learning opportunities.
C) The novice nurse is directive rather than open to dialogue.
D) The novice nurse stays busy, and the mentor seeks the opportunities.
Q3) 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
Page 12
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Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Betty Neuman's Systems Model for nursing emphasizes the holistic aspects of nursing from a systems-based perspective. Which of the following is not an example of the clinical application of this theory?
A) Caring for the patient at the primary, secondary, and tertiary levels of care
B) Evaluating patient stability
C) Focusing on the nurse-patient relationship
D) Evaluating the effect of stressors on the patient
Q2) What skills would a nurse demonstrate if the nurse reached the "competent stage" of Patricia Benner's theory of skill acquisition?
A) Relies on more experienced nurses for guidance
B) Can multitask, set goals, and think analytically
C) Can see the whole picture and recognizes subtle changes in condition
D) Recognizes patterns and responds automatically
Q3) The nurse providing teaching on a weight loss program to the obese patient is applying which nursing model developed by Nola Pender?
A) Interpersonal relations
B) Health promotion
C) Conservation
D) Adaptation
Page 13
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) The nurse is charting on the patient who is status post surgery for an abdominal abscess and notes: "Pt's temperature has not exceeded 37°C this shift." This is an example of a(n):
A) intervention.
B) outcome.
C) plan.
D) diagnosis or analysis.
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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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) 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?"
Q2) Select the hospital patient who has the best chance of avoiding a nosocomial infection.
A) A 42-year-old patient who had abdominal surgery
B) A 35-year-old patient with a closed leg fracture
C) A 5-month-old non-breastfed infant
D) A 75-year-old patient receiving chemotherapy
Q3) A patient has a problem that prevents him from shaving himself, tying his shoes, or fixing his meals. He is not physically able to compensate for the problem, so he is in need of assistance. Data support the nursing diagnosis "impaired physical mobility" by what mode of reasoning?
A) Induction
B) Deduction
C) Reduction
D) Reflection
Page 15
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Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) 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
Q2) Can you explain how the nurse's use of PICO helps to formulate an effective clinical question?
A) PICO organizes the elements that guide the clinical question.
B) PICO formulates an answer to the clinical question.
C) PICO explains the hierarchy of evidence.
D) PICO identifies the strength of the evidence.
Q3) Assess the given levels of evidence and choose the one most important when evaluating the strength of a research study.
A) Level 3 evidence indicates that specific-quality criteria were met.
B) Level 1 evidence implies an association with specific criteria.
C) Level 1 evidence indicates that specific-quality criteria were met.
D) Level 2 evidence implies a reliable association with specific criteria.
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16
Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) The RN is documenting the patient's complaint of pain rated 6 on a scale of 0 to 10. Which chart entry would be the most appropriate, if made by the nurse?
A) Pt. complaining of pain. MD notified.
B) Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting."
Pt. grimacing, voice elevated. MD notified.
C) Pt. complaining of pain rated at 6 on a scale of 0-10. Appears to be in pain. MD notified.
D) Pt. complaining of pain rated 6. Wants more pain medication; appears to be drug-seeking. MD notified.
Q2) Before signing the verbal orders given earlier, the physician notifies the nurse of incorrectly wording the order. The physician requests the nurse to go back and insert the missing information. Which actions illustrate a lack of knowledge by the nurse? (Select all that apply.)
A) Use a black pen and insert the missing information.
B) Insist that the physician write a new order.
C) Write an addendum clarifying the order.
D) Toss the old order and write a new one.
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Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21962
Sample Questions
Q1) The nurse recognizes that, to be an effective teacher, communication must be clear. In an educational session for a patient newly diagnosed with congestive heart failure, which statements by the nurse would demonstrate barriers to teaching? (Select all that apply.)
A) "Furosemide will increase urination, so you take it every morning."
B) "To help reduce the risk of pulmonary edema, your sodium intake must be monitored."
C) "Just remember, no sodium!"
D) "Pulmonary edema can form if you have too much sodium."
E) "You will need to make sure you eat less salt to help prevent fluid from collecting in your lungs."
Q2) The nurse has just taught an adult patient with a new diagnosis of diabetes mellitus how to check blood glucose. The nurse should document:
A) "Demonstrated understanding of checking blood glucose."
B) that the patient demonstrated the procedure properly and the time it took to complete the educational session.
C) the steps of the procedure the patient was taught.
D) that the nurse taught the patient how to check blood glucose.
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Page 18
Chapter 16: Leading, Delegating, and Collaborating
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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) A charge nurse and staff nurse are in disagreement over the team assignment for the shift that is about to begin. What is the charge nurse's best first step to resolving the conflict collaboratively?
A) Determine the shared goal.
B) Open a respectful dialogue to bring forth each point of view.
C) Design a plan to meet the shared goal.
D) Determine the roles of those involved in the plan.
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Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A home health nurse is going to visit a new patient for admission to the nurse's care. At the first meeting the nurse is able to meet the entire family. The nurse recognizes some unhealthy characteristics. Which statement made by the patient would lead the nurse to this conclusion?
A) "We all have specific chores that we are responsible for on a daily basis."
B) "We allow our 14-year-old to make all of her own decisions."
C) "We like to go camping together as a family in the summertime."
D) "Our children are actively involved in school-sponsored sports."
Q2) 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.
Q3) Healthy People 2020 is a:
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of U.S. citizens.
D) set of national health mandates.
Page 20
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Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) 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.
Q2) 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
Q3) The health maintenance focus for the patient in tertiary care is to:
A) regain or attain as much independence as possible.
B) extend the time in tertiary care as long as possible.
C) ensure total independence with self-care.
D) avoid acquired infections while in the tertiary facility.
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Chapter 19: Reflecting on Your Transition
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Sample Questions
Q1) 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.
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."
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