LPN to RN Transitions
6th Edition
AUTHER(S)LORA CLAYWELL
TEST BANK
1)
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
A newly licensed RN who recently completed an LPN program
reflects on strengths developed as an LPN while planning goals
for RN practice. Which action best demonstrates professional
transition planning that aligns with RN scope and
accountability?
Options
A. Continue performing all previous LPN tasks and avoid
leadership roles until more experience is gained.
B. Create a written learning plan identifying RN-level
,competencies to develop, with timelines and measurable
objectives.
C. Rely on employer orientation alone to teach expanded RN
responsibilities.
D. Delegate goal-setting to a mentor and follow their timetable.
Correct Answer
B
Rationales
Correct (B): Creating a written plan with RN-level competencies,
timelines, and measurable objectives shows active professional
development, accountability, and application of goal-setting —
key RN transition tasks.
Incorrect (A): Passive continuation of LPN tasks avoids RN
accountability and fails to plan for expanded assessment and
leadership roles.
Incorrect (C): Employer orientation is helpful but insufficient;
RN transition requires self-directed planning beyond
orientation.
Incorrect (D): Delegating personal professional goals to a
mentor abdicates RN responsibility for self-directed career
development.
Teaching Point
RN transition requires a written, measurable learning plan
aligned to RN competencies.
Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
,2)
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
An LPN-to-RN student is using change theory to manage anxiety
about new responsibilities. Which strategy best applies Lewin’s
change theory (unfreeze-change-refreeze) to this transition?
Options
A. Avoid any change talk and focus only on daily clinical tasks.
B. Identify current LPN habits to unfreeze, practice new RN skills
in simulation, then integrate them into daily practice.
C. Immediately adopt all RN role behaviors without reflection.
D. Wait until a supervisor instructs which behaviors to change.
Correct Answer
B
Rationales
Correct (B): Identifying existing habits (unfreeze), practicing
new RN skills (change), and integrating them into routine
(refreeze) applies change theory and supports deliberate role
transition.
Incorrect (A): Avoidance prevents necessary unfreezing and
stalls professional growth.
Incorrect (C): Instant adoption without staged learning risks
unsafe practice and lacks consolidation.
, Incorrect (D): Waiting for instruction fails to demonstrate RN
initiative and accountability for role adaptation.
Teaching Point
Use unfreeze, practice, and integrate steps to adopt RN
behaviors safely.
Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
3)
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
During a reflective exercise, an LPN-to-RN identifies gaps in
assessment skills compared to RN expectations. Which next
step best reflects RN-level professional judgment?
Options
A. Ignore the gaps and focus on strengths.
B. Enroll in targeted continuing education and plan clinical
practice opportunities to build assessment skills.
C. Rely exclusively on peers to cover assessment
responsibilities.
D. Reduce workload by declining complex patient assignments
indefinitely.
6th Edition
AUTHER(S)LORA CLAYWELL
TEST BANK
1)
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
A newly licensed RN who recently completed an LPN program
reflects on strengths developed as an LPN while planning goals
for RN practice. Which action best demonstrates professional
transition planning that aligns with RN scope and
accountability?
Options
A. Continue performing all previous LPN tasks and avoid
leadership roles until more experience is gained.
B. Create a written learning plan identifying RN-level
,competencies to develop, with timelines and measurable
objectives.
C. Rely on employer orientation alone to teach expanded RN
responsibilities.
D. Delegate goal-setting to a mentor and follow their timetable.
Correct Answer
B
Rationales
Correct (B): Creating a written plan with RN-level competencies,
timelines, and measurable objectives shows active professional
development, accountability, and application of goal-setting —
key RN transition tasks.
Incorrect (A): Passive continuation of LPN tasks avoids RN
accountability and fails to plan for expanded assessment and
leadership roles.
Incorrect (C): Employer orientation is helpful but insufficient;
RN transition requires self-directed planning beyond
orientation.
Incorrect (D): Delegating personal professional goals to a
mentor abdicates RN responsibility for self-directed career
development.
Teaching Point
RN transition requires a written, measurable learning plan
aligned to RN competencies.
Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
,2)
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
An LPN-to-RN student is using change theory to manage anxiety
about new responsibilities. Which strategy best applies Lewin’s
change theory (unfreeze-change-refreeze) to this transition?
Options
A. Avoid any change talk and focus only on daily clinical tasks.
B. Identify current LPN habits to unfreeze, practice new RN skills
in simulation, then integrate them into daily practice.
C. Immediately adopt all RN role behaviors without reflection.
D. Wait until a supervisor instructs which behaviors to change.
Correct Answer
B
Rationales
Correct (B): Identifying existing habits (unfreeze), practicing
new RN skills (change), and integrating them into routine
(refreeze) applies change theory and supports deliberate role
transition.
Incorrect (A): Avoidance prevents necessary unfreezing and
stalls professional growth.
Incorrect (C): Instant adoption without staged learning risks
unsafe practice and lacks consolidation.
, Incorrect (D): Waiting for instruction fails to demonstrate RN
initiative and accountability for role adaptation.
Teaching Point
Use unfreeze, practice, and integrate steps to adopt RN
behaviors safely.
Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
3)
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
During a reflective exercise, an LPN-to-RN identifies gaps in
assessment skills compared to RN expectations. Which next
step best reflects RN-level professional judgment?
Options
A. Ignore the gaps and focus on strengths.
B. Enroll in targeted continuing education and plan clinical
practice opportunities to build assessment skills.
C. Rely exclusively on peers to cover assessment
responsibilities.
D. Reduce workload by declining complex patient assignments
indefinitely.
