Test Bank –
Making the Transition from LPN to RN,
by Kearney-Nunnery,
1st edition
,Table of contents
Section 1: Beginning Your Journey
Chapter 1. Multiple Roles
Chapter 2. Professional Practice Parameters
Chapter 3. Theory
Chapter 4. Ethics
Section 2: Clinical Judgment and the Nursing Process
Chapter 5. Decisions and Approaches: Effective Communication Skills
Chapter 6. The Imperative for Safe Nursing Care and Use of the Nursing Process
Chapter 7. Assessment
Chapter 8. Diagnosis and Planning
Chapter 9. Implementation
Chapter 10. Evaluation
Section 3: Concepts for Your Continuing Journey
Chapter 11. Evidence-Based Practice
Chapter 12. Planning Your Future
,TEST BANK
Making the Transition from LPN to RN, 1st Edition
Kearney-Nunnery
SECTION 1: BEGINNING YOUR JOURNEY
CHAPTER 1: MULTIPLE ROLES
Multiple Choice
1. A newly enrolled LPN-to-RN student is struggling to balance work, family, and school responsibilities.
Which role concept best describes the stress this student is experiencing?
A) Role ambiguity
B) Role conflict
C) Role overload
D) Role transition
Answer: C
Rationale: Role overload occurs when the cumulative demands of multiple roles exceed the individual's
time, energy, and resources. This student is experiencing the combined weight of work, family, and
academic responsibilities simultaneously.
2. Which of the following best differentiates the RN role from the LPN role in a clinical setting?
A) RNs administer all medications while LPNs administer only oral medications.
B) RNs are responsible for the initial comprehensive nursing assessment and care plan development.
C) LPNs cannot perform any invasive procedures.
D) RNs work exclusively in acute care settings.
Answer: B
Rationale: A key distinction in the RN role is the responsibility for conducting the initial comprehensive
nursing assessment and developing the nursing care plan. LPNs contribute to ongoing data collection
and implement care under the direction of the RN.
3. An LPN returning to school to become an RN expresses concern about "going back to the basics."
Which response by the nursing instructor is most appropriate?
, A) "You will need to forget what you learned as an LPN and start fresh."
B) "Your LPN experience is a valuable foundation; the RN program will build upon and expand that
knowledge."
C) "LPN education and RN education are essentially the same, so this should be easy for you."
D) "You will be competing with traditional students, so you need to prove yourself."
Answer: B
Rationale: The transition from LPN to RN is a building process. The student's prior education and clinical
experience serve as a strong foundation upon which the expanded scope, critical thinking, and
leadership skills of the RN role are constructed.
4. Which of the following is considered a primary role of the professional registered nurse?
A) Delegating all direct patient care to unlicensed assistive personnel
B) Functioning solely as a task-oriented caregiver
C) Serving as a patient advocate, educator, leader, and care coordinator
D) Following physician orders without question
Answer: C
Rationale: The professional RN role encompasses multiple dimensions including patient advocacy,
patient and family education, leadership within the healthcare team, and coordination of care across the
continuum.
5. A transitioning LPN-to-RN student feels that her previous clinical skills are being undervalued by
traditional nursing students. This is an example of:
A) Role strain
B) Impostor syndrome
C) Horizontal violence
D) Role devaluation
Answer: D
Rationale: Role devaluation occurs when the contributions and competencies associated with a
particular role are minimized or dismissed by others. The LPN-to-RN student's prior skills and experience
are being undervalued.
True/False
6. The LPN-to-RN transition requires the student to abandon all previously learned nursing practices and
adopt entirely new ones.
Answer: False
Rationale: The transition is a process of expanding and refining existing knowledge and skills, not
discarding them.
Making the Transition from LPN to RN,
by Kearney-Nunnery,
1st edition
,Table of contents
Section 1: Beginning Your Journey
Chapter 1. Multiple Roles
Chapter 2. Professional Practice Parameters
Chapter 3. Theory
Chapter 4. Ethics
Section 2: Clinical Judgment and the Nursing Process
Chapter 5. Decisions and Approaches: Effective Communication Skills
Chapter 6. The Imperative for Safe Nursing Care and Use of the Nursing Process
Chapter 7. Assessment
Chapter 8. Diagnosis and Planning
Chapter 9. Implementation
Chapter 10. Evaluation
Section 3: Concepts for Your Continuing Journey
Chapter 11. Evidence-Based Practice
Chapter 12. Planning Your Future
,TEST BANK
Making the Transition from LPN to RN, 1st Edition
Kearney-Nunnery
SECTION 1: BEGINNING YOUR JOURNEY
CHAPTER 1: MULTIPLE ROLES
Multiple Choice
1. A newly enrolled LPN-to-RN student is struggling to balance work, family, and school responsibilities.
Which role concept best describes the stress this student is experiencing?
A) Role ambiguity
B) Role conflict
C) Role overload
D) Role transition
Answer: C
Rationale: Role overload occurs when the cumulative demands of multiple roles exceed the individual's
time, energy, and resources. This student is experiencing the combined weight of work, family, and
academic responsibilities simultaneously.
2. Which of the following best differentiates the RN role from the LPN role in a clinical setting?
A) RNs administer all medications while LPNs administer only oral medications.
B) RNs are responsible for the initial comprehensive nursing assessment and care plan development.
C) LPNs cannot perform any invasive procedures.
D) RNs work exclusively in acute care settings.
Answer: B
Rationale: A key distinction in the RN role is the responsibility for conducting the initial comprehensive
nursing assessment and developing the nursing care plan. LPNs contribute to ongoing data collection
and implement care under the direction of the RN.
3. An LPN returning to school to become an RN expresses concern about "going back to the basics."
Which response by the nursing instructor is most appropriate?
, A) "You will need to forget what you learned as an LPN and start fresh."
B) "Your LPN experience is a valuable foundation; the RN program will build upon and expand that
knowledge."
C) "LPN education and RN education are essentially the same, so this should be easy for you."
D) "You will be competing with traditional students, so you need to prove yourself."
Answer: B
Rationale: The transition from LPN to RN is a building process. The student's prior education and clinical
experience serve as a strong foundation upon which the expanded scope, critical thinking, and
leadership skills of the RN role are constructed.
4. Which of the following is considered a primary role of the professional registered nurse?
A) Delegating all direct patient care to unlicensed assistive personnel
B) Functioning solely as a task-oriented caregiver
C) Serving as a patient advocate, educator, leader, and care coordinator
D) Following physician orders without question
Answer: C
Rationale: The professional RN role encompasses multiple dimensions including patient advocacy,
patient and family education, leadership within the healthcare team, and coordination of care across the
continuum.
5. A transitioning LPN-to-RN student feels that her previous clinical skills are being undervalued by
traditional nursing students. This is an example of:
A) Role strain
B) Impostor syndrome
C) Horizontal violence
D) Role devaluation
Answer: D
Rationale: Role devaluation occurs when the contributions and competencies associated with a
particular role are minimized or dismissed by others. The LPN-to-RN student's prior skills and experience
are being undervalued.
True/False
6. The LPN-to-RN transition requires the student to abandon all previously learned nursing practices and
adopt entirely new ones.
Answer: False
Rationale: The transition is a process of expanding and refining existing knowledge and skills, not
discarding them.
