6th Edition
• Author(s)Lora Claywell
TEST BANK
1. Question
A nurse transitioning from an LPN to an RN role is reflecting on
their past experiences. Which statement best demonstrates an
effective method of "honoring the past" to facilitate this
transition?
a) "I will focus solely on new RN responsibilities and not let my
LPN habits interfere."
b) "I recognize that my clinical experience as an LPN provides a
valuable foundation for my new role."
c) "I believe that my previous work as an LPN is largely
irrelevant to becoming a competent RN."
d) "I plan to avoid situations that remind me of my previous
position as an LPN."
Rationale
• Correct Answer (b): A core principle of role transition is
building upon existing knowledge and experience. Valuing
past clinical experience promotes confidence and supports
the integration of new skills, which is essential for a
successful transition.
, • Incorrect (a): Completely dismissing past experience
ignores a valuable knowledge base and can hinder
adaptive learning.
• Incorrect (c): Devaluing foundational experience is
counterproductive to the concept of honoring one's past
and can lead to unnecessary stress.
• Incorrect (d): Avoiding past experiences suggests a non-
reflective approach, which does not support professional
growth or effective transition.
Teaching Point: A successful transition builds upon, rather than
discards, existing knowledge and experience.
2. Question
Which action by a transitioning LPN-to-RN student best
exemplifies the initial step in "planning your future" as outlined
in change theory?
a) Immediately requesting a charge nurse position upon
graduation.
b) Identifying personal strengths and areas for growth through
self-assessment.
c) Focusing only on passing the NCLEX-RN examination.
d) Delegating complex patient care tasks to LPN colleagues to
practice management.
Rationale
• Correct Answer (b): Effective planning and navigating
change begin with self-assessment. Understanding one's
, current competencies is a prerequisite for setting realistic
and achievable professional goals.
• Incorrect (a): This skips essential foundational steps like
skill development and acclimation to the new scope of
practice.
• Incorrect (c): While licensure is a critical goal, it is only one
component of a comprehensive future plan.
• Incorrect (d): This is premature; understanding one's own
new role and responsibilities must precede the appropriate
delegation to others.
Teaching Point: Planning requires an honest self-assessment to
set a clear and achievable professional trajectory.
3. Question
An LPN-to-RN student is feeling overwhelmed by the increased
academic demands. Applying Lewin's Change Theory, which
action represents the "moving" stage of transitioning to the
student role?
a) Deciding to postpone the RN program until feeling less
stressed.
b) Acknowledging that the LPN and RN programs have different
rigors.
c) Creating and adhering to a structured weekly study schedule.
d) Reflecting on the comfort of their previous LPN educational
experience.
Rationale
, • Correct Answer (c): The "moving" stage involves actively
implementing strategies and new behaviors to navigate the
change. Adopting a new study schedule is an active step
toward adapting.
• Incorrect (a): This represents a retreat or "unfreezing"
rather than moving forward.
• Incorrect (b): This is cognitive recognition ("unfreezing")
but lacks the actionable component of the "moving" stage.
• Incorrect (d): This reflects a focus on the past and does not
constitute active movement toward the new reality.
Teaching Point: The "moving" stage requires active
implementation of new behaviors to manage change.
4. Question
A key objective for an LPN-to-RN student is to understand the
evolution of their professional identity. Which behavior best
reflects the development of this new identity?
a) Prioritizing task completion over comprehensive patient
assessment.
b) Seeking opportunities to make autonomous patient care
decisions within the RN scope.
c) Referring all family questions to the unit's charge nurse.
d) Focusing clinical care on skills performed as an LPN.
Rationale
• Correct Answer (b): A core aspect of the RN role is
increased autonomy and responsibility. Actively seeking