Testbank for LPN to RN Transitions 5th
Edition by Claywell
Chapter 1: Historical Perspectives & The Evolution of Nursing
1. Who is widely considered the founder of modern nursing and established the first nursing
philosophy based on health and healing?
a) Dorothea Dix
b) Clara Barton
c) Florence Nightingale ✓
d) Lillian Wald
2. The practice of the Licensed Practical Nurse (LPN) originated primarily to address which
need?
a) Provide advanced clinical care in hospitals
b) Replace registered nurses in community settings
c) Alleviate the nursing shortage during World War II ✓
d) Manage complex patient cases independently
Chapter 2: The Healthcare Context for Role Transition
3. The primary driving force behind the current shift in healthcare from acute, hospital-based
care to community and preventive care is:
a) Physician preference
b) Healthcare financing and cost containment ✓
c) Nursing shortages
d) Changes in medical technology
4. What is a major characteristic of a Patient-Centered Medical Home (PCMH) model?
a) Focus on episodic, illness-oriented care
b) Coordination of comprehensive, continuous care by a team ✓
c) Care provided exclusively by physicians
d) Emphasis on long-term institutionalization
Chapter 3: The LPN/LVN: A Historical Perspective and Future Outlook
5. Which organization is responsible for developing the NCLEX-PN examination?
a) American Nurses Association (ANA)
b) National Federation of Licensed Practical Nurses (NFLPN)
,c) National League for Nursing (NLN)
d) National Council of State Boards of Nursing (NCSBN) ✓
6. A core aspect of the LPN/LVN role, as defined by most State Nurse Practice Acts, is working
under the direction of:
a) A hospital administrator
b) A Registered Nurse, physician, or dentist ✓
c) The patient and family
d) Another LPN/LVN
Chapter 4: The RN: A Profile
7. According to the American Nurses Association (ANA), a key distinction of the RN's role,
compared to the LPN, is:
a) Performing bedside nursing tasks
b) Administering medications
c) Making independent nursing judgments and diagnoses ✓
d) Working a standard 12-hour shift
8. The educational preparation of the Associate Degree Nurse (ADN) focuses primarily on:
a) Nursing theory and research
b) Direct clinical care at the bedside ✓
c) Hospital administration
d) Community health leadership
Chapter 5: Scope of Practice: The Legal Dimension
9. The single most important law governing nursing practice in any state is the:
a) Americans with Disabilities Act
b) Nurse Practice Act ✓
c) Health Insurance Portability and Accountability Act (HIPAA)
d) Good Samaritan Law
10. An RN is responsible for understanding the scope of practice for LPNs and UAPs primarily
to:
a) Limit their career advancement
b) Ensure safe and legal delegation of tasks ✓
c) Perform their own job more efficiently
d) Reduce the cost of care
,11. If an LPN performs a task that is outside their scope of practice as defined by the state,
even if directed by a physician, the LPN is:
a) Protected from liability by the physician's order
b) Not responsible because they were following orders
c) Legally responsible for their own actions ✓
d) Only accountable to the hospital
Chapter 6: The Art and Science of Nursing
12. The "science" of nursing is best described as the:
a) Compassionate and caring aspect of care
b) Application of a systematic, evidence-based body of knowledge ✓
c) Intuitive feeling about a patient's condition
d) Ability to perform procedures skillfully
13. Which action best represents the "art" of nursing?
a) Calculating a correct medication dose
b) Establishing a therapeutic relationship to provide emotional support ✓
c) Assessing lung sounds using a stethoscope
d) Following a protocol for wound care
Chapter 7: The Process of Role Transition
14. During the "Honeymoon" phase of role transition, a new RN is most likely to feel:
a) Anxious and overwhelmed
b) Excited and optimistic about the new role ✓
c) Confident and fully competent
d) Resentful of the increased responsibility
15. The final stage of role transition, where the new RN feels comfortable and integrated into
the role, is often called:
a) Role Disorientation
b) Recovery
c) Role Mastery ✓
d) Immersion
Chapter 8: From Student to Professional: The New Graduate
16. "Reality shock" for the new graduate nurse often occurs due to the disparity between:
a) Day shift and night shift schedules
b) Nursing school theory and the real-world clinical setting ✓
, c) LPN and RN salaries
d) Hospital and clinic environments
17. A constructive strategy for a new graduate RN to manage "reality shock" is to:
a) Isolate themselves from experienced nurses
b) Seek out a mentor or preceptor for guidance ✓
c) Focus only on tasks and avoid building relationships
d) Frequently criticize the way things are done on the unit
Chapter 9: Theories and Concepts of Nursing
18. A nursing theory that focuses on the patient's ability to perform self-care activities is
associated with:
a) Dorothea Orem ✓
b) Hildegard Peplau
c) Martha Rogers
d) Jean Watson
19. Jean Watson's Theory of Human Caring emphasizes the importance of:
a) Strict adherence to medical diagnoses
b) Transpersonal caring relationships and healing environments ✓
c) A hierarchical structure in the nurse-patient relationship
d) The biomechanical model of health
Chapter 10: The NCLEX-RN Examination
20. The primary purpose of the NCLEX-RN is to test:
a) Academic knowledge from nursing school
b) The ability to memorize drug dosages
c) Minimum competency for safe entry-level practice ✓
d) Advanced clinical specialty skills
21. A key strategy for success on the NCLEX-RN is to:
a) Always select the answer that represents the most ideal, perfect world scenario
b) Focus on recognizing the "most correct" answer based on safety and prioritization ✓
c) Look for answers that contain specific, familiar medical terminology
d) Choose answers that involve immediately delegating to a physician
Chapter 11: Developing Clinical Judgment
22. According to the NCSBN's Clinical Judgment Measurement Model (CJMM), the first step in
clinical judgment is:
Edition by Claywell
Chapter 1: Historical Perspectives & The Evolution of Nursing
1. Who is widely considered the founder of modern nursing and established the first nursing
philosophy based on health and healing?
a) Dorothea Dix
b) Clara Barton
c) Florence Nightingale ✓
d) Lillian Wald
2. The practice of the Licensed Practical Nurse (LPN) originated primarily to address which
need?
a) Provide advanced clinical care in hospitals
b) Replace registered nurses in community settings
c) Alleviate the nursing shortage during World War II ✓
d) Manage complex patient cases independently
Chapter 2: The Healthcare Context for Role Transition
3. The primary driving force behind the current shift in healthcare from acute, hospital-based
care to community and preventive care is:
a) Physician preference
b) Healthcare financing and cost containment ✓
c) Nursing shortages
d) Changes in medical technology
4. What is a major characteristic of a Patient-Centered Medical Home (PCMH) model?
a) Focus on episodic, illness-oriented care
b) Coordination of comprehensive, continuous care by a team ✓
c) Care provided exclusively by physicians
d) Emphasis on long-term institutionalization
Chapter 3: The LPN/LVN: A Historical Perspective and Future Outlook
5. Which organization is responsible for developing the NCLEX-PN examination?
a) American Nurses Association (ANA)
b) National Federation of Licensed Practical Nurses (NFLPN)
,c) National League for Nursing (NLN)
d) National Council of State Boards of Nursing (NCSBN) ✓
6. A core aspect of the LPN/LVN role, as defined by most State Nurse Practice Acts, is working
under the direction of:
a) A hospital administrator
b) A Registered Nurse, physician, or dentist ✓
c) The patient and family
d) Another LPN/LVN
Chapter 4: The RN: A Profile
7. According to the American Nurses Association (ANA), a key distinction of the RN's role,
compared to the LPN, is:
a) Performing bedside nursing tasks
b) Administering medications
c) Making independent nursing judgments and diagnoses ✓
d) Working a standard 12-hour shift
8. The educational preparation of the Associate Degree Nurse (ADN) focuses primarily on:
a) Nursing theory and research
b) Direct clinical care at the bedside ✓
c) Hospital administration
d) Community health leadership
Chapter 5: Scope of Practice: The Legal Dimension
9. The single most important law governing nursing practice in any state is the:
a) Americans with Disabilities Act
b) Nurse Practice Act ✓
c) Health Insurance Portability and Accountability Act (HIPAA)
d) Good Samaritan Law
10. An RN is responsible for understanding the scope of practice for LPNs and UAPs primarily
to:
a) Limit their career advancement
b) Ensure safe and legal delegation of tasks ✓
c) Perform their own job more efficiently
d) Reduce the cost of care
,11. If an LPN performs a task that is outside their scope of practice as defined by the state,
even if directed by a physician, the LPN is:
a) Protected from liability by the physician's order
b) Not responsible because they were following orders
c) Legally responsible for their own actions ✓
d) Only accountable to the hospital
Chapter 6: The Art and Science of Nursing
12. The "science" of nursing is best described as the:
a) Compassionate and caring aspect of care
b) Application of a systematic, evidence-based body of knowledge ✓
c) Intuitive feeling about a patient's condition
d) Ability to perform procedures skillfully
13. Which action best represents the "art" of nursing?
a) Calculating a correct medication dose
b) Establishing a therapeutic relationship to provide emotional support ✓
c) Assessing lung sounds using a stethoscope
d) Following a protocol for wound care
Chapter 7: The Process of Role Transition
14. During the "Honeymoon" phase of role transition, a new RN is most likely to feel:
a) Anxious and overwhelmed
b) Excited and optimistic about the new role ✓
c) Confident and fully competent
d) Resentful of the increased responsibility
15. The final stage of role transition, where the new RN feels comfortable and integrated into
the role, is often called:
a) Role Disorientation
b) Recovery
c) Role Mastery ✓
d) Immersion
Chapter 8: From Student to Professional: The New Graduate
16. "Reality shock" for the new graduate nurse often occurs due to the disparity between:
a) Day shift and night shift schedules
b) Nursing school theory and the real-world clinical setting ✓
, c) LPN and RN salaries
d) Hospital and clinic environments
17. A constructive strategy for a new graduate RN to manage "reality shock" is to:
a) Isolate themselves from experienced nurses
b) Seek out a mentor or preceptor for guidance ✓
c) Focus only on tasks and avoid building relationships
d) Frequently criticize the way things are done on the unit
Chapter 9: Theories and Concepts of Nursing
18. A nursing theory that focuses on the patient's ability to perform self-care activities is
associated with:
a) Dorothea Orem ✓
b) Hildegard Peplau
c) Martha Rogers
d) Jean Watson
19. Jean Watson's Theory of Human Caring emphasizes the importance of:
a) Strict adherence to medical diagnoses
b) Transpersonal caring relationships and healing environments ✓
c) A hierarchical structure in the nurse-patient relationship
d) The biomechanical model of health
Chapter 10: The NCLEX-RN Examination
20. The primary purpose of the NCLEX-RN is to test:
a) Academic knowledge from nursing school
b) The ability to memorize drug dosages
c) Minimum competency for safe entry-level practice ✓
d) Advanced clinical specialty skills
21. A key strategy for success on the NCLEX-RN is to:
a) Always select the answer that represents the most ideal, perfect world scenario
b) Focus on recognizing the "most correct" answer based on safety and prioritization ✓
c) Look for answers that contain specific, familiar medical terminology
d) Choose answers that involve immediately delegating to a physician
Chapter 11: Developing Clinical Judgment
22. According to the NCSBN's Clinical Judgment Measurement Model (CJMM), the first step in
clinical judgment is:
