LPN to RN Transitions
6th Edition
AUTHER(S)LORA CLAYWELL
TEST BANK
1
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
An LPN who recently passed the RN program prepares a
professional development plan. She lists her clinical strengths
and gaps, then schedules continuing education (CE) to
strengthen assessment skills. As the new RN on a med-surg
unit, which action best reflects RN-level responsibility when
finalizing this plan?
A. Schedule CE that reinforces bedside technical skills the LPN
already performs.
B. Include CE focused on comprehensive assessment, clinical
,judgment, and delegation.
C. Rely on orientation alone to learn expanded RN
responsibilities.
D. Prioritize CE that duplicates employer-mandated
competencies to avoid extra study.
Correct Answer
B
Rationale — Correct (3–4 sentences)
Choosing CE focused on comprehensive assessment, clinical
judgment, and delegation aligns with expanded RN
responsibilities. It addresses gaps in critical thinking and
leadership that differentiate RN practice from LPN scope. This
action demonstrates proactive professional accountability and
planning for safe, independent practice.
Rationale — Incorrect
A. Reinforcing only technical skills duplicates prior competency
and neglects RN-level judgment and leadership development.
C. Orientation is necessary but insufficient; RNs must seek
targeted CE for autonomous clinical decision-making.
D. Duplicating employer mandates may meet minimum
requirements but fails to address individualized gaps in RN
competencies.
Teaching Point
Choose CE that strengthens assessment, clinical judgment, and
delegation.
,Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
2
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
During a reflective exercise, a newly graduated RN lists
accomplishments from LPN practice and considers which habits
to change. Which reflection indicates appropriate RN-level
planning?
A. “I will continue to perform all procedures independently just
as I always have.”
B. “I will rely on previous routines and follow orders exactly as
given.”
C. “I will retain practical skills but build systematic assessment
and leadership habits.”
D. “I will avoid seeking feedback to preserve confidence in my
abilities.”
Correct Answer
C
Rationale — Correct (3–4 sentences)
Retaining practical skills while intentionally building systematic
assessment and leadership habits reflects maturation from task-
based LPN practice to RN professional judgment. It
, acknowledges prior strengths and targets new responsibilities—
assessment, prioritization, and supervision. This approach
supports safe delegation and accountability.
Rationale — Incorrect
A. Continuing unchanged independent procedures ignores RN
accountability to reassess practices and scope expansion.
B. Solely following routines undermines RN critical thinking and
proactive clinical decision-making.
D. Avoiding feedback impedes professional growth and safe
practice; RNs must seek constructive evaluation.
Teaching Point
Keep useful skills but intentionally develop assessment and
leadership practices.
Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
3
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
A new RN faces resistance from a long-term LPN coworker
when assigning tasks during a busy shift. The RN must prioritize
patient safety and appropriate delegation. What is the best RN
action?
6th Edition
AUTHER(S)LORA CLAYWELL
TEST BANK
1
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
An LPN who recently passed the RN program prepares a
professional development plan. She lists her clinical strengths
and gaps, then schedules continuing education (CE) to
strengthen assessment skills. As the new RN on a med-surg
unit, which action best reflects RN-level responsibility when
finalizing this plan?
A. Schedule CE that reinforces bedside technical skills the LPN
already performs.
B. Include CE focused on comprehensive assessment, clinical
,judgment, and delegation.
C. Rely on orientation alone to learn expanded RN
responsibilities.
D. Prioritize CE that duplicates employer-mandated
competencies to avoid extra study.
Correct Answer
B
Rationale — Correct (3–4 sentences)
Choosing CE focused on comprehensive assessment, clinical
judgment, and delegation aligns with expanded RN
responsibilities. It addresses gaps in critical thinking and
leadership that differentiate RN practice from LPN scope. This
action demonstrates proactive professional accountability and
planning for safe, independent practice.
Rationale — Incorrect
A. Reinforcing only technical skills duplicates prior competency
and neglects RN-level judgment and leadership development.
C. Orientation is necessary but insufficient; RNs must seek
targeted CE for autonomous clinical decision-making.
D. Duplicating employer mandates may meet minimum
requirements but fails to address individualized gaps in RN
competencies.
Teaching Point
Choose CE that strengthens assessment, clinical judgment, and
delegation.
,Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
2
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
During a reflective exercise, a newly graduated RN lists
accomplishments from LPN practice and considers which habits
to change. Which reflection indicates appropriate RN-level
planning?
A. “I will continue to perform all procedures independently just
as I always have.”
B. “I will rely on previous routines and follow orders exactly as
given.”
C. “I will retain practical skills but build systematic assessment
and leadership habits.”
D. “I will avoid seeking feedback to preserve confidence in my
abilities.”
Correct Answer
C
Rationale — Correct (3–4 sentences)
Retaining practical skills while intentionally building systematic
assessment and leadership habits reflects maturation from task-
based LPN practice to RN professional judgment. It
, acknowledges prior strengths and targets new responsibilities—
assessment, prioritization, and supervision. This approach
supports safe delegation and accountability.
Rationale — Incorrect
A. Continuing unchanged independent procedures ignores RN
accountability to reassess practices and scope expansion.
B. Solely following routines undermines RN critical thinking and
proactive clinical decision-making.
D. Avoiding feedback impedes professional growth and safe
practice; RNs must seek constructive evaluation.
Teaching Point
Keep useful skills but intentionally develop assessment and
leadership practices.
Citation
Claywell, L. (2025). LPN to RN Transitions (6th ed.). Ch. 1.
3
Reference
Ch. 1 — Honoring Your Past, Planning Your Future
Stem
A new RN faces resistance from a long-term LPN coworker
when assigning tasks during a busy shift. The RN must prioritize
patient safety and appropriate delegation. What is the best RN
action?
