LPN to ADN Bridge Week 1 Quiz: Transition to RN Role and Scope of
Practice 2026/2027 Update
1. Which of the following best describes the primary shift in focus when
transitioning from the LPN to the ADN/RN role?
A. Moving from performing tasks to clinical reasoning and management of care.
B. Focusing solely on medication administration and physical assessments.
C. Shifting from patient advocacy to administrative paperwork.
D. Decreasing the amount of communication required with the interprofessional team.
Answer: A
Rationale: The transition from LPN to RN involves moving beyond technical task
performance to a focus on clinical judgment, analysis of data, and overall management of
patient care.
2. According to the Nursing Process, which step is the sole responsibility of the
Registered Nurse (RN) and cannot be delegated to an LPN?
A. Implementing standard nursing interventions.
B. Collecting vital signs for a stable patient.
C. Developing the initial nursing diagnosis and plan of care.
D. Documenting patient responses to PRN medications.
Answer: C
Rationale: While LPNs contribute to the nursing process by collecting data, the RN is
responsible for the analysis, nursing diagnosis, and the creation/evaluation of the
comprehensive plan of care.
,3. Which professional organization is responsible for defining the Scope of
Nursing Practice at the state level?
A. American Nurses Association (ANA)
B. State Board of Nursing (BON)
C. National League for Nursing (NLN)
D. Joint Commission (TJC)
Answer: B
Rationale: The State Board of Nursing (BON) implements the Nurse Practice Act (NPA),
which legally defines the scope of practice for RNs and LPNs within that specific state.
4. An RN is delegating a task to an Unlicensed Assistive Personnel (UAP). Which
‘Right of Delegation’ is the RN exercising by checking if the UAP has the proper
training for the task?
A. Right Person
B. Right Circumstance
C. Right Task
D. Right Direction
Answer: A
Rationale: The Right Person ensures that the person being delegated the task has the
appropriate skills, training, and competency to perform it safely.
5. Which of the following is a hallmark of ‘Role Conflict’ during the LPN-to-RN
transition?
A. Tension between the former LPN identity and new RN expectations.
B. Feeling overconfident in new skills immediately.
C. Easily abandoning all previous clinical experiences.
D. A complete lack of stress regarding clinical responsibilities.
Answer: A
, Rationale: Role conflict occurs when a bridge student struggles with the shift from their
established LPN identity to the new, more complex expectations of the RN role.
6. The RN is assessing a patient who just returned from surgery. The LPN reports
that the patient’s blood pressure is dropping. What is the RN’s priority action?
A. Tell the LPN to re-check the blood pressure in 15 minutes.
B. Call the surgeon immediately without further assessment.
C. Perform a focused assessment and validate the findings personally.
D. Document the LPN’s findings in the medical record.
Answer: C
Rationale: When a patient’s status changes or becomes unstable, the RN must personally
assess the patient to validate data and apply clinical judgment before taking further action.
7. Which QSEN competency focuses on minimizing risk of harm to patients
through both system effectiveness and individual performance?
A. Informatics
B. Quality Improvement
C. Safety
D. Patient-Centered Care
Answer: C
Rationale: The Safety competency in QSEN aims to minimize risk of harm to patients and
providers through individual performance and system-wide improvements.
8. What is the primary difference between ‘Data Collection’ and ‘Assessment’ in
nursing practice?
A. Data collection is objective, while assessment is always subjective.
B. Data collection is gathering facts; assessment involves analyzing and synthesizing that data.
C. LPNs do assessments, while RNs only do data collection.
D. There is no functional difference between the two terms.
Answer: B
Practice 2026/2027 Update
1. Which of the following best describes the primary shift in focus when
transitioning from the LPN to the ADN/RN role?
A. Moving from performing tasks to clinical reasoning and management of care.
B. Focusing solely on medication administration and physical assessments.
C. Shifting from patient advocacy to administrative paperwork.
D. Decreasing the amount of communication required with the interprofessional team.
Answer: A
Rationale: The transition from LPN to RN involves moving beyond technical task
performance to a focus on clinical judgment, analysis of data, and overall management of
patient care.
2. According to the Nursing Process, which step is the sole responsibility of the
Registered Nurse (RN) and cannot be delegated to an LPN?
A. Implementing standard nursing interventions.
B. Collecting vital signs for a stable patient.
C. Developing the initial nursing diagnosis and plan of care.
D. Documenting patient responses to PRN medications.
Answer: C
Rationale: While LPNs contribute to the nursing process by collecting data, the RN is
responsible for the analysis, nursing diagnosis, and the creation/evaluation of the
comprehensive plan of care.
,3. Which professional organization is responsible for defining the Scope of
Nursing Practice at the state level?
A. American Nurses Association (ANA)
B. State Board of Nursing (BON)
C. National League for Nursing (NLN)
D. Joint Commission (TJC)
Answer: B
Rationale: The State Board of Nursing (BON) implements the Nurse Practice Act (NPA),
which legally defines the scope of practice for RNs and LPNs within that specific state.
4. An RN is delegating a task to an Unlicensed Assistive Personnel (UAP). Which
‘Right of Delegation’ is the RN exercising by checking if the UAP has the proper
training for the task?
A. Right Person
B. Right Circumstance
C. Right Task
D. Right Direction
Answer: A
Rationale: The Right Person ensures that the person being delegated the task has the
appropriate skills, training, and competency to perform it safely.
5. Which of the following is a hallmark of ‘Role Conflict’ during the LPN-to-RN
transition?
A. Tension between the former LPN identity and new RN expectations.
B. Feeling overconfident in new skills immediately.
C. Easily abandoning all previous clinical experiences.
D. A complete lack of stress regarding clinical responsibilities.
Answer: A
, Rationale: Role conflict occurs when a bridge student struggles with the shift from their
established LPN identity to the new, more complex expectations of the RN role.
6. The RN is assessing a patient who just returned from surgery. The LPN reports
that the patient’s blood pressure is dropping. What is the RN’s priority action?
A. Tell the LPN to re-check the blood pressure in 15 minutes.
B. Call the surgeon immediately without further assessment.
C. Perform a focused assessment and validate the findings personally.
D. Document the LPN’s findings in the medical record.
Answer: C
Rationale: When a patient’s status changes or becomes unstable, the RN must personally
assess the patient to validate data and apply clinical judgment before taking further action.
7. Which QSEN competency focuses on minimizing risk of harm to patients
through both system effectiveness and individual performance?
A. Informatics
B. Quality Improvement
C. Safety
D. Patient-Centered Care
Answer: C
Rationale: The Safety competency in QSEN aims to minimize risk of harm to patients and
providers through individual performance and system-wide improvements.
8. What is the primary difference between ‘Data Collection’ and ‘Assessment’ in
nursing practice?
A. Data collection is objective, while assessment is always subjective.
B. Data collection is gathering facts; assessment involves analyzing and synthesizing that data.
C. LPNs do assessments, while RNs only do data collection.
D. There is no functional difference between the two terms.
Answer: B
