LPN to RN Transitions
6th Edition
• Author(s)Lora Claywell
TEST BANK
Question 1
Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: An LPN who is transitioning to the RN role is
caring for a patient with complex, unstable comorbidities.
Which action by the nurse best demonstrates understanding of
the expanded scope of practice?
Options:
A) Creating a detailed nursing care plan and prioritizing
problems
B) Performing all bedside nursing care for the patient
independently
C) Asking the unit secretary to page the physician for new
orders
D) Delegating all medication administrations to a student nurse
Correct Answer: A
Rationales:
• Correct: Creating and prioritizing a nursing care plan is a
core RN responsibility that requires critical thinking and
clinical judgment, reflecting an understanding of the
expanded scope beyond task-focused care.
, • Incorrect B: Performing all care independently does not
utilize the RN's role in delegation and oversight and is
more characteristic of an LPN's scope.
• Incorrect C: While communicating with physicians is
important, the RN should first assess and formulate
recommendations, not simply pass on responsibility.
• Incorrect D: Delegating all medications is unsafe; the RN
retains accountability for assessment and evaluation of
complex patients.
Teaching Point: RN scope centers on creating, managing,
and evaluating the nursing care plan.
Citation: Claywell, 2024, Ch. 1
Question 2
Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: An LPN-to-RN student feels overwhelmed by
the increased responsibility and academic workload. Using
Bridges' Transition Model, which action represents the "new
beginning" phase?
Options:
A) Mourning the loss of the familiar LPN role and its routines
B) Experimenting with new time management and study
strategies
C) Fully embracing the RN identity and feeling confident in the
new role
D) Feeling discouraged and uncertain about the transition
process
,Correct Answer: C
Rationales:
• Correct: The "new beginning" phase is characterized by
acceptance, energy, and commitment to the new identity
and responsibilities.
• Incorrect A: Mourning the past is part of the "ending"
phase, not the new beginning.
• Incorrect B: Experimentation typically occurs in the
"neutral zone" while adapting to change.
• Incorrect D: Discouragement reflects lingering in the
ending or neutral zone, not progression to new beginnings.
Teaching Point: Successful transition requires progressing
through endings, neutral zone, and new beginnings.
Citation: Claywell, 2024, Ch. 1
Question 3
Reference: Ch. 1, Section: Components of Continuing Education
Question Stem: A nurse is reviewing continuing education
requirements during the transition from LPN to RN. Which
statement best demonstrates understanding of professional
development expectations?
Options:
A) "I will focus solely on completing my degree since I already
have clinical experience."
B) "I need to maintain both my RN license and specialty
certifications through ongoing education."
, C) "Now that I'm becoming an RN, I no longer need to
document continuing education units."
D) "My prior LPN education counts toward my RN continuing
education requirements."
Correct Answer: B
Rationales:
• Correct: RN licensure requires ongoing professional
development, including continuing education for license
renewal and specialty certifications.
• Incorrect A: A degree is only the beginning; lifelong
learning is essential for maintaining RN competency.
• Incorrect C: All nurses must document continuing
education for license renewal, regardless of level.
• Incorrect D: LPN and RN continuing education
requirements are separate and not transferable.
Teaching Point: Lifelong learning continues beyond initial
RN licensure through mandated continuing education.
Citation: Claywell, 2024, Ch. 1
Question 4
Reference: Ch. 1, Section: Setting Your Goals
Question Stem: An LPN-to-RN student creates a 5-year career
plan with specific, measurable, achievable, relevant, and time-
bound (SMART) goals. Which goal best demonstrates this
framework?
Options:
6th Edition
• Author(s)Lora Claywell
TEST BANK
Question 1
Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: An LPN who is transitioning to the RN role is
caring for a patient with complex, unstable comorbidities.
Which action by the nurse best demonstrates understanding of
the expanded scope of practice?
Options:
A) Creating a detailed nursing care plan and prioritizing
problems
B) Performing all bedside nursing care for the patient
independently
C) Asking the unit secretary to page the physician for new
orders
D) Delegating all medication administrations to a student nurse
Correct Answer: A
Rationales:
• Correct: Creating and prioritizing a nursing care plan is a
core RN responsibility that requires critical thinking and
clinical judgment, reflecting an understanding of the
expanded scope beyond task-focused care.
, • Incorrect B: Performing all care independently does not
utilize the RN's role in delegation and oversight and is
more characteristic of an LPN's scope.
• Incorrect C: While communicating with physicians is
important, the RN should first assess and formulate
recommendations, not simply pass on responsibility.
• Incorrect D: Delegating all medications is unsafe; the RN
retains accountability for assessment and evaluation of
complex patients.
Teaching Point: RN scope centers on creating, managing,
and evaluating the nursing care plan.
Citation: Claywell, 2024, Ch. 1
Question 2
Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: An LPN-to-RN student feels overwhelmed by
the increased responsibility and academic workload. Using
Bridges' Transition Model, which action represents the "new
beginning" phase?
Options:
A) Mourning the loss of the familiar LPN role and its routines
B) Experimenting with new time management and study
strategies
C) Fully embracing the RN identity and feeling confident in the
new role
D) Feeling discouraged and uncertain about the transition
process
,Correct Answer: C
Rationales:
• Correct: The "new beginning" phase is characterized by
acceptance, energy, and commitment to the new identity
and responsibilities.
• Incorrect A: Mourning the past is part of the "ending"
phase, not the new beginning.
• Incorrect B: Experimentation typically occurs in the
"neutral zone" while adapting to change.
• Incorrect D: Discouragement reflects lingering in the
ending or neutral zone, not progression to new beginnings.
Teaching Point: Successful transition requires progressing
through endings, neutral zone, and new beginnings.
Citation: Claywell, 2024, Ch. 1
Question 3
Reference: Ch. 1, Section: Components of Continuing Education
Question Stem: A nurse is reviewing continuing education
requirements during the transition from LPN to RN. Which
statement best demonstrates understanding of professional
development expectations?
Options:
A) "I will focus solely on completing my degree since I already
have clinical experience."
B) "I need to maintain both my RN license and specialty
certifications through ongoing education."
, C) "Now that I'm becoming an RN, I no longer need to
document continuing education units."
D) "My prior LPN education counts toward my RN continuing
education requirements."
Correct Answer: B
Rationales:
• Correct: RN licensure requires ongoing professional
development, including continuing education for license
renewal and specialty certifications.
• Incorrect A: A degree is only the beginning; lifelong
learning is essential for maintaining RN competency.
• Incorrect C: All nurses must document continuing
education for license renewal, regardless of level.
• Incorrect D: LPN and RN continuing education
requirements are separate and not transferable.
Teaching Point: Lifelong learning continues beyond initial
RN licensure through mandated continuing education.
Citation: Claywell, 2024, Ch. 1
Question 4
Reference: Ch. 1, Section: Setting Your Goals
Question Stem: An LPN-to-RN student creates a 5-year career
plan with specific, measurable, achievable, relevant, and time-
bound (SMART) goals. Which goal best demonstrates this
framework?
Options:
