LPN to RN Transitions
6th Edition
• Author(s)Lora Claywell
TEST BANK
1. Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: An LPN who has worked on a medical-surgical
unit for five years is beginning an RN program. When discussing
their background with an academic advisor, which statement by
the student best demonstrates an understanding of how their
LPN experience will support their new role?
Options:
A. "My experience has given me a solid foundation in patient
care, which I can now build upon to learn clinical judgment and
management for more complex situations."
B. "I am already very skilled at nursing, so I expect the program
to be mostly about getting the degree."
C. "I plan to forget my LPN habits because the RN role is
completely different and requires a new mindset."
D. "My main goal is to learn how to perform all the advanced
procedures that I wasn't allowed to do as an LPN."
Correct Answer: A
Rationales:
• Correct: This statement acknowledges the value of past
experience as a foundation for growth, aligning with the
, concept of "honoring your past" while being open to
expanding one's scope and responsibilities.
• Incorrect B: This reflects a closed mindset and
underestimates the depth of the RN role, which involves
more than just technical skill.
• Incorrect C: Dismissing past experience is
counterproductive; effective transition integrates previous
knowledge with new learning.
• Incorrect D: While learning new skills is part of the
transition, this focus is overly narrow and misses the
broader development in leadership, judgment, and
management.
Teaching Point: Value your LPN experience as a foundation
for developing advanced RN competencies.
2. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: According to change theory as applied to the
LPN-to-RN transition, a student who feels overwhelmed and
doubtful about their ability to succeed is most likely in which
stage of change?
Options:
A. Unfreezing
B. Moving
C. Refreezing
D. Resisting
Correct Answer: B
Rationales:
, • Correct: The "Moving" stage is characterized by
uncertainty, confusion, and emotional turmoil as the
individual actively learns and struggles to integrate new
behaviors and identities.
• Incorrect A: "Unfreezing" is the initial stage where the
need for change is recognized, not where the struggle is
most intense.
• Incorrect C: "Refreezing" is the final stage where the new
change is integrated and stabilized, and the individual feels
comfortable and confident.
• Incorrect D: "Resisting" is a reaction to change, not a
formal stage in classic change theory models like Lewin's.
Teaching Point: Feeling overwhelmed is a normal part of
the active "Moving" stage of role transition.
3. Reference: Ch. 1, Section: Setting Your Goals
Question Stem: An LPN-to-RN student uses the SMART criteria
to develop a goal. The goal states, "I will achieve a score of 90%
or higher on my next three pharmacology exams by forming a
study group and dedicating two hours to practice questions
each night." Which SMART element does the phrase "on my
next three pharmacology exams" define?
Options:
A. Specific
B. Measurable
C. Achievable
D. Time-bound
, Correct Answer: D
Rationales:
• Correct: "On my next three pharmacology exams"
establishes a clear and specific timeframe for achieving the
goal, making it Time-bound.
• Incorrect A: "Specific" refers to the goal being well-defined
and clear (e.g., "score of 90% on pharmacology exams").
• Incorrect B: "Measurable" refers to how progress is
quantified (e.g., "90% score").
• Incorrect C: "Achievable" ensures the goal is realistic,
which is implied by the study plan.
Teaching Point: A Time-bound goal has a defined deadline,
creating urgency and supporting accountability.
4. Reference: Ch. 1, Section: Components of Continuing
Education
Question Stem: A nurse understands that a primary purpose of
pursuing the RN credential as a form of continuing education is
to:
Options:
A. Fulfill a state mandate for LPNs to advance their licensure
within a five-year period.
B. Expand one's scope of practice and assume greater
accountability in patient care management.
C. Focus exclusively on learning advanced bedside procedures
and technical skills.
6th Edition
• Author(s)Lora Claywell
TEST BANK
1. Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: An LPN who has worked on a medical-surgical
unit for five years is beginning an RN program. When discussing
their background with an academic advisor, which statement by
the student best demonstrates an understanding of how their
LPN experience will support their new role?
Options:
A. "My experience has given me a solid foundation in patient
care, which I can now build upon to learn clinical judgment and
management for more complex situations."
B. "I am already very skilled at nursing, so I expect the program
to be mostly about getting the degree."
C. "I plan to forget my LPN habits because the RN role is
completely different and requires a new mindset."
D. "My main goal is to learn how to perform all the advanced
procedures that I wasn't allowed to do as an LPN."
Correct Answer: A
Rationales:
• Correct: This statement acknowledges the value of past
experience as a foundation for growth, aligning with the
, concept of "honoring your past" while being open to
expanding one's scope and responsibilities.
• Incorrect B: This reflects a closed mindset and
underestimates the depth of the RN role, which involves
more than just technical skill.
• Incorrect C: Dismissing past experience is
counterproductive; effective transition integrates previous
knowledge with new learning.
• Incorrect D: While learning new skills is part of the
transition, this focus is overly narrow and misses the
broader development in leadership, judgment, and
management.
Teaching Point: Value your LPN experience as a foundation
for developing advanced RN competencies.
2. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: According to change theory as applied to the
LPN-to-RN transition, a student who feels overwhelmed and
doubtful about their ability to succeed is most likely in which
stage of change?
Options:
A. Unfreezing
B. Moving
C. Refreezing
D. Resisting
Correct Answer: B
Rationales:
, • Correct: The "Moving" stage is characterized by
uncertainty, confusion, and emotional turmoil as the
individual actively learns and struggles to integrate new
behaviors and identities.
• Incorrect A: "Unfreezing" is the initial stage where the
need for change is recognized, not where the struggle is
most intense.
• Incorrect C: "Refreezing" is the final stage where the new
change is integrated and stabilized, and the individual feels
comfortable and confident.
• Incorrect D: "Resisting" is a reaction to change, not a
formal stage in classic change theory models like Lewin's.
Teaching Point: Feeling overwhelmed is a normal part of
the active "Moving" stage of role transition.
3. Reference: Ch. 1, Section: Setting Your Goals
Question Stem: An LPN-to-RN student uses the SMART criteria
to develop a goal. The goal states, "I will achieve a score of 90%
or higher on my next three pharmacology exams by forming a
study group and dedicating two hours to practice questions
each night." Which SMART element does the phrase "on my
next three pharmacology exams" define?
Options:
A. Specific
B. Measurable
C. Achievable
D. Time-bound
, Correct Answer: D
Rationales:
• Correct: "On my next three pharmacology exams"
establishes a clear and specific timeframe for achieving the
goal, making it Time-bound.
• Incorrect A: "Specific" refers to the goal being well-defined
and clear (e.g., "score of 90% on pharmacology exams").
• Incorrect B: "Measurable" refers to how progress is
quantified (e.g., "90% score").
• Incorrect C: "Achievable" ensures the goal is realistic,
which is implied by the study plan.
Teaching Point: A Time-bound goal has a defined deadline,
creating urgency and supporting accountability.
4. Reference: Ch. 1, Section: Components of Continuing
Education
Question Stem: A nurse understands that a primary purpose of
pursuing the RN credential as a form of continuing education is
to:
Options:
A. Fulfill a state mandate for LPNs to advance their licensure
within a five-year period.
B. Expand one's scope of practice and assume greater
accountability in patient care management.
C. Focus exclusively on learning advanced bedside procedures
and technical skills.
