Comprehensive Examination: Professional
Role Transition and Advanced Nursing
Practice for the LPN-to-RN Bridge
Student
Second Edition Test Bank
General Instructions
This comprehensive examination consists of 150 multiple-choice
questions designed to assess understanding of the critical concepts
covered in LPN to RN Transitions by Lora Claywell. Each question
has ONE correct answer. Select the best response and review the
detailed rationale provided.
Target Audience: Advanced nursing students in LPN-to-RN bridge
programs
Difficulty Level: Mixed (application, analysis, and evaluation)
Coverage: All major content areas including role transition, nursing
theory, clinical judgment, leadership, delegation, and professional
development
,SECTION A: FOUNDATIONS OF TRANSITION
AND ADULT LEARNING (Questions 1-25)
1. A nursing advisor is meeting with a student who is interested in
earning her RN degree. She knows that LPN/LVNs who enter
nursing school to become RNs come into the learning
environment with prior knowledge and understanding. Which
statement by the nursing advisor best describes her
understanding of the effect experience may have on learning?
a. "Experience may be a source of insight and motivation, or a
barrier."
b. "Experience is usually a stumbling block for LPN/LVNs."
c. "Experience never makes learning more difficult."
d. "Once something is learned, it can never be truly modified."
Correct Answer: a
Rationale: Experience accentuates differences among learners and
serves as a source of insight and motivation, but it can also be a
barrier. Experience can serve as a foundation for defining the self .
The other options present absolute statements that do not
accurately reflect the nuanced role of experience in adult learning.
2. There is a test on the cardiovascular system on Friday morning,
and it is now Wednesday night. The student has already taken a
vacation day from work Thursday night so that she can stay home
and study. She is considering skipping her exercise class on
,Thursday morning to go to the library to prepare for the test.
Which response best identifies the student's outcome priority?
a. Exercise class
b. Going to the library
c. Avoiding work by taking a vacation
d. Doing well on the test on Friday
Correct Answer: d
Rationale: The outcome priority is the essential issue or need to be
addressed at any given time within a set of conditions or
circumstances . The student's primary need is performing well on
the exam, making all other considerations secondary to this
outcome.
3. A nurse who has been an LPN/LVN for 10 years is meeting with
an advisor to discuss the possibility of taking classes to become
an RN. The advisor interprets which statement by the nurse as the
driving force for returning to school?
a. "I'll need to schedule time to attend classes."
b. "I'll have to budget for paying tuition."
c. "I'll have to rearrange my schedule."
d. "There is a possibility of advancement into administration."
Correct Answer: d
Rationale: Driving forces are those that push toward making the
change, as opposed to restraining forces, which present challenges
, that need to be overcome . The possibility of advancement
represents a motivational pull toward change, while the other
options represent obstacles or challenges (restraining forces).
4. An RN is caring for a diabetic patient. The patient appears
interested in changing her lifestyle and has been asking questions
about eating better. The nurse can interpret this behavior as
which stage of Lewin's Change Theory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
Correct Answer: b
Rationale: The patient is in the first phase of Lewin's Change
Theory, known as unfreezing. This phase involves determining that
a change needs to occur and deciding to take action . Moving is
the second phase and involves actively planning changes and
taking action on them. Refreezing is the last stage, and it occurs
when the change has become a part of the person's life.
5. An LPN is talking with her clinical instructor about her decision
to return to school to become an RN. The clinical instructor
interprets the LPN's outcome priority based on which statement?
Role Transition and Advanced Nursing
Practice for the LPN-to-RN Bridge
Student
Second Edition Test Bank
General Instructions
This comprehensive examination consists of 150 multiple-choice
questions designed to assess understanding of the critical concepts
covered in LPN to RN Transitions by Lora Claywell. Each question
has ONE correct answer. Select the best response and review the
detailed rationale provided.
Target Audience: Advanced nursing students in LPN-to-RN bridge
programs
Difficulty Level: Mixed (application, analysis, and evaluation)
Coverage: All major content areas including role transition, nursing
theory, clinical judgment, leadership, delegation, and professional
development
,SECTION A: FOUNDATIONS OF TRANSITION
AND ADULT LEARNING (Questions 1-25)
1. A nursing advisor is meeting with a student who is interested in
earning her RN degree. She knows that LPN/LVNs who enter
nursing school to become RNs come into the learning
environment with prior knowledge and understanding. Which
statement by the nursing advisor best describes her
understanding of the effect experience may have on learning?
a. "Experience may be a source of insight and motivation, or a
barrier."
b. "Experience is usually a stumbling block for LPN/LVNs."
c. "Experience never makes learning more difficult."
d. "Once something is learned, it can never be truly modified."
Correct Answer: a
Rationale: Experience accentuates differences among learners and
serves as a source of insight and motivation, but it can also be a
barrier. Experience can serve as a foundation for defining the self .
The other options present absolute statements that do not
accurately reflect the nuanced role of experience in adult learning.
2. There is a test on the cardiovascular system on Friday morning,
and it is now Wednesday night. The student has already taken a
vacation day from work Thursday night so that she can stay home
and study. She is considering skipping her exercise class on
,Thursday morning to go to the library to prepare for the test.
Which response best identifies the student's outcome priority?
a. Exercise class
b. Going to the library
c. Avoiding work by taking a vacation
d. Doing well on the test on Friday
Correct Answer: d
Rationale: The outcome priority is the essential issue or need to be
addressed at any given time within a set of conditions or
circumstances . The student's primary need is performing well on
the exam, making all other considerations secondary to this
outcome.
3. A nurse who has been an LPN/LVN for 10 years is meeting with
an advisor to discuss the possibility of taking classes to become
an RN. The advisor interprets which statement by the nurse as the
driving force for returning to school?
a. "I'll need to schedule time to attend classes."
b. "I'll have to budget for paying tuition."
c. "I'll have to rearrange my schedule."
d. "There is a possibility of advancement into administration."
Correct Answer: d
Rationale: Driving forces are those that push toward making the
change, as opposed to restraining forces, which present challenges
, that need to be overcome . The possibility of advancement
represents a motivational pull toward change, while the other
options represent obstacles or challenges (restraining forces).
4. An RN is caring for a diabetic patient. The patient appears
interested in changing her lifestyle and has been asking questions
about eating better. The nurse can interpret this behavior as
which stage of Lewin's Change Theory?
a. Moving
b. Unfreezing
c. Action
d. Refreezing
Correct Answer: b
Rationale: The patient is in the first phase of Lewin's Change
Theory, known as unfreezing. This phase involves determining that
a change needs to occur and deciding to take action . Moving is
the second phase and involves actively planning changes and
taking action on them. Refreezing is the last stage, and it occurs
when the change has become a part of the person's life.
5. An LPN is talking with her clinical instructor about her decision
to return to school to become an RN. The clinical instructor
interprets the LPN's outcome priority based on which statement?
