TEST BANK for LPN to RN Transitions 6th
v v v v v v v
Edition by Lora Claywell
v v v v
ALL CHAPTERS 1-18 WITH RATIONALES| A+ PASS
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1|P a g e
v v v v v
, Chapter 01: Honoring Your Past, Planning Your Future v v v v v v v
v MULTIPLE CHOICE v
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows
v v v v v v v v v v v v v v v v v
that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to become
v v v v v v v v v v v v v
RNs come into the learning environment with prior knowledge and understanding. Which statement by
v v v v v v v v v v v v v v
the nursing advisor best describes her understanding of the effect experience may have on learning?
v v v v v v v v v v v v v v v
a. ―Experience may be a source of insight and motivation, or a barrier.‖
v v v v v v v v v v v
b. ―Experience is usually a stumbling block for LPN/LVNs.‖ v v v v v v v
c. ―Experience never makes learning more difficult.‖ v v v v v
d. ―Once something is learned, it can never be truly modified.‖
v v v v v v v v v
ANS: A v
Experience accentuates differences among learners and serves as a source of insight and motivation, but it
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can also be a barrier. Experience can serve as a foundation for defining the self.
v v v v v v v v v v v v v v v
DIF: Cognitive Level: Application v v
OBJ: Identify how experiences influence learning in adults.
v v v v v v v TOP: Adult Learning v v
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night. The
v v v v v v v v v v v v v v v v v
student has already taken a vacation day from work Thursday night so that she can stay home and
v v v v v v v v v v v v v v v v v v
study. She is considering skipping her exercise class on Thursday morning to go to the library to prepare
v v v v v v v v v v v v v v v v v v
for the test. Which response best identifies the student‘s outcome priority?
v v v v v v v v v v v
a. Exercise class v
b. Going to the library v v v
c. Avoiding work by taking a vacation v v v v v
d. Doing well on the test on Friday ANS: D
v v v v v v v v
The outcome priority is the essential issue or need to be addressed at any given time within a set of
v v v v v v v v v v v v v v v v v v v
conditions or circumstances.
v v v
DIF: Cognitive Level: Application v v
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivation to
v v v v v v v v v v v v v
Learn
v
2|P a g e
v v v v v
,3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility
v v v v v v v v v v v v v v v v v v
of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving
v v v v v v v v v v v v v v v v v v
force for returning to school?
v v v v v
a. ―I‘ll need to schedule time to attend classes.‖
v v v v v v v
b. ―I‘ll have to budget for paying tuition.‖
v v v v v v
c. ―I‘ll have to rearranging my schedule.‖
v v v v v
d. ―There is a possibility of advancement into administration.‖
v v v v v v v
ANS: D v
Driving forces are those that push toward making the change, as opposed to restraining forces, which are
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those that usually present a challenge that needs to be overcome for the change to take place or present
v v v v v v v v v v v v v v v v v v v
a negative effect the change may initiate.
v v v v v v v
DIF: Cognitive Level: Application v v
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivations for
v v v v v v v v v v v v v
Change
v
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has
v v v v v v v v v v v v v v v v v
been asking questions about eating better. The nurse can interpret this behavior as which stage of
v v v v v v v v v v v v v v v v
Lewin‘s Change Theory?
v v v
a. Moving
b. Unfreezing
c. Action
d. Refreezing ANS: B v v
The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase involves
v v v v v v v v v v v v v v v v
determining that a change needs to occur and deciding to take action. Moving is the second phase and
v v v v v v v v v v v v v v v v v v
involves actively planning changes and taking action on them. Refreezing is the last stage, and it occurs
v v v v v v v v v v v v v v v v v
when the change has become a part of the person‘s life.
v v v v v v v v v v v
DIF: Cognitive Level: Analysis v v
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
v v v v v v v v v v v v v v
3|P a g e
v v v v v
, 5. An LPN is talking with her clinical instructor about her decision to return to school to become an
v v v v v v v v v v v v v v v v v
RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
v v v v v v v v v v v v v
a. ―My family wanted me to go back to school.‖
v v v v v v v v
b. ―I want to better my financial situation.‖
v v v v v v
c. ―I really enjoy school.‖
v v v
d. ―I would like to advance to a teaching role someday.‖
v v v v v v v v v
ANS: B v
The outcome priority is the essential need that must be addressed, determined by internal and external
v v v v v v v v v v v v v v v
factors, such as needing to better a financial situation. The other statements indicate reasons for returning
v v v v v v v v v v v v v v v v
to school, but they are not essential needs or issues to be addressed.
v v v v v v v v v v v v v
DIF: Cognitive Level: Analysis v v
OBJ: Identify how experiences influence learning in adults.
v v v v v v v TOP: Adult Learning v v
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
v v v v v v v v v v v v v v v v v v v
moving phase of Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
v v v v v v v v v v v v v v v v
a. Does nothing to obtain the position
v v v v v
b. Applies for the position v v v
c. Identifies that change is needed v v v v
d. Settles into the routine of her job ANS: B
v v v v v v v v
Unfreezing begins when reasons for change are identified. The moving phase involves active planning
v v v v v v v v v v v v v
and action. Moving also means you are dealing with both positive and negative forces as they ebb
v v v v v v v v v v v v v v v v v
and flow, and you are making modifications to your plan as needed.
v v v v v v v v v v v v
Refreezing occurs after the change has become routine.
v v v v v v v
DIF:
v Cognitive Level: Application v v
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
v v v v v v v v v v v v v v
7. An Orthopedic Nurse is contemplating changes in her professional life and identifying goals. Which
v v v v v v v v v v v v v
action should the nurse take if she is interested in pursuing a long-term goal?
v v v v v v v v v v v v v v
a. Studies for a telemetry exam scheduled for next week
v v v v v v v v
4|P a g e
v v v v v
v v v v v v v
Edition by Lora Claywell
v v v v
ALL CHAPTERS 1-18 WITH RATIONALES| A+ PASS
v v v v v v
1|P a g e
v v v v v
, Chapter 01: Honoring Your Past, Planning Your Future v v v v v v v
v MULTIPLE CHOICE v
1. A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows
v v v v v v v v v v v v v v v v v
that licensed practical nurse/license vocational nurse (LPN/LVNs) who enter nursing school to become
v v v v v v v v v v v v v
RNs come into the learning environment with prior knowledge and understanding. Which statement by
v v v v v v v v v v v v v v
the nursing advisor best describes her understanding of the effect experience may have on learning?
v v v v v v v v v v v v v v v
a. ―Experience may be a source of insight and motivation, or a barrier.‖
v v v v v v v v v v v
b. ―Experience is usually a stumbling block for LPN/LVNs.‖ v v v v v v v
c. ―Experience never makes learning more difficult.‖ v v v v v
d. ―Once something is learned, it can never be truly modified.‖
v v v v v v v v v
ANS: A v
Experience accentuates differences among learners and serves as a source of insight and motivation, but it
v v v v v v v v v v v v v v v
can also be a barrier. Experience can serve as a foundation for defining the self.
v v v v v v v v v v v v v v v
DIF: Cognitive Level: Application v v
OBJ: Identify how experiences influence learning in adults.
v v v v v v v TOP: Adult Learning v v
2. There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night. The
v v v v v v v v v v v v v v v v v
student has already taken a vacation day from work Thursday night so that she can stay home and
v v v v v v v v v v v v v v v v v v
study. She is considering skipping her exercise class on Thursday morning to go to the library to prepare
v v v v v v v v v v v v v v v v v v
for the test. Which response best identifies the student‘s outcome priority?
v v v v v v v v v v v
a. Exercise class v
b. Going to the library v v v
c. Avoiding work by taking a vacation v v v v v
d. Doing well on the test on Friday ANS: D
v v v v v v v v
The outcome priority is the essential issue or need to be addressed at any given time within a set of
v v v v v v v v v v v v v v v v v v v
conditions or circumstances.
v v v
DIF: Cognitive Level: Application v v
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivation to
v v v v v v v v v v v v v
Learn
v
2|P a g e
v v v v v
,3. A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility
v v v v v v v v v v v v v v v v v v
of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving
v v v v v v v v v v v v v v v v v v
force for returning to school?
v v v v v
a. ―I‘ll need to schedule time to attend classes.‖
v v v v v v v
b. ―I‘ll have to budget for paying tuition.‖
v v v v v v
c. ―I‘ll have to rearranging my schedule.‖
v v v v v
d. ―There is a possibility of advancement into administration.‖
v v v v v v v
ANS: D v
Driving forces are those that push toward making the change, as opposed to restraining forces, which are
v v v v v v v v v v v v v v v v
those that usually present a challenge that needs to be overcome for the change to take place or present
v v v v v v v v v v v v v v v v v v v
a negative effect the change may initiate.
v v v v v v v
DIF: Cognitive Level: Application v v
OBJ: Identify motivations and personal outcome priorities for returning to school. TOP: Motivations for
v v v v v v v v v v v v v
Change
v
4. An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has
v v v v v v v v v v v v v v v v v
been asking questions about eating better. The nurse can interpret this behavior as which stage of
v v v v v v v v v v v v v v v v
Lewin‘s Change Theory?
v v v
a. Moving
b. Unfreezing
c. Action
d. Refreezing ANS: B v v
The patient is in the first phase of Lewin‘s Change Theory, known as unfreezing. This phase involves
v v v v v v v v v v v v v v v v
determining that a change needs to occur and deciding to take action. Moving is the second phase and
v v v v v v v v v v v v v v v v v v
involves actively planning changes and taking action on them. Refreezing is the last stage, and it occurs
v v v v v v v v v v v v v v v v v
when the change has become a part of the person‘s life.
v v v v v v v v v v v
DIF: Cognitive Level: Analysis v v
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
v v v v v v v v v v v v v v
3|P a g e
v v v v v
, 5. An LPN is talking with her clinical instructor about her decision to return to school to become an
v v v v v v v v v v v v v v v v v
RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
v v v v v v v v v v v v v
a. ―My family wanted me to go back to school.‖
v v v v v v v v
b. ―I want to better my financial situation.‖
v v v v v v
c. ―I really enjoy school.‖
v v v
d. ―I would like to advance to a teaching role someday.‖
v v v v v v v v v
ANS: B v
The outcome priority is the essential need that must be addressed, determined by internal and external
v v v v v v v v v v v v v v v
factors, such as needing to better a financial situation. The other statements indicate reasons for returning
v v v v v v v v v v v v v v v v
to school, but they are not essential needs or issues to be addressed.
v v v v v v v v v v v v v
DIF: Cognitive Level: Analysis v v
OBJ: Identify how experiences influence learning in adults.
v v v v v v v TOP: Adult Learning v v
6. A nurse notices a posting for a management position for which she is qualified. If the nurse is in the
v v v v v v v v v v v v v v v v v v v
moving phase of Lewin‘s Change Theory, which statement reflects the action she is most likely to take?
v v v v v v v v v v v v v v v v
a. Does nothing to obtain the position
v v v v v
b. Applies for the position v v v
c. Identifies that change is needed v v v v
d. Settles into the routine of her job ANS: B
v v v v v v v v
Unfreezing begins when reasons for change are identified. The moving phase involves active planning
v v v v v v v v v v v v v
and action. Moving also means you are dealing with both positive and negative forces as they ebb
v v v v v v v v v v v v v v v v v
and flow, and you are making modifications to your plan as needed.
v v v v v v v v v v v v
Refreezing occurs after the change has become routine.
v v v v v v v
DIF:
v Cognitive Level: Application v v
OBJ: Understand Change Theory and how it applies to becoming an RN. TOP: Change Theory
v v v v v v v v v v v v v v
7. An Orthopedic Nurse is contemplating changes in her professional life and identifying goals. Which
v v v v v v v v v v v v v
action should the nurse take if she is interested in pursuing a long-term goal?
v v v v v v v v v v v v v v
a. Studies for a telemetry exam scheduled for next week
v v v v v v v v
4|P a g e
v v v v v