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 has returned to school to become
an RN is asked by a patient to explain the difference between
the LPN and RN role. Which response best describes the
primary distinction in scope of practice?
Options:
A) "RNs administer medications while LPNs focus on patient
hygiene and comfort."
B) "RNs develop nursing diagnoses and comprehensive plans of
care, while LPNs contribute data and follow established plans."
C) "LPNs manage complex wound care while RNs focus on
patient education and discharge planning."
D) "The roles are essentially identical, but RNs hold a degree
that allows them to work in hospital settings."
Correct Answer: B
Rationales:
• Correct: The RN scope centers on the nursing process,
including independent development of nursing diagnoses
, and comprehensive care plans, while the LPN contributes
valuable data and implements care under direction .
• Incorrect A: This oversimplifies and misrepresents both
roles; LPNs do administer medications in many
jurisdictions, and RNs do far more than medication
administration.
• Incorrect C: This incorrectly assigns complex wound care to
LPNs; while they may perform dressing changes, the
assessment and plan are typically RN responsibilities.
• Incorrect D: The roles are distinct and defined by different
scopes of practice in state nurse practice acts, not merely
by work setting .
Teaching Point: The RN role is defined by independent
analysis, diagnosis, and care planning.
Citation: Claywell, 2024, Ch. 1
Question 2
Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: A nurse is transitioning from an LPN to an RN
role. Using Bridges' Transition Model, which action best
demonstrates the "new beginning" phase?
Options:
A) Mourning the loss of the familiar LPN role and its routines.
B) Actively practicing new skills like delegation and care
coordination.
,C) Feeling uncertain and overwhelmed by the new RN
responsibilities.
D) Researching different RN-to-BSN programs for future
advancement.
Correct Answer: B
Rationales:
• Correct: The "new beginning" phase is characterized by
energy, commitment, and active engagement in new
behaviors and identity.
• Incorrect A: Mourning the loss of the past is part of the
"ending" phase, not the "new beginning."
• Incorrect C: Feelings of uncertainty and overwhelm are
typical of the "neutral zone" between ending and new
beginning.
• Incorrect D: Planning for the future is positive, but it is not
the active practice and internalization of the current RN
role change.
Teaching Point: "New beginnings" involve active
commitment to new behaviors and identity.
Citation: Claywell, 2024, Ch. 1
Question 3
Reference: Ch. 1, Section: Setting Your Goals
Question Stem: When creating a SMART goal for successful
transition into the RN role, which example is most effective?
, Options:
A) "I will become a better nurse leader eventually."
B) "I will delegate one specific patient care task to the UAP each
clinical day this week and evaluate the outcome."
C) "I will try to learn more about time management."
D) "I will get a job in the ICU after I graduate."
Correct Answer: B
Rationales:
• Correct: This goal is Specific (delegating a task),
Measurable (each clinical day), Achievable (one task),
Relevant (builds delegation skill), and Time-bound (this
week).
• Incorrect A: This goal is vague, not measurable, and has no
time frame.
• Incorrect C: "Try" and "learn more" are not specific or
measurable actions.
• Incorrect D: This is a long-term outcome but is not a
specific, actionable goal for the immediate transition
process.
Teaching Point: Effective transition goals are SMART:
Specific, Measurable, Achievable, Relevant, and Time-
bound.
Citation: Claywell, 2024, Ch. 1
Question 4
6th Edition
• Author(s)Lora Claywell
TEST BANK
Question 1
Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: An LPN who has returned to school to become
an RN is asked by a patient to explain the difference between
the LPN and RN role. Which response best describes the
primary distinction in scope of practice?
Options:
A) "RNs administer medications while LPNs focus on patient
hygiene and comfort."
B) "RNs develop nursing diagnoses and comprehensive plans of
care, while LPNs contribute data and follow established plans."
C) "LPNs manage complex wound care while RNs focus on
patient education and discharge planning."
D) "The roles are essentially identical, but RNs hold a degree
that allows them to work in hospital settings."
Correct Answer: B
Rationales:
• Correct: The RN scope centers on the nursing process,
including independent development of nursing diagnoses
, and comprehensive care plans, while the LPN contributes
valuable data and implements care under direction .
• Incorrect A: This oversimplifies and misrepresents both
roles; LPNs do administer medications in many
jurisdictions, and RNs do far more than medication
administration.
• Incorrect C: This incorrectly assigns complex wound care to
LPNs; while they may perform dressing changes, the
assessment and plan are typically RN responsibilities.
• Incorrect D: The roles are distinct and defined by different
scopes of practice in state nurse practice acts, not merely
by work setting .
Teaching Point: The RN role is defined by independent
analysis, diagnosis, and care planning.
Citation: Claywell, 2024, Ch. 1
Question 2
Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: A nurse is transitioning from an LPN to an RN
role. Using Bridges' Transition Model, which action best
demonstrates the "new beginning" phase?
Options:
A) Mourning the loss of the familiar LPN role and its routines.
B) Actively practicing new skills like delegation and care
coordination.
,C) Feeling uncertain and overwhelmed by the new RN
responsibilities.
D) Researching different RN-to-BSN programs for future
advancement.
Correct Answer: B
Rationales:
• Correct: The "new beginning" phase is characterized by
energy, commitment, and active engagement in new
behaviors and identity.
• Incorrect A: Mourning the loss of the past is part of the
"ending" phase, not the "new beginning."
• Incorrect C: Feelings of uncertainty and overwhelm are
typical of the "neutral zone" between ending and new
beginning.
• Incorrect D: Planning for the future is positive, but it is not
the active practice and internalization of the current RN
role change.
Teaching Point: "New beginnings" involve active
commitment to new behaviors and identity.
Citation: Claywell, 2024, Ch. 1
Question 3
Reference: Ch. 1, Section: Setting Your Goals
Question Stem: When creating a SMART goal for successful
transition into the RN role, which example is most effective?
, Options:
A) "I will become a better nurse leader eventually."
B) "I will delegate one specific patient care task to the UAP each
clinical day this week and evaluate the outcome."
C) "I will try to learn more about time management."
D) "I will get a job in the ICU after I graduate."
Correct Answer: B
Rationales:
• Correct: This goal is Specific (delegating a task),
Measurable (each clinical day), Achievable (one task),
Relevant (builds delegation skill), and Time-bound (this
week).
• Incorrect A: This goal is vague, not measurable, and has no
time frame.
• Incorrect C: "Try" and "learn more" are not specific or
measurable actions.
• Incorrect D: This is a long-term outcome but is not a
specific, actionable goal for the immediate transition
process.
Teaching Point: Effective transition goals are SMART:
Specific, Measurable, Achievable, Relevant, and Time-
bound.
Citation: Claywell, 2024, Ch. 1
Question 4
