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 with five years of experience in long-
term care is beginning an RN program. When reflecting on their
past experience, which mindset is most crucial for a successful
transition into the advanced role?
• A) Viewing their LPN experience as fully sufficient for RN
practice.
• B) Considering their LPN background as a limitation to be
entirely overcome.
• C) Valuing their LPN experience as a solid foundation upon
which to build new competencies.
• D) Prioritizing theoretical knowledge over all previously
acquired practical skills.
Correct Answer: C
• Rationale for C: A successful transition honors past LPN
experience as a valuable asset that provides a practical
foundation for developing the more complex critical
thinking and clinical judgment required of an RN . This
, approach fosters confidence and integrates existing skills
with new learning.
• Rationale for A: This mindset inhibits learning by failing to
acknowledge the expanded scope and responsibilities of
the RN role.
• Rationale for B: This view unnecessarily devalues proven
clinical experience and can undermine self-confidence.
• Rationale for D: While theoretical knowledge is essential,
dismissing practical experience creates a disconnect
between learning and real-world application.
Teaching Point: Past LPN experience is a strength that
facilitates learning the advanced RN role.
2. Reference: Ch. 1, Section: Components of Continuing
Education
Question Stem: An LPN enrolling in an RN program is
demonstrating engagement in which primary concept essential
for the modern nursing professional?
• A) In-service training
• B) Lifelong learning
• C) Mandatory certification
• D) Lateral career movement
Correct Answer: B
, • Rationale for B: Returning to school for an advanced
degree is a proactive embodiment of lifelong learning, a
core expectation for nurses to maintain competence and
adapt to the evolving healthcare landscape .
• Rationale for A: In-service training is typically employer-
provided and focused on specific job-related skills, not
formal academic advancement.
• Rationale for C: While some specialties require
certification, entering an RN program is a broader
educational pursuit.
• Rationale for D: Moving from LPN to RN represents a
vertical career advancement with an expanded scope of
practice.
Teaching Point: Pursuing an RN degree is a key activity in a
nurse's lifelong learning journey.
3. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: According to change theory, an LPN who has
just been accepted into an RN program is likely in the first stage
of the transition process. What is the most characteristic
behavior of this initial stage?
• A) Feeling comfortable and confident in the new student
role.
• B) Actively integrating new knowledge with past
experience.
, • C) Experiencing uncertainty and ambivalence about the
change.
• D) Developing a new identity and sense of mastery.
Correct Answer: C
• Rationale for C: The initial stage of change is often
characterized by discomfort, uncertainty, and ambivalence
as the individual confronts the unknown and leaves a
familiar situation .
• Rationale for A: Comfort and confidence are outcomes of
later, more stable stages of change.
• Rationale for B: Integration is an active process that occurs
after the initial resistance to change has been addressed.
• Rationale for D: Developing a new identity is a hallmark of
a later stage, after working through the initial uncertainty.
Teaching Point: Initial uncertainty is a normal part of the
change process when transitioning to a new role.
4. Reference: Ch. 1, Section: Setting Your Goals
Question Stem: An LPN is creating a plan for success in the
demanding RN program. Which goal-setting strategy is most
likely to lead to positive outcomes?
• A) Setting a single, long-term goal to graduate in two years.
• B) Focusing exclusively on academic goals, setting aside
social activities.
6th Edition
• Author(s)Lora Claywell
TEST BANK
1. Reference: Ch. 1, Section: Reviewing the Past and Present
Question Stem: An LPN with five years of experience in long-
term care is beginning an RN program. When reflecting on their
past experience, which mindset is most crucial for a successful
transition into the advanced role?
• A) Viewing their LPN experience as fully sufficient for RN
practice.
• B) Considering their LPN background as a limitation to be
entirely overcome.
• C) Valuing their LPN experience as a solid foundation upon
which to build new competencies.
• D) Prioritizing theoretical knowledge over all previously
acquired practical skills.
Correct Answer: C
• Rationale for C: A successful transition honors past LPN
experience as a valuable asset that provides a practical
foundation for developing the more complex critical
thinking and clinical judgment required of an RN . This
, approach fosters confidence and integrates existing skills
with new learning.
• Rationale for A: This mindset inhibits learning by failing to
acknowledge the expanded scope and responsibilities of
the RN role.
• Rationale for B: This view unnecessarily devalues proven
clinical experience and can undermine self-confidence.
• Rationale for D: While theoretical knowledge is essential,
dismissing practical experience creates a disconnect
between learning and real-world application.
Teaching Point: Past LPN experience is a strength that
facilitates learning the advanced RN role.
2. Reference: Ch. 1, Section: Components of Continuing
Education
Question Stem: An LPN enrolling in an RN program is
demonstrating engagement in which primary concept essential
for the modern nursing professional?
• A) In-service training
• B) Lifelong learning
• C) Mandatory certification
• D) Lateral career movement
Correct Answer: B
, • Rationale for B: Returning to school for an advanced
degree is a proactive embodiment of lifelong learning, a
core expectation for nurses to maintain competence and
adapt to the evolving healthcare landscape .
• Rationale for A: In-service training is typically employer-
provided and focused on specific job-related skills, not
formal academic advancement.
• Rationale for C: While some specialties require
certification, entering an RN program is a broader
educational pursuit.
• Rationale for D: Moving from LPN to RN represents a
vertical career advancement with an expanded scope of
practice.
Teaching Point: Pursuing an RN degree is a key activity in a
nurse's lifelong learning journey.
3. Reference: Ch. 1, Section: Change Theory and Learning
Question Stem: According to change theory, an LPN who has
just been accepted into an RN program is likely in the first stage
of the transition process. What is the most characteristic
behavior of this initial stage?
• A) Feeling comfortable and confident in the new student
role.
• B) Actively integrating new knowledge with past
experience.
, • C) Experiencing uncertainty and ambivalence about the
change.
• D) Developing a new identity and sense of mastery.
Correct Answer: C
• Rationale for C: The initial stage of change is often
characterized by discomfort, uncertainty, and ambivalence
as the individual confronts the unknown and leaves a
familiar situation .
• Rationale for A: Comfort and confidence are outcomes of
later, more stable stages of change.
• Rationale for B: Integration is an active process that occurs
after the initial resistance to change has been addressed.
• Rationale for D: Developing a new identity is a hallmark of
a later stage, after working through the initial uncertainty.
Teaching Point: Initial uncertainty is a normal part of the
change process when transitioning to a new role.
4. Reference: Ch. 1, Section: Setting Your Goals
Question Stem: An LPN is creating a plan for success in the
demanding RN program. Which goal-setting strategy is most
likely to lead to positive outcomes?
• A) Setting a single, long-term goal to graduate in two years.
• B) Focusing exclusively on academic goals, setting aside
social activities.
