LPN to RN Transition Test Bank
Course Introduction
The LPN to RN Transition course is designed to facilitate the advancement of Licensed Practical Nurses (LPNs) to the role of Registered Nurse (RN). The course focuses on expanding the knowledge, skills, and clinical judgment necessary for the RN scope of practice. Topics include nursing theory, patient assessment, care planning, leadership, professional communication, and legal and ethical aspects of nursing. Emphasis is placed on critical thinking, the nursing process, and evidence-based practice, as well as the development of clinical competencies in various healthcare settings. The course prepares students for seamless integration into RN roles and success on the NCLEX-RN examination.
Recommended Textbook
LPN to RN Transitions 3rd Edition by Lora Claywell
Available Study Resources on Quizplus
19 Chapters
398 Verified Questions
398 Flashcards
Source URL: https://quizplus.com/study-set/1117
Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) An Orthopedic Nurse is contemplating changes in her professional life and identifying goals. Which action should the nurse take if she is interested in pursuing a long-term goal?
A) Studies for a telemetry exam scheduled for next week
B) Enrolls in a Nurse Practitioner program
C) Attends a seminar to become a charge nurse
D) Continues to work on the orthopedic floor full-time
Answer: B
Q2) 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 rearranging my schedule."
D) "There is a possibility of advancement into administration."
Answer: D
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Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21949
Sample Questions
Q1) The nurse understands that there are four key habits for managing the work of success. Which action by the nurse demonstrates her understanding?
A) Participating in a yoga class
B) Analyzing case studies on her day off
C) Taking time at the beginning of the work shift to make a plan for her day
D) Setting short- and long-term goals
Answer: C
Q2) Which actions or statements can the nurse take to eliminate self-defeating behaviors? (Select all that apply.)
A) Say, "I know that I can do this."
B) Accept responsibility for his or her actions.
C) Worry about things that are out of his or her control.
D) Strive for perfection.
E) Believe that his or her actions are out of his or her control.
Answer: A, B
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4
Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21950
Sample Questions
Q1) The RN is performing an assessment on a patient being admitted for back pain. The nurse interprets which of the patient's statements as a minor detail?
A) The patient has not been able to void in 12 hours.
B) The patient ate 90% of his meal.
C) The patient reports being unable to walk.
D) The patient was involved in a car accident 2 days ago.
Answer: B
Q2) A student is studying for an upcoming test. She has read the assigned text once and is now ready to highlight. Which actions by the student indicate that she understands how to highlight? (Select all that apply.)
A) Uses circles to highlight key words or phrases
B) Draws an asterisk next to an important paragraph or sentence
C) Underlines sentences of importance
D) Draws squares around words for emphasis
E) Marks a section with a star for future reference
Answer: A, B, C, E
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Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/21951
Sample Questions
Q1) Give 1500 mL 0.9 NS with 20 mEq K over 12 hours. Drop factor is 15 gtt/min.
Q2) How many tablets of Synthroid will you give for one dose?
Ordered: Synthroid 0.1 mg PO every morning
Available: 50 mcg Synthroid tablets
Q3) Staphcillin 1 g in 100 mL D W over 45 minutes
Q4) Magnesium sulfate 5 gm in 100 mL D W to infuse over 3 hours
Q5) Ordered: Morphine sulfate 10 mg/hr continuous IV
Available: MS 50 mg in 100 mL NS
Q6) Give D W 250 mL over 8 hours. Microdrip set delivers 60 gtt/mL.
Q7) What volume of PCN G is in one dose?
Ordered: PCN G 1.25 mil units
Available: Multidose vial labeled 500,000 units/mL after reconstitution
Q8) Aminophylline 250 mg in 500 mL. Infuse at 30 mg/hr.
Q9) What volume of PCN G constitutes one dose?
Ordered: PCN G 750,000 units IV q6h
Available: PCN G vial labeled 200,000 units/mL after reconstitution
Q10) How much is one dose of Lanoxin?
Ordered: Lanoxin 375 mcg IV in the morning Page 6
Q11) Infuse 1 L lactated Ringers over 10 hours. Drop factor is 25 gtt/ min.
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Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21952
Sample Questions
Q1) A group of nursing students is planning to utilize the KATTS Framework for their group study this week. In order to complete a drill set effectively, they should do which of the following? (Select all that apply.)
A) Complete a minimum of 50 questions within 1 hour, and work up to 100 questions in 2 hours.
B) Create a study plan for gaps in knowledge.
C) Understand the rationale for the both the correct and incorrect answers.
D) Analyze the results of the drill set, and look for gaps in knowledge.
E) Complete a minimum of 100 questions in 1 hour, and work up to 200 questions in 2 hours.
Q2) Every 3 years the NCSBN conducts practice analysis to determine the expectations for entry level nurses who are newly licensed. The nurse manager understands and can state that nursing care activities are analyzed in relation to all of the following except: A) frequency of performance.
B) time commitment.
C) impact on maintaining client safety.
D) client care setting where the activities are performed.
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Page 8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21953
Sample Questions
Q1) Which of the following is an example of professional advocacy in nursing?
A) Charting and writing up a medication error
B) Writing up a nursing assistant for excessive absences
C) Writing one's senator concerning mandatory overtime
D) Mentoring a new graduate RN who is new to the unit
Q2) Which function falls within the LPN/LVN's scope of practice?
A) Formulating the plan of care
B) Collecting data
C) Selecting nursing diagnoses
D) Setting goals, objectives, and outcomes
Q3) The charge nurse is creating assignments for the oncoming shift. She notices that today staffing consists of three RNs and one LPN. Which assignment would be most appropriate for the LPN?
A) Acute MI: needs preparation for the catheter lab
B) Flu-like symptoms: needs reassessment of vital signs every hour
C) Possible stroke: needs anticoagulation therapy
D) Dehydration: needs IVF boluses and IV antiemetics
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Page 9
Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/21954
Sample Questions
Q1) Florence Nightingale contributed to nursing in many different ways. The student nurse has an understanding of the history of nursing when she does which of the following?
A) Educates another student about the efforts of Florence Nightingale to promote research
B) States that Nightingale is responsible for minor contributions to the early education of nurses
C) Believes that Nightingale was not involved in the theory of nursing
D) States that Nightingale did not assist in the development of the nursing process
Q2) What is the major social factor that has developed the role of nursing to what it is today?
A) Society's attitude toward the role of women
B) Society's lack of qualified health providers
C) Society's lack of resources to pay for health care
D) Society's lack of education about health care
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Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) The RN understands the importance of providing culturally competent nursing care when she does which of the following? (Select all that apply.)
A) Uses flexibility to accommodate the patient
B) Becomes knowledgeable about other cultures
C) Lets go of negative attitudes about other cultures
D) Believes that her culture is superior
E) Avoids patients of different cultures
Q2) A nurse is caring for an elderly patient with terminal cancer. The patient has just told his family that he wants to end treatment and be kept comfortable for the remainder of his life. His family is very upset and does not agree with his decision. Both the patient and his family have confided their wishes to the nurse privately, and the family has asked the nurse to intervene. How would you classify the ethical dilemma that the nurse is experiencing?
A) Right to life
B) Informed consent
C) Right to die
D) Medical futility
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Chapter
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) A patient on a medical-surgical floor is unhappy with the care he is receiving from his physician and wants to speak to someone about it. Who should his nurse consult first?
A) The director of medical-surgical nursing
B) The patient's physician
C) The nurse's immediate supervisor
D) Another nurse on the floor
Q2) On administering a medication, the RN realizes that she gave the incorrect amount. After assessing the patient, which action would not be appropriate for the nurse to take?
A) Report the incident to the patient's physician.
B) Immediately report the incident to her manager.
C) Keep the incident to herself and continue to monitor the patient.
D) Continue to reassess the patient.
Q3) Often, when patients are unhappy or behaving negatively, it is the result of which of the following? (Select all that apply.)
A) Angst
B) Sorrow
C) Anxiety
D) Pain
Page 12
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Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21957
Sample Questions
Q1) What criterion would the nurse use to support Hildegard Peplau's Theory of Interpersonal Relations?
A) The relationship between nurse and doctor
B) The mutual caring relationship
C) Meeting the needs of nurse and patient
D) The relationship between nurse and patient
Q2) What skills would a nurse demonstrate if the nurse reached the "competent stage" of Patricia Benner's theory of skill acquisition?
A) Relies on more experienced nurses for guidance
B) Can multitask, set goals, and think analytically
C) Can see the whole picture and recognizes subtle changes in condition
D) Recognizes patterns and responds automatically
Q3) What parts make up and work together in Imogene King's Theory of Goal Attainment? (Select all that apply.)
A) Creating a method to evaluate outcomes
B) Defining quality nursing care
C) Setting goals
D) Focusing on self-care
E) Maintaining a clean environment
Page 13
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) An example of an intervention independently initiated by the nurse is:
A) starting a teaching plan for the patient who will go home tomorrow.
B) instituting diet restrictions with subsequent progression of diet as tolerated.
C) sending an abnormal appearing urine sample to the lab for routine urinalysis.
D) writing an order for aspirin for a headache.
Q2) A patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week.
Which nursing diagnosis is a priority?
A) Fluid volume deficit related to fluid loss
B) Altered nutrition: Less than body requirements related to anorexia
C) Fluid volume excess related to reduced urine output
D) Risk for impaired skin integrity
Q3) The nurse is charting on the patient who is status post surgery for an abdominal abscess and notes: "Pt's temperature has not exceeded 37°C this shift." This is an example of a(n):
A) intervention.
B) outcome.
C) plan.
D) diagnosis or analysis.
Page 14
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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) Which of the following is the best example of an open-ended question regarding a patient's pain?
A) "For how many weeks have you been having this pain?"
B) "Does it feel like a burning pain?"
C) "Where on your body does the pain begin and end?"
D) "Can you describe your pain for me?"
Q2) Using clinical judgment, the nurse makes decisions on whether to proceed with or revise a course of action. The inquiry (investigational or exploratory) subprocess necessary for sound clinical judgment is _____ thinking.
A) reflective
B) persuasive
C) critical
D) intuitive
Q3) Critical thought is a(n):
A) disciplined, rational, and self-directed activity that uses standards and criteria.
B) intuitive process that relies only on the nurse's experience.
C) persuasive process leading to sound decisions.
D) reactive process after an intervention is completed.
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Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) The nurse questions whether treatment with antibiotic therapy is as effective as observation in a 3-year-old boy with otitis media. What combination of information supports the proper order of information needed to compose a PICO statement?
A) Effective treatment for otitis media; antibiotic therapy; observation; 3-year-old with otitis media
B) Three-year-old with otitis media; antibiotic therapy; observation; effective treatment for otitis media
C) Antibiotic therapy; 3-year-old with otitis media; effective treatment for otitis media; observation
D) Observation; 3-year-old with otitis media; effective treatment for otitis media; antibiotic therapy
Q2) If you had access to the following databases for your research, which would you choose to review clinical trials on effective smoking cessation therapies?
A) The Cochrane Library
B) HealthStar
C) Medline
D) InfoPOEMS
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Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) The nurse is caring for a patient 2 hours after a left above-the-knee amputation. The patient states, "My left leg is really hurting, and that medicine you gave me earlier didn't help." Which response is the most therapeutic, if made by the nurse?
A) "That's impossible!"
B) "You'll have to talk to your doctor."
C) "Keep your chin up."
D) "I will call your physician."
Q2) The nursing student addresses an 86-year-old patient by his first name at their initial meeting. To the patient, this behavior:
A) is a sign of the nursing student's empathy for the patient.
B) could be interpreted as a lack of respect on the part of the student.
C) clearly indicates that the student feels comfortable working with the patient.
D) indicates that the student is establishing firm boundaries for the relationship.
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Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21962
Sample Questions
Q1) Persons seeking health care have increased autonomy and insist on taking an active role in their medical treatment decisions. What aspect of a nurse's role does this fact affect?
A) Use of professional communication when doing patient teaching and admitting patients to the unit
B) Coordination of human and material resources that are directly used in the delivery of care at the bedside
C) Evaluation of performance and skills of nursing staff members involved in direct patient care
D) Patient collaboration with health care team members involved with the development of focused, quality care
Q2) Which patient characteristic must a nurse consider when planning teaching?
A) Literacy level
B) Discharge instructions
C) Good lighting
D) Pain medication
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18
Chapter 16: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21963
Sample Questions
Q1) A family member of an elderly Hispanic patient admitted to the hospital tells the nurse that the patient has traditional beliefs about health and illness. Being a patient advocate, the best action by the nurse is to:
A) avoid asking any questions unless the patient initiates conversation.
B) obtain further information about the patient's cultural beliefs from the family member.
C) ask the patient whether it is important that cultural healers are contacted.
D) explain the usual hospital routines for meal times, care, and family visits.
Q2) Which statement best reflects that the nurse manager has taken the first action in the decision-making process?
A) "We could hire four additional nursing assistants."
B) "We need to decrease patient falls."
C) "Patient falls have decreased by 20%."
D) "Here is the revised staffing schedule."
Q3) Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
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Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21964
Sample Questions
Q1) Several family members of a patient who has just been admitted to the intensive care unit (ICU) with multiple traumatic injuries have just arrived in the ICU waiting room. Which action should the nurse take first?
A) Take the family members to the patient's room.
B) Discuss ICU visitation policies and encourage family visits.
C) With the patient's approval, describe the patient's injuries and the care that is being provided.
D) Invite the family to participate in a multidisciplinary care conference.
Q2) A nurse recognizes that a homeless patient must walk great distances to obtain food. What kind of need does this patient demonstrate?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
Q3) Healthy People 2020 is a:
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of U.S. citizens.
D) set of national health mandates.
Page 20
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Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) Discharge planning requires all of the following except:
A) assessing the patient's plan of care to determine whether the outcome criteria are met.
B) evaluation of whether the patient and family can continue with the necessary interventions or whether they need assistance.
C) obtaining specific orders from the physician to begin the process of discharge planning.
D) assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen.
Q2) A patient has been discharged home after being hospitalized for a fractured foot following a motor vehicle accident. The doctor has ordered physical therapy for the patient to help gain strength and flexibility after the cast can be removed. This patient will likely receive a referral for what tertiary service?
A) Respite care
B) Home health care
C) Wound care
D) Rehabilitation care
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Chapter 19: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21966
Sample Questions
Q1) What could a nurse say who believed that a nursing student has a duty to understand pertinent clinical information to make sound clinical judgments?
A) "Sometimes work does get in the way of studying."
B) "Nursing school is difficult, and striving for average is understandable."
C) "You should be honest when critically reflecting on your strengths and weaknesses."
D) "Experience after nursing school will provide real nursing knowledge."
Q2) A patient weighed 200 lb 6 months ago. He now weighs 160 lb. He has not been trying to lose weight. Based on the defining characteristics of nutrition, less than body requirements, the nurse's best response would be:
A) "You need to modify your diet so you don't lose more weight."
B) "That is a significant weight loss. How would you account for it?"
C) "Congratulations. That is a major achievement."
D) "How tall are you? I am wondering if that is a good weight for your height."
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