Nursing Role Transition
Chapter Exam Questions
Course Introduction
Nursing Role Transition explores the process by which nursing students and newly graduated nurses adapt to professional clinical roles. The course examines concepts such as role adaptation, identity formation, scope of practice, and professional responsibilities. Topics include effective communication, time management, ethical decision-making, and collaboration within multidisciplinary healthcare teams. Students analyze the challenges and opportunities of transitioning from student to practicing nurse, develop strategies to foster resilience and lifelong learning, and reflect on legal and regulatory frameworks guiding nursing practice. Emphasis is placed on building confidence, critical thinking, and leadership skills to support a smooth integration into the workforce.
Recommended Textbook
LPN to RN Transitions 4th Edition by Lora Claywell
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18 Chapters
345 Verified Questions
345 Flashcards
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Chapter 1: Honoring Your Past, Planning Your Future
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Sample Questions
Q1) The nurse educator is presenting a lecture to a group of new RNs. Which statement by one of the RNs indicates that teaching has been effective?
A) "Experience is a stepping stone to new learning".
B) "Experience can be a barrier to new learning".
C) "Experience can be an avenue to new learning".
D) "Experience can be a detour to new learning".
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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3
Chapter 2: Assessing Yourself and Designing Success
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Sample Questions
Q1) A student has a large reading assignment that must be completed in order to be prepared for the next class. Which action by the student would be ineffective in the planning process?
A) Put off the assignment until later so more content is remembered.
B) Examine your schedule to determine time frames for study sessions.
C) Determine a study environment fitting your learning style.
D) Divide the assignment into manageable chunks, and take notes as you read.
Answer: A
Q2) A patient is learning to improve her personal empowerment skills after going through a tough divorce. Which actions can she take to accomplish this? (Select all that apply.)
A) Practice positive self-talk.
B) Manage the work of success.
C) Develop an external locus of control.
D) Eliminate self-defeating behaviors.
E) Manage good health.
Answer: A, B, D, E
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4
Chapter 3: Study Habits and Test-Taking Skills
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Sample Questions
Q1) A student has been out of school for a number of years. She is concerned that she may not be able to study effectively. What action can the student take that will increase her ability to focus on her studies?
A) Study for 1 hour a night.
B) Study in a loud coffee shop.
C) Stay up all night before tests to make sure she is proficient.
D) Study with the TV off.
Answer: D
Q2) A student has just listened to a lecture on better strategies for studying. Which of the student's actions indicate understanding? (Select all that apply.)
A) Wait until the evening to study.
B) Begin with the most difficult subjects.
C) Create a conducive study environment.
D) Record the lectures and listen to them in your car.
E) Begin to study the day before an exam.
Answer: B, C, D
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Chapter 4: Distinguishing the RN Role from the LPN/LVN Role
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Sample Questions
Q1) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association (ANA)."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
Q2) The RN utilizes problem-solving skills to do all of the following except
A) establish mutual goals with the patient and family.
B) formulate a care plan.
C) assist patients to achieve expected outcomes in the plan of care.
D) oversee implementation and evaluation of the plan.
Q3) 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
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Chapter 5: Using Nursing Theory to Guide Professional Practice
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Sample Questions
Q1) The goal of Ida Jean Orlando's theory of effective nursing practice is to A) focus on relationships among the environment, nurse, and patient.
B) reduce the duration of hospital stays.
C) meet the immediate needs of the patient and relieve distress or discomfort.
D) integrate holism into nursing.
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 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
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Page 7
Chapter 6: Providing Patient-Centered Care Through the Nursing Process
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Sample Questions
Q1) The nurse is using Gordon's 11 categories for data collection in performing a health assessment. Which of the following represents assessment of cognition?
A) How educated is the patient?
B) How does the patient describe his or her health?
C) Is the patient well nourished?
D) Has the patient had treatment for emotional problems?
Q2) Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
A) Pain
B) Reduced gas exchange
C) Reduced stamina
D) Need for health teaching
Q3) Which of these strategies should be a priority when the nurse is planning care for a patient with hypertension?
A) Obtain less expensive antihypertensive medications.
B) Assist with dietary changes as the first action.
C) Follow evidence-based guidelines for appropriate interventions.
D) Teach about the impact of exercise on hypertension.
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Chapter 7: Critical and Diagnostic Thinking for Better Clinical Judgment
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Sample Questions
Q1) An RN has collected extensive data on a patient with attention deficit disorder. When weighing potential actions to help the patient and considering alternative solutions, which of the attributes of the critical thinker is the RN demonstrating?
A) Creativity
B) Rational thought
C) Reflection
D) Curiosity
Q2) The nurse has received a change-of-shift report about these four patients. Which one should the nurse plan to assess first?
A) A 23-year-old patient with cystic fibrosis who has pulmonary function testing scheduled in 30 minutes.
B) A 35-year-old patient who was admitted the previous day with bacterial pneumonia and has a temperature of 100.2°F.
C) A 46-year-old patient who is complaining of dyspnea after having a thoracentesis 1 hour previously.
D) A 77-year-old patient with TB who has four antitubercular medications due in 15 minutes.
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Chapter 8: Practicing Evidence-Based Decision Making
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Sample Questions
Q1) Can you explain how the nurse's use of PICO helps to formulate an effective clinical question?
A) PICO organizes the elements that guide the clinical question.
B) PICO formulates an answer to the clinical question.
C) PICO explains the hierarchy of evidence.
D) PICO identifies the strength of the evidence.
Q2) What characteristics support evidence-based practice (EBP)? (Select all that apply.)
A) The nurse's clinical experience is fundamental to the evidence-based practice process.
B) Evidence-based practice provides a theoretical framework for accuracy and safety in patient care.
C) Evidence-based practice involves the use of a holistic approach to patient care in health care.
D) Evidence-based practice is designed to create a generic plan of patient care in clinical settings.
E) Evidence-based practice allows the nurse autonomy in patient care because research proves success.
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Chapter 9: Communicating With Patients and Co-Workers
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Sample Questions
Q1) Before signing the verbal orders given earlier, the physician notifies the nurse of incorrectly wording the order. The physician requests the nurse to go back and insert the missing information. Which actions illustrate a lack of knowledge by the nurse? (Select all that apply.)
A) Use a black pen and insert the missing information.
B) Insist that the physician write a new order.
C) Write an addendum clarifying the order.
D) Toss the old order and write a new one.
Q2) The student nurse is listening to a lecture on communication. Which statement indicates that the teaching has been effective?
A) "A communication blocker is silence."
B) "A communication blocker is eye contact."
C) "A communication blocker is advising."
D) "A communication blocker is clarifying."
Q3) When preparing for patient teaching what should the nurse do first?
A) Assess the learner's needs.
B) List key points to be presented.
C) Collect the teaching materials.
D) Think about how the skill can be done at home.
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Page 11
Chapter 10: Teaching Patients and Their Families
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Sample Questions
Q1) The nurse is assessing a patient who needs teaching about how to care for her wound at home. The nurse knows to be sensitive about asking questions that cause embarrassment. Which question is stated in the best manner?
A) "Would you like for me to write down how to change this dressing or is it better for you to see a demonstration?"
B) "What is the highest grade you completed when you were in school?"
C) "Do you read and write?"
D) "I am going to give you a handout on how to perform your dressing change. Now don't worry if you do not read, I'll read it to you."
Q2) The nurse has just taught an adult patient with a new diagnosis of diabetes mellitus how to check blood glucose. The nurse should document
A) "Demonstrated understanding of checking blood glucose."
B) that the patient demonstrated the procedure properly and the time it took to complete the educational session.
C) the steps of the procedure the patient was taught.
D) that the nurse taught the patient how to check blood glucose.
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Chapter
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Sample Questions
Q1) Which is the dominant focus of patient care in the current health care environment?
A) To increase cost to increase profit
B) To contain rising costs
C) To ignore rising costs
D) To manage care according to cost
Q2) A student understands the contributions of Clara Barton when she states, "Clara Barton
A) is known as the Lady with the Lamp."
B) fought for women's rights."
C) is known as the Angel of the Battlefield."
D) was America's first trained nurse."
Q3) A student is studying the history of nursing. Which statement made by the student would be correct if she had an adequate understanding of America's first trained nurse?
A) "America's first trained nurse reduced student nurses' working hours."
B) "As America's first trained nurse, Isabel Hampton Robb promoted licensure exams."
C) "America's first trained nurse worked to create associate degree programs."
D) "America's first trained nurse was Linda Richards."
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Page 13
Chapter 12: Upholding Legal and Ethical Principles
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Sample Questions
Q1) The nurse accidentally administers the wrong dose of a medication. Her first action would be to
A) notify the physician.
B) fill out an incident report.
C) assess the patient.
D) tell her supervisor.
Q2) The nurse working in family practice is assessing an elderly female patient and notices bruises on the patient's arm and back. Which action is the most appropriate for the nurse to take?
A) Ignore the bruises because her daughter tells you that her mother is clumsy.
B) Do nothing because you cannot prove anything.
C) Report the suspected abuse to the appropriate authorities.
D) Confront and accuse the daughter of elder abuse.
Q3) The nurse threatens to place a verbally abusive patient in restraints. The patient could press charges against the nurse for which of the following?
A) Battery
B) Assault
C) Malpractice
D) Negligence
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Page 14
Chapter 13: Care and Safety Standards, Competence, and Nurse Accountability
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Sample Questions
Q1) A nurse has just realized that her license is due to expire in 5 months. The nurse knows that she is responsible for maintenance of her license in order to continue practicing as a nurse. What would be the best action for her to take?
A) Put off obtaining the continuing education credits until 1 month before the expiration date.
B) Immediately begin working on obtaining the continuing education credits.
C) Email the nursing board to inquire about why she was not notified earlier.
D) Forgo obtaining the continuing education credits and hope that she does is not audited.
Q2) The nurse is working on a busy cardiac floor. While preparing medications, the nurse is interrupted by a co-worker, who has a question about another patient. After administering the medication, the nurse realizes that she gave the medication to the wrong patient. Which action by the nurse would indicate accountability?
A) Shifting blame to the co-worker who interrupted her
B) Attempting to hide the medication error to avoid getting into trouble
C) Accepting partial responsibility for her own actions
D) Taking responsibility for her own actions and interventions by immediately assessing the patient and reporting the error to a physician
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Chapter 14: Leading, Delegating, and Collaborating
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Sample Questions
Q1) Nurse A is in conflict with Nurse B regarding holiday scheduling. Because Nurse A really wants to avoid being in this conflict, and because Nurse A just wants to fill the holiday schedule, Nurse A agrees to give up one favored holiday. This is an example of which type of conflict resolution?
A) Competition resolution
B) Win-win resolution
C) Sacrifice resolution
D) Active resolution
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."
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16
Chapter 15: Promoting Healthful Living in the Primary Care Setting
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Sample Questions
Q1) A patient has had no visitors for the 2 weeks he has been on your unit. The patient seems dejected and insists on having his few belongings in sight at all times. The nurse realizes that he may be experiencing what kind of need?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
Q2) A patient has chosen to see a Family Nurse Practitioner (FNP) to assist with health promoting activities. Which of the following services provided by the FNP is the best example of a health promotion activity?
A) Teaching about a low-fat diet for a patient with a blood pressure of 136/82
B) Prescribing a cholesterol-lowering medication
C) Scheduling a cardiac stress test
D) Prescribing an anticoagulant for a patient with atrial fibrillation
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 US citizens.
D) set of national health mandates.
Page 17
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Chapter 16: Managing Care in Secondary and Tertiary
Health Care
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Sample Questions
Q1) Spiritual assessment is not usually a part of a formal assessment tool, with the exception of asking about religious practices that may be important to continue in the hospital. Which question addresses religious practices?
A) "Would you like a chaplain to come pray with you?"
B) "Do you turn to spiritual guidance as a source of strength in illness?"
C) "What helps you most when you feel afraid?"
D) "What is most frightening about your situation?"
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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18
Chapter 17: Reflecting on Your Transition
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Sample Questions
Q1) As a graduate nurse, which statement strongly suggests future success in the current nursing practice environment?
A) "I am really good at performing nursing skills."
B) "I always get my work done on time."
C) "When possible I attend all staff meetings."
D) "I am actively involved in decision-making on the unit."
Q2) The nurse enters the room of a sleeping patient to administer the 0200 dose of antibiotic that has been ordered every 6 hours. Which action would most effectively maintain a therapeutic blood level of this medication?
A) Administer the medication whenever the client awakens.
B) Omit this dose and chart the reason for doing so.
C) Awaken the patient and administer the medication.
D) Let the patient sleep and double the next dose.
Q3) It is 0800 and the nurse just received report. Which patient situation demands the nurse's immediate attention? The patient
A) with a blood glucose of 200.
B) who needs a 0800 vancomycin level drawn.
C) receiving a blood transfusion who reports slight itching and chills.
D) with a serum potassium level of 4.3 mEq/dL who is receiving digoxin.
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Page 19
Chapter 18: Prepare Now to Pass NCLEX-RN
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Sample Questions
Q1) A graduate nurse is preparing to take the NCLEX-RN exam. She knows that which self-care activities that will help her pass the exam? (Select all that apply.)
A) Getting adequate sleep at night
B) Eating a balanced diet
C) Studying all night before the exam
D) Consuming energy drinks to stay awake and focused
Q2) Students in a nursing class have just finished an exam on the KATTS Framework. The students should know that they can do which of the following, in order to strengthen the knowledge component of the KATTS Framework? (Select all that apply.)
A) Complete NCLEX-RN pretests.
B) Review past NCLEX-RN test plans.
C) Create a study plan, and then identify knowledge deficits.
D) Reread textbooks from nursing courses.
E) Focus studying on strong areas of knowledge.
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