TEST BANK for LPN to RN Transitions 5th Edition by Lora Claywell, Verified Chapters 1 - 18 Complete, Newest Version

TEST BANK
LPN to RN Transitions, 5th Edition

(Claywell, 2022), Chapters 1 - 18 | All Chapters
TABLE OF CONTENTS
CHAPTER 01: HONORING YOUR PAST, PLANNING YOUR FUTURE
MULTIPLE
CHOICE
1. 1. A student interested in becoming a registered nurse is meeting with a nursing advisor. She is
aware that students aspiring to become registered nurses (RNs) who are licensed practical
nurses or license vocational nurses (LPN/LVNs) bring past knowledge and comprehension to
the classroom. Which of the nursing advisor's statements best captures her comprehension of
the potential impact experience may have on learning?
a.
“Experience may be a source of insight and motivation, or a barrier.”
b.
“Experience is usually a stumbling block for LPN/LVNs.”
c.
“Experience never makes learning more difficult.”
d.
“Once something is learned, it can never be truly modified.”
ANSWER: A
Experience accentuates differences among learners and serves as a source of insight
and motivation, but it can also be a barrier. Experience can serve as a foundation for
defining theself.
DIF: Cognitive Level: Application

OBJ: Identify how experiences influence learning in adults. TOP: Adult Learning
2. It is currently Wednesday night, and on Friday morning there is a cardiovascular system test.
Thursday night, the student took a vacation day from work so she could remain home and
study. On Thursday morning, she might skip her exercise class and head to the library to get
ready for the test. Which answer best sums up the importance of the student's outcome?
a.
Exercise class
b.
Going to the library
c.
Avoiding work by taking a vacation
d.
Doing well on the test on Friday
ANSWER: D
The outcome priority is the essential issue or need to be addressed at any given time
within aset of conditions or circumstances.

OBJ: Identify motivations and personal outcome priorities for returning to
school.TOP: Motivation to Learn
3. 3. A nurse who has worked for ten years as an LPN/LVN is meeting with an advisor to talk
about the prospect of enrolling in programs to become an RN. Which of the nurse's
statements does the adviser interpret as the motivation behind going back 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
Driving forces are those that push toward making the change, as opposed to restraining
forces,which are those that usually present a challenge that needs to be overcome for
the change to take place or present a negative effect the change may initiate.

OBJ: Identify motivations and personal outcome priorities for returning to
school.TOP: Motivations for Change
4. An RN is caring for a diabetic patient. The patient appears interested in changing her
lifestyleand has been asking questions about eating better. The nurse can interpret
this behavior as which stage of Lewin’s Change Theory?
a.
Moving
b.
Unfreezing
c.
Action
d.
Refreezing
ANSWER: B
The patient is in the first phase of Lewin’s Change Theory, known as unfreezing. This
phase involves determining that a change needs to occur and deciding to take action.
Moving is the second phase and involves actively planning changes and taking action on
them. Refreezing isthe last stage, and it occurs when the change has become a part of the
person’s life.
DIF: Cognitive Level: Analysis

OBJ: Understand Change Theory and how it applies to becoming an
RN.TOP: Change Theory
5. An LPN is talking with her clinical instructor about her decision to return to school to
becomean RN. The clinical instructor iNnterprets the LPNs outcome priority based on
which statement?
a.
“My family wanted me to go back to school.”
b.
“I want to better my financial situation.”
c.
“I really enjoy school.”
d.
“I would like to advance to a teaching role someday.”
ANSWER: B
The outcome priority is the essential need that must be addressed, determined by
internal andexternal factors, such as needing to better a financial situation. The other
statements indicate reasons for returning to school, but they are not essential needs or
issues to be addressed.

6. A nurse notices a posting for a management position for which she is qualified. If the
nurse isin the moving phase of Lewin’s Change Theory, which statement reflects the
action she is most likely to take?
a.
Does nothing to obtain the position
b.
Applies for the position
c.
Identifies that change is needed
d.
Settles into the routine of her job
ANSWER: B
Unfreezing begins when reasons for change are identified. The moving phase
involves activeplanning and action. Moving also means you are dealing with both
positive and negative forces as they ebb and flow, and you are making modifications
to your plan as needed.
Refreezing occurs after the change has become routine.

7. 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
A short-term goal is one that can be attained in a period of 6 months or less. Short- term
goals include becoming a charge nurse and passing the telemetry exam. A long-term goal
is attainedin greater than 6 months and includes studying to become a Nurse Practitioner.
Continuing to work on the orthopedic floor does not represent either a short-term or a
long-term goal.

OBJ: Identify both short- and long-term personal and professional
goals.TOP: Setting Goals
8. The RN is talking with the unit manager about ways to improve patient care. The
manager introduces the concept of a cohNort. Which statement by the RN indicates
that the teaching has been effective?
a.
“A cohort is a web of connections”.
b.
“A cohort is a group of people who share common experiences with each other”.
c.
“A cohort is a group linked together for common purposes”.
d.
“A cohort consists of groups of individuals that make up a whole”.
ANSWER: B
A cohort is a group of people who share common experiences with each other. A
scheme is aweb of connections, a team is a group linked together for common purposes,
and a unit consists of groups or individuals that make up a whole.
DIF: Cognitive Level: Evaluation

9. The nurse educator is presenting a lecture to a group of new RNs. Which statement by
one ofthe 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
Experience accentuates differences among learners, serves as a source of insight
and motivation, can be a barrier to new learning, and serves as a foundation for
defining the self.
OBJ: Identify motivations and personal outcome priorities for returning to school.TOP:
Adult Learning
10. The nurse educator is presenting a lecture on experience and learning to a group
of RNs.Which statement by one of the RNs indicates that teaching has been
effective?
a.
“Experiences always help educational endeavors”.
b.
“The process of unlearning is easier than the initial learning”.
c.
“Learning can often be more difficult if previous knowledge is contradicted”.
d.
“Experiences rarely serve the student in the learning process”.
ANSWER: C
Experiences may either help or hinder both present and future educational endeavors
(Knowles et al., 2015). Experience may serve as a chain to which new learning may be
linked,making concepts understandable within your personal context. Conversely, some
experiences make learning more difficult in that new information may contradict
previously accepted information and make it necessary to unlearn it. The process of
unlearning is more difficult than initial learning.

OBJ: Delineate both positive and negative effect experiences. TOP: Adult Learning
MULTIPLE RESPONSE
1. A student nurse and the staff RN are discussing recent changes on the nursing unit.
Which ofthe following are examples of cNhange processes? (Select all that apply.)
Coercive
a Collaborative
b.
c.
Technocratic
d.
Planned
e.
Organized
ANSWER: A, C, D
Coercive is a type of change that is forced or pushed on another. A decision for change
madeby the most knowledgeable person is known as technocratic. Planned change
involves carefulthought and decision-making. Collaborative and organized are not
considered to be types of change.

Chapter 02: Assessing Yourself and Designing
SuccessClaywell: LPN to RN Transitions, 5th
Edition
MULTIPLE
CHOICE
1. After a particularly challenging examination, a student is overheard in the hallway

exclaiming, “That instructor just grades too hard! She only gave me a B on the test!”
Thisstudent is exhibiting traits of a(n)
a.
external locus of control.
b.
internal locus of control.
c.
perfectionist.
d.
realist.
ANSWER: A
Persons with an external locus of control often do not take responsibility for what
happens tothem. Persons with an internal locus of control take responsibility for what
happens to them.A perfectionist strives for perfection in all that he or she does, which is
a self-defeating behavior. A realist accepts the world as it is and handles it accordingly.

OBJ: Interpret the role of locus of control on personal
empowerment.TOP: Locus of Control
2. A student must come back to the learning laboratory to repeat the skills and check
for insertion of a nasogastric tube. The instructor overhears the student
saying, “I know I can dothis, NI know I can do this!” The instructor interprets this
behavior as
a.
a self-defeating behavior.
b.
positive self-talk.
c.
perfectionism.
d.
blaming.
ANSWER: B
The student is expressing positive self-talk by telling herself, “I know I can do this.”
Stating “Ican’t do this” is an example of a self-defeating behavior. A student expecting to
perform tasksperfectly is striving for perfectionism. Blaming is not occurring here
because the student is taking responsibility for his/her own actions.
DIF: Cognitive Level: Analysis OBJ: Explain the impact of positive self-
talk.TOP: Self-Talk
3. A clinical instructor notices that one of her students worries a lot, expects negative
outcomesfor most situations, strives for perfection, and seems to look for the tiniest
faults in her work.
The clinical instructor interprets these behaviors as
a.
commitment to learning.
b.
assuming an external locus of control.
c.
self-directedness.
d.
self-defeating behaviors.
ANSWER: D
The student may be committed to learning, but she is showing signs of self- defeating
behaviors. Self-defeating behaviors include pessimism, nit-picking, worrying,
perfectionism,and blaming. Assuming an external locus of control means believing that
action or inaction lies outside of oneself. Assuming ownership of learning defines self-
directedness.
DIF: Cognitive Level: Analysis OBJ: Describe self-defeating

behaviors.TOP: Self-Defeating Behaviors and Empowerment
4. A nursing professor is grading an assignment on self-defeating behavior. The

professor canexpect to find which statement written by the student who has a good
understanding of perfectionism?
a.
Perfection is impossible to attain, and therefore constantly falling
short ofperfection leads to negative feelings and beliefs about oneself.
b.
Perfection is the ultimate goal, and it is not a self-defeating behavior to
demand itof oneself.
c.
Perfectionism is the only means by which we can truly improve.
d.
Perfectionism is a character flaw and cannot be addressed.
ANSWER: A
Perfection is impossible to obtain. Students who strive for perfection set themselves up
fornegative feelings and beliefs about themselves.
DIF: Cognitive Level: Analysis OBJ: Describe self-defeating

behaviors.TOP: Self-Defeating Behaviors
5. The nurse understands that there are four key habits for managing the work of
success. Whichaction by the nurse demonstrates her understanding?
a.
Participating in a yoga clasNs
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
The nurse understands that there are four key habits of success when she makes a plan
for herday. Joining a yoga class, analyzing case studies, and setting short- and long-term
goals are not defined as one of the four key habits.

OBJ: Explain four key work habits that contribute to success.TOP:
Managing the Work of Success
6. A student has a large reading assignment that must be completed in order to be

prepared forthe 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
The time to begin to plan how to accomplish an assignment is the moment one is made
awareof the assignment.
7. The roommate of a nursing student buys tickets to the student’s favorite play. The
studentrealizes that the play is the night before her final exam. When the student
turns down the tickets, the roommate interprets the student’s dedication to school
as
a.
dedication to the plan until other mounting responsibilities interfere.
b.
total dedication, even in the face of other attractive opportunities.
c.
total dedication until resolve begins to wane.
d.
discipline to change the plan as needed.
ANSWER: B
Commitment requires discipline to maintain resolve even when other
responsibilities orattractive opportunities begin to mount.

8. A nursing student is learning about effective time management in her first semester of
nursingschool. Which action by the student indicates that she understands the first
critical step?
a.
Setting goals based on the desired outcome
b.
Prioritizing goals in order of simple to complex
c.
Prioritizing tasks in chronological order
d.
Assessing the reality of the complete situation
ANSWER: D N
Assessing the complete situation is the first step in time management. One must be clear about
the reality of the current set of tasks and schedule in order to begin to manage the
timeassociated with the tasks.

9. Stress reduction while in nursing school is an important part of maintaining one’s

health. Holistic cognitive theory for stress reduction has four steps. The student shows
that he or sheunderstands the first step to achieving awareness by doing which of the
following?
a.
Becomes aware of the early physical signs of stress
b.
Concentrates on placing himself or herself as the center of everything
c.
Mentally filters perceptions
d.
Disqualifies the positive in the experience
ANSWER: A
The awareness step is a time of understanding how the student feels under stress,
coming toknow the symptoms, and taking steps to neutralize the symptoms.
DIF: Cognitive Level: Application OBJ: Identify steps that aid in stress
reduction.TOP: Stress Reduction
10. A student exclaims, “I have to make a 100% on this test because anything less is just
like failing in my book. I either know it or I don’t and if I don’t know it now, I never
will.” Thisstudent is obviously stressed, and the statements represent
a.
awareness reduction.
b.
cognitive distortions.
c.
positive coping mechanisms.
d.
acceptance of reality.
ANSWER: B
Cognitive distortions are illogical, irrational thoughts; those in this
question are“all-or-nothing thinking” and “emotional reasoning.”
11. A lab instructor is observing placement of a Foley catheter by a senior nursing student.
If thestudent is in the active experimentation phase of Kolb’s Theory of Experiential
Learning, what action can the lab instructor expect from the student?
a.
The student will need to observe placement before proceeding.
b.
The student assists the instructor in placing the catheter.
c.
The student places the Foley catheter without assistance.
d.
The student verbalizes beginning to understand catheter placement.
ANSWER: C
According to Kolb’s Theory of Experiential Learning, the student is in the active
experimentation phase. When the student nurse places the Foley catheter, he or she is
activelyinvolved in the experience. Concrete experience occurs when the student is
actively involved in a new experience. ReflectiveNobservation begins when the
student observes the experience.Abstract conceptualization occurs when the student
begins to understand the process of placing the Foley catheter.

OBJ: Describe how learning style affects the learning process. TOP: Learning Style
12. A lab instructor is preparing to teach a group of students. After reading questionnaires
filled out by the students in her group, she notes that the students would best learn by
reflective observation. What activity should the instructor plan so that the students
have the best chanceof success?
a.
Set up stations so that the students can try to “figure it out for themselves.”
b.
Allow the students to observe a presentation.
c.
Present the information in a lecture while students take notes.
d.
Present information and allow the students to be directly involved in a
hands-onsetting.
ANSWER: B
Learning by observing is what Kolb terms reflective observation. Concrete experience
involves hands-on learning. In active experimentation, students learn by trying to figure
it outfor themselves. Abstract conceptualization is the process of learning through data
collection, such as lecture.
OBJ: Describe how learning style affects the learning process. TOP: Learning Style
13. A nurse is trying to manage success in the workplace. Which action

demonstrates that sheunderstands key habits that must be developed and
maintained?
a.
Carefully list and organize the day’s tasks.
b.
Complete a task over again because it wasn’t done perfectly the first time.
c.
Avoid difficult tasks because they won’t be done correctly.
d.
Blame others for lack of organization.
ANSWER: A
Carefully listing and organizing the day’s tasks demonstrates that the nurse
understands key habits needed for success, such as time management. Completing tasks
over again, avoiding tasks, and blaming others are all self- defeating behaviors that
do not help manage success.

OBJ: Explain four key work habits that contribute to success. TOP: Habits for Success
14. A nurse is listening to a lecture on self-awareness. Which statement by the nurse

indicates thatthe teaching has been effective?
a.
“Self-confidence involves knowing oneself”.
b.
“Competence involves knowing oneself”.
c.
“Understanding involves knowing oneself”.
d.
“Self-awareness involves knowing oneself”.
ANSWER: D
Self-awareness involves understanding and being conscious of oneself. This involves
being aware of one’s strengths and weaknesses. Self-confidence, competence, and
understanding donot encompass this.N
DIF: Cognitive Level: Evaluation OBJ: Identify personal gifts and

barriers.TOP: Self-Awareness
15. The student is listening to a lecture on self-defeating behaviors. Which

statement by thestudent indicates that teaching has been effective?
a.
“Nit-picking is viewing situations from a negative aspect.”
b.
“Pessimism is looking for all imperfections.”
c.
“Worrying is being concerned over issues that may or may not be in your control.”
d.
“Perfectionism is rejecting responsibility for actions or inactions.”
ANSWER: C
Worrying means to be concerned over issues that may or may not be in your
control. Pessimism occurs when situations are viewed from a negative aspect. Nit-
picking means tolook for all imperfections. Perfectionism means to continuously
strive to be perfect or do things perfectly.
DIF: Cognitive Level: Evaluation OBJ: Describe self-defeating

MULTIPLE RESPONSE
1. Which actions or statements can the nurse take to eliminate self-defeating
behaviors? (Selectall 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
Stating “I know I can do this” and accepting responsibility for his or her actions are
actionsand statements that the nurse can take to eliminate self-defeating behaviors.
Worrying, striving for perfection, and believing that his or her actions are out of his
or her control areexamples of self-defeating behaviors.
DIF: Cognitive Level: Application OBJ: Describe self-defeating

2. A group of nursing students is discussing how their lives have changed since beginning
nursing school. The student who understands the second step of holistic cognitive
theory for stress reduction recognizes which comments as descriptive of automatic
thoughts? (Select allthat apply.)
a.
“My lab instructor doesn’t like me. I had to repeat my cardiac assessment
when noone else did.”
b.
“After studying for hours, I finally remembered all the steps to insert a
Foleycatheter. I will use this method again.”
c.
“My child is having behavioral issues in preschool. I know it is because I
am inschool right now.” N
d.
“Right after I turned in my test I knew there were at least two answers that I should
have changed. I know I failed the test.”
e.
“Everything is falling apart in my life. I never should have come to school.”
ANSWER: A, C, D, E
Automatic thoughts are immediate; without reflection; usually negative, with words
such as should and never; and irrational and not based in reality. The correct options
reflect automaticthoughts because they include the words “should” and “never.”
Studying for hours would notbe considered an automatic thought.
3. A patient is learning to improve her personal empowerment skills after going through a
toughdivorce. 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
Practicing positive self-talk, managing the work of success, eliminating self- defeating
behaviors, and managing good health are all ways that the patient can improve her
personal empowerment skills. A person with an external locus of control believes that
responsibility foractions lies outside of himself or herself.
DIF: Cognitive Level: Application OBJ: Explain the impact of positive self-
talk.TOP: Personal Empowerment Skills
4. A student is listening to a lecture on stress reduction and coping mechanisms.

Which statement by the student indicates that the teaching has been effective?
(Select all that apply.)
a.
“Relaxation is a positive coping mechanism.”
b.
“Catharsis is a form of stress reduction.”
c.
“Reframing would aide in stress reduction.”
d.
“Distraction is the most helpful form of stress reduction.”
e.
“Adrenaline rush prevents stress.”
ANSWER: A, B, D
The relaxation and catharsis generated by laughter are positive coping mechanisms.
Distraction takes the student’s mind off the stress for a while so that she can be
recharged and handle it positively at another time. Reframing means looking at the
situation from a different perspective. An adrenaline rush is considered a time
waster, not a stress reduction technique.
DIF: Cognitive Level: Evaluation OBJ: Identify steps that aid in stress
N
Chapter 03: Study Habits and Test-Taking
SkillsClaywell: LPN to RN Transitions, 5th Edition
MULTIPLE CHOICE
1. A first semester student is struggling in class and did not do well on her last exam. She
has determined the problem to be her lack of skill in note taking. What can the student
do in orderto take more effective notes during lecture?
a.
Focus on writing key words and phrases.
b.
Photocopy someone else’s notes.
c.
Write verbatim all that is said.
d.
Practice memorization in class instead of taking notes.
ANSWER: A
The student should focus on writing key words and phrases in order to be more
effective atnote taking. Photocopying someone else’s notes, writing verbatim, and
memorizing lecturewill not help the student with effective note taking.
DIF: Cognitive Level: Application OBJ: Describe the components of effective

listening.TOP: Note-Taking
2. A student nurse feels that his reading skills are not adequate. Which action would he
take inorder to have effective reading skills?
a.
Focus on improving reading speed.
b.
Read slowly and thoroughly.
c.
Ask his friends and family read to him.
d.
Passively engage in reading.
ANSWER: A
Evidence relates reading speed to comprehension; the faster you read, the more
youunderstand what you are reading.
DIF: Cognitive Level: Application OBJ: Describe how to improve reading

skills.TOP: Effective Reading
3. A struggling student admits that she is reading the same paragraph over and over when
she tries to read the text. The instructor recognizes this as inhibitory to her
comprehension of thematerial. Which suggestion could the instructor make to the
student to help correct the situation?
a.
“Just keep trying. Maybe you need to read it over a few times to get it.”
b.
“Maybe you are waiting too late at night to study. Try studying earlier in the day.”
c.
“Try putting your finger under the words one at a time.”
d.
“If the words are a stumbling block, study them alone first, and then as
you read,you will be less likely to stumble over them and regress.”
ANSWER: D
Regression, or rereading what was just read, may be caused by stumbling over
unfamiliarterms that cause reading to slow and decrease.
skills.TOP: Effective Reading
4. The student is listening to a lecture on the SQRRR method. Which statement
indicates thatteaching has been effective?
a.
“The appropriate way to use the method is to scan, skim, survey,
read, recite,review”.
b.
“The appropriate way to use the method is to scan, skim, read, recite,
review,reread”.
c.
“The appropriate way to use the method is to survey, question,
read, recite,review”.
d.
“The appropriate way to use the method is to survey, question, read,
review,reread”.
ANSWER: C
SQRRR is a tried and true method: survey, question, read, recite, and review.

OBJ: Prepare to study effectively using the SQRRR method.TOP: Improving Your Study Skills
5. A nursing student is preparing for her first day of lecture. She knows that in order to
succeed,she should
a.
skip the first day of class and read the material at home.
b.
sit in the front of the room, away from distractions.
c.
take notes from the book during lecture time.
d.
sit in the back of the class, next to her best friend.
ANSWER: B
Students should sit in the front of the classroom for optimal learning, away from distractions.
N
OBJ: Describe positive face-to-face and online class
strategies.TOP: General Face-to-Face Classroom Behaviors
6. A patient comes to the emergency department with complaints of crushing chest pain
that radiates down his left arm. While reviewing his health history with the RN, the
patient statesthat he has been getting over a cold. He also has seasonal allergies and is
allergic to peanuts.
The nurse interprets the major detail for the patient’s ER visit as the patient
a.
has a peanut allergy.
b.
is experiencing crushing chest pain.
c.
is getting over a cold.
d.
has seasonal allergies.
ANSWER: B
The major detail in this scenario is the patient’s crushing chest pain, which
brought him intothe ER. All other are minor details.
DIF: Cognitive Level: Analysis OBJ: Distinguish between major and minor
details.TOP: Major/Minor Details
7. The RN is performing an assessment on a patient being admitted for back pain. The
nurseinterprets 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
Minor details support the major details and peripherally support the main idea. In
this scenario, the patient eating 90% of his meal is a minor detail. The other choices
are majordetails.
DIF: Cognitive Level: Analysis OBJ: Describe how to improve reading

skills.TOP: Relating Details to a Main Idea
8. A student has been out of school for a number of years. She is concerned that she may
not beable 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
The student should learn ways to study effectively in order to succeed in school.
Studying foronly 1 hour per night, studying in a loud coffee shop, and staying up all
night to study are notways to study effectively.

OBJ: Prepare to study effectively using the SQRRR method.TOP: More Study Strategies
9. A student is reviewing new maNterial for an upcoming test. She has decided to highlight
so that she can come back later to easily review the material. How can she use
highlighting to be
successful?
a.
She should highlight the first time she reads the material.
b.
She should highlight no more than 20% of the material.
c.
She should use only one method of highlighting.
d.
She should highlight the entire chapter.
ANSWER: B
The student should read the material at least once before she begins highlighting.
Highlightingduring the first read through, using only one method of highlighting, and
highlighting the entire chapter would not assist the student in being successful.

skills.TOP: Highlighting Appropriately
10. The student is listening to a lecture on better study habits. Which statement
indicates thatteaching has been effective?
a.
“I should study for 3 to 4”.
b.
c.
d.
ANSWER: B
For every hour of class the student should spend 2 to 3 hours studying in order to
besuccessful.

11. The student is attending a lecture on improving test taking. Which statement
indicates that theteaching has been effective?
a.
“Multiple incorrect options on a test are stems”.
b.
“Multiple incorrect options on a test are structured responses”.
c.
“Multiple incorrect options on a test are distracters”.
d.
“Multiple incorrect options on a test are negative indicators”.
ANSWER: C
Multiple incorrect options on a test are known as distracters.
DIF: Cognitive Level: Evaluation OBJ: Incorporate strategies to improve test

taking.TOP: Test-Taking Skills
MULTIPLE RESPONSE
1. A nursing student knows that effective listening requires attention and preparation.
Whatactions can she take to ensure that she is proficient? (Select all that apply.)
a.
Read over the assigned material before class begins.
b.
Read over the material as soon as class is over.
c.
No special attention or preparation is required.
d.
Read the material during clNass.
e.
Study independently during discussion time.
ANSWER: A, B
To listen effectively, prepare for what you will hear before class. In class maintain
concentration and actively engage in the discussion, and then after class review notes
and addclarifying comments.

listening.TOP: Effective Listening
2. You are a first semester nursing student and have just received your first reading
assignmentfor class tomorrow. You know that in order to succeed you will need to
practice effective listening. Which actions would prepare you for class tomorrow?
(Select all that apply.)
a.
Read over the assigned material tonight.
b.
Scan over the material before class, looking at the main points and subpoints.
c.
Read the text during class instead of listening to lecture.
d.
Review your notes immediately after class.
e.
Do not review anything before class.
ANSWER: A, B, D
In order to be prepared for class you should: Read over assigned material the night
before; scan over the material before class, looking at both main points and subpoints;
and review notes immediately after class. Practicing effective listening includes giving
the instructor yourundivided attention. Often instructors emphasize points that they do
not want students to miss.These points often end up on exams.

listening.TOP: Effective Listening
3. A student is studying for an upcoming test. She has read the assigned text once and is
nowready 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
Circles, asterisks, underlines, and stars are all acceptable ways of highlighting that
wouldindicate differences in the material.

skills.TOP: Highlighting
4. A student has just listened to a lecture on better strategies for studying. Which of the
student’sactions indicate understanding? (Select all that apply.)
a.
Wait until the evening to stNudy.
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
Beginning study sessions with the most difficult subjects, creating a conducive study
environment, and listening to lectures in your car are all ways to create better strategies
forstudying.

Chapter 04: Distinguishing the RN Role from the LPN/LVN
RoleClaywell: LPN to RN Transitions, 5th Edition
MULTIPLE
CHOICE
1. 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 orher 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.”
ANSWER: B
The RN’s scope of practice is legally defined by state nurse practice acts, not the ANA.
Anurse may be disciplined by the Board of Nursing. The scope of practice defines the
responsibilities of nurses and can be found in state nurse practice acts.

OBJ: Compare and contrast the scope of practice for the LPN/LVN and the
RN.TOP: Scope of Practice
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
2. The nursing student is reviewing the different organizations that provide services for nurses.
She interprets the American Nurses Credentialing Center as
a.
an association that provides accreditation for baccalaureate and
higher degreenursing education programs .
N
b.
the unifying body for the state boards of nursing.
c.
an association that offers certification in many nursing specialties.
d.
an organization that offers the national licensure examination.
ANSWER: C
The American Nurses Credentialing Center offers certification in many nursing
specialties. The Commission on Collegiate Nursing Education provides nursing school
accreditation. TheNational Council of State Boards of Nursing is the unifying body for
the state boards of nursing. NCLEX is the national licensure examination implemented
by the National Council of State Boards of Nursing.

OBJ: Recognize the differences in the educational preparation of the LPN/LVN and
RN.TOP: Educational Preparation
3. The student is studying the history of nursing education. She is able to identify
which nursingdegree program as the first one in the United States for RNs?
a.
Associate’s degree
b.
Bachelor’s degree
c.
Diploma degree
d.
Master’s degree
ANSWER: C
The first nursing degree program in the United States was the diploma, which began
in 1872.The associate’s, bachelor’s, and master’s nursing programs came later.
DIF: Cognitive Level: Synthesis

OBJ: Recognize the differences in the educational preparation of the LPN/LVN and
RN.TOP: Educational Preparation
4. 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
ANSWER: B
One of the many functions of the LPN/LVN is that of data collector. Formulating the
plan ofcare; selecting nursing diagnoses; and setting goals, objectives, and outcomes are
not in the scope of practice for the practical nurse and must be performed by an RN.

OBJ: Compare and contrast the professional roles of the LPN/LVN and the
RN.TOP: Professional Roles
5. 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 concNerning mandatory overtime
d.
Mentoring a new graduate RN who is new to the unit
ANSWER: C
Writing one’s senator concerning mandatory overtime is professional advocacy.
Charting andwriting up a medication error, writing up a nursing assistant, and
mentoring a new graduate are expectations of the RN.

OBJ: Describe various role elements that are inherent in the scope of registered nursing
practice.TOP: Role Elements
6. The RN is caring for the following patients. Which patient and task are most
appropriate toassign to the LPN/LVN?
a.
A 34-year-old female patient who will need discharge teaching
b.
A 40-year-old postoperative male patient who needs a dressing change
c.
A 64-year-old female patient who needs a bed bath
d.
A 79-year-old patient whose plan of care needs to be updated
ANSWER: B
The LPN/LVN is skilled in dressing changes. The nursing assistant is skilled in giving a
bed bath. Discharge teaching and updating the plan of care are tasks that must be
performed by theRN.
7. 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 forthe 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 antiemetic
ANSWER: B
The most appropriate assignment for the LPN would be the patient with flu-like
symptoms.The LPN can perform basic assessment and data collection and can meet the
basic needs ofthe patient. The RNs should be assigned the patients with acute MI,
possible stroke, and dehydration, all of whom require critical thinking and a higher
level of care.

8. The RN understands that the National League for Nursing (NLN) delineates three
professionalroles of the associate degree nurse when she lists all of the following except
a.
manager of care.
b.
team player. N
c.
provider of care.
d.
member of profession.
ANSWER: B
The NLN delineates the following as professional roles of the associate degree nurse:
managerof care, provider of care, and member of the profession. For all three of
these roles, the nurse follows the nursing process. The NLN does not delineate
being a team player as a professionalrole.

RN.TOP: Registered Nursing
9. An LPN/LVN in RN school is experiencing frustration because the expectations of her

as anurse at work are very different from her role as a student in nursing school, and
fulfilling both is confusing at times. She has an appropriate understanding of her
situation when she states that it is known as
a.
role conflict.
b.
dissociative behavior.
c.
coping mechanism.
d.
license confusion.
ANSWER: A
Role conflict may occur when expectations or requirements of competing roles
areincompatible.

OBJ: Discuss the concept of role transition from practical nurse to registered
nurse.TOP: Role Transition MSC: NCLEX: Psychosocial Integrity
10. A nurse manager is teaching a class about the different role elements of RNs. If she
has anadequate understanding, she can state that a care provider is
a.
“a nurse who medically manages patients.”
b.
“an RN who carries out interventions that assist patients to meet
positiveoutcomes.”
c.
“a nurse who seeks out new endeavors.”
d.
“a nurse who seeks out positive changes in the best interest of his or her patients.”
ANSWER: B
Care provider is the role element of the RN when interventions are provided.

practice.TOP: Role Transition MSC: NCLEX: Caring
11. A student is preparing for an exam on the different role elements of an RN. She is
preparedfor the exam when she can state that all of the following are elements of the
RN role except
a.
collaborator.
b.
manager.
c.
counselor.
d.
therapist. N
ANSWER: D
Although there are many therapists involved in the collaborative care of the
patient, RNs arenot therapists. Collaborator, manager, and counselor are identified
elements of the RN role.

practice.TOP: Role Transition MSC: NCLEX: Caring
12. An RN has called the physician to explain that the patient is having second thoughts
about aprocedure and would like to learn more about the alternatives before
proceeding. In this instance the RN is enacting the element of the RN role known as
a.
counselor.
b.
researcher.
c.
advocate.
d.
mentor.
ANSWER: C
The registered nurse’s role as advocate requires the nurse to be a protector willing to
shield the client and family from harm. In assuming this duty, the nurse chooses to
provide complete, honest information to those in his or her care and to speak up
against any harmfulor unnecessary forces that could impede progress
toward a healthy state. A client advocate agrees to “take the side” of the health care
recipient and “stand up for” the patient’s rights toautonomy and self-
determination.
OBJ: Describe various role elements that are inherent in the scope of registered
nursing practice.TOP: Role Transition
13. An RN student is discussing formal role socialization with her nursing professor. The
professor believes the RN student has a good understanding when she states that
formal rolesocialization
a.
“can occur in any informal setting.”
b.
“occurs during patient teaching.”
c.
“does not occur in the classroom setting.”
d.
“only occurs spontaneously.”
ANSWER: B
Formal professional role socialization is planned rather than happening spontaneously
or vicariously. It involves planned educational experiences, such as performing physical
assessment, developing nursing diagnoses for a patient’s care plan, or doing patient
teaching.

OBJ: Describe the process of professional socialization from practical nurse to that of
registerednurse. TOP: Role Transition MSC: NCLEX:
Psychosocial Integrity
14. The student understands that the LPN/LVN role differs from the RN role in many areas.
She shows understanding when she can state that the LPN/LVN and RN are similar in
which area?
a.
Educational preparation
b.
Thinking skills
c.
Assessment skills N
d.
Basic psychomotor skills
ANSWER: D
LPN/LVNs and RNs have similar preparation in basic psychomotor skills such as wound
care,urinary catheterization, patient hygiene, and so on. It is the critical thinking and
assessment skills that go beyond the basic task that make a difference.

OBJ: Compare and contrast differences in role responsibilities of practical and registered nurses.
TOP: RN to LPN/LVN Role Comparison MSC: NCLEX: Nursing Process
15. A student in an LPN to RN transition program is at the clinical site, monitoring the
vital signsof a patient receiving blood. At 15 minutes into the infusion, the patient
begins to complain ofitching and shortness of breath. It is evident that the student
nurse is developing critical thinking skills when she does which of the following?
a.
Stops the infusion, calls for the patient’s nurse, and reports a possible
reaction tothe blood.
b.
Calls for the patient’s nurse and asks whether she can slow the infusion down.
c.
Continues with routine monitoring and reports the patient’s
condition asunremarkable.
d.
Calls for the patient’s nurse and asks whether she can speed up the
infusion todeliver the blood faster.
ANSWER: A
The student nurse is developing critical thinking skills of an RN when she connects
the idea that the shortness of breath and itching are linked to the infusion and
quickly takes action toprevent further harm to the patient.

OBJ: Discuss the concept of role transition from practical nurse to registered
nurse.TOP: Role Transition
16. Which action defines the nurse as a care provider in an inpatient setting?
a.
Holding an information session on diabetes management and prevention
b.
Running a blood pressure screening in the lobby of the hospital
c.
Assisting new parents after the delivery of preterm twins
d.
Handing out pamphlets on how to lower cholesterol
ANSWER: C
The nurse who assists new parents after the delivery of preterm twins is an example
of a careprovider role within the inpatient setting. Outpatient care provider roles
include promotion and restoration of health through the use of screenings and
interventions.

practice.TOP: Care Provider Role
17. The nurse would assume the care provider role of educator during which action?
a.
Leading a hand washing initiative to reduce infection rates
b. Answering a new mother’sNquestions about breastfeeding
c.
Working with colleagues to transfer a patient into a rehab center
d.
Requesting more pain medications for a patient who is recovering from a
total hipreplacement
ANSWER: B
The nurse assumes the care provider role of educator when she answers a new
mother’s questions about breastfeeding. Leading a hand washing initiative refers to a
change agent.Working with colleagues to transfer a patient refers to the collaborator
role. The nurse functions as an advocate when he or she requests more medication for
a patient recoveringfrom surgery.

18. A nurse on a postsurgical unit is alarmed by the number of postoperative infections that
havebeen reported for her unit over the last year. The nurse acquires data from other
hospitals andbegins observing the health care team to determine the hand washing
rates. This nurse is functioning in which care provider role?
a.
Manager
b.
Change agent
c.
Researcher
d.
Counselor
ANSWER: C
The nurse who researches the infection rate and begins data gathering by observing
is functioning in the researcher role. Managers oversee change, change agents
initiate change,and counselors assist patients and families with psychosocial needs.

OBJ: Describe various role elements that are inherent in the scope of registered
nursing practice.TOP: Role Elements MSC: NCLEX: Nursing Process
19. 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.
ANSWER: C
The LPN/LVN typically assists patients to achieve expected outcomes in the plan of care.
TheRN utilizes problem-solving skills to formulate a plan of care, establish mutual goals,
and oversee the implementation and evaluation of the plan.

RN.TOP: Care Planning
MULTIPLE RESPONSE
N
1. The registered nurse takes on different care provider roles in the health care setting.
Whichroles could the nurse assume when caring for a patient who has just been
diagnosed with cancer? (Select all that apply.)
a.
Counselor
b.
Educator
c.
Advocate
d.
Collaborator
e.
Medical power of attorney
ANSWER: A, B, C, D
The nurse functions in the care provider roles of counselor, educator, advocate, and
collaborator when caring for this patient. The nurse would not take on the role of
medicalpower of attorney for the patient.

Chapter 05: Using Nursing Theory to Guide Professional
PracticeClaywell: LPN to RN Transitions, 5th Edition
MULTIPLE
CHOICE
1. Which of the following are the concepts common among most nursing
philosophies, models,and theories?
a.
Person, nurse, health, and environment
b.
Person, physician, health, and environment
c.
Person, nurse, health, and culture
d.
Person, nurse, environment, and culture
ANSWER: A
Person, nurse, health, and environment are the four universal concepts central to
nursing practice. The physician and culture are not considered to be among the four
universal concepts. These themes are described, defined, ordered, and interrelated in
distinctive, meaningful, and powerful ways as nursing theorists endeavor to continue
the development ofnursing’s unique body of knowledge.

OBJ: Apply the four universal concepts central to nursing practice.TOP:
Nursing Theory
2. What skills would a nurse demonstrate if the nurse reached the “competent stage” of
PatriciaBenner’s theory of skill acquisition?
a. N
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
ANSWER: B
The competent nurse is able to multitask, set goals, and think analytically. The advanced
beginner is the new graduate nurse with marginally acceptable performance who relies
on other experienced nurses. The proficient nurse sees the whole and focuses on long-
term goals,and the level of expert nurse is reached after considerable experience
(recognizes patterns andhas responses that are automatic and integrated).

OBJ: Compare and contrast the nursing philosophies, theories, models, and frameworks
discussed inthis chapter. TOP: Nursing Theory
3. A group of nursing students was discussing the functions of nursing theories. Which
statementbelow would give the impression a student requires more review of the
material?
a.
“Nursing theories help guide professional practice by interpreting evidence.”
b.
“Nursing theories have little effect on decision-making in practice.”
c.
“Nursing theories are influenced by personal values and beliefs.”
d.
“Nursing theories influence professional behaviors.”
ANSWER: B
The statements that nursing theories serve as guidelines for professional practice,
nursing theories are influenced by values and beliefs, and nursing theories influence
professional behaviors are true about nursing theories. The statement that nursing
theories have little effecton decision-making is incorrect because nursing theories do
have a significant effect on decision-making.

OBJ: Discuss the role of nursing theory to the practice of nursing.TOP:
Nursing Theory
4. What criterion would the nurse use to support Hildegard Peplau’s Theory of
InterpersonalRelations?
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
ANSWER: D
The nurse–patient relationship is the focus of Hildegard Peplau’s theory. The doctor–
nurse relationship, the mutual caring relationship, and meeting the needs of the nurse
and patient arenot the focus of Hildegard Peplau’s theory.

N
5. The nurse providing teaching on a weight loss program to the obese patient is applying which
nursing model developed by Nola Pender?
a.
Interpersonal relations
b.
Health promotion
c.
Conservation
d.
Adaptation
ANSWER: B
Pender’s Health Promotion Model emphasizes the importance of the patient to manage
his orher own health actively and focuses on wellness. Interpersonal relations is the
theory developed by Hildegard Peplau. The Conservation Model was developed by
Myra Levine, and the Adaptation Model was developed by Sister Callista Roy.

6. What changes in nursing practice did Florence Nightingale make to improve the
personal careof patients?
a.
Behaviors
b.
Environment
c.
Culture
d.
Communication
IF YOU WANT THIS TEST BANK OR SOLUTION

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LPN to RN Transitions, 5th Edition

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Analysis

DIF: Cognitive Level: Analysis

DIF: Cognitive Level: Application

7. An Orthopedic Nurse is contemplating changes in her professional life and identifying

DIF: Cognitive Level: Application

DIF: Cognitive Level: Evaluation

DIF: Cognitive Level: Evaluation

DIF: Cognitive Level: Application

1. After a particularly challenging examination, a student is overheard in the hallway

DIF: Cognitive Level: Application

DIF: Cognitive Level: Analysis OBJ: Describe self-defeating

4. A nursing professor is grading an assignment on self-defeating behavior. The

DIF: Cognitive Level: Analysis OBJ: Describe self-defeating

DIF: Cognitive Level: Application

6. A student has a large reading assignment that must be completed in order to be

DIF: Cognitive Level: Analysis

DIF: Cognitive Level: Application

9. Stress reduction while in nursing school is an important part of maintaining one’s

DIF: Cognitive Level: Analysis

13. A nurse is trying to manage success in the workplace. Which action

DIF: Cognitive Level: Application

14. A nurse is listening to a lecture on self-awareness. Which statement by the nurse

DIF: Cognitive Level: Evaluation OBJ: Identify personal gifts and

15. The student is listening to a lecture on self-defeating behaviors. Which

DIF: Cognitive Level: Evaluation OBJ: Describe self-defeating

DIF: Cognitive Level: Application OBJ: Describe self-defeating

4. A student is listening to a lecture on stress reduction and coping mechanisms.

DIF: Cognitive Level: Application OBJ: Describe the components of effective

DIF: Cognitive Level: Application OBJ: Describe how to improve reading

DIF: Cognitive Level: Evaluation

DIF: Cognitive Level: Analysis OBJ: Describe how to improve reading

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application OBJ: Describe how to improve reading

DIF: Cognitive Level: Evaluation

DIF: Cognitive Level: Evaluation OBJ: Incorporate strategies to improve test

DIF: Cognitive Level: Application OBJ: Describe the components of effective

DIF: Cognitive Level: Application OBJ: Describe the components of effective

DIF: Cognitive Level: Application OBJ: Describe how to improve reading

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Analysis

DIF: Cognitive Level: Synthesis

4. Which function falls within the LPN/LVN’s scope of practice?

DIF: Cognitive Level: Application

5. Which of the following is an example of professional advocacy in nursing?

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

9. An LPN/LVN in RN school is experiencing frustration because the expectations of her

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

DIF: Cognitive Level: Application

19. The RN utilizes problem-solving skills to do all of the following except