LPN TO RN TRANSITIONS 5TH EDITION 2026
COMPLETE TEST BANK QUESTIONS AND
ANSWERS | VERIFIED SOLUTIONS | LATEST
UPDATED STUDY GUIDE | 100% ACCURATE
• This study guide features 200 original, exam-style multiple-choice questions
crafted to help LPN-to-RN transition students master core RN competencies —
from role identity and delegation to pharmacology, ethics, and clinical judgment.
• Use this material by reading each question carefully before viewing the answer,
self-testing topic by topic, and revisiting EXPERT RATIONALE to reinforce
understanding of the "why" behind every correct choice.
LPN TO RN TRANSITIONS — 200 QUESTION EXAM BANK
1. Which statement BEST describes the primary difference between the LPN
and RN scope of practice?
A. LPNs can delegate tasks while RNs cannot
B. RNs perform only administrative duties while LPNs provide direct care
C. RNs are responsible for comprehensive assessment, planning, and evaluation of
patient care
D. LPNs and RNs share identical scopes of practice in all states
E. RNs focus only on medication administration
Correct Answer: C. RNs are responsible for comprehensive assessment,
planning, and evaluation of patient care
EXPERT RATIONALE: The RN scope of practice includes full nursing process
implementation — assessment, diagnosis, planning, implementation, and evaluation.
LPNs contribute to data collection and implementation under RN supervision but do not
independently perform comprehensive assessment or evaluation.
,2. A newly transitioned RN feels uncomfortable directing CNAs. This BEST
reflects which transition challenge?
A. Clinical incompetence
B. Role conflict due to identity shift from follower to leader
C. Scope of practice violation
D. Lack of pharmacological knowledge
E. Failure to pass NCLEX-RN
Correct Answer: B. Role conflict due to identity shift from follower to
leader
EXPERT RATIONALE: LPN-to-RN transition often involves role conflict as the nurse moves
from a task-oriented, supervised role to a leadership and accountability role. This
psychological adjustment is a documented challenge in transition literature.
3. The nursing process step in which the RN EXCLUSIVELY holds responsibility,
distinguishing the RN from the LPN role, is:
A. Implementation
B. Data collection
C. Medication administration
D. Independent nursing diagnosis formulation
E. Vital sign measurement
Correct Answer: D. Independent nursing diagnosis formulation
EXPERT RATIONALE: Formulating independent nursing diagnoses is within the exclusive
RN scope. LPNs may contribute observational data but cannot independently develop
nursing diagnoses, which require comprehensive clinical judgment.
,4. A nurse is delegating wound care to an LPN. Which principle of delegation is
MOST important?
A. The task must be familiar to the RN
B. The task must match the LPN's documented competency and state practice act
C. The RN must be present at all times during the task
D. Delegation eliminates RN accountability
E. The LPN must request the task first
Correct Answer: B. The task must match the LPN's documented
competency and state practice act
EXPERT RATIONALE: Delegation must always consider the five rights of delegation: right
task, right circumstances, right person, right directions, and right supervision. Matching
the task to the delegate's documented competency and legal scope is paramount.
5. Which of the following is an example of CRITICAL THINKING in nursing?
A. Following a physician's order without question
B. Administering medications in the order they are scheduled
C. Analyzing assessment findings to determine whether a change in patient
condition warrants intervention
D. Documenting vital signs as collected
E. Reporting to the charge nurse at the end of the shift
Correct Answer: C. Analyzing assessment findings to determine whether a
change in patient condition warrants intervention
EXPERT RATIONALE: Critical thinking in nursing involves purposeful, reflective reasoning
about clinical problems. Analyzing findings and determining appropriate action reflects
higher-order cognitive processing central to RN practice.
, 6. A patient refuses a prescribed blood transfusion due to religious beliefs.
The nurse's BEST response is:
A. Proceed with the transfusion after family consent
B. Notify the physician and document the patient's informed refusal
C. Administer the transfusion while the patient sleeps
D. Argue that the patient's life is more important than beliefs
E. Request that security restrain the patient
Correct Answer: B. Notify the physician and document the patient's
informed refusal
EXPERT RATIONALE: Autonomy is a foundational ethical principle. A competent adult
has the legal and ethical right to refuse treatment. The nurse must notify the physician,
ensure the refusal is informed, and document the interaction accurately.
7. Which framework guides ethical decision-making in nursing practice?
A. The biomedical model
B. The nursing code of ethics, ethical principles, and institutional policy
C. Physician preference alone
D. Patient financial status
E. Hospital accreditation standards only
Correct Answer: B. The nursing code of ethics, ethical principles, and
institutional policy
EXPERT RATIONALE: Ethical nursing decisions are guided by the ANA Code of Ethics,
core principles (autonomy, beneficence, nonmaleficence, justice, fidelity, veracity), and
institutional policies working in concert.
8. SBAR communication stands for:
COMPLETE TEST BANK QUESTIONS AND
ANSWERS | VERIFIED SOLUTIONS | LATEST
UPDATED STUDY GUIDE | 100% ACCURATE
• This study guide features 200 original, exam-style multiple-choice questions
crafted to help LPN-to-RN transition students master core RN competencies —
from role identity and delegation to pharmacology, ethics, and clinical judgment.
• Use this material by reading each question carefully before viewing the answer,
self-testing topic by topic, and revisiting EXPERT RATIONALE to reinforce
understanding of the "why" behind every correct choice.
LPN TO RN TRANSITIONS — 200 QUESTION EXAM BANK
1. Which statement BEST describes the primary difference between the LPN
and RN scope of practice?
A. LPNs can delegate tasks while RNs cannot
B. RNs perform only administrative duties while LPNs provide direct care
C. RNs are responsible for comprehensive assessment, planning, and evaluation of
patient care
D. LPNs and RNs share identical scopes of practice in all states
E. RNs focus only on medication administration
Correct Answer: C. RNs are responsible for comprehensive assessment,
planning, and evaluation of patient care
EXPERT RATIONALE: The RN scope of practice includes full nursing process
implementation — assessment, diagnosis, planning, implementation, and evaluation.
LPNs contribute to data collection and implementation under RN supervision but do not
independently perform comprehensive assessment or evaluation.
,2. A newly transitioned RN feels uncomfortable directing CNAs. This BEST
reflects which transition challenge?
A. Clinical incompetence
B. Role conflict due to identity shift from follower to leader
C. Scope of practice violation
D. Lack of pharmacological knowledge
E. Failure to pass NCLEX-RN
Correct Answer: B. Role conflict due to identity shift from follower to
leader
EXPERT RATIONALE: LPN-to-RN transition often involves role conflict as the nurse moves
from a task-oriented, supervised role to a leadership and accountability role. This
psychological adjustment is a documented challenge in transition literature.
3. The nursing process step in which the RN EXCLUSIVELY holds responsibility,
distinguishing the RN from the LPN role, is:
A. Implementation
B. Data collection
C. Medication administration
D. Independent nursing diagnosis formulation
E. Vital sign measurement
Correct Answer: D. Independent nursing diagnosis formulation
EXPERT RATIONALE: Formulating independent nursing diagnoses is within the exclusive
RN scope. LPNs may contribute observational data but cannot independently develop
nursing diagnoses, which require comprehensive clinical judgment.
,4. A nurse is delegating wound care to an LPN. Which principle of delegation is
MOST important?
A. The task must be familiar to the RN
B. The task must match the LPN's documented competency and state practice act
C. The RN must be present at all times during the task
D. Delegation eliminates RN accountability
E. The LPN must request the task first
Correct Answer: B. The task must match the LPN's documented
competency and state practice act
EXPERT RATIONALE: Delegation must always consider the five rights of delegation: right
task, right circumstances, right person, right directions, and right supervision. Matching
the task to the delegate's documented competency and legal scope is paramount.
5. Which of the following is an example of CRITICAL THINKING in nursing?
A. Following a physician's order without question
B. Administering medications in the order they are scheduled
C. Analyzing assessment findings to determine whether a change in patient
condition warrants intervention
D. Documenting vital signs as collected
E. Reporting to the charge nurse at the end of the shift
Correct Answer: C. Analyzing assessment findings to determine whether a
change in patient condition warrants intervention
EXPERT RATIONALE: Critical thinking in nursing involves purposeful, reflective reasoning
about clinical problems. Analyzing findings and determining appropriate action reflects
higher-order cognitive processing central to RN practice.
, 6. A patient refuses a prescribed blood transfusion due to religious beliefs.
The nurse's BEST response is:
A. Proceed with the transfusion after family consent
B. Notify the physician and document the patient's informed refusal
C. Administer the transfusion while the patient sleeps
D. Argue that the patient's life is more important than beliefs
E. Request that security restrain the patient
Correct Answer: B. Notify the physician and document the patient's
informed refusal
EXPERT RATIONALE: Autonomy is a foundational ethical principle. A competent adult
has the legal and ethical right to refuse treatment. The nurse must notify the physician,
ensure the refusal is informed, and document the interaction accurately.
7. Which framework guides ethical decision-making in nursing practice?
A. The biomedical model
B. The nursing code of ethics, ethical principles, and institutional policy
C. Physician preference alone
D. Patient financial status
E. Hospital accreditation standards only
Correct Answer: B. The nursing code of ethics, ethical principles, and
institutional policy
EXPERT RATIONALE: Ethical nursing decisions are guided by the ANA Code of Ethics,
core principles (autonomy, beneficence, nonmaleficence, justice, fidelity, veracity), and
institutional policies working in concert.
8. SBAR communication stands for:
