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AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000443774.35258.67
Feature Articles

CE Test 2.5 Hours: Original Research: Changing Trends in Newly Licensed RNs

Contrada, Emily

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Continued Education
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* To take the test online, go to our secure Web site at .

* To use the form provided in this issue, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.

* Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to:Lippincott Williams and Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is February 29, 2016.

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* Send in together two or more tests from any nursing journal published by Lippincott, Williams and Wilkins (LWW), and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities online at Call 1-800-787-8985 for details.

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LWW, publisher of AJN, will award the number of contact hours indicated for each continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center (ANCC).

These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LWW is also an approved provider of continuing nursing education by the District of Columbia and Florida #50-1223. Your certificate is valid in all states.

The ANCC's accreditation status of the LWW Department of Continuing Education refers to its continuing nursing educational activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.

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To present the details of a study done to compare the work lives of two cohorts of newly licensed RNs licensed six years apart.

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After reading this article and taking this test, you will be able to

* recognize shifts in the nursing workforce.

* identify the implications of these shifts for U.S. health policy.

1. In 2009, what percentage of newly licensed RNs (NLRNs) worked in hospitals?

a. 62%

b. 71.4%

c. 78.3%

d. 89.1%

2. Hospital RN turnover rates are currently at about

a. 4%.

b. 9%.

c. 14%.

d. 19%.

3. The passage of the Affordable Care Act is likely to increase the demand for RNs in

a. ambulatory care.

b. emergency services.

c. medical intensive care.

d. mental health services.

4. According to the American Association of Colleges of Nursing, enrollment in prelicensure bachelor of science in nursing programs increased by what percentage from 2010 to 2011?

a. 2.6%

b. 5.1%

c. 8.2%

d. 11.3%

5. RNs with bachelor's degrees make a difference in hospital outcomes, especially in lowering the rates of

a. failure to rescue.

b. medical errors.

c. infection.

d. falls.

6. What percentage of RNs leave their first job within 2 years of starting?

a. nearly 9%

b. about 17%

c. more than 26%

d. about 35%

7. In their study of two cohorts of NLRNs, a 2004–05 group and a 2010–11 group, the authors found no significant differences between the two groups in

a. marital status.

b. basic nursing education.

c. English being their first language.

d. enrollment in a formal education program.

8. Those in the 2010–11 cohort were more likely than those in the earlier cohort to work in

a. a job requiring an RN license.

b. a hospital setting.

c. ICUs.

d. areas other than direct care.

9. The later cohort was less likely than the earlier cohort to

a. work full time.

b. be nonunionized.

c. work in a Magnet hospital.

d. work excessive overtime hours.

10. Compared with the earlier cohort, the later cohort

a. perceived worse nurse–physician relations.

b. were more committed to their organizations.

c. perceived significantly more job opportunities.

d. reported more organizational constraints.

11. What percentage of the later cohort applied for an RN job before taking the National Council Licensure Examination?

a. 36%

b. 43%

c. 54%

d. 68%

12. When NLRNs in the 2010–11 cohort were asked to identify why they took their first RN job, which of the following was the most common reason?

a. The work hours were good for work–life balance.

b. The organization had a good reputation.

c. A friend was working at the organization.

d. The position offered full-time employment.

13. Of those who had already left their first job and named the one thing their employer could have done to keep them there, by far the greatest percentage said that

a. changes in shift or hours would help.

b. management would have to improve.

c. nothing could have kept them there.

d. they'd have to have an increase in pay.

14. The NLRNS in the 2010–11 cohort were more likely than those in the earlier cohort to work as

a. instructors.

b. managers.

c. home care nurses.

d. direct caregivers.

15. Significantly fewer 2010–11 licensees had the employer-provided benefit of

a. disability options.

b. retirement savings plans.

c. paid time off.

d. tuition reimbursement.

16. A limitation of this study identified by the authors is

a. self-response bias.

b. data analysis methods.

c. data collection methods.

d. self-selection of participants.

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