NR 351 Transitions in Professional
Nursing Midterm Examination:
Complete 200-Question Bank with
Detailed Rationales Covering
Professional Practice, Ethics, Legal
Issues, Leadership, Delegation, QSEN,
and Evidence-Based Practice
1. Which of the following best defines professional
nursing practice?
a) A set of tasks performed under physician supervision
b) A dynamic, autonomous, and evidence-based practice
c) A limited role in health maintenance
d) Delegation of medical treatment to assistive personnel
Answer: b) A dynamic, autonomous, and evidence-
based practice
Rationale: Professional nursing is characterized by
autonomy, a distinct body of knowledge, and evidence-
based decision-making. It is not merely task-oriented or
dependent on physician supervision .
2. What is the primary purpose of the ANA Code of
Ethics for Nurses?
,a) To provide legal advice for nurses
b) To define hospital policy for nurses
c) To guide nurses in ethical decision-making and
professional conduct
d) To outline patient care tasks
Answer: c) To guide nurses in ethical decision-making
and professional conduct
Rationale: The Code of Ethics sets expectations for ethical
behavior and professional responsibilities of nurses, serving
as a foundational guide for practice .
3. Which of the following is a key component of
professional identity in nursing?
a) Memorizing procedures
b) Performing tasks independently
c) Accountability for actions and decisions
d) Relying solely on physician orders
Answer: c) Accountability for actions and decisions
Rationale: Professional identity includes responsibility,
advocacy, and accountability. Nurses must be accountable
for their own actions and clinical judgments .
4. A nurse demonstrating lifelong learning is:
a) Completing one CEU per year
b) Memorizing protocols
c) Continuously updating knowledge through formal and
,informal means
d) Avoiding challenges to current practice
Answer: c) Continuously updating knowledge through
formal and informal means
Rationale: Lifelong learning ensures nurses remain
competent and current in practice. It involves ongoing
education, self-reflection, and professional development .
5. The American Nurses Association (ANA) is
responsible for:
a) Setting state-specific nurse practice acts
b) Providing a definition and scope of practice for nursing
at the national level
c) Licensing individual nurses
d) Disciplining nurses for misconduct
Answer: b) Providing a definition and scope of practice
for nursing at the national level
Rationale: The ANA represents and advocates for nurses at
the national level, establishing professional standards and
guidelines for nursing practice .
6. Which nursing organization represents the nursing
profession by lobbying the government on issues that
impact RNs and health care services?
a) State Board of Nursing
b) American Nurses Association (ANA)
, c) The Joint Commission
d) Centers for Medicare and Medicaid Services
Answer: b) American Nurses Association (ANA)
Rationale: The ANA is involved in lobbying for healthcare
policy changes and improvements, representing nurses at
the national level .
7. What is the best legal safeguard for a nurse?
a) Malpractice insurance
b) Competency in practice
c) Following physician orders without question
d) Documenting only abnormal findings
Answer: b) Competency in practice
Rationale: Competency is the best legal safeguard. A
competent nurse who practices within standards, documents
appropriately, and maintains current knowledge is best
protected .
8. A nurse who demonstrates professional
accountability will:
a) Blame others for mistakes
b) Accept responsibility for their own actions and decisions
c) Avoid challenging situations
d) Rely on others to double-check their work
Answer: b) Accept responsibility for their own actions
and decisions
Nursing Midterm Examination:
Complete 200-Question Bank with
Detailed Rationales Covering
Professional Practice, Ethics, Legal
Issues, Leadership, Delegation, QSEN,
and Evidence-Based Practice
1. Which of the following best defines professional
nursing practice?
a) A set of tasks performed under physician supervision
b) A dynamic, autonomous, and evidence-based practice
c) A limited role in health maintenance
d) Delegation of medical treatment to assistive personnel
Answer: b) A dynamic, autonomous, and evidence-
based practice
Rationale: Professional nursing is characterized by
autonomy, a distinct body of knowledge, and evidence-
based decision-making. It is not merely task-oriented or
dependent on physician supervision .
2. What is the primary purpose of the ANA Code of
Ethics for Nurses?
,a) To provide legal advice for nurses
b) To define hospital policy for nurses
c) To guide nurses in ethical decision-making and
professional conduct
d) To outline patient care tasks
Answer: c) To guide nurses in ethical decision-making
and professional conduct
Rationale: The Code of Ethics sets expectations for ethical
behavior and professional responsibilities of nurses, serving
as a foundational guide for practice .
3. Which of the following is a key component of
professional identity in nursing?
a) Memorizing procedures
b) Performing tasks independently
c) Accountability for actions and decisions
d) Relying solely on physician orders
Answer: c) Accountability for actions and decisions
Rationale: Professional identity includes responsibility,
advocacy, and accountability. Nurses must be accountable
for their own actions and clinical judgments .
4. A nurse demonstrating lifelong learning is:
a) Completing one CEU per year
b) Memorizing protocols
c) Continuously updating knowledge through formal and
,informal means
d) Avoiding challenges to current practice
Answer: c) Continuously updating knowledge through
formal and informal means
Rationale: Lifelong learning ensures nurses remain
competent and current in practice. It involves ongoing
education, self-reflection, and professional development .
5. The American Nurses Association (ANA) is
responsible for:
a) Setting state-specific nurse practice acts
b) Providing a definition and scope of practice for nursing
at the national level
c) Licensing individual nurses
d) Disciplining nurses for misconduct
Answer: b) Providing a definition and scope of practice
for nursing at the national level
Rationale: The ANA represents and advocates for nurses at
the national level, establishing professional standards and
guidelines for nursing practice .
6. Which nursing organization represents the nursing
profession by lobbying the government on issues that
impact RNs and health care services?
a) State Board of Nursing
b) American Nurses Association (ANA)
, c) The Joint Commission
d) Centers for Medicare and Medicaid Services
Answer: b) American Nurses Association (ANA)
Rationale: The ANA is involved in lobbying for healthcare
policy changes and improvements, representing nurses at
the national level .
7. What is the best legal safeguard for a nurse?
a) Malpractice insurance
b) Competency in practice
c) Following physician orders without question
d) Documenting only abnormal findings
Answer: b) Competency in practice
Rationale: Competency is the best legal safeguard. A
competent nurse who practices within standards, documents
appropriately, and maintains current knowledge is best
protected .
8. A nurse who demonstrates professional
accountability will:
a) Blame others for mistakes
b) Accept responsibility for their own actions and decisions
c) Avoid challenging situations
d) Rely on others to double-check their work
Answer: b) Accept responsibility for their own actions
and decisions
