Scope of Practice | 2026/2027 Update WCU
1. A nurse is providing information to a patient about a new medication while
also listening to the patient’s concerns about its side effects. This dual action
best exemplifies which nursing role?
A. Manager
B. Advocate
C. Communicator
D. Researcher
Answer: C
Rationale: As a communicator, the nurse is central to the nurse-patient relationship,
facilitating the exchange of information and addressing emotional needs.
2. According to Patricia Benner, a nurse who has been in the same clinical
position for 2 to 3 years and can now rely on experience to perceive situations
as wholes rather than in terms of chopped-up parts is at what stage of
proficiency?
A. Novice
B. Proficient
C. Competent
D. Expert
Answer: B
Rationale: A proficient nurse perceives situations as wholes, has learned what to expect in
certain situations, and can recognize when the expected normal does not occur.
,3. The legal definition of nursing practice in a specific state is found in which of
the following?
A. The State Nurse Practice Act
B. The ANA Code of Ethics
C. The Hospital Policy Manual
D. The National League for Nursing Guidelines
Answer: A
Rationale: Nurse Practice Acts are laws established in each state in the US to regulate the
practice of nursing.
4. Which historical figure is credited with establishing the first nursing
philosophy based on health maintenance and restoration through
environmental manipulation?
A. Florence Nightingale
B. Mary Mahoney
C. Clara Barton
D. Lillian Wald
Answer: A
Rationale: Florence Nightingale’s theory focused on the environment, including light,
cleanliness, and ventilation, to promote healing.
5. A nurse who ensures that a patient’s wishes regarding ‘Do Not Resuscitate’
(DNR) status are respected by the medical team is primarily acting in which
role?
A. Educator
B. Caregiver
C. Advocate
D. Change Agent
Answer: C
, Rationale: Advocacy involves protecting the patient’s human and legal rights and
providing assistance in asserting those rights.
6. Which QSEN competency is being addressed when a nurse uses a
computerized system to track the frequency of patient falls on a unit?
A. Patient-Centered Care
B. Informatics
C. Safety
D. Quality Improvement
Answer: D
Rationale: Quality Improvement involves using data to monitor the outcomes of care
processes and using improvement methods to design and test changes.
7. Which of the following documents provides a framework for ethical nursing
care and a statement of the profession’s non-negotiable ethical standards?
A. The Patient Care Partnership
B. The ANA Code of Ethics for Nurses
C. The Joint Commission Standards
D. The Social Security Act
Answer: B
Rationale: The ANA Code of Ethics for Nurses serves as the profession’s ethical standard
and provides a framework for decision-making.