NR 103 Transition to the Nursing Profession - Exam 1 Study Guide
2026 |Chamberlain College
1. Which of the following best describes the ‘Metaparadigm of Nursing’?
A. Four key concepts: Person, Health, Environment, and Nursing
B. The specific steps used in the clinical nursing process
C. The legal boundaries defined by the State Board of Nursing
D. A set of rules for ethical decision-making in hospitals
Answer: A
Rationale: The metaparadigm of nursing consists of the four central concepts that provide
the framework for nursing theory: the person receiving care, the environment in which
they exist, their state of health, and the nursing actions provided.
2. Florence Nightingale is primarily recognized for which contribution to modern
nursing?
A. Establishing the American Red Cross
B. Improving sanitation and hygiene to decrease mortality rates
C. Founding the first community nursing service in New York
D. Developing the first automated medication dispensing system
Answer: B
Rationale: Nightingale emphasized the importance of a clean environment, sanitation, and
fresh air, which significantly reduced infection and mortality rates during the Crimean War.
,3. Which historical figure founded the American Red Cross?
A. Lillian Wald
B. Clara Barton
C. Mary Brewster
D. Dorothea Dix
Answer: B
Rationale: Clara Barton, a volunteer nurse during the American Civil War, went on to
found the American Red Cross in 1881.
4. What is the primary purpose of the Nurse Practice Act (NPA)?
A. To ensure nurses receive fair wages and benefits
B. To mandate magnet status for all teaching hospitals
C. To provide a standardized curriculum for nursing schools
D. To define the scope of practice and protect the public
Answer: D
Rationale: The Nurse Practice Act is state legislation that regulates nursing practice to
ensure that nurses are competent and to protect the public from harm.
5. According to Benner’s stages of clinical competence, a nurse who has been in
the same clinical position for 2 to 3 years is considered a(n):
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Answer: D
Rationale: A competent nurse has typically been in the same role for 2-3 years and can
anticipate nursing care and establish long-range goals.
, 6. Which QSEN competency focuses on using data to monitor the outcomes of
care processes?
A. Quality Improvement
B. Patient-Centered Care
C. Evidence-Based Practice
D. Informatics
Answer: A
Rationale: Quality Improvement (QI) involves using data to monitor outcomes and using
improvement methods to design and test changes to continuously improve healthcare
systems.
7. A nurse is teaching a community class about the importance of yearly flu
vaccines. This is an example of which level of prevention?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Answer: A
Rationale: Primary prevention focuses on health promotion and protection against specific
health problems before they occur, such as immunizations.
8. A patient is scheduled for a colonoscopy to screen for colorectal cancer. This
is an example of:
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Restorative Care
Answer: B
2026 |Chamberlain College
1. Which of the following best describes the ‘Metaparadigm of Nursing’?
A. Four key concepts: Person, Health, Environment, and Nursing
B. The specific steps used in the clinical nursing process
C. The legal boundaries defined by the State Board of Nursing
D. A set of rules for ethical decision-making in hospitals
Answer: A
Rationale: The metaparadigm of nursing consists of the four central concepts that provide
the framework for nursing theory: the person receiving care, the environment in which
they exist, their state of health, and the nursing actions provided.
2. Florence Nightingale is primarily recognized for which contribution to modern
nursing?
A. Establishing the American Red Cross
B. Improving sanitation and hygiene to decrease mortality rates
C. Founding the first community nursing service in New York
D. Developing the first automated medication dispensing system
Answer: B
Rationale: Nightingale emphasized the importance of a clean environment, sanitation, and
fresh air, which significantly reduced infection and mortality rates during the Crimean War.
,3. Which historical figure founded the American Red Cross?
A. Lillian Wald
B. Clara Barton
C. Mary Brewster
D. Dorothea Dix
Answer: B
Rationale: Clara Barton, a volunteer nurse during the American Civil War, went on to
found the American Red Cross in 1881.
4. What is the primary purpose of the Nurse Practice Act (NPA)?
A. To ensure nurses receive fair wages and benefits
B. To mandate magnet status for all teaching hospitals
C. To provide a standardized curriculum for nursing schools
D. To define the scope of practice and protect the public
Answer: D
Rationale: The Nurse Practice Act is state legislation that regulates nursing practice to
ensure that nurses are competent and to protect the public from harm.
5. According to Benner’s stages of clinical competence, a nurse who has been in
the same clinical position for 2 to 3 years is considered a(n):
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Answer: D
Rationale: A competent nurse has typically been in the same role for 2-3 years and can
anticipate nursing care and establish long-range goals.
, 6. Which QSEN competency focuses on using data to monitor the outcomes of
care processes?
A. Quality Improvement
B. Patient-Centered Care
C. Evidence-Based Practice
D. Informatics
Answer: A
Rationale: Quality Improvement (QI) involves using data to monitor outcomes and using
improvement methods to design and test changes to continuously improve healthcare
systems.
7. A nurse is teaching a community class about the importance of yearly flu
vaccines. This is an example of which level of prevention?
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Quaternary Prevention
Answer: A
Rationale: Primary prevention focuses on health promotion and protection against specific
health problems before they occur, such as immunizations.
8. A patient is scheduled for a colonoscopy to screen for colorectal cancer. This
is an example of:
A. Primary Prevention
B. Secondary Prevention
C. Tertiary Prevention
D. Restorative Care
Answer: B
