NR 103 Transition to the Nursing Profession Module Exam 4 2026
|Chamberlain College
1. According to Patricia Benner’s stages of clinical competence, a nurse who has
been in the same clinical position for 2 to 3 years and begins to see actions in
terms of long-range goals is at which level?
A. Advanced Beginner
B. Expert
C. Proficient
D. Competent
Answer: D
Rationale: The Competent nurse has typically been on the job for 2-3 years and
demonstrates conscious, deliberate planning and long-term goal setting.
2. Which ethical principle is most directly involved when a nurse ensures that a
patient has been fully informed about the risks and benefits of a scheduled
surgery?
A. Justice
B. Fidelity
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to self-determination and making
informed decisions about their own healthcare.
,3. A nurse is experiencing ‘reality shock’ shortly after starting their first job.
Which phase is characterized by the nurse feeling overwhelmed and noticing
discrepancies between what was taught in school and actual practice?
A. Honeymoon phase
B. Recovery phase
C. Shock or Rejection phase
D. Resolution phase
Answer: C
Rationale: In the shock or rejection phase, the new nurse feels disillusioned and frustrated
by the realities of the clinical environment.
4. The Quality and Safety Education for Nurses (QSEN) initiative identifies which
of the following as a core competency focused on minimizing risk of harm to
patients through system effectiveness?
A. Evidence-Based Practice
B. Safety
C. Patient-Centered Care
D. Informatics
Answer: B
Rationale: The Safety competency focuses on minimizing risk of harm to patients through
both system effectiveness and individual performance.
5. Which legal document defines the scope of nursing practice and the
standards of care in a specific state?
A. ANA Code of Ethics
B. The Patient’s Bill of Rights
C. The Nurse Practice Act
D. Institutional Policies
Answer: C
, Rationale: The Nurse Practice Act (NPA) is the law in each state that governs the practice
of nursing.
6. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision even though they
disagree. This is an example of:
A. Beneficence
B. Advocacy
C. Paternalism
D. Veracity
Answer: B
Rationale: Advocacy involves supporting the patient’s rights and decisions, even when
they conflict with the nurse’s personal beliefs.
7. What is the primary purpose of the ‘State Board of Nursing’?
A. To protect the public from unsafe nursing practice
B. To represent nurses in collective bargaining
C. To provide continuing education credits
D. To lobby for higher nurse-to-patient ratios
Answer: A
Rationale: The primary mission of the State Board of Nursing is public protection through
regulation and licensure.
8. In the SBAR communication tool, which component involves the nurse
providing their assessment of what the problem is?
A. Assessment
B. Background
C. Situation
D. Recommendation
Answer: A
|Chamberlain College
1. According to Patricia Benner’s stages of clinical competence, a nurse who has
been in the same clinical position for 2 to 3 years and begins to see actions in
terms of long-range goals is at which level?
A. Advanced Beginner
B. Expert
C. Proficient
D. Competent
Answer: D
Rationale: The Competent nurse has typically been on the job for 2-3 years and
demonstrates conscious, deliberate planning and long-term goal setting.
2. Which ethical principle is most directly involved when a nurse ensures that a
patient has been fully informed about the risks and benefits of a scheduled
surgery?
A. Justice
B. Fidelity
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to self-determination and making
informed decisions about their own healthcare.
,3. A nurse is experiencing ‘reality shock’ shortly after starting their first job.
Which phase is characterized by the nurse feeling overwhelmed and noticing
discrepancies between what was taught in school and actual practice?
A. Honeymoon phase
B. Recovery phase
C. Shock or Rejection phase
D. Resolution phase
Answer: C
Rationale: In the shock or rejection phase, the new nurse feels disillusioned and frustrated
by the realities of the clinical environment.
4. The Quality and Safety Education for Nurses (QSEN) initiative identifies which
of the following as a core competency focused on minimizing risk of harm to
patients through system effectiveness?
A. Evidence-Based Practice
B. Safety
C. Patient-Centered Care
D. Informatics
Answer: B
Rationale: The Safety competency focuses on minimizing risk of harm to patients through
both system effectiveness and individual performance.
5. Which legal document defines the scope of nursing practice and the
standards of care in a specific state?
A. ANA Code of Ethics
B. The Patient’s Bill of Rights
C. The Nurse Practice Act
D. Institutional Policies
Answer: C
, Rationale: The Nurse Practice Act (NPA) is the law in each state that governs the practice
of nursing.
6. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision even though they
disagree. This is an example of:
A. Beneficence
B. Advocacy
C. Paternalism
D. Veracity
Answer: B
Rationale: Advocacy involves supporting the patient’s rights and decisions, even when
they conflict with the nurse’s personal beliefs.
7. What is the primary purpose of the ‘State Board of Nursing’?
A. To protect the public from unsafe nursing practice
B. To represent nurses in collective bargaining
C. To provide continuing education credits
D. To lobby for higher nurse-to-patient ratios
Answer: A
Rationale: The primary mission of the State Board of Nursing is public protection through
regulation and licensure.
8. In the SBAR communication tool, which component involves the nurse
providing their assessment of what the problem is?
A. Assessment
B. Background
C. Situation
D. Recommendation
Answer: A
