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Transitions Exam 1: Nursing Licensure and
Certification/ Nursing Research and
Evidence-Based Practice. Exam Questions
With Correct Answers
The advanced practice nurse who is seeking information about requirements for practice in a specialized
area should contact the:
a. American Nurses Association (ANA).
b. National League for Nursing (NLN).
c. American Nurses Credentialing Center (ANCC).
d. National Council of State Boards of Nursing (NCSBN). - answer✔C
The nurse should contact the ANCC to determine the education, experience, and examination
requirements that must be met if one is to become certified.
The primary purpose of licensure for RNs is to:
a. prevent others from using the title nurse.
b. demonstrate a specialized body of knowledge.
c. protect the public.
d. enhance recognition for the profession - answer✔C
Protecting the public is one of the essential purposes of the state board of nursing, which regulates
licensure.
Nurse practice acts:
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a. are written and passed by legislators.
b. cannot be influenced by special interest groups.
c. reflect only the concerns of RNs.
d. are affected by the practice of dentists. - answer✔A
Just as other sections of state codes are written and passed by legislators, so is the nurse practice act of
each state.
To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails
to be reviewed, it is automatically rescinded under which law?
a. Nurse review act
b. Sunset legislation
c. Mandatory revocation
d. Grandfathering - answer✔B
Sunset legislation may be included in a state's nurse practice act, and this means that the act must be
reviewed by a specific date; if not, it is automatically rescinded.
Current trends in telecommunications and increased mobility of nurses have led to approval of a mutual
recognition model of nursing regulation, in which nurses are allowed to practice in states that are
compact states without obtaining a license in each state. On which website would a nurse find a list of
current compact states?
a. National League for Nursing (NLN)
b. National Council of State Boards of Nursing (NCSBN) c. American Association of Colleges of Nursing
(AACN) d. Commission on Collegiate Nursing Education (CCNE) - answer✔B
The NCSBN website contains this information.
The first field of nursing to certify advanced practitioners was the field of:
a. adult nurse practitioners.
b. nurse-midwifery.
c. clinical nurse specialist.
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d. nurse anesthesia. - answer✔D
In 1946, nurse anesthesia became the first field of nursing practice to certify advanced practitioners.
A graduate of a nursing school in the United States plans to practice nursing in Paris, France. To request
licensure to practice in Paris, the nurse:
a. must contact the Graduates of Foreign Nursing Schools to complete a special examination.
b. realizes that education in the United States is so generalized that he or she is eligible to practice in
other countries without additional licensure.
c. is required to take a language proficiency examination for the primary language of that particular
country, as well as a cultural assessment test, prior to licensure.
d. should contact the International Council of Nurses or the nursing regulatory board of that country. -
answer✔D
A nurse who is interested in practicing internationally may contact the International Council of Nurses or
the nursing regulatory board of the country in which he or she wishes to practice.
A nurse who is licensed in Georgia and moves to Oregon:
a. must check Oregon's nurse practice act related to licensure for endorsement.
b. will automatically be grandfathered in as a licensed registered nurse.
c. may request certification in Oregon rather than licensure, so as not to have to retake the NCLEX-RN
d. should contact the American Nurses Credentialing Center to determine whether he or she is eligible
to practice in an another state. - answer✔A
Endorsement refers to the original program whereby a nurse who is licensed in one state can apply and
seek licensure in another without undergoing repeat examination, in accordance with the nurse practice
act of that state.
When practicing in a compact state:
a. the nurse must abide solely by the practice act of the largest state.
b. patients' rights in relation to the nurse practice act are protected by the mutual recognition model.
c. the nurse must pay for a license in all states that participate in the mutual recognition model.
d. the nurse must refer to the nurse practice act for the list of skills that can be performed. - answer✔B
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Nurses who practice in a compact state are responsible for following the laws and regulations of each
state in which they practice.
When participating in a nurse licensure compact, the nurse:
a. is held responsible for complying with the nursing practice laws in the state where practicing at the
time care is rendered.
b. must purchase a license in each state but does not retake the licensure exam.
c. determines residency based on the state where educated as registered nurse.
d. may practice using one license in any state or territory in the United States that recognizes the
NCLEX® as the source of licensure. - answer✔A
The nurse is accountable for practicing according to the state practice laws where patient care was
provided, although disciplinary action is the responsibility of the state of the nurse's residency.
A new graduate from a master's entry program in nursing announces, "I just passed my clinical nurse
leader certification exam." Certification as a clinical nurse leader:
a. is granted by the state boards of nursing.
b. denotes minimum level of knowledge and skills to practice safely.
c. allows independent nursing practice, often in primary care.
d. recognizes achievement of advanced skills and knowledge. - answer✔D
Certification provides validation of achievement of advanced education and competence
A nurse holds a license in one state but wishes to practice in a second state that is not participating in a
nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not
retake the licensure exam. The nurse obtains licensure in the second state:
a. by licensure and by endorsement.
b. through mandatory continuing education.
c. by the statutory process known as being grandfathered.
d. through sunset legislation. - answer✔A