NR 103: Transition to the Nursing Profession Comprehensive Final
Prep 2026 |Chamberlain
1. Which historical nursing leader is recognized for establishing the first nursing
philosophy based on health maintenance and restoration?
A. Clara Barton
B. Dorothea Dix
C. Florence Nightingale
D. Harriet Tubman
Answer: C
Rationale: Florence Nightingale established the first nursing philosophy and is credited
with developing the first organized program for training nurses.
2. According to Benner’s stages of nursing proficiency, a nurse who has been in
the same clinical position for 2 to 3 years is considered:
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C
Rationale: A competent nurse has been in the same clinical position for 2 to 3 years and
understands the organization and specific care required by the type of patients.
,3. The American Nurses Association (ANA) Standards of Professional
Performance describe which of the following?
A. The steps of the nursing process
B. The behaviors expected in the professional nursing role
C. The levels of ethical behavior in clinical practice
D. The medical treatments a nurse can prescribe
Answer: B
Rationale: The Standards of Professional Performance describe a competent level of
behavior in the professional role, including ethics, education, and quality of practice.
4. Which ethical principle refers to the agreement to keep promises and the
obligation to follow through with care?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A
Rationale: Fidelity refers to the agreement to keep promises and the duty to be faithful to
clients and professional obligations.
5. A nurse is caring for a patient who refuses a blood transfusion for religious
reasons. The nurse respects this decision, illustrating which principle?
A. Veracity
B. Justice
C. Autonomy
D. Accountability
Answer: C
Rationale: Autonomy refers to freedom from external control; in healthcare, it means
respecting a patient’s right to make their own decisions about their care.
, 6. The Quality and Safety Education for Nurses (QSEN) initiative identified which
of the following as a core competency?
A. Patient-Centered Care
B. Financial Management
C. Pharmaceutical Marketing
D. Hospital Administration
Answer: A
Rationale: Patient-Centered Care is one of the six QSEN competencies, along with
teamwork/collaboration, EBP, quality improvement, safety, and informatics.
7. What is the primary purpose of the Nursing Practice Act (NPA)?
A. To define the scope of nursing practice and protect the public
B. To ensure nurses receive fair wages
C. To regulate the cost of healthcare services
D. To provide a curriculum for nursing schools
Answer: A
Rationale: Nursing Practice Acts are state laws that define the scope of nursing practice
and protect the public from unqualified or unsafe practitioners.
8. Which part of the SBAR communication tool involves the nurse stating the
patient’s current vital signs and physical assessment findings?
A. Situation
B. Background
C. Recommendation
D. Assessment
Answer: D
Rationale: Assessment in SBAR covers what the nurse thinks the problem is based on
physical findings and vital signs.
Prep 2026 |Chamberlain
1. Which historical nursing leader is recognized for establishing the first nursing
philosophy based on health maintenance and restoration?
A. Clara Barton
B. Dorothea Dix
C. Florence Nightingale
D. Harriet Tubman
Answer: C
Rationale: Florence Nightingale established the first nursing philosophy and is credited
with developing the first organized program for training nurses.
2. According to Benner’s stages of nursing proficiency, a nurse who has been in
the same clinical position for 2 to 3 years is considered:
A. Novice
B. Advanced Beginner
C. Competent
D. Proficient
Answer: C
Rationale: A competent nurse has been in the same clinical position for 2 to 3 years and
understands the organization and specific care required by the type of patients.
,3. The American Nurses Association (ANA) Standards of Professional
Performance describe which of the following?
A. The steps of the nursing process
B. The behaviors expected in the professional nursing role
C. The levels of ethical behavior in clinical practice
D. The medical treatments a nurse can prescribe
Answer: B
Rationale: The Standards of Professional Performance describe a competent level of
behavior in the professional role, including ethics, education, and quality of practice.
4. Which ethical principle refers to the agreement to keep promises and the
obligation to follow through with care?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: A
Rationale: Fidelity refers to the agreement to keep promises and the duty to be faithful to
clients and professional obligations.
5. A nurse is caring for a patient who refuses a blood transfusion for religious
reasons. The nurse respects this decision, illustrating which principle?
A. Veracity
B. Justice
C. Autonomy
D. Accountability
Answer: C
Rationale: Autonomy refers to freedom from external control; in healthcare, it means
respecting a patient’s right to make their own decisions about their care.
, 6. The Quality and Safety Education for Nurses (QSEN) initiative identified which
of the following as a core competency?
A. Patient-Centered Care
B. Financial Management
C. Pharmaceutical Marketing
D. Hospital Administration
Answer: A
Rationale: Patient-Centered Care is one of the six QSEN competencies, along with
teamwork/collaboration, EBP, quality improvement, safety, and informatics.
7. What is the primary purpose of the Nursing Practice Act (NPA)?
A. To define the scope of nursing practice and protect the public
B. To ensure nurses receive fair wages
C. To regulate the cost of healthcare services
D. To provide a curriculum for nursing schools
Answer: A
Rationale: Nursing Practice Acts are state laws that define the scope of nursing practice
and protect the public from unqualified or unsafe practitioners.
8. Which part of the SBAR communication tool involves the nurse stating the
patient’s current vital signs and physical assessment findings?
A. Situation
B. Background
C. Recommendation
D. Assessment
Answer: D
Rationale: Assessment in SBAR covers what the nurse thinks the problem is based on
physical findings and vital signs.
