NUR 210 Exam 3 Transition to Practice
Capstone Review Official Practice Exam
Actual Exam 2026/2027 with Detailed
Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: PROFESSIONAL NURSING ROLE TRANSITION Q1 – Q10
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Question 1 of 50
A newly licensed RN on a busy medical-surgical unit is caring for six patients and notices that
a UAP has not yet obtained morning vital signs on two of them. The charge nurse is occupied
with a family complaint. What is the most appropriate action for the new nurse to take?
A. Delegate the remaining vital signs to another UAP and document the delay in the UAP's
performance record.
B. Ask the UAP to obtain the vital signs immediately and offer assistance if the workload is
unmanageable. ✓ CORRECT
C. Obtain the vital signs personally while coaching the UAP on time management during the
next shift huddle.
D. Report the UAP to the nurse manager before the end of the shift for failing to complete
assigned tasks.
Correct Answer: B
Rationale: The RN retains accountability for delegated tasks and should first communicate
directly with the UAP to assess barriers and ensure patient data is obtained promptly. Option
C is incorrect because obtaining vital signs personally reverses appropriate delegation when
the UAP is capable, diverting the RN from assessments that require nursing judgment. Option
D is incorrect because reporting a UAP to management without first attempting direct
communication undermines teamwork and escalates unnecessarily.
Question 2 of 50
A senior nursing student scheduled to take the NCLEX-RN in three weeks reports feeling
overwhelmed by content review and asks the capstone preceptor for guidance. The student
,describes difficulty with pharmacology questions and states that practice exams trigger
anxiety. What is the preceptor's best response?
A. Recommend the student postpone the exam date until confidence improves and anxiety
fully resolves.
B. Advise the student to focus solely on pharmacology flashcards and suspend all other
content review.
C. Tell the student that anxiety before the NCLEX is uncommon and likely indicates
inadequate preparation.
D. Suggest a structured study plan with daily pharmacology drills paired with full-length timed
practice tests. ✓ CORRECT
Correct Answer: D
Rationale: A balanced NCLEX preparation strategy combines targeted content remediation
with test-taking practice to build both knowledge and stamina. Option A is incorrect because
postponing the exam without attempting structured preparation reinforces avoidance
behavior and may not resolve underlying test anxiety. Option B is incorrect because
abandoning comprehensive review for single-topic memorization creates gaps in other
clinical areas and does not simulate the integrated nature of the exam.
Question 3 of 50
During an interprofessional rounds meeting, the physical therapist reports that a post-stroke
patient is not progressing with ambulation because the patient refuses to participate. The
occupational therapist agrees and mentions the patient seems depressed. What is the
nurse's most appropriate contribution to this discussion?
A. Propose a care conference to explore the patient's concerns and coordinate a motivational
approach. ✓ CORRECT
B. Suggest the team request a palliative care consult to address the patient's declining
motivation.
C. State that therapy should be discontinued until the patient demonstrates a more
cooperative attitude.
D. Recommend increasing the patient's antidepressant dose before resuming therapy
sessions.
Correct Answer: A
Rationale: Interprofessional collaboration requires shared decision-making that addresses
the patient's psychosocial barriers while maintaining therapeutic goals. Option C is incorrect
because withdrawing therapy based on patient resistance violates the ethical principle of
fidelity and abandons the patient rather than investigating the root cause of the behavior.
Option D is incorrect because medication adjustments fall within the provider's scope and
should not be initiated by the nurse during a team discussion without further assessment.
, Question 4 of 50
A new nurse preceptor observes a conflict between two experienced nurses over patient
assignment fairness. One nurse accuses the charge nurse of consistently giving her the most
complex admissions. The preceptor is asked to mentor the new nurse on professional
conflict resolution. What leadership principle should the preceptor emphasize?
A. Encourage the new nurse to avoid taking sides and remain silent when staff conflicts
arise.
B. Advise the new nurse to request a permanent transfer to a different unit to avoid the
dysfunction.
C. Teach the new nurse to use assertive communication and address concerns directly with
involved parties. ✓ CORRECT
D. Instruct the new nurse to document the charge nurse's behavior for future administrative
review.
Correct Answer: C
Rationale: Assertive communication is the cornerstone of professional conflict resolution
and empowers nurses to address workplace issues constructively while maintaining
respectful relationships. Option A is incorrect because silence enables ongoing dysfunction
and does not model the accountability expected of a professional nurse. Option D is
incorrect because premature documentation without direct communication violates the
principle of addressing concerns at the lowest level first and can escalate rather than resolve
conflict.
Question 5 of 50
A staff nurse is caring for a patient with a stage 3 pressure injury and asks a UAP to apply a
hydrocolloid dressing after the nurse has assessed the wound. The UAP states she has never
applied this type of dressing. What is the nurse's best action?
A. Instruct the UAP to watch a video on wound dressing application and then complete the
task independently.
B. Apply the dressing personally and use the opportunity to teach the UAP proper technique
at the bedside.
C. Ask the wound care nurse to delegate the dressing change to the UAP during the next
scheduled visit.
D. Tell the UAP that this task is outside her scope and that the nurse will complete the
dressing change. ✓ CORRECT
Correct Answer: D
Rationale: Wound dressing selection and application require nursing judgment and clinical
reasoning, making this task non-delegable to a UAP regardless of observation or instruction.
Option A is incorrect because showing a video does not confer competency for a skill that
Capstone Review Official Practice Exam
Actual Exam 2026/2027 with Detailed
Rationales | Complete Exam-Style Questions |
Pass Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: PROFESSIONAL NURSING ROLE TRANSITION Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A newly licensed RN on a busy medical-surgical unit is caring for six patients and notices that
a UAP has not yet obtained morning vital signs on two of them. The charge nurse is occupied
with a family complaint. What is the most appropriate action for the new nurse to take?
A. Delegate the remaining vital signs to another UAP and document the delay in the UAP's
performance record.
B. Ask the UAP to obtain the vital signs immediately and offer assistance if the workload is
unmanageable. ✓ CORRECT
C. Obtain the vital signs personally while coaching the UAP on time management during the
next shift huddle.
D. Report the UAP to the nurse manager before the end of the shift for failing to complete
assigned tasks.
Correct Answer: B
Rationale: The RN retains accountability for delegated tasks and should first communicate
directly with the UAP to assess barriers and ensure patient data is obtained promptly. Option
C is incorrect because obtaining vital signs personally reverses appropriate delegation when
the UAP is capable, diverting the RN from assessments that require nursing judgment. Option
D is incorrect because reporting a UAP to management without first attempting direct
communication undermines teamwork and escalates unnecessarily.
Question 2 of 50
A senior nursing student scheduled to take the NCLEX-RN in three weeks reports feeling
overwhelmed by content review and asks the capstone preceptor for guidance. The student
,describes difficulty with pharmacology questions and states that practice exams trigger
anxiety. What is the preceptor's best response?
A. Recommend the student postpone the exam date until confidence improves and anxiety
fully resolves.
B. Advise the student to focus solely on pharmacology flashcards and suspend all other
content review.
C. Tell the student that anxiety before the NCLEX is uncommon and likely indicates
inadequate preparation.
D. Suggest a structured study plan with daily pharmacology drills paired with full-length timed
practice tests. ✓ CORRECT
Correct Answer: D
Rationale: A balanced NCLEX preparation strategy combines targeted content remediation
with test-taking practice to build both knowledge and stamina. Option A is incorrect because
postponing the exam without attempting structured preparation reinforces avoidance
behavior and may not resolve underlying test anxiety. Option B is incorrect because
abandoning comprehensive review for single-topic memorization creates gaps in other
clinical areas and does not simulate the integrated nature of the exam.
Question 3 of 50
During an interprofessional rounds meeting, the physical therapist reports that a post-stroke
patient is not progressing with ambulation because the patient refuses to participate. The
occupational therapist agrees and mentions the patient seems depressed. What is the
nurse's most appropriate contribution to this discussion?
A. Propose a care conference to explore the patient's concerns and coordinate a motivational
approach. ✓ CORRECT
B. Suggest the team request a palliative care consult to address the patient's declining
motivation.
C. State that therapy should be discontinued until the patient demonstrates a more
cooperative attitude.
D. Recommend increasing the patient's antidepressant dose before resuming therapy
sessions.
Correct Answer: A
Rationale: Interprofessional collaboration requires shared decision-making that addresses
the patient's psychosocial barriers while maintaining therapeutic goals. Option C is incorrect
because withdrawing therapy based on patient resistance violates the ethical principle of
fidelity and abandons the patient rather than investigating the root cause of the behavior.
Option D is incorrect because medication adjustments fall within the provider's scope and
should not be initiated by the nurse during a team discussion without further assessment.
, Question 4 of 50
A new nurse preceptor observes a conflict between two experienced nurses over patient
assignment fairness. One nurse accuses the charge nurse of consistently giving her the most
complex admissions. The preceptor is asked to mentor the new nurse on professional
conflict resolution. What leadership principle should the preceptor emphasize?
A. Encourage the new nurse to avoid taking sides and remain silent when staff conflicts
arise.
B. Advise the new nurse to request a permanent transfer to a different unit to avoid the
dysfunction.
C. Teach the new nurse to use assertive communication and address concerns directly with
involved parties. ✓ CORRECT
D. Instruct the new nurse to document the charge nurse's behavior for future administrative
review.
Correct Answer: C
Rationale: Assertive communication is the cornerstone of professional conflict resolution
and empowers nurses to address workplace issues constructively while maintaining
respectful relationships. Option A is incorrect because silence enables ongoing dysfunction
and does not model the accountability expected of a professional nurse. Option D is
incorrect because premature documentation without direct communication violates the
principle of addressing concerns at the lowest level first and can escalate rather than resolve
conflict.
Question 5 of 50
A staff nurse is caring for a patient with a stage 3 pressure injury and asks a UAP to apply a
hydrocolloid dressing after the nurse has assessed the wound. The UAP states she has never
applied this type of dressing. What is the nurse's best action?
A. Instruct the UAP to watch a video on wound dressing application and then complete the
task independently.
B. Apply the dressing personally and use the opportunity to teach the UAP proper technique
at the bedside.
C. Ask the wound care nurse to delegate the dressing change to the UAP during the next
scheduled visit.
D. Tell the UAP that this task is outside her scope and that the nurse will complete the
dressing change. ✓ CORRECT
Correct Answer: D
Rationale: Wound dressing selection and application require nursing judgment and clinical
reasoning, making this task non-delegable to a UAP regardless of observation or instruction.
Option A is incorrect because showing a video does not confer competency for a skill that
