NUR3805 Quiz 1 Transition Quiz 1 Prof. Nursing
Practice NUR3805 EXAM with Questions and
Answers/Plus a Rationale Updated 2026 A+/Instant
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EXAM COVERAGE
1. Evolution of Professional Nursing Practice
2. Nursing Theories and Conceptual Models
3. Legal and Ethical Foundations of Nursing
4. Evidence-Based Practice (EBP) and Quality Improvement
5. Professionalism, Accountability, and Leadership
6. Health Policy, Advocacy, and Social Determinants of Health
7. Communication, Teamwork, and Interprofessional Collaboration
8. Informatics and Patient Safety
1. A nurse manager is implementing a new evidence-based practice (EBP) protocol. Which initial
action best demonstrates the application of the Iowa Model of Evidence-Based Practice to
promote quality care?
A. Identifying clinical problems that originate from organizational priorities.
B. Formulating a clear, searchable clinical question using the PICO(T) format.
C. Immediately conducting a comprehensive literature review to identify current research.
D. Seeking internal stakeholders' opinions to ensure unit buy-in before data collection.
Answer: B
, CORRECT ANSWER : B
Rationale: The Iowa Model emphasizes that EBP starts with a triggers, followed by the
formation of a focused clinical question to guide the search. Option A is incorrect because
triggers should prioritize patient-care quality, not just organizational convenience. Option C is
premature without a PICO(T) question, and Option D, while helpful, is not the first
methodological step.
2. A nurse is advocating for a patient who is being discharged with a complex medication regimen
that the family cannot afford. Which ethical principle is the nurse primarily upholding by
intervening?
A. Autonomy.
B. Justice.
C. Non-maleficence.
D. Veracity.
Answer: B
CORRECT ANSWER : B
Rationale: Justice in nursing relates to fairness, equal access to resources, and advocating for
vulnerable populations to receive necessary care. Autonomy (A) relates to self-determination,
non-maleficence (C) is the duty to do no harm, and veracity (D) is the obligation to tell the truth;
these do not specifically address the inequity of the situation.
3. A registered nurse is supervising a licensed practical nurse (LPN/LVN) who is caring for a
patient post-operative after an appendectomy. Which action by the LPN requires immediate
intervention by the RN?
A. Administering oral analgesics as prescribed.
B. Performing the initial assessment and care plan modification.
C. Monitoring wound drainage and dressing changes.
D. Assisting the patient with early ambulation in the hallway.
Answer: B
CORRECT ANSWER : B
, Rationale: According to the Nurse Practice Act, the initial assessment, clinical judgment, and the
creation of the nursing care plan are the non-delegable responsibilities of the RN. LPNs/LVNs
can participate in care and monitor stability, but they cannot perform the comprehensive
assessment required for the initial care plan.
4. A nurse utilizes Florence Nightingale’s Environmental Theory to address a patient’s slow
recovery in a noisy, poorly ventilated room. What is the priority nursing intervention based on
this theory?
A. Administering medication precisely on time to ensure physiological stability.
B. Modifying the patient’s environment to include clean air, natural light, and quiet.
C. Advocating for the patient to receive higher levels of nursing intensity.
D. Focusing on the patient's spiritual needs to foster a positive recovery.
Answer: B
CORRECT ANSWER : B
Rationale: Nightingale’s Environmental Theory posits that the nurse's role is to place the patient
in the best possible condition for nature to act upon them, primarily through environmental
manipulation. While the other actions might be part of holistic nursing, they do not align
specifically with the foundational pillars of Nightingale’s theory.
5. A nurse leader is discussing the importance of "Just Culture" in the unit. Which scenario best
exemplifies this concept?
A. Terminating a nurse immediately after they commit a severe medication error.
B. Encouraging the reporting of near-misses without fear of punitive measures to identify
system flaws.
C. Publicly shaming staff who make charting errors to prevent future mistakes.
D. Requiring only the nurse involved in an error to participate in the root cause analysis.
Answer: B
CORRECT ANSWER : B
Rationale: A "Just Culture" balances the need for accountability with the understanding that
human error is often linked to system design, thus encouraging open reporting to improve safety.
Punitive actions (A, C) create a culture of silence, and excluding system analysis (D) ignores the
root causes of errors.
, 6. A nurse is applying the Standards of Care in a legal proceeding. Which document is most
important for determining whether the nurse's actions met professional requirements?
A. The hospital’s internal policy and procedure manual.
B. The American Nurses Association (ANA) Scope and Standards of Practice.
C. The patient's subjective expectations of nursing care.
D. The nurse’s personal professional experience and years of practice.
Answer: B
CORRECT ANSWER : B
Rationale: The ANA Standards of Practice are the national benchmarks used by courts to
determine if a nurse performed at the level of a "reasonably prudent nurse." Internal policies (A)
are guidelines but do not define the broader professional standard, and C and D are not legally
defined benchmarks.
7. A nurse is caring for a patient from a different culture who insists on using herbal remedies
alongside prescribed chemotherapy. Which action is the best example of culturally congruent
nursing care?
A. Strict prohibition of all non-prescribed substances due to potential drug interactions.
B. Collaborating with the oncologist and pharmacist to review the herbal products for
safety.
C. Advising the patient that traditional medicine is often ineffective and should be discontinued.
D. Ignoring the use of the herbal remedies as long as the patient takes the chemotherapy.
Answer: B
CORRECT ANSWER : B
Rationale: Culturally congruent care involves respecting patient practices while ensuring safety
through evidence-based collaboration. Prohibition (A) and dismissal (C) harm the nurse-patient
relationship, while ignoring (D) risks patient safety.
8. When applying the "Quality and Safety Education for Nurses" (QSEN) competency of
Informatics, which action by the nurse is most appropriate?
A. Documenting patient care only after the end of the shift to ensure accuracy.
Practice NUR3805 EXAM with Questions and
Answers/Plus a Rationale Updated 2026 A+/Instant
Download PDF
EXAM COVERAGE
1. Evolution of Professional Nursing Practice
2. Nursing Theories and Conceptual Models
3. Legal and Ethical Foundations of Nursing
4. Evidence-Based Practice (EBP) and Quality Improvement
5. Professionalism, Accountability, and Leadership
6. Health Policy, Advocacy, and Social Determinants of Health
7. Communication, Teamwork, and Interprofessional Collaboration
8. Informatics and Patient Safety
1. A nurse manager is implementing a new evidence-based practice (EBP) protocol. Which initial
action best demonstrates the application of the Iowa Model of Evidence-Based Practice to
promote quality care?
A. Identifying clinical problems that originate from organizational priorities.
B. Formulating a clear, searchable clinical question using the PICO(T) format.
C. Immediately conducting a comprehensive literature review to identify current research.
D. Seeking internal stakeholders' opinions to ensure unit buy-in before data collection.
Answer: B
, CORRECT ANSWER : B
Rationale: The Iowa Model emphasizes that EBP starts with a triggers, followed by the
formation of a focused clinical question to guide the search. Option A is incorrect because
triggers should prioritize patient-care quality, not just organizational convenience. Option C is
premature without a PICO(T) question, and Option D, while helpful, is not the first
methodological step.
2. A nurse is advocating for a patient who is being discharged with a complex medication regimen
that the family cannot afford. Which ethical principle is the nurse primarily upholding by
intervening?
A. Autonomy.
B. Justice.
C. Non-maleficence.
D. Veracity.
Answer: B
CORRECT ANSWER : B
Rationale: Justice in nursing relates to fairness, equal access to resources, and advocating for
vulnerable populations to receive necessary care. Autonomy (A) relates to self-determination,
non-maleficence (C) is the duty to do no harm, and veracity (D) is the obligation to tell the truth;
these do not specifically address the inequity of the situation.
3. A registered nurse is supervising a licensed practical nurse (LPN/LVN) who is caring for a
patient post-operative after an appendectomy. Which action by the LPN requires immediate
intervention by the RN?
A. Administering oral analgesics as prescribed.
B. Performing the initial assessment and care plan modification.
C. Monitoring wound drainage and dressing changes.
D. Assisting the patient with early ambulation in the hallway.
Answer: B
CORRECT ANSWER : B
, Rationale: According to the Nurse Practice Act, the initial assessment, clinical judgment, and the
creation of the nursing care plan are the non-delegable responsibilities of the RN. LPNs/LVNs
can participate in care and monitor stability, but they cannot perform the comprehensive
assessment required for the initial care plan.
4. A nurse utilizes Florence Nightingale’s Environmental Theory to address a patient’s slow
recovery in a noisy, poorly ventilated room. What is the priority nursing intervention based on
this theory?
A. Administering medication precisely on time to ensure physiological stability.
B. Modifying the patient’s environment to include clean air, natural light, and quiet.
C. Advocating for the patient to receive higher levels of nursing intensity.
D. Focusing on the patient's spiritual needs to foster a positive recovery.
Answer: B
CORRECT ANSWER : B
Rationale: Nightingale’s Environmental Theory posits that the nurse's role is to place the patient
in the best possible condition for nature to act upon them, primarily through environmental
manipulation. While the other actions might be part of holistic nursing, they do not align
specifically with the foundational pillars of Nightingale’s theory.
5. A nurse leader is discussing the importance of "Just Culture" in the unit. Which scenario best
exemplifies this concept?
A. Terminating a nurse immediately after they commit a severe medication error.
B. Encouraging the reporting of near-misses without fear of punitive measures to identify
system flaws.
C. Publicly shaming staff who make charting errors to prevent future mistakes.
D. Requiring only the nurse involved in an error to participate in the root cause analysis.
Answer: B
CORRECT ANSWER : B
Rationale: A "Just Culture" balances the need for accountability with the understanding that
human error is often linked to system design, thus encouraging open reporting to improve safety.
Punitive actions (A, C) create a culture of silence, and excluding system analysis (D) ignores the
root causes of errors.
, 6. A nurse is applying the Standards of Care in a legal proceeding. Which document is most
important for determining whether the nurse's actions met professional requirements?
A. The hospital’s internal policy and procedure manual.
B. The American Nurses Association (ANA) Scope and Standards of Practice.
C. The patient's subjective expectations of nursing care.
D. The nurse’s personal professional experience and years of practice.
Answer: B
CORRECT ANSWER : B
Rationale: The ANA Standards of Practice are the national benchmarks used by courts to
determine if a nurse performed at the level of a "reasonably prudent nurse." Internal policies (A)
are guidelines but do not define the broader professional standard, and C and D are not legally
defined benchmarks.
7. A nurse is caring for a patient from a different culture who insists on using herbal remedies
alongside prescribed chemotherapy. Which action is the best example of culturally congruent
nursing care?
A. Strict prohibition of all non-prescribed substances due to potential drug interactions.
B. Collaborating with the oncologist and pharmacist to review the herbal products for
safety.
C. Advising the patient that traditional medicine is often ineffective and should be discontinued.
D. Ignoring the use of the herbal remedies as long as the patient takes the chemotherapy.
Answer: B
CORRECT ANSWER : B
Rationale: Culturally congruent care involves respecting patient practices while ensuring safety
through evidence-based collaboration. Prohibition (A) and dismissal (C) harm the nurse-patient
relationship, while ignoring (D) risks patient safety.
8. When applying the "Quality and Safety Education for Nurses" (QSEN) competency of
Informatics, which action by the nurse is most appropriate?
A. Documenting patient care only after the end of the shift to ensure accuracy.
