NR-103: Transition to the Nursing
Profession (PDF) | Chamberlain College of
Nursing Latest 2026/27 Update | A+
Verified | Instant Pdf Download
Section I: Professional Identity & Nursing Roles (Questions 1-20)
1. Which of the following best describes the primary role of the
professional nurse?
A) Follows physician orders without question
B) Advocates for the patient's needs and promotes health
C) Delegates tasks to unlicensed assistive personnel
D) Ensures physicians are informed of hospital policies
Answer: B
Rationale: The nurse's primary role includes being a patient advocate and
promoting health and wellness through direct care and collaboration .
2. Florence Nightingale is best known for her contributions to which aspect
of nursing?
A) Pharmacology
B) Administrative management
C) Infection control and modern nursing education
D) Hospital finance
Answer: C
Rationale: Nightingale introduced evidence-based sanitation practices and
founded the first professional nursing school, shaping modern nursing
education. She demonstrated that sanitation, ventilation, nutrition, and
hygiene could dramatically reduce mortality .
,3. A military hospital reports high mortality among wounded soldiers. The
nursing supervisor improves ventilation, cleans the wards, provides
nutritious meals, and introduces regular handwashing. Which nursing
leader's work most directly supports these interventions?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lillian Wald
Answer: C
Rationale: Florence Nightingale demonstrated during the Crimean War
that sanitation, ventilation, nutrition, and hygiene could dramatically
reduce mortality .
4. The ANA Code of Ethics guides nurses primarily in:
A) Legal defense of malpractice
B) Ethical decision-making and professional conduct
C) Budgeting hospital resources
D) Political advocacy
Answer: B
Rationale: The American Nurses Association (ANA) Code of Ethics
provides a framework for nurses to make ethical decisions and maintain
integrity in practice .
5. The organization founded in New York City in 1893 to provide health
services to impoverished families living in crowded tenements was:
A) The American Red Cross
B) The Henry Street Settlement Service
C) The Ballard School of Practical Nursing
D) The National Association of Licensed Practical Nurses
,Answer: B
Rationale: Lillian Wald and Mary Brewster established the Henry Street
Settlement Service to provide nursing and health services to underserved
tenement communities .
6. The first practical nursing school in the United States was:
A) Henry Street Settlement
B) Nightingale Training School
C) Ballard School
D) Bellevue Hospital School of Nursing
Answer: C
Rationale: The Ballard School, opened by the YMCA in New York in 1892,
is recognized as the first practical nursing school. Its program lasted
approximately three months .
7. Which characteristic most clearly distinguished early nursing education
in the United States from modern nursing education?
A) Students completed most instruction through online learning
B) Students staffed hospitals and often worked without pay
C) Students practiced independently without physician involvement
D) Students received university degrees before beginning clinical work
Answer: B
Rationale: Early American nursing students commonly provided hospital
labor without pay and learned primarily through bedside instruction from
physicians .
8. Which statement best reflects accountability in nursing?
A) "My manager told me to do it, so it's not my fault."
, B) "I was only following another nurse's instructions."
C) "I take responsibility for my actions and decisions."
D) "It was a system error."
Answer: C
Rationale: Accountability means accepting responsibility for one's
decisions and actions to maintain trust and patient safety .
9. The nurse demonstrates "lateral integration" by:
A) Delegating tasks to an LPN
B) Seeking resources and building relationships across disciplines
C) Focusing only on nursing tasks
D) Avoiding interprofessional meetings
Answer: B
Rationale: Lateral integration involves connecting with other professionals
to create a seamless care network across disciplines .
10. A new graduate nurse is experiencing "reality shock." Which statement
best describes this phenomenon?
A) Excitement about finally being an independent nurse
B) Anger at nursing school for not teaching enough skills
C) The contrast between the idealized role of nursing and the actual workplace
demands
D) Physical fatigue from working 12-hour shifts
Answer: C
Rationale: Reality shock, described by Kramer, is the cognitive dissonance
between what was taught (the ideal) and what is experienced in actual
practice (the real) .
Profession (PDF) | Chamberlain College of
Nursing Latest 2026/27 Update | A+
Verified | Instant Pdf Download
Section I: Professional Identity & Nursing Roles (Questions 1-20)
1. Which of the following best describes the primary role of the
professional nurse?
A) Follows physician orders without question
B) Advocates for the patient's needs and promotes health
C) Delegates tasks to unlicensed assistive personnel
D) Ensures physicians are informed of hospital policies
Answer: B
Rationale: The nurse's primary role includes being a patient advocate and
promoting health and wellness through direct care and collaboration .
2. Florence Nightingale is best known for her contributions to which aspect
of nursing?
A) Pharmacology
B) Administrative management
C) Infection control and modern nursing education
D) Hospital finance
Answer: C
Rationale: Nightingale introduced evidence-based sanitation practices and
founded the first professional nursing school, shaping modern nursing
education. She demonstrated that sanitation, ventilation, nutrition, and
hygiene could dramatically reduce mortality .
,3. A military hospital reports high mortality among wounded soldiers. The
nursing supervisor improves ventilation, cleans the wards, provides
nutritious meals, and introduces regular handwashing. Which nursing
leader's work most directly supports these interventions?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lillian Wald
Answer: C
Rationale: Florence Nightingale demonstrated during the Crimean War
that sanitation, ventilation, nutrition, and hygiene could dramatically
reduce mortality .
4. The ANA Code of Ethics guides nurses primarily in:
A) Legal defense of malpractice
B) Ethical decision-making and professional conduct
C) Budgeting hospital resources
D) Political advocacy
Answer: B
Rationale: The American Nurses Association (ANA) Code of Ethics
provides a framework for nurses to make ethical decisions and maintain
integrity in practice .
5. The organization founded in New York City in 1893 to provide health
services to impoverished families living in crowded tenements was:
A) The American Red Cross
B) The Henry Street Settlement Service
C) The Ballard School of Practical Nursing
D) The National Association of Licensed Practical Nurses
,Answer: B
Rationale: Lillian Wald and Mary Brewster established the Henry Street
Settlement Service to provide nursing and health services to underserved
tenement communities .
6. The first practical nursing school in the United States was:
A) Henry Street Settlement
B) Nightingale Training School
C) Ballard School
D) Bellevue Hospital School of Nursing
Answer: C
Rationale: The Ballard School, opened by the YMCA in New York in 1892,
is recognized as the first practical nursing school. Its program lasted
approximately three months .
7. Which characteristic most clearly distinguished early nursing education
in the United States from modern nursing education?
A) Students completed most instruction through online learning
B) Students staffed hospitals and often worked without pay
C) Students practiced independently without physician involvement
D) Students received university degrees before beginning clinical work
Answer: B
Rationale: Early American nursing students commonly provided hospital
labor without pay and learned primarily through bedside instruction from
physicians .
8. Which statement best reflects accountability in nursing?
A) "My manager told me to do it, so it's not my fault."
, B) "I was only following another nurse's instructions."
C) "I take responsibility for my actions and decisions."
D) "It was a system error."
Answer: C
Rationale: Accountability means accepting responsibility for one's
decisions and actions to maintain trust and patient safety .
9. The nurse demonstrates "lateral integration" by:
A) Delegating tasks to an LPN
B) Seeking resources and building relationships across disciplines
C) Focusing only on nursing tasks
D) Avoiding interprofessional meetings
Answer: B
Rationale: Lateral integration involves connecting with other professionals
to create a seamless care network across disciplines .
10. A new graduate nurse is experiencing "reality shock." Which statement
best describes this phenomenon?
A) Excitement about finally being an independent nurse
B) Anger at nursing school for not teaching enough skills
C) The contrast between the idealized role of nursing and the actual workplace
demands
D) Physical fatigue from working 12-hour shifts
Answer: C
Rationale: Reality shock, described by Kramer, is the cognitive dissonance
between what was taught (the ideal) and what is experienced in actual
practice (the real) .
