NUR 210 Exam 3 Transition to
Practice-Capstone 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 the medical-surgical unit is receiving report from the night shift
nurse. The charge nurse asks the new graduate to delegate the morning vital signs to the
unlicensed assistive personnel (UAP) while the new RN reviews the medication
administration records. Which action by the new RN demonstrates appropriate understanding
of delegation principles?
A. Instruct the UAP to notify the charge nurse if any vital signs are abnormal
B. Tell the UAP to obtain vital signs on all patients and report back within 30 minutes
C. Provide the UAP with a list of specific patients, expected vital sign parameters, and
parameters for immediate notification ✓ CORRECT
D. Ask the UAP to assess pain levels and document findings in the electronic health record
Correct Answer: C
Rationale: Effective delegation to UAP requires clear task direction, defined parameters, and
explicit communication expectations per the five rights of delegation. Option B is incorrect
because it lacks specific patient identification and notification parameters, which sets the
UAP up for failure and the RN up for accountability if abnormal findings are missed.
Remember that the delegating RN remains accountable for the outcome even when the task
is assigned to UAP.
Question 2 of 50
During a multidisciplinary rounds meeting on a cardiac step-down unit, the occupational
therapist recommends early mobilization for a post-CABG patient, but the physical therapist
disagrees and suggests waiting another 24 hours. The primary nurse recognizes that both
,perspectives have merit. Which response by the nurse best demonstrates interprofessional
collaboration?
A. Support the occupational therapist since mobilization prevents complications
B. Suggest the team review the patient's current hemodynamic stability and pain control
before deciding ✓ CORRECT
C. Agree with the physical therapist to avoid risking patient decompensation
D. Document the disagreement and let the attending physician make the final decision
Correct Answer: B
Rationale: Interprofessional collaboration requires synthesizing multiple clinical perspectives
through shared decision-making grounded in patient assessment data rather than choosing
one discipline over another. Option A represents unilateral support that dismisses the
physical therapist's valid concern about patient readiness, undermining team dynamics and
potentially compromising safety. True collaboration involves facilitating evidence-based
discussion rather than deferring to hierarchy.
Question 3 of 50
A charge nurse on a busy telemetry unit notices that a newly licensed RN has been arriving 15
minutes late for three consecutive shifts and appears fatigued during handoff. The charge
nurse's initial priority action should be:
A. Document the tardiness in the employee's personnel file for progressive discipline
B. Schedule a private conversation to assess for personal stressors or workload concerns ✓
CORRECT
C. Reassign the new RN to a lighter patient load until punctuality improves
D. Report the behavior to the nurse manager for immediate disciplinary action
Correct Answer: B
Rationale: Nurse leaders should first employ a supportive, non-punitive approach to
understand root causes of performance changes, as lateness and fatigue may signal burnout,
personal crisis, or inadequate orientation rather than willful misconduct. Option A bypasses
the opportunity for early intervention and relationship-building, which is central to
transformational leadership and retention of new graduates. Addressing concerns directly
and privately models the professional communication standards expected of emerging nurse
leaders.
Question 4 of 50
A new graduate RN is caring for a patient with type 2 diabetes who asks about insulin
self-administration after discharge. The patient demonstrates correct technique but states, "I
don't think I can afford this insulin when I go home." Which response by the nurse reflects the
professional advocacy role?
, A. Reassure the patient that the doctor will prescribe a cheaper alternative
B. Contact social work to explore patient assistance programs and discuss generic options
with the provider ✓ CORRECT
C. Suggest the patient skip doses to make the supply last longer
D. Tell the patient to worry about finances after the medical issue is resolved
Correct Answer: B
Rationale: Professional nursing advocacy includes addressing social determinants of health
such as medication affordability by mobilizing appropriate resources and facilitating provider
communication. Option A places responsibility on the physician without the nurse taking
active steps to advocate, which delays resolution and disempowers the patient. New
graduates must recognize that discharge planning begins at admission and that financial
barriers are as critical to address as clinical barriers.
Question 5 of 50
The unit is short-staffed due to two call-ins, and the nurse manager asks the charge nurse to
assign a float pool RN to the unit. The charge nurse knows the float RN has not worked on
this unit in six months. Which assignment is most appropriate?
A. Assign the float RN to a stable postoperative patient requiring routine monitoring
B. Assign the float RN to the most complex patient since experienced staff are overwhelmed
C. Assign the float RN to a group of patients with conditions similar to their home unit ✓
CORRECT
D. Assign the float RN wherever the charge nurse needs coverage most urgently
Correct Answer: C
Rationale: Safe patient assignment principles require matching the nurse's competencies and
familiarity to patient acuity and condition complexity, which minimizes risk during orientation
to an unfamiliar environment. Option B violates safe staffing principles by exposing a nurse
with skill gaps to the highest-acuity patient, increasing the likelihood of missed assessments
or adverse events. Charge nurses must balance unit needs with individual nurse capabilities
to maintain quality and safety standards.
Question 6 of 50
A new RN is precepting with an experienced nurse who routinely documents assessments
before performing them, stating, "We all do it to save time." The new RN understands this
practice is unsafe. Which action demonstrates professional integrity and ethical
responsibility?
A. Confront the preceptor publicly during the shift to set a clear boundary
B. Document assessments accurately after performing them and report the pattern to the
nurse manager ✓ CORRECT
Practice-Capstone 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 the medical-surgical unit is receiving report from the night shift
nurse. The charge nurse asks the new graduate to delegate the morning vital signs to the
unlicensed assistive personnel (UAP) while the new RN reviews the medication
administration records. Which action by the new RN demonstrates appropriate understanding
of delegation principles?
A. Instruct the UAP to notify the charge nurse if any vital signs are abnormal
B. Tell the UAP to obtain vital signs on all patients and report back within 30 minutes
C. Provide the UAP with a list of specific patients, expected vital sign parameters, and
parameters for immediate notification ✓ CORRECT
D. Ask the UAP to assess pain levels and document findings in the electronic health record
Correct Answer: C
Rationale: Effective delegation to UAP requires clear task direction, defined parameters, and
explicit communication expectations per the five rights of delegation. Option B is incorrect
because it lacks specific patient identification and notification parameters, which sets the
UAP up for failure and the RN up for accountability if abnormal findings are missed.
Remember that the delegating RN remains accountable for the outcome even when the task
is assigned to UAP.
Question 2 of 50
During a multidisciplinary rounds meeting on a cardiac step-down unit, the occupational
therapist recommends early mobilization for a post-CABG patient, but the physical therapist
disagrees and suggests waiting another 24 hours. The primary nurse recognizes that both
,perspectives have merit. Which response by the nurse best demonstrates interprofessional
collaboration?
A. Support the occupational therapist since mobilization prevents complications
B. Suggest the team review the patient's current hemodynamic stability and pain control
before deciding ✓ CORRECT
C. Agree with the physical therapist to avoid risking patient decompensation
D. Document the disagreement and let the attending physician make the final decision
Correct Answer: B
Rationale: Interprofessional collaboration requires synthesizing multiple clinical perspectives
through shared decision-making grounded in patient assessment data rather than choosing
one discipline over another. Option A represents unilateral support that dismisses the
physical therapist's valid concern about patient readiness, undermining team dynamics and
potentially compromising safety. True collaboration involves facilitating evidence-based
discussion rather than deferring to hierarchy.
Question 3 of 50
A charge nurse on a busy telemetry unit notices that a newly licensed RN has been arriving 15
minutes late for three consecutive shifts and appears fatigued during handoff. The charge
nurse's initial priority action should be:
A. Document the tardiness in the employee's personnel file for progressive discipline
B. Schedule a private conversation to assess for personal stressors or workload concerns ✓
CORRECT
C. Reassign the new RN to a lighter patient load until punctuality improves
D. Report the behavior to the nurse manager for immediate disciplinary action
Correct Answer: B
Rationale: Nurse leaders should first employ a supportive, non-punitive approach to
understand root causes of performance changes, as lateness and fatigue may signal burnout,
personal crisis, or inadequate orientation rather than willful misconduct. Option A bypasses
the opportunity for early intervention and relationship-building, which is central to
transformational leadership and retention of new graduates. Addressing concerns directly
and privately models the professional communication standards expected of emerging nurse
leaders.
Question 4 of 50
A new graduate RN is caring for a patient with type 2 diabetes who asks about insulin
self-administration after discharge. The patient demonstrates correct technique but states, "I
don't think I can afford this insulin when I go home." Which response by the nurse reflects the
professional advocacy role?
, A. Reassure the patient that the doctor will prescribe a cheaper alternative
B. Contact social work to explore patient assistance programs and discuss generic options
with the provider ✓ CORRECT
C. Suggest the patient skip doses to make the supply last longer
D. Tell the patient to worry about finances after the medical issue is resolved
Correct Answer: B
Rationale: Professional nursing advocacy includes addressing social determinants of health
such as medication affordability by mobilizing appropriate resources and facilitating provider
communication. Option A places responsibility on the physician without the nurse taking
active steps to advocate, which delays resolution and disempowers the patient. New
graduates must recognize that discharge planning begins at admission and that financial
barriers are as critical to address as clinical barriers.
Question 5 of 50
The unit is short-staffed due to two call-ins, and the nurse manager asks the charge nurse to
assign a float pool RN to the unit. The charge nurse knows the float RN has not worked on
this unit in six months. Which assignment is most appropriate?
A. Assign the float RN to a stable postoperative patient requiring routine monitoring
B. Assign the float RN to the most complex patient since experienced staff are overwhelmed
C. Assign the float RN to a group of patients with conditions similar to their home unit ✓
CORRECT
D. Assign the float RN wherever the charge nurse needs coverage most urgently
Correct Answer: C
Rationale: Safe patient assignment principles require matching the nurse's competencies and
familiarity to patient acuity and condition complexity, which minimizes risk during orientation
to an unfamiliar environment. Option B violates safe staffing principles by exposing a nurse
with skill gaps to the highest-acuity patient, increasing the likelihood of missed assessments
or adverse events. Charge nurses must balance unit needs with individual nurse capabilities
to maintain quality and safety standards.
Question 6 of 50
A new RN is precepting with an experienced nurse who routinely documents assessments
before performing them, stating, "We all do it to save time." The new RN understands this
practice is unsafe. Which action demonstrates professional integrity and ethical
responsibility?
A. Confront the preceptor publicly during the shift to set a clear boundary
B. Document assessments accurately after performing them and report the pattern to the
nurse manager ✓ CORRECT
