Exam 3: NUR210 / NUR 210 (Latest Update 2026/2027) Transition to ...
OBJECTIVE ASSESSMENT - EXAM
Exam 3: NUR210 / NUR 210 (Latest
Update 2026/2027) Transition to
Practice - Capstone | Questions
and Verified Answers | 100%
Correct - Fortis 2026/2027
75 100% 2026/2027 80%
QUESTIONS VERIFIED ANSWERS EDITION PASSING SCORE
TOPICS COVERED
• Professional Nursing Roles • Healthcare Policy & Systems
• Patient Safety & QI • Interprofessional Collaboration
• Evidence-Based Practice • Transition to Practice
• Leadership & Management • Professional Development
• Clinical Decision-Making • Nursing Ethics & Advocacy
COVER PAGE - 1
,SECTION 1: Professional Nursing Roles & Leadership Weight: 20%
Q1 A newly licensed registered nurse is assigned to a medical-surgical unit and is orienting with a preceptor.
During handoff, the preceptor delegates the task of administering IV push medications to the new graduate.
According to the five rights of delegation, which action by the new graduate nurse demonstrates a breach
of professional responsibility?
A. The nurse verifies the patient's identity using two identifiers before administering the medication.
B. The nurse accepts the delegated task despite never having completed competency validation for IV push
administration.
C. The nurse asks the preceptor to review the medication administration record before proceeding.
D. The nurse checks the patient's allergy status in the electronic health record prior to administration.
Correct Answer: B
Rationale: The right person and right supervision require that the delegatee possess validated competency for the task. Accepting
IV push administration without prior validation violates the five rights of delegation and places patient safety at risk. Options A, C,
and D represent appropriate safety checks.
Q2 A charge nurse on a busy telemetry unit notices that one staff nurse has been arriving late for three
consecutive shifts and appears fatigued during patient care. The nurse's documentation has also become
increasingly incomplete. What is the charge nurse's most appropriate first step in addressing this situation
using principles of just culture and accountability?
A. Immediately terminate the nurse's employment for unprofessional conduct.
B. Schedule a private conversation to assess contributing factors and offer support resources.
C. Document the behavior in the nurse's permanent personnel file without discussion.
D. Reassign the nurse to a less acute unit without explanation.
Correct Answer: B
Rationale: A just culture framework emphasizes understanding system and individual factors before assigning blame. A private
conversation allows assessment of root causes (fatigue, burnout, personal issues) and connects the nurse to resources.
Termination, silent documentation, and punitive reassignment violate just culture principles.
Q3 A nursing student in their final capstone rotation observes a preceptor nurse documenting vital signs that
were not actually obtained because the patient was off the unit for imaging. What is the student's ethical
obligation in this situation according to the ANA Code of Ethics for Nurses?
A. Ignore the incident because the student is not responsible for the preceptor's actions.
B. Report the behavior to the clinical instructor or appropriate authority as a violation of professional integrity.
C. Confront the preceptor publicly during the next shift report to ensure accountability.
D. Document the incident in the student's personal notes but take no further action.
Correct Answer: B
Rationale: Provision 5.3 of the ANA Code of Ethics requires nurses to protect patient welfare by addressing unethical practices
through proper channels. Reporting to the clinical instructor follows the chain of command. Public confrontation violates collegial
respect. Ignoring or silently documenting breaches professional duty.
Q4 A nurse manager is implementing a shared governance model on a progressive care unit. Several
experienced nurses express resistance, stating that they prefer the traditional hierarchical decision-making
structure. Which leadership strategy best supports the successful adoption of shared governance while
respecting the concerns of experienced staff?
A. Mandate immediate compliance and discipline nurses who resist the new model.
B. Form a pilot council with volunteer representatives to demonstrate the model's benefits through small wins.
C. Abandon the shared governance initiative to preserve unit morale.
D. Transfer resistant nurses to other units to eliminate opposition.
Correct Answer: B
Rationale: Transformational leadership involves engaging staff through participatory change strategies. A pilot council with
volunteers allows demonstration of benefits without coercion. Mandating compliance, abandoning the initiative, or transferring staff
are autocratic or avoidant responses that fail to build genuine buy-in.
, Q5 A new graduate nurse is experiencing significant anxiety about performing patient assessments
independently. The nurse's preceptor notices hesitation during head-to-toe examinations and frequent
requests for reassurance. Which mentoring approach by the preceptor best supports the new nurse's
development of clinical confidence?
A. Take over all assessments to ensure patient safety while the new nurse observes.
B. Use the Socratic method to guide the new nurse through systematic assessments with gradual independence.
C. Assign the new nurse only to stable patients to minimize risk.
D. Encourage the new nurse to skip non-critical assessment components to save time.
Correct Answer: B
Rationale: The Socratic method promotes critical thinking by asking guided questions that lead the learner to clinical reasoning.
This builds sustainable confidence through mastery. Taking over assessments, restricting assignments, or skipping components
create dependency and stunt professional growth.
Q6 A nurse on a surgical unit is approached by a patient's family member who offers a $200 gift card as a
token of appreciation for exceptional care during a difficult recovery. What is the nurse's most appropriate
response based on professional boundary guidelines?
A. Accept the gift graciously to avoid offending the family and maintain the therapeutic relationship.
B. Decline the gift and explain that accepting monetary items violates professional boundaries.
C. Accept the gift but immediately donate it to the hospital's general fund.
D. Ask the family member to give the gift to the charge nurse instead.
Correct Answer: B
Rationale: Professional boundary guidelines prohibit accepting monetary gifts or items of significant value to prevent conflicts of
interest and maintain therapeutic relationships. Declining with a clear explanation preserves trust. Accepting, redirecting, or
donating without transparency undermines professional integrity.
Q7 A nurse leader is analyzing turnover data on a medical unit and discovers that 40% of new graduates leave
within their first year of employment. Exit interviews cite inadequate preceptor support and overwhelming
patient loads. Which organizational intervention is most likely to reduce new graduate turnover while
supporting professional transition?
A. Increase the starting salary for all new graduates by 15%.
B. Implement a formal nurse residency program with structured preceptorship and graduated autonomy.
C. Require new graduates to sign two-year employment contracts with financial penalties for early departure.
D. Limit new graduate hiring and recruit only experienced nurses.
Correct Answer: B
Rationale: Nurse residency programs provide structured transition support that addresses the root causes of turnover: inadequate
preceptorship and overwhelming responsibility. Research demonstrates reduced turnover and increased competence. Salary
increases alone, punitive contracts, or hiring restrictions do not address systemic transition barriers.
Q8 A staff nurse is asked to serve on the unit's quality improvement committee. The nurse is concerned about
the time commitment and whether their voice will be valued alongside more senior nurses. How should the
nurse manager best address these concerns to promote the nurse's professional growth and engagement?
A. Excuse the nurse from committee participation due to their junior status.
B. Clarify the time expectations, assign a mentor from the committee, and affirm the value of diverse perspectives.
C. Require participation without discussion, as committee service is mandatory for all staff.
D. Suggest the nurse wait until they have five years of experience before joining committees.
Correct Answer: B
Rationale: Effective leadership removes barriers to participation by clarifying expectations, providing mentorship, and valuing
diverse perspectives. This approach supports professional growth. Excusing junior nurses, mandating without support, or
imposing arbitrary experience requirements stifle engagement and development.
OBJECTIVE ASSESSMENT - EXAM
Exam 3: NUR210 / NUR 210 (Latest
Update 2026/2027) Transition to
Practice - Capstone | Questions
and Verified Answers | 100%
Correct - Fortis 2026/2027
75 100% 2026/2027 80%
QUESTIONS VERIFIED ANSWERS EDITION PASSING SCORE
TOPICS COVERED
• Professional Nursing Roles • Healthcare Policy & Systems
• Patient Safety & QI • Interprofessional Collaboration
• Evidence-Based Practice • Transition to Practice
• Leadership & Management • Professional Development
• Clinical Decision-Making • Nursing Ethics & Advocacy
COVER PAGE - 1
,SECTION 1: Professional Nursing Roles & Leadership Weight: 20%
Q1 A newly licensed registered nurse is assigned to a medical-surgical unit and is orienting with a preceptor.
During handoff, the preceptor delegates the task of administering IV push medications to the new graduate.
According to the five rights of delegation, which action by the new graduate nurse demonstrates a breach
of professional responsibility?
A. The nurse verifies the patient's identity using two identifiers before administering the medication.
B. The nurse accepts the delegated task despite never having completed competency validation for IV push
administration.
C. The nurse asks the preceptor to review the medication administration record before proceeding.
D. The nurse checks the patient's allergy status in the electronic health record prior to administration.
Correct Answer: B
Rationale: The right person and right supervision require that the delegatee possess validated competency for the task. Accepting
IV push administration without prior validation violates the five rights of delegation and places patient safety at risk. Options A, C,
and D represent appropriate safety checks.
Q2 A charge nurse on a busy telemetry unit notices that one staff nurse has been arriving late for three
consecutive shifts and appears fatigued during patient care. The nurse's documentation has also become
increasingly incomplete. What is the charge nurse's most appropriate first step in addressing this situation
using principles of just culture and accountability?
A. Immediately terminate the nurse's employment for unprofessional conduct.
B. Schedule a private conversation to assess contributing factors and offer support resources.
C. Document the behavior in the nurse's permanent personnel file without discussion.
D. Reassign the nurse to a less acute unit without explanation.
Correct Answer: B
Rationale: A just culture framework emphasizes understanding system and individual factors before assigning blame. A private
conversation allows assessment of root causes (fatigue, burnout, personal issues) and connects the nurse to resources.
Termination, silent documentation, and punitive reassignment violate just culture principles.
Q3 A nursing student in their final capstone rotation observes a preceptor nurse documenting vital signs that
were not actually obtained because the patient was off the unit for imaging. What is the student's ethical
obligation in this situation according to the ANA Code of Ethics for Nurses?
A. Ignore the incident because the student is not responsible for the preceptor's actions.
B. Report the behavior to the clinical instructor or appropriate authority as a violation of professional integrity.
C. Confront the preceptor publicly during the next shift report to ensure accountability.
D. Document the incident in the student's personal notes but take no further action.
Correct Answer: B
Rationale: Provision 5.3 of the ANA Code of Ethics requires nurses to protect patient welfare by addressing unethical practices
through proper channels. Reporting to the clinical instructor follows the chain of command. Public confrontation violates collegial
respect. Ignoring or silently documenting breaches professional duty.
Q4 A nurse manager is implementing a shared governance model on a progressive care unit. Several
experienced nurses express resistance, stating that they prefer the traditional hierarchical decision-making
structure. Which leadership strategy best supports the successful adoption of shared governance while
respecting the concerns of experienced staff?
A. Mandate immediate compliance and discipline nurses who resist the new model.
B. Form a pilot council with volunteer representatives to demonstrate the model's benefits through small wins.
C. Abandon the shared governance initiative to preserve unit morale.
D. Transfer resistant nurses to other units to eliminate opposition.
Correct Answer: B
Rationale: Transformational leadership involves engaging staff through participatory change strategies. A pilot council with
volunteers allows demonstration of benefits without coercion. Mandating compliance, abandoning the initiative, or transferring staff
are autocratic or avoidant responses that fail to build genuine buy-in.
, Q5 A new graduate nurse is experiencing significant anxiety about performing patient assessments
independently. The nurse's preceptor notices hesitation during head-to-toe examinations and frequent
requests for reassurance. Which mentoring approach by the preceptor best supports the new nurse's
development of clinical confidence?
A. Take over all assessments to ensure patient safety while the new nurse observes.
B. Use the Socratic method to guide the new nurse through systematic assessments with gradual independence.
C. Assign the new nurse only to stable patients to minimize risk.
D. Encourage the new nurse to skip non-critical assessment components to save time.
Correct Answer: B
Rationale: The Socratic method promotes critical thinking by asking guided questions that lead the learner to clinical reasoning.
This builds sustainable confidence through mastery. Taking over assessments, restricting assignments, or skipping components
create dependency and stunt professional growth.
Q6 A nurse on a surgical unit is approached by a patient's family member who offers a $200 gift card as a
token of appreciation for exceptional care during a difficult recovery. What is the nurse's most appropriate
response based on professional boundary guidelines?
A. Accept the gift graciously to avoid offending the family and maintain the therapeutic relationship.
B. Decline the gift and explain that accepting monetary items violates professional boundaries.
C. Accept the gift but immediately donate it to the hospital's general fund.
D. Ask the family member to give the gift to the charge nurse instead.
Correct Answer: B
Rationale: Professional boundary guidelines prohibit accepting monetary gifts or items of significant value to prevent conflicts of
interest and maintain therapeutic relationships. Declining with a clear explanation preserves trust. Accepting, redirecting, or
donating without transparency undermines professional integrity.
Q7 A nurse leader is analyzing turnover data on a medical unit and discovers that 40% of new graduates leave
within their first year of employment. Exit interviews cite inadequate preceptor support and overwhelming
patient loads. Which organizational intervention is most likely to reduce new graduate turnover while
supporting professional transition?
A. Increase the starting salary for all new graduates by 15%.
B. Implement a formal nurse residency program with structured preceptorship and graduated autonomy.
C. Require new graduates to sign two-year employment contracts with financial penalties for early departure.
D. Limit new graduate hiring and recruit only experienced nurses.
Correct Answer: B
Rationale: Nurse residency programs provide structured transition support that addresses the root causes of turnover: inadequate
preceptorship and overwhelming responsibility. Research demonstrates reduced turnover and increased competence. Salary
increases alone, punitive contracts, or hiring restrictions do not address systemic transition barriers.
Q8 A staff nurse is asked to serve on the unit's quality improvement committee. The nurse is concerned about
the time commitment and whether their voice will be valued alongside more senior nurses. How should the
nurse manager best address these concerns to promote the nurse's professional growth and engagement?
A. Excuse the nurse from committee participation due to their junior status.
B. Clarify the time expectations, assign a mentor from the committee, and affirm the value of diverse perspectives.
C. Require participation without discussion, as committee service is mandatory for all staff.
D. Suggest the nurse wait until they have five years of experience before joining committees.
Correct Answer: B
Rationale: Effective leadership removes barriers to participation by clarifying expectations, providing mentorship, and valuing
diverse perspectives. This approach supports professional growth. Excusing junior nurses, mandating without support, or
imposing arbitrary experience requirements stifle engagement and development.
