BSN 395 Exam 1 V2 | BSN 395 Entry into
Professional Nursing Practice | Actual
Q&A with Rationale (BSN395 Exam 1) |
Nightingale College
1. A nurse who has been working in the intensive care unit for 3 years is able to prioritize
patient care tasks and coordinate multiple complex activities simultaneously. According to
Benner’s stages of nursing proficiency, which level is this nurse currently demonstrating?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Correct Answer: B
Rationale: The Competent nurse has typically been in the same clinical position for 2 to 3
years. This stage is characterized by the ability to anticipate and plan for patient needs
while managing the complexities of clinical nursing. The nurse at this level understands the
organizational framework of the unit and can prioritize tasks efficiently.
,2. The Quality and Safety Education for Nurses (QSEN) initiative was developed to prepare
future nurses with the knowledge, skills, and attitudes (KSAs) necessary to improve the
quality and safety of healthcare systems. Which of the following are recognized QSEN
competencies? (Select All That Apply)
A. Patient-Centered Care
B. Teamwork and Collaboration
C. Financial Management
D. Evidence-Based Practice
E. Quality Improvement
F. Informatics
Correct Answer: A, B, D, E, F
Rationale: QSEN identifies six core competencies that are essential for nursing practice:
Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality
Improvement, Safety, and Informatics. Financial management, while important for
administration, is not one of the specific QSEN competencies for clinical practice. Mastering
these competencies ensures that nurses provide high-quality care and mitigate risks within
the healthcare environment.
,3. A nurse is faced with a situation where a patient refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s right to make this decision even though
they disagree with it. Which ethical principle is the nurse upholding?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care without healthcare providers imposing their own values. By supporting
the patient’s refusal of treatment, the nurse respects the patient’s self-determination and
legal right to refuse care. This principle is fundamental to the nurse-patient relationship
and informed consent processes.
4. Which historical nursing figure is credited with establishing the first nursing philosophy
based on health maintenance and restoration, emphasizing the role of the environment in
patient recovery?
A. Clara Barton
B. Dorothea Dix
C. Mary Mahoney
D. Florence Nightingale
, Correct Answer: D
Rationale: Florence Nightingale’s ‘Environmental Theory’ suggested that the nurse’s role is
to manipulate the environment to facilitate the body’s natural healing processes. She
identified factors such as fresh air, pure water, efficient drainage, cleanliness, and light as
essential for health. Her work during the Crimean War laid the foundation for modern
nursing practice and professional education.
5. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which of the following tasks is appropriate for the RN to delegate?
A. Performing a physical assessment on a newly admitted patient
B. Assisting a stable patient with ambulation in the hallway
C. Evaluating the effectiveness of pain medication
D. Providing discharge instructions to a patient and their family
Correct Answer: B
Rationale: Delegation requires the nurse to assign tasks based on the scope of practice and
the stability of the patient. Tasks involving assessment, evaluation, and education are the
responsibility of the RN and cannot be delegated to UAPs. Assisting a stable patient with
activities of daily living, such as ambulation, is within the role of the UAP.
6. The Nurse Practice Act (NPA) serves which primary purpose within the healthcare system?
A. To establish the salaries and benefits for nursing staff
B. To outline the code of ethics for international nursing organizations
Professional Nursing Practice | Actual
Q&A with Rationale (BSN395 Exam 1) |
Nightingale College
1. A nurse who has been working in the intensive care unit for 3 years is able to prioritize
patient care tasks and coordinate multiple complex activities simultaneously. According to
Benner’s stages of nursing proficiency, which level is this nurse currently demonstrating?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Correct Answer: B
Rationale: The Competent nurse has typically been in the same clinical position for 2 to 3
years. This stage is characterized by the ability to anticipate and plan for patient needs
while managing the complexities of clinical nursing. The nurse at this level understands the
organizational framework of the unit and can prioritize tasks efficiently.
,2. The Quality and Safety Education for Nurses (QSEN) initiative was developed to prepare
future nurses with the knowledge, skills, and attitudes (KSAs) necessary to improve the
quality and safety of healthcare systems. Which of the following are recognized QSEN
competencies? (Select All That Apply)
A. Patient-Centered Care
B. Teamwork and Collaboration
C. Financial Management
D. Evidence-Based Practice
E. Quality Improvement
F. Informatics
Correct Answer: A, B, D, E, F
Rationale: QSEN identifies six core competencies that are essential for nursing practice:
Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality
Improvement, Safety, and Informatics. Financial management, while important for
administration, is not one of the specific QSEN competencies for clinical practice. Mastering
these competencies ensures that nurses provide high-quality care and mitigate risks within
the healthcare environment.
,3. A nurse is faced with a situation where a patient refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s right to make this decision even though
they disagree with it. Which ethical principle is the nurse upholding?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Correct Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care without healthcare providers imposing their own values. By supporting
the patient’s refusal of treatment, the nurse respects the patient’s self-determination and
legal right to refuse care. This principle is fundamental to the nurse-patient relationship
and informed consent processes.
4. Which historical nursing figure is credited with establishing the first nursing philosophy
based on health maintenance and restoration, emphasizing the role of the environment in
patient recovery?
A. Clara Barton
B. Dorothea Dix
C. Mary Mahoney
D. Florence Nightingale
, Correct Answer: D
Rationale: Florence Nightingale’s ‘Environmental Theory’ suggested that the nurse’s role is
to manipulate the environment to facilitate the body’s natural healing processes. She
identified factors such as fresh air, pure water, efficient drainage, cleanliness, and light as
essential for health. Her work during the Crimean War laid the foundation for modern
nursing practice and professional education.
5. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which of the following tasks is appropriate for the RN to delegate?
A. Performing a physical assessment on a newly admitted patient
B. Assisting a stable patient with ambulation in the hallway
C. Evaluating the effectiveness of pain medication
D. Providing discharge instructions to a patient and their family
Correct Answer: B
Rationale: Delegation requires the nurse to assign tasks based on the scope of practice and
the stability of the patient. Tasks involving assessment, evaluation, and education are the
responsibility of the RN and cannot be delegated to UAPs. Assisting a stable patient with
activities of daily living, such as ambulation, is within the role of the UAP.
6. The Nurse Practice Act (NPA) serves which primary purpose within the healthcare system?
A. To establish the salaries and benefits for nursing staff
B. To outline the code of ethics for international nursing organizations
