NUR 405 Midterm exam | Practice Q&A | 2026/2027 | Nursing |
Professional Nurse Concepts | ASU | Graded A+
1. A nursing student is reviewing Benner's model of clinical competence.
Which stage is characterized by the ability to perceive situations as wholes
and use maxims as guides for practice?
A) Novice
B) Advanced Beginner
C) Competent
D) Proficient
Correct Answer: Proficient
Rationale: The Proficient stage, typically achieved after 3-5 years of
experience, involves perceiving situations as wholes rather than isolated
parts and using maxims as guides. The Novice relies on rules, Advanced
Beginner recognizes meaningful aspects, and Competent has 2-3 years of
experience with planning ability.
2. A nurse is transitioning from a novice to an expert practitioner. According
to Benner's model, which characteristic is most indicative of an expert
nurse?
A) Relies on explicit rules and guidelines
B) Demonstrates marginally acceptable performance
C) Has intuitive, contextually determined practice
D) Perceives situations as a collection of parts
Correct Answer: Has intuitive, contextually determined practice
Rationale: Benner's model describes the expert as having intuitive,
contextually determined practice, moving beyond rule-governed behavior.
,Novices rely on explicit rules, advanced beginners show marginally
acceptable performance, and competent nurses plan based on conscious,
deliberate analysis.
3. A nurse is analyzing the Nurse Practice Act in their state. What is the
primary purpose of this legislation?
A) To establish the curriculum for nursing education programs
B) To define the legal scope of nursing practice and protect the public
C) To set standards for hospital accreditation and reimbursement
D) To regulate the pharmaceutical industry and drug safety
Correct Answer: To define the legal scope of nursing practice and protect the
public
Rationale: The Nurse Practice Act is a state law that defines the legal scope
of nursing practice, establishes licensure requirements, and protects the
public by ensuring safe nursing care. It does not regulate education
curriculum, hospital accreditation, or pharmaceuticals.
4. A nurse is delegating a task to an unlicensed assistive personnel (UAP).
According to the principles of delegation, which factor is most important for
the nurse to consider?
A) The UAP's personal preference for the task
B) The UAP's years of experience in healthcare
C) The UAP's scope of practice and demonstrated competency
D) The UAP's relationship with the patient
Correct Answer: The UAP's scope of practice and demonstrated competency
,Rationale: The Five Rights of Delegation include right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Ensuring the delegatee has the appropriate scope of
practice and competency is essential for safe delegation. Personal preference
and relationships are not primary considerations.
5. A nurse manager is implementing transformational leadership on a unit.
Which action best exemplifies transformational leadership?
A) Focusing on daily task completion and error correction
B) Using rewards and punishments to motivate staff
C) Inspiring staff with a shared vision and empowering them to achieve it
D) Maintaining the status quo to ensure consistency
Correct Answer: Inspiring staff with a shared vision and empowering them to
achieve it
Rationale: Transformational leadership involves inspiring and empowering
followers with a shared vision, fostering innovation, and encouraging
professional growth. Transactional leadership focuses on rewards and
punishments, and maintaining the status quo is not characteristic of
transformational leadership.
6. A nurse is evaluating their own stage of clinical competency using
Benner's model. The nurse has been practicing for 6 months and can
recognize meaningful aspects of real situations. This nurse is best described
as:
A) Novice
B) Advanced Beginner
C) Competent
D) Proficient
, Correct Answer: Advanced Beginner
Rationale: The Advanced Beginner, typically after a few months to a year of
experience, can recognize meaningful aspects of real situations and
demonstrate marginally acceptable performance. Novices rely on rules,
competent nurses have 2-3 years of experience, and proficient nurses have
3-5 years.
7. A nurse is confronted with a bioethical dilemma involving a patient's end-
of-life care. Which step should the nurse take first in ethical decision-making?
A) Consult with the hospital ethics committee
B) Implement the chosen course of action
C) Identify the ethical issues and conflicting values involved
D) Evaluate the outcomes of the decision
Correct Answer: Identify the ethical issues and conflicting values involved
Rationale: The first step in ethical decision-making is to identify the ethical
issues and the conflicting values or principles involved. This provides the
foundation for subsequent steps, including gathering information, exploring
alternatives, and making a decision.
8. A nurse is analyzing the Arizona State Board of Nursing's advisory opinion
regarding a proposed nursing intervention. Which action is most appropriate
when applying an advisory opinion?
A) Implementing the intervention without further consideration
B) Ignoring the opinion if it conflicts with personal beliefs
C) Using the opinion as a guide for safe and legal practice
D) Following the opinion only if it is endorsed by the hospital
Professional Nurse Concepts | ASU | Graded A+
1. A nursing student is reviewing Benner's model of clinical competence.
Which stage is characterized by the ability to perceive situations as wholes
and use maxims as guides for practice?
A) Novice
B) Advanced Beginner
C) Competent
D) Proficient
Correct Answer: Proficient
Rationale: The Proficient stage, typically achieved after 3-5 years of
experience, involves perceiving situations as wholes rather than isolated
parts and using maxims as guides. The Novice relies on rules, Advanced
Beginner recognizes meaningful aspects, and Competent has 2-3 years of
experience with planning ability.
2. A nurse is transitioning from a novice to an expert practitioner. According
to Benner's model, which characteristic is most indicative of an expert
nurse?
A) Relies on explicit rules and guidelines
B) Demonstrates marginally acceptable performance
C) Has intuitive, contextually determined practice
D) Perceives situations as a collection of parts
Correct Answer: Has intuitive, contextually determined practice
Rationale: Benner's model describes the expert as having intuitive,
contextually determined practice, moving beyond rule-governed behavior.
,Novices rely on explicit rules, advanced beginners show marginally
acceptable performance, and competent nurses plan based on conscious,
deliberate analysis.
3. A nurse is analyzing the Nurse Practice Act in their state. What is the
primary purpose of this legislation?
A) To establish the curriculum for nursing education programs
B) To define the legal scope of nursing practice and protect the public
C) To set standards for hospital accreditation and reimbursement
D) To regulate the pharmaceutical industry and drug safety
Correct Answer: To define the legal scope of nursing practice and protect the
public
Rationale: The Nurse Practice Act is a state law that defines the legal scope
of nursing practice, establishes licensure requirements, and protects the
public by ensuring safe nursing care. It does not regulate education
curriculum, hospital accreditation, or pharmaceuticals.
4. A nurse is delegating a task to an unlicensed assistive personnel (UAP).
According to the principles of delegation, which factor is most important for
the nurse to consider?
A) The UAP's personal preference for the task
B) The UAP's years of experience in healthcare
C) The UAP's scope of practice and demonstrated competency
D) The UAP's relationship with the patient
Correct Answer: The UAP's scope of practice and demonstrated competency
,Rationale: The Five Rights of Delegation include right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Ensuring the delegatee has the appropriate scope of
practice and competency is essential for safe delegation. Personal preference
and relationships are not primary considerations.
5. A nurse manager is implementing transformational leadership on a unit.
Which action best exemplifies transformational leadership?
A) Focusing on daily task completion and error correction
B) Using rewards and punishments to motivate staff
C) Inspiring staff with a shared vision and empowering them to achieve it
D) Maintaining the status quo to ensure consistency
Correct Answer: Inspiring staff with a shared vision and empowering them to
achieve it
Rationale: Transformational leadership involves inspiring and empowering
followers with a shared vision, fostering innovation, and encouraging
professional growth. Transactional leadership focuses on rewards and
punishments, and maintaining the status quo is not characteristic of
transformational leadership.
6. A nurse is evaluating their own stage of clinical competency using
Benner's model. The nurse has been practicing for 6 months and can
recognize meaningful aspects of real situations. This nurse is best described
as:
A) Novice
B) Advanced Beginner
C) Competent
D) Proficient
, Correct Answer: Advanced Beginner
Rationale: The Advanced Beginner, typically after a few months to a year of
experience, can recognize meaningful aspects of real situations and
demonstrate marginally acceptable performance. Novices rely on rules,
competent nurses have 2-3 years of experience, and proficient nurses have
3-5 years.
7. A nurse is confronted with a bioethical dilemma involving a patient's end-
of-life care. Which step should the nurse take first in ethical decision-making?
A) Consult with the hospital ethics committee
B) Implement the chosen course of action
C) Identify the ethical issues and conflicting values involved
D) Evaluate the outcomes of the decision
Correct Answer: Identify the ethical issues and conflicting values involved
Rationale: The first step in ethical decision-making is to identify the ethical
issues and the conflicting values or principles involved. This provides the
foundation for subsequent steps, including gathering information, exploring
alternatives, and making a decision.
8. A nurse is analyzing the Arizona State Board of Nursing's advisory opinion
regarding a proposed nursing intervention. Which action is most appropriate
when applying an advisory opinion?
A) Implementing the intervention without further consideration
B) Ignoring the opinion if it conflicts with personal beliefs
C) Using the opinion as a guide for safe and legal practice
D) Following the opinion only if it is endorsed by the hospital
