NUR 405 Final exam | Practice Q&A | 2026/2027 | Nursing |
Professional Nurse
1. A nursing student is preparing for the transition to a licensed professional
role. Which activity best supports the development of clinical judgment
necessary for licensure?
A) Memorizing pathophysiology and pharmacology content
B) Engaging in rigorous reflection on clinical experiences
C) Completing all required clinical hours without self-evaluation
D) Relying on experienced nurses to make all clinical decisions
Correct Answer: Engaging in rigorous reflection on clinical experiences
Rationale: The course specifically emphasizes rigorous reflection and practice
to assist in successful student outcomes and licensure preparation.
Reflection develops clinical judgment by connecting theory to practice, which
is essential for the professional nursing role.
2. A nurse is analyzing the Nurse Practice Act in their state. What is the legal
authority of this document for nursing practice?
A) It provides ethical guidelines for nursing conduct
B) It defines the legal scope of practice and establishes standards for safe
care
C) It outlines the curriculum requirements for nursing education programs
D) It sets staffing ratios for hospitals and healthcare facilities
Correct Answer: It defines the legal scope of practice and establishes
standards for safe care
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 curricula,
set staffing ratios, or provide ethical guidelines.
3. A nurse is considering a proposed nursing intervention that is not explicitly
addressed in hospital policy. According to the course objectives, which
resource should the nurse consult first?
A) The hospital's legal department
B) The state board of nursing advisory opinion
C) The American Nurses Association Code of Ethics
D) A senior nurse colleague on the unit
Correct Answer: The state board of nursing advisory opinion
Rationale: One of the course learning outcomes is to apply a nursing
advisory opinion to a proposed nursing intervention. Nursing advisory
opinions from the state board of nursing provide authoritative guidance on
the scope of practice and legal parameters of nursing interventions.
4. A nurse with 6 months of experience can recognize meaningful aspects of
real situations and demonstrates marginally acceptable performance.
According to Benner's model, 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 plan deliberately, and
proficient nurses have 3-5 years and perceive situations as wholes.
5. A nurse with 10 years of experience can intuitively grasp situations and
act without conscious deliberation. According to Benner's model, this nurse is
best described as:
A) Competent
B) Proficient
C) Expert
D) Advanced Beginner
Correct Answer: Expert
Rationale: The Expert stage, achieved after many years of experience, is
characterized by intuitive, contextually determined practice without
conscious deliberation. Experts see what needs to be achieved and how to
do it. Proficient nurses use maxims, competent nurses plan deliberately, and
advanced beginners recognize meaningful aspects.
6. A nurse is faced with a bioethical dilemma involving a patient's request to
discontinue life support against the family's wishes. 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. Bioethical dilemmas are explored across
the lifespan in this course.
7. A nurse manager is implementing transformational leadership on a unit.
Which action best exemplifies this leadership style?
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.
8. A nurse is analyzing the concept of followership in healthcare. Which
statement best describes effective followership?
A) Passively following orders without question
B) Actively supporting the leader while providing constructive feedback
C) Avoiding all leadership responsibilities
D) Challenging every decision made by the leader
Correct Answer: Actively supporting the leader while providing constructive
feedback
Professional Nurse
1. A nursing student is preparing for the transition to a licensed professional
role. Which activity best supports the development of clinical judgment
necessary for licensure?
A) Memorizing pathophysiology and pharmacology content
B) Engaging in rigorous reflection on clinical experiences
C) Completing all required clinical hours without self-evaluation
D) Relying on experienced nurses to make all clinical decisions
Correct Answer: Engaging in rigorous reflection on clinical experiences
Rationale: The course specifically emphasizes rigorous reflection and practice
to assist in successful student outcomes and licensure preparation.
Reflection develops clinical judgment by connecting theory to practice, which
is essential for the professional nursing role.
2. A nurse is analyzing the Nurse Practice Act in their state. What is the legal
authority of this document for nursing practice?
A) It provides ethical guidelines for nursing conduct
B) It defines the legal scope of practice and establishes standards for safe
care
C) It outlines the curriculum requirements for nursing education programs
D) It sets staffing ratios for hospitals and healthcare facilities
Correct Answer: It defines the legal scope of practice and establishes
standards for safe care
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 curricula,
set staffing ratios, or provide ethical guidelines.
3. A nurse is considering a proposed nursing intervention that is not explicitly
addressed in hospital policy. According to the course objectives, which
resource should the nurse consult first?
A) The hospital's legal department
B) The state board of nursing advisory opinion
C) The American Nurses Association Code of Ethics
D) A senior nurse colleague on the unit
Correct Answer: The state board of nursing advisory opinion
Rationale: One of the course learning outcomes is to apply a nursing
advisory opinion to a proposed nursing intervention. Nursing advisory
opinions from the state board of nursing provide authoritative guidance on
the scope of practice and legal parameters of nursing interventions.
4. A nurse with 6 months of experience can recognize meaningful aspects of
real situations and demonstrates marginally acceptable performance.
According to Benner's model, 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 plan deliberately, and
proficient nurses have 3-5 years and perceive situations as wholes.
5. A nurse with 10 years of experience can intuitively grasp situations and
act without conscious deliberation. According to Benner's model, this nurse is
best described as:
A) Competent
B) Proficient
C) Expert
D) Advanced Beginner
Correct Answer: Expert
Rationale: The Expert stage, achieved after many years of experience, is
characterized by intuitive, contextually determined practice without
conscious deliberation. Experts see what needs to be achieved and how to
do it. Proficient nurses use maxims, competent nurses plan deliberately, and
advanced beginners recognize meaningful aspects.
6. A nurse is faced with a bioethical dilemma involving a patient's request to
discontinue life support against the family's wishes. 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. Bioethical dilemmas are explored across
the lifespan in this course.
7. A nurse manager is implementing transformational leadership on a unit.
Which action best exemplifies this leadership style?
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.
8. A nurse is analyzing the concept of followership in healthcare. Which
statement best describes effective followership?
A) Passively following orders without question
B) Actively supporting the leader while providing constructive feedback
C) Avoiding all leadership responsibilities
D) Challenging every decision made by the leader
Correct Answer: Actively supporting the leader while providing constructive
feedback
