GALEN NSG 4800
Transition to Professional Nursing Practice
MIDTERM PRACTICE EXAM
100 Questions with Answers & Detailed Explanations
100 A-D Every Q
Original Questions Multiple Choice Answer + Rationale
PASSPOINTPRO
Focused review for leadership, delegation, prioritization, communication, ethics, safety, and professional role transition.
,PASSPOINTPRO | NSG 4800 MIDTERM PRACTICE EXAM
HOW TO USE THIS EXAM
Work through each question before revealing the answer. The explanations emphasize reasoning, delegation boundaries,
prioritization, professional accountability, leadership, communication, ethics, patient safety, and evidence-based nursing
practice.
QUESTION 1
A graduate nurse is beginning orientation on a medical-surgical unit. Which action best
demonstrates professional role transition?
A Waiting for the preceptor to make all clinical decisions
B Seeking feedback and applying it to future patient care
C Avoiding unfamiliar assignments whenever possible
D Focusing only on task completion rather than team communication
Answer: B Explanation: Professional role transition requires increasing accountability, reflection, and
responsiveness to feedback. Using constructive feedback to improve future performance supports
growth from student thinking toward autonomous professional practice.
QUESTION 2
Which behavior by a new nurse best reflects accountability?
A Documenting an omitted medication as given to avoid criticism
B Reporting a medication error promptly and participating in follow-up
C Asking another nurse to assume responsibility for an error
D Waiting to see whether the patient develops symptoms before reporting
Answer: B Explanation: Accountability includes accepting responsibility for nursing actions and reporting
errors promptly. Early disclosure supports patient safety, timely treatment, and system
improvement.
Transition to Professional Nursing Practice Page 2
,PASSPOINTPRO | NSG 4800 MIDTERM PRACTICE EXAM
QUESTION 3
A charge nurse assigns an experienced unlicensed assistive personnel (UAP) to obtain routine
vital signs on a stable patient. Which delegation principle is being applied?
A Right task
B Right circumstance
C Right person
D Right supervision
Answer: C Explanation: Selecting a team member with the appropriate role and demonstrated competence
reflects the right person. Safe delegation also requires the right task, circumstance, directions, and
supervision.
QUESTION 4
Which patient should the nurse assess first?
A A patient with chronic arthritis requesting scheduled pain medication
B A patient 1 day after surgery with new shortness of breath
C A patient waiting for discharge instructions
D A patient with a blood glucose of 146 mg/dL before lunch
Answer: B Explanation: New shortness of breath may indicate a life-threatening respiratory or embolic
complication. Airway and breathing concerns take priority over routine pain control, discharge
teaching, and mildly elevated glucose.
Transition to Professional Nursing Practice Page 3
, PASSPOINTPRO | NSG 4800 MIDTERM PRACTICE EXAM
QUESTION 5
A nurse disagrees with a provider's plan because the patient has repeatedly refused the proposed
treatment. What is the nurse's best initial action?
A Proceed with treatment because the provider ordered it
B Clarify the patient's wishes and communicate them to the provider
C Ask the family to persuade the patient
D Document the refusal after treatment is completed
Answer: B Explanation: Patient autonomy requires that capable patients be allowed to accept or refuse
treatment. The nurse should verify the patient's preferences and advocate for those wishes during
communication with the provider.
QUESTION 6
Which statement by a nurse demonstrates therapeutic communication?
A You should not be worried about that procedure.
B Why did you wait so long to seek care?
C Tell me what concerns you most about the procedure.
D Everything will be fine once the procedure is over.
Answer: C Explanation: Open-ended questions invite the patient to express concerns and provide the nurse
with meaningful information. False reassurance and judgmental language can block
communication.
Transition to Professional Nursing Practice Page 4
Transition to Professional Nursing Practice
MIDTERM PRACTICE EXAM
100 Questions with Answers & Detailed Explanations
100 A-D Every Q
Original Questions Multiple Choice Answer + Rationale
PASSPOINTPRO
Focused review for leadership, delegation, prioritization, communication, ethics, safety, and professional role transition.
,PASSPOINTPRO | NSG 4800 MIDTERM PRACTICE EXAM
HOW TO USE THIS EXAM
Work through each question before revealing the answer. The explanations emphasize reasoning, delegation boundaries,
prioritization, professional accountability, leadership, communication, ethics, patient safety, and evidence-based nursing
practice.
QUESTION 1
A graduate nurse is beginning orientation on a medical-surgical unit. Which action best
demonstrates professional role transition?
A Waiting for the preceptor to make all clinical decisions
B Seeking feedback and applying it to future patient care
C Avoiding unfamiliar assignments whenever possible
D Focusing only on task completion rather than team communication
Answer: B Explanation: Professional role transition requires increasing accountability, reflection, and
responsiveness to feedback. Using constructive feedback to improve future performance supports
growth from student thinking toward autonomous professional practice.
QUESTION 2
Which behavior by a new nurse best reflects accountability?
A Documenting an omitted medication as given to avoid criticism
B Reporting a medication error promptly and participating in follow-up
C Asking another nurse to assume responsibility for an error
D Waiting to see whether the patient develops symptoms before reporting
Answer: B Explanation: Accountability includes accepting responsibility for nursing actions and reporting
errors promptly. Early disclosure supports patient safety, timely treatment, and system
improvement.
Transition to Professional Nursing Practice Page 2
,PASSPOINTPRO | NSG 4800 MIDTERM PRACTICE EXAM
QUESTION 3
A charge nurse assigns an experienced unlicensed assistive personnel (UAP) to obtain routine
vital signs on a stable patient. Which delegation principle is being applied?
A Right task
B Right circumstance
C Right person
D Right supervision
Answer: C Explanation: Selecting a team member with the appropriate role and demonstrated competence
reflects the right person. Safe delegation also requires the right task, circumstance, directions, and
supervision.
QUESTION 4
Which patient should the nurse assess first?
A A patient with chronic arthritis requesting scheduled pain medication
B A patient 1 day after surgery with new shortness of breath
C A patient waiting for discharge instructions
D A patient with a blood glucose of 146 mg/dL before lunch
Answer: B Explanation: New shortness of breath may indicate a life-threatening respiratory or embolic
complication. Airway and breathing concerns take priority over routine pain control, discharge
teaching, and mildly elevated glucose.
Transition to Professional Nursing Practice Page 3
, PASSPOINTPRO | NSG 4800 MIDTERM PRACTICE EXAM
QUESTION 5
A nurse disagrees with a provider's plan because the patient has repeatedly refused the proposed
treatment. What is the nurse's best initial action?
A Proceed with treatment because the provider ordered it
B Clarify the patient's wishes and communicate them to the provider
C Ask the family to persuade the patient
D Document the refusal after treatment is completed
Answer: B Explanation: Patient autonomy requires that capable patients be allowed to accept or refuse
treatment. The nurse should verify the patient's preferences and advocate for those wishes during
communication with the provider.
QUESTION 6
Which statement by a nurse demonstrates therapeutic communication?
A You should not be worried about that procedure.
B Why did you wait so long to seek care?
C Tell me what concerns you most about the procedure.
D Everything will be fine once the procedure is over.
Answer: C Explanation: Open-ended questions invite the patient to express concerns and provide the nurse
with meaningful information. False reassurance and judgmental language can block
communication.
Transition to Professional Nursing Practice Page 4
