S T U DY A I D
TRANSITION TO PRACTICE · ORIGINAL
QUESTION BANK
Transition to
Practice Capstone
Question Bank
CAPSTONE REVIEW · QUESTIONS WITH FULL RATIONALES
This question bank is an original study aid written for nursing
students and graduates preparing for course exams and exit-level
assessments. Every question, option, and rationale was developed
independently for this edition. It is not affiliated with, endorsed by, or
drawn from any school, program, or proctored examination, and it is
intended for self-study and review only.
100 5 100%
Q UE STIO N S TO PIC SE CTIO N S R AT I O N A L E S
PA S S I N G S C O R E LEVEL E DITIO N
75% Senior Nursing Student / 2026/2027
New Graduate
ORIGINAL STUDY QUESTION BANK Page 1
,Transition to Practice — Capstone Question Bank 2026/2027 Edition
SECTION 1 · PROFESSIONAL ROLE, SCOPE & Questions 1–20
LICENSURE
Q1. A newly hired nurse asks where to find the legal definition of which tasks may be performed in
her state. The preceptor explains that the authoritative source defining nursing scope of practice,
standards, and discipline is which document or body?
A. The state nurse practice act administered by the state board of nursing
B. The employing hospital's policy and procedure manual
C. The national nursing association's code of ethics
D. The facility's annual competency checklist
Correct Answer: A
Rationale: The nurse practice act is state law that defines scope of practice, licensure requirements, and
disciplinary authority through the board of nursing. Facility policies operationalize but cannot expand or
restrict statutory scope, and codes of ethics guide conduct rather than define legal authority.
Q2. An experienced practical nurse and a registered nurse are reviewing tasks for a newly admitted
client on a medical unit. Which activity must be completed by the registered nurse rather than
delegated to the practical nurse?
A. Completing the initial comprehensive admission assessment and care plan
B. Administering oral medications from the MAR
C. Reinforcing discharge teaching already developed by the registered nurse
D. Collecting a routine urine specimen from a stable client
Correct Answer: A
Rationale: The initial comprehensive admission assessment is a registered nurse responsibility that
cannot be delegated, because it establishes the baseline for the nursing process and care planning.
Practical nurses administer medications, reinforce teaching, and collect routine data within their scope.
Q3. A nurse licensed in State A accepts a travel position in State B, which is part of the Nurse
Licensure Compact, and her home license remains active. What does this arrangement permit?
A. She may practice in any compact member state using her single primary state of residence
license without obtaining an additional license
B. She must take the NCLEX examination again in State B before practicing
C. She can practice only after completing State B's residency requirement
D. Compact membership waives all continuing education requirements
Correct Answer: A
Rationale: The Nurse Licensure Compact allows a nurse with a multistate license from a primary state
of residence to practice physically or electronically in other compact states without additional licenses.
Retesting, residency rules, and continuing education waivers are not part of the compact.
Original Study Question Bank · Self-Study Edition Page 2
,Transition to Practice — Capstone Question Bank 2026/2027 Edition
Q4. A charge nurse delegates a task to an unlicensed assistive personnel and is explaining the five
rights of delegation to a new graduate. Which set correctly lists those rights?
A. Right dose, right time, right route, right client, right documentation
B. Right task, right circumstance, right person, right direction and communication, right
supervision and evaluation
C. Right diagnosis, right plan, right intervention, right evaluation, right revision
D. Right medication, right assessment, right teaching, right referral, right documentation
Correct Answer: B
Rationale: The National Council of State Boards of Nursing defines delegation with five rights: task,
circumstance, person, direction or communication, and supervision or evaluation. The medication rights
list is for drug administration, not delegation, and the other options are distractor frameworks.
Q5. The nurse is deciding which morning tasks to assign to unlicensed assistive personnel on a
medical-surgical unit. Which assignment is appropriate?
A. Obtaining vital signs and recording intake and output for four stable clients
B. Assessing the lung sounds of a client admitted with pneumonia
C. Teaching a newly diagnosed diabetic client about insulin injection technique
D. Interpreting a client's complaint of chest pain and deciding next steps
Correct Answer: A
Rationale: Vital signs and intake-output recording on stable clients are routine, noninvasive data
collection tasks appropriate for unlicensed personnel when the nurse reviews the results. Assessment
interpretation, teaching, and clinical decision-making remain licensed nursing responsibilities.
Q6. A client is scheduled for a lumbar puncture, and the provider has obtained and signed the
informed consent. The nurse is asked to witness the signature. What is the nurse's responsibility
regarding informed consent?
A. Explain the risks, benefits, and alternatives of the procedure in detail to the client
B. Verify that the client appears competent, has had questions answered, signs voluntarily, and
notify the provider if these conditions are not met
C. Sign the form as the person who performed the procedure
D. Obtain consent from the client's next of kin before witnessing
Correct Answer: B
Rationale: The nurse witnesses consent by confirming voluntary agreement, decisional capacity, and
that the client's questions were answered, advocating when gaps exist. Detailed procedural explanation is
the provider's duty, the nurse does not perform the procedure as part of witnessing, and kin consent
applies only when the client lacks capacity.
Original Study Question Bank · Self-Study Edition Page 3
, Transition to Practice — Capstone Question Bank 2026/2027 Edition
Q7. A competent 58-year-old client tells the admitting nurse she has no advance directive and asks
what one is. What is the nurse's best action?
A. Tell her that advance directives are only for terminally ill clients
B. Ask her family to decide whether she needs one
C. Require her to sign a directive before receiving care
D. Provide information about advance directives and document the conversation, offering
resources to complete one if she wishes
Correct Answer: D
Rationale: Federal law requires facilities to inform competent adults about advance directives without
conditioning care on having one, and nurses provide information and document the discussion.
Directives apply to any adult regardless of prognosis, and coercion or family substitution is
inappropriate.
Q8. During a home health visit, a nurse observes a 6-year-old with bruises in various stages of
healing, poor hygiene, and fear of being alone with the mother's boyfriend. What is the nurse's legal
obligation?
A. Wait until the child verbally discloses abuse before reporting
B. Confront the boyfriend immediately at the visit
C. Report the suspicion to the designated child protective agency within the legally mandated
timeframe
D. Document the findings and notify only the supervising physician
Correct Answer: C
Rationale: Nurses are mandated reporters who must report reasonable suspicion of child abuse to
protective services within statutory deadlines; certainty is not required, only reasonable suspicion. Direct
confrontation may escalate danger, and documentation supports but does not replace the report.
Q9. A nursing student wants to post about an interesting patient case on a personal social media
account, promising to change names and details. What is the correct professional guidance?
A. Changing the name makes the post acceptable if no photo is attached
B. Any identifiable patient information violates privacy standards, so clinical cases should
never be posted on personal accounts
C. Posts are acceptable if the account has strict privacy settings
D. Only positive stories about patients may be posted
Correct Answer: B
Rationale: Even de-identified details can make a patient recognizable through context, and privacy
standards prohibit sharing patient information on personal accounts regardless of names, photos, or
privacy settings. Professional communication about patients belongs only in approved clinical channels.
Original Study Question Bank · Self-Study Edition Page 4
TRANSITION TO PRACTICE · ORIGINAL
QUESTION BANK
Transition to
Practice Capstone
Question Bank
CAPSTONE REVIEW · QUESTIONS WITH FULL RATIONALES
This question bank is an original study aid written for nursing
students and graduates preparing for course exams and exit-level
assessments. Every question, option, and rationale was developed
independently for this edition. It is not affiliated with, endorsed by, or
drawn from any school, program, or proctored examination, and it is
intended for self-study and review only.
100 5 100%
Q UE STIO N S TO PIC SE CTIO N S R AT I O N A L E S
PA S S I N G S C O R E LEVEL E DITIO N
75% Senior Nursing Student / 2026/2027
New Graduate
ORIGINAL STUDY QUESTION BANK Page 1
,Transition to Practice — Capstone Question Bank 2026/2027 Edition
SECTION 1 · PROFESSIONAL ROLE, SCOPE & Questions 1–20
LICENSURE
Q1. A newly hired nurse asks where to find the legal definition of which tasks may be performed in
her state. The preceptor explains that the authoritative source defining nursing scope of practice,
standards, and discipline is which document or body?
A. The state nurse practice act administered by the state board of nursing
B. The employing hospital's policy and procedure manual
C. The national nursing association's code of ethics
D. The facility's annual competency checklist
Correct Answer: A
Rationale: The nurse practice act is state law that defines scope of practice, licensure requirements, and
disciplinary authority through the board of nursing. Facility policies operationalize but cannot expand or
restrict statutory scope, and codes of ethics guide conduct rather than define legal authority.
Q2. An experienced practical nurse and a registered nurse are reviewing tasks for a newly admitted
client on a medical unit. Which activity must be completed by the registered nurse rather than
delegated to the practical nurse?
A. Completing the initial comprehensive admission assessment and care plan
B. Administering oral medications from the MAR
C. Reinforcing discharge teaching already developed by the registered nurse
D. Collecting a routine urine specimen from a stable client
Correct Answer: A
Rationale: The initial comprehensive admission assessment is a registered nurse responsibility that
cannot be delegated, because it establishes the baseline for the nursing process and care planning.
Practical nurses administer medications, reinforce teaching, and collect routine data within their scope.
Q3. A nurse licensed in State A accepts a travel position in State B, which is part of the Nurse
Licensure Compact, and her home license remains active. What does this arrangement permit?
A. She may practice in any compact member state using her single primary state of residence
license without obtaining an additional license
B. She must take the NCLEX examination again in State B before practicing
C. She can practice only after completing State B's residency requirement
D. Compact membership waives all continuing education requirements
Correct Answer: A
Rationale: The Nurse Licensure Compact allows a nurse with a multistate license from a primary state
of residence to practice physically or electronically in other compact states without additional licenses.
Retesting, residency rules, and continuing education waivers are not part of the compact.
Original Study Question Bank · Self-Study Edition Page 2
,Transition to Practice — Capstone Question Bank 2026/2027 Edition
Q4. A charge nurse delegates a task to an unlicensed assistive personnel and is explaining the five
rights of delegation to a new graduate. Which set correctly lists those rights?
A. Right dose, right time, right route, right client, right documentation
B. Right task, right circumstance, right person, right direction and communication, right
supervision and evaluation
C. Right diagnosis, right plan, right intervention, right evaluation, right revision
D. Right medication, right assessment, right teaching, right referral, right documentation
Correct Answer: B
Rationale: The National Council of State Boards of Nursing defines delegation with five rights: task,
circumstance, person, direction or communication, and supervision or evaluation. The medication rights
list is for drug administration, not delegation, and the other options are distractor frameworks.
Q5. The nurse is deciding which morning tasks to assign to unlicensed assistive personnel on a
medical-surgical unit. Which assignment is appropriate?
A. Obtaining vital signs and recording intake and output for four stable clients
B. Assessing the lung sounds of a client admitted with pneumonia
C. Teaching a newly diagnosed diabetic client about insulin injection technique
D. Interpreting a client's complaint of chest pain and deciding next steps
Correct Answer: A
Rationale: Vital signs and intake-output recording on stable clients are routine, noninvasive data
collection tasks appropriate for unlicensed personnel when the nurse reviews the results. Assessment
interpretation, teaching, and clinical decision-making remain licensed nursing responsibilities.
Q6. A client is scheduled for a lumbar puncture, and the provider has obtained and signed the
informed consent. The nurse is asked to witness the signature. What is the nurse's responsibility
regarding informed consent?
A. Explain the risks, benefits, and alternatives of the procedure in detail to the client
B. Verify that the client appears competent, has had questions answered, signs voluntarily, and
notify the provider if these conditions are not met
C. Sign the form as the person who performed the procedure
D. Obtain consent from the client's next of kin before witnessing
Correct Answer: B
Rationale: The nurse witnesses consent by confirming voluntary agreement, decisional capacity, and
that the client's questions were answered, advocating when gaps exist. Detailed procedural explanation is
the provider's duty, the nurse does not perform the procedure as part of witnessing, and kin consent
applies only when the client lacks capacity.
Original Study Question Bank · Self-Study Edition Page 3
, Transition to Practice — Capstone Question Bank 2026/2027 Edition
Q7. A competent 58-year-old client tells the admitting nurse she has no advance directive and asks
what one is. What is the nurse's best action?
A. Tell her that advance directives are only for terminally ill clients
B. Ask her family to decide whether she needs one
C. Require her to sign a directive before receiving care
D. Provide information about advance directives and document the conversation, offering
resources to complete one if she wishes
Correct Answer: D
Rationale: Federal law requires facilities to inform competent adults about advance directives without
conditioning care on having one, and nurses provide information and document the discussion.
Directives apply to any adult regardless of prognosis, and coercion or family substitution is
inappropriate.
Q8. During a home health visit, a nurse observes a 6-year-old with bruises in various stages of
healing, poor hygiene, and fear of being alone with the mother's boyfriend. What is the nurse's legal
obligation?
A. Wait until the child verbally discloses abuse before reporting
B. Confront the boyfriend immediately at the visit
C. Report the suspicion to the designated child protective agency within the legally mandated
timeframe
D. Document the findings and notify only the supervising physician
Correct Answer: C
Rationale: Nurses are mandated reporters who must report reasonable suspicion of child abuse to
protective services within statutory deadlines; certainty is not required, only reasonable suspicion. Direct
confrontation may escalate danger, and documentation supports but does not replace the report.
Q9. A nursing student wants to post about an interesting patient case on a personal social media
account, promising to change names and details. What is the correct professional guidance?
A. Changing the name makes the post acceptable if no photo is attached
B. Any identifiable patient information violates privacy standards, so clinical cases should
never be posted on personal accounts
C. Posts are acceptable if the account has strict privacy settings
D. Only positive stories about patients may be posted
Correct Answer: B
Rationale: Even de-identified details can make a patient recognizable through context, and privacy
standards prohibit sharing patient information on personal accounts regardless of names, photos, or
privacy settings. Professional communication about patients belongs only in approved clinical channels.
Original Study Question Bank · Self-Study Edition Page 4
