NUR 272 Final Exam Review Questions And
100% Correct Answers
The nursing manager has just hired several new graduates on an inpatient unit. Having
heard of the "honeymoon phase" of transitioning into nursing, which action by the
manager would be most helpful?
A. Educate the graduates on phases of reality shock.
B. Help the graduates focus on principles of safe care.
C. Offer social events for new and seasoned nursing staff.
D. Urge the graduates not to lose their positive attitudes. -ANSWER A. Enlighten the
graduates regarding the stages of reality shock.
A nurse has 15 years of experience but has just been transferred into this ICU and has
been there for two months. The nurse's preceptor is frustrated with the unit manager
because this new nurse does everything "by the book" and is unable to bend. Which
action by the manager is most helpful?
A. Tell the preceptor to be patient and give the new nurse lighter assignments.
B. As a nurse who is new to the ICU setting, explain that this rule-bound practice is
expected.
C. Address the situation with the new nurse and remind her of the nurse's years of
experience.
D. Mediate a discussion with the nurses in which performance expectations are
addressed. - ANSWER B. As a nurse who is new to the ICU setting, explain that this
rule-bound practice is expected.
The nurse is preparing a performance evaluation with a new graduate who has worked
on the unit for one year. Which nursing action would be an indication to the manager
that a successful professional transition is occurring for the new nurse?
A. Staff members indicate that the nurse is a pleasure to work with and is cooperative
B. Has not called in sick or been late during the entire time of employment
,C. Picks up extra shifts and frequently works overtime to care for "my patients"
D. Able to adapt to workload without impairing safety or quality care - ANSWER D. Able
to adapt to workload without impairing safety or quality care
A nurse manager is conducting a seminar for managers regarding reality shock
experienced by new graduates. Which of the following does the nurse manager include?
(Select all that apply.)
A. Honeymoon phase: appears energetic and interested in nursing
B. Shock and rejection phase: blames others for mistakes made
C. Shock and rejection phase: nurses may complain of minor illnesses
D. Shock and rejection phase: uses gallows humor to deal with work
E. Recovery phase: no longer catches contagious illnesses to which he or she is
exposed - ANSWER A. Honeymoon phase: appears energetic and interested in nursing
C. Shock and rejection phase: nurses may whine about minor illnesses
A nursing manager wants to initiate a program to help new graduates decrease their
stress. Which interventions should the nurse manager include in this program? (Select
all that apply.)
A. Creating a master plan for increasing responsibilities of new staff
B. Providing an orientation to the unit's formal chain of command
C. Incorporating formal skills practice and competency testing in a skills or scenario lab
D. Providing an orientation to facility benefits and time-off policies
E. Discussing proper techniques for calling physicians - ANSWER A. Creating a master
plan for increasing responsibilities of new staff
C. Incorporating formal skills practice and competency testing in a skills or scenario lab
D. Providing an orientation to facility benefits and time-off policies
What are the potential consequences if a new graduate RN does not appropriately work
through the phases of reality shock?
A. The new graduate will not pass the NCLEX RN
,B. The new graduate will become aggressive
C. The new graduate will leave the profession
D. The new graduate may adjust to being a registered nurse - ANSWER C. The new
graduate may exit the profession
Which statement best reflects reality shock?
A. I didn't think nursing would be like this
B. I don't want to work on a pediatric unit
C. I thought school would never end
D. I know nursing is the perfect career for me - ANSWER A. I didn't expect nursing to be
quite like this
A student in the last semester of nursing school has identified a goal of making a
successful role transition to graduate nurse. What activity will best promote
achievement of this goal?
A. Caring for increased numbers of patients to enhance work organization skills
B. Spending hours a day in the OR observing the OR team
C. Practicing IV starts in the nursing school laboratory
D. Reviewing sample NCLEX questions every day - ANSWER A. Caring for increased
numbers of patients to enhance work organization skills
A new graduate has worked on a busy unit for 6 months since graduating from nursing
school. He says to a friend "I've never been so upset in all my life! The care that some of
the staff give our patients is outrageously bad. There's practically no attention to the
principles of asepsis the way I learned them! The staff tell me that we have to cut
corners if we're going to get all the work done! I can't stand it" What phase of reality
shock is this graduate experiencing?
A. Honeymoon
B. Shock and rejection
C. Recovery
D. Role transformation - ANSWER B. Shock and rejection
, A graduate nurse has been out of school for 3 months and working in a staff nurse
position for the last 2 months. What type of transition is the nurse experiencing?
A. A growth transition
B. An organizational transition
C. A health -oriented transition
D. A situations transition - ANSWER D. A situations transition
Which of the following statements by a potential new graduate nurse should be of most
concern to the individual hiring this nurse?
A. I just don't know if I can remember everything about the RN job
B. I won't need an orientation period because I did my school clinical rotation on this
unit
C. Sometimes what they tell us in school might be different than the actual job
D. I am trying to become more organized in all areas of my life - ANSWER B. I won't need
an orientation period because I did my school clinical rotation on this unit
According to Patricia Benner, a nurse at the beginning of their career is known as
A. Novice
B. Competent
C. Proficient
D. Expert - ANSWER A. Novice
By the end of nine capstone shifts, most students have attained this level:
A. Novice
B. Advanced beginner
C. Proficient
D. Expert - ANSWER B. Advanced beginner
100% Correct Answers
The nursing manager has just hired several new graduates on an inpatient unit. Having
heard of the "honeymoon phase" of transitioning into nursing, which action by the
manager would be most helpful?
A. Educate the graduates on phases of reality shock.
B. Help the graduates focus on principles of safe care.
C. Offer social events for new and seasoned nursing staff.
D. Urge the graduates not to lose their positive attitudes. -ANSWER A. Enlighten the
graduates regarding the stages of reality shock.
A nurse has 15 years of experience but has just been transferred into this ICU and has
been there for two months. The nurse's preceptor is frustrated with the unit manager
because this new nurse does everything "by the book" and is unable to bend. Which
action by the manager is most helpful?
A. Tell the preceptor to be patient and give the new nurse lighter assignments.
B. As a nurse who is new to the ICU setting, explain that this rule-bound practice is
expected.
C. Address the situation with the new nurse and remind her of the nurse's years of
experience.
D. Mediate a discussion with the nurses in which performance expectations are
addressed. - ANSWER B. As a nurse who is new to the ICU setting, explain that this
rule-bound practice is expected.
The nurse is preparing a performance evaluation with a new graduate who has worked
on the unit for one year. Which nursing action would be an indication to the manager
that a successful professional transition is occurring for the new nurse?
A. Staff members indicate that the nurse is a pleasure to work with and is cooperative
B. Has not called in sick or been late during the entire time of employment
,C. Picks up extra shifts and frequently works overtime to care for "my patients"
D. Able to adapt to workload without impairing safety or quality care - ANSWER D. Able
to adapt to workload without impairing safety or quality care
A nurse manager is conducting a seminar for managers regarding reality shock
experienced by new graduates. Which of the following does the nurse manager include?
(Select all that apply.)
A. Honeymoon phase: appears energetic and interested in nursing
B. Shock and rejection phase: blames others for mistakes made
C. Shock and rejection phase: nurses may complain of minor illnesses
D. Shock and rejection phase: uses gallows humor to deal with work
E. Recovery phase: no longer catches contagious illnesses to which he or she is
exposed - ANSWER A. Honeymoon phase: appears energetic and interested in nursing
C. Shock and rejection phase: nurses may whine about minor illnesses
A nursing manager wants to initiate a program to help new graduates decrease their
stress. Which interventions should the nurse manager include in this program? (Select
all that apply.)
A. Creating a master plan for increasing responsibilities of new staff
B. Providing an orientation to the unit's formal chain of command
C. Incorporating formal skills practice and competency testing in a skills or scenario lab
D. Providing an orientation to facility benefits and time-off policies
E. Discussing proper techniques for calling physicians - ANSWER A. Creating a master
plan for increasing responsibilities of new staff
C. Incorporating formal skills practice and competency testing in a skills or scenario lab
D. Providing an orientation to facility benefits and time-off policies
What are the potential consequences if a new graduate RN does not appropriately work
through the phases of reality shock?
A. The new graduate will not pass the NCLEX RN
,B. The new graduate will become aggressive
C. The new graduate will leave the profession
D. The new graduate may adjust to being a registered nurse - ANSWER C. The new
graduate may exit the profession
Which statement best reflects reality shock?
A. I didn't think nursing would be like this
B. I don't want to work on a pediatric unit
C. I thought school would never end
D. I know nursing is the perfect career for me - ANSWER A. I didn't expect nursing to be
quite like this
A student in the last semester of nursing school has identified a goal of making a
successful role transition to graduate nurse. What activity will best promote
achievement of this goal?
A. Caring for increased numbers of patients to enhance work organization skills
B. Spending hours a day in the OR observing the OR team
C. Practicing IV starts in the nursing school laboratory
D. Reviewing sample NCLEX questions every day - ANSWER A. Caring for increased
numbers of patients to enhance work organization skills
A new graduate has worked on a busy unit for 6 months since graduating from nursing
school. He says to a friend "I've never been so upset in all my life! The care that some of
the staff give our patients is outrageously bad. There's practically no attention to the
principles of asepsis the way I learned them! The staff tell me that we have to cut
corners if we're going to get all the work done! I can't stand it" What phase of reality
shock is this graduate experiencing?
A. Honeymoon
B. Shock and rejection
C. Recovery
D. Role transformation - ANSWER B. Shock and rejection
, A graduate nurse has been out of school for 3 months and working in a staff nurse
position for the last 2 months. What type of transition is the nurse experiencing?
A. A growth transition
B. An organizational transition
C. A health -oriented transition
D. A situations transition - ANSWER D. A situations transition
Which of the following statements by a potential new graduate nurse should be of most
concern to the individual hiring this nurse?
A. I just don't know if I can remember everything about the RN job
B. I won't need an orientation period because I did my school clinical rotation on this
unit
C. Sometimes what they tell us in school might be different than the actual job
D. I am trying to become more organized in all areas of my life - ANSWER B. I won't need
an orientation period because I did my school clinical rotation on this unit
According to Patricia Benner, a nurse at the beginning of their career is known as
A. Novice
B. Competent
C. Proficient
D. Expert - ANSWER A. Novice
By the end of nine capstone shifts, most students have attained this level:
A. Novice
B. Advanced beginner
C. Proficient
D. Expert - ANSWER B. Advanced beginner
