NUR 2800 Transition to
Professional Nursing Practice
| 2025/2026 Verified Questions
& A+ Answers
Section 1: Role Change & Professional Identity (Questions
1–25)
1. A new graduate RN feels overwhelmed on first shift. Best action? A. Ask for help
from charge nurse B. Work independently to prove competence C. Leave early to avoid
errors D. Ignore policies to save time Correct Answer: A. Ask for help from charge
nurse Rationale: Benner’s Novice to Expert: new grads are “advanced beginners”;
seeking mentorship prevents errors per AACN Essentials Domain 9 (Professionalism)
2025.
2. Which behavior demonstrates transition from student to professional RN? A.
Relying solely on preceptor B. Accepting full accountability for assigned patients C.
Delegating all tasks to UAP D. Avoiding documentation until end of shift Correct
Answer: B. Accepting full accountability for assigned patients Rationale: ANA Code
of Ethics Provision 3: RN owns outcomes regardless of delegation per ANA 2025.
3. A new RN is assigned 6 patients on night shift. Priority action? A. Complete all
charting first B. Perform head-to-toe assessments on unstable patients C. Wait for day
shift report D. Call in sick Correct Answer: B. Perform head-to-toe assessments on
unstable patients Rationale: QSEN Safety: prioritize unstable patients using ABCs +
MASLOW per NCLEX-RN NGN 2025.
4. The preceptor corrects a new RN in front of a patient. Best response? A. “You’re
embarrassing me” B. Thank preceptor privately and ask for feedback C. Ignore and
continue D. Report to manager Correct Answer: B. Thank preceptor privately and
ask for feedback Rationale: AACN Domain 8 (Informatics & Collaboration):
constructive feedback builds resilience per NLN 2025.
5. Which statement reflects professional boundaries with patients? A. “I’ll friend you
on social media after discharge” B. “I keep personal and professional life separate” C. “I
share my struggles to build trust” D. “Text me if you have questions at home” Correct
Answer: B. “I keep personal and professional life separate” Rationale: ANA Social
Media Guidelines: avoid dual relationships per ANA 2025.
, 6. A new RN receives first performance evaluation with “needs improvement” in time
management. Best response? A. Argue with evaluator B. Create a personal
improvement plan with SMART goals C. Quit the job D. Blame preceptor Correct
Answer: B. Create a personal improvement plan with SMART goals Rationale:
AACN Domain 10 (Personal/Professional Development): reflective practice drives
growth per QSEN 2025.
7. Which role is within the new RN’s scope on first week? A. Charge nurse B.
Medication administration with double-check C. Discharge planning for complex patients
D. Precepting a student Correct Answer: B. Medication administration with double-
check Rationale: State BON: new grads require supervision for high-risk tasks per
NCSBN Transition to Practice Model 2025.
8. A patient asks the new RN, “Are you qualified?” Best response? A. “I just graduated,
but I’m learning” B. “I’m a licensed RN with evidence-based training” C. “My preceptor
handles complex cases” D. Ignore the question Correct Answer: B. “I’m a licensed RN
with evidence-based training” Rationale: Therapeutic communication + professional
confidence per ANA Provision 1 2025.
9. The new RN forgets to document a PRN pain med. Priority action? A. Back-chart as
“late entry” with time given B. Ask coworker to document C. Omit documentation D.
Change time to appear on-time Correct Answer: A. Back-chart as “late entry” with
time given Rationale: ANA Documentation Standards: late entries must be labeled;
falsification is fraud per CMS 2025.
10. Which is a sign of reality shock in a new RN? A. Seeking learning opportunities B.
Crying after shift due to moral distress C. Volunteering for committees D. Mentoring
peers Correct Answer: B. Crying after shift due to moral distress Rationale:
Kramer’s Reality Shock Phases: “shock & rejection” common in first 6 months per NLN
2025.
11. A new RN is asked to float to ICU. Appropriate response? A. “I’m not trained for
ICU” and request orientation B. Accept without question C. Refuse and go home D.
Pretend to know ICU skills Correct Answer: A. “I’m not trained for ICU” and
request orientation Rationale: ANA Position Statement on Floating: must have
competency validation per Joint Commission 2025.
12. Which delegation principle should the new RN follow? A. Delegate vital signs to UAP
for stable patients B. Delegate IV push meds to LPN C. Delegate assessment to UAP D.
Delegate all tasks to work faster Correct Answer: A. Delegate vital signs to UAP for
stable patients Rationale: NCSBN Five Rights of Delegation: right task (VS = stable)
per ANA 2025.
13. A physician yells at the new RN for a delayed lab result. Best response? A. “SBAR
the issue calmly and request collaboration” B. Yell back C. Cry in break room D. Ignore
and avoid physician Correct Answer: A. “SBAR the issue calmly and request
collaboration” Rationale: AACN Healthy Work Environment: skilled communication
reduces incivility per AHRQ 2025.
14. The new RN’s preceptor calls in sick. Best action? A. Ask charge nurse for
reassignment or buddy B. Work alone C. Call in sick too D. Refuse patient assignment
Correct Answer: A. Ask charge nurse for reassignment or buddy Rationale: QSEN
Teamwork: continuity of mentorship prevents errors per IHI 2025.
Professional Nursing Practice
| 2025/2026 Verified Questions
& A+ Answers
Section 1: Role Change & Professional Identity (Questions
1–25)
1. A new graduate RN feels overwhelmed on first shift. Best action? A. Ask for help
from charge nurse B. Work independently to prove competence C. Leave early to avoid
errors D. Ignore policies to save time Correct Answer: A. Ask for help from charge
nurse Rationale: Benner’s Novice to Expert: new grads are “advanced beginners”;
seeking mentorship prevents errors per AACN Essentials Domain 9 (Professionalism)
2025.
2. Which behavior demonstrates transition from student to professional RN? A.
Relying solely on preceptor B. Accepting full accountability for assigned patients C.
Delegating all tasks to UAP D. Avoiding documentation until end of shift Correct
Answer: B. Accepting full accountability for assigned patients Rationale: ANA Code
of Ethics Provision 3: RN owns outcomes regardless of delegation per ANA 2025.
3. A new RN is assigned 6 patients on night shift. Priority action? A. Complete all
charting first B. Perform head-to-toe assessments on unstable patients C. Wait for day
shift report D. Call in sick Correct Answer: B. Perform head-to-toe assessments on
unstable patients Rationale: QSEN Safety: prioritize unstable patients using ABCs +
MASLOW per NCLEX-RN NGN 2025.
4. The preceptor corrects a new RN in front of a patient. Best response? A. “You’re
embarrassing me” B. Thank preceptor privately and ask for feedback C. Ignore and
continue D. Report to manager Correct Answer: B. Thank preceptor privately and
ask for feedback Rationale: AACN Domain 8 (Informatics & Collaboration):
constructive feedback builds resilience per NLN 2025.
5. Which statement reflects professional boundaries with patients? A. “I’ll friend you
on social media after discharge” B. “I keep personal and professional life separate” C. “I
share my struggles to build trust” D. “Text me if you have questions at home” Correct
Answer: B. “I keep personal and professional life separate” Rationale: ANA Social
Media Guidelines: avoid dual relationships per ANA 2025.
, 6. A new RN receives first performance evaluation with “needs improvement” in time
management. Best response? A. Argue with evaluator B. Create a personal
improvement plan with SMART goals C. Quit the job D. Blame preceptor Correct
Answer: B. Create a personal improvement plan with SMART goals Rationale:
AACN Domain 10 (Personal/Professional Development): reflective practice drives
growth per QSEN 2025.
7. Which role is within the new RN’s scope on first week? A. Charge nurse B.
Medication administration with double-check C. Discharge planning for complex patients
D. Precepting a student Correct Answer: B. Medication administration with double-
check Rationale: State BON: new grads require supervision for high-risk tasks per
NCSBN Transition to Practice Model 2025.
8. A patient asks the new RN, “Are you qualified?” Best response? A. “I just graduated,
but I’m learning” B. “I’m a licensed RN with evidence-based training” C. “My preceptor
handles complex cases” D. Ignore the question Correct Answer: B. “I’m a licensed RN
with evidence-based training” Rationale: Therapeutic communication + professional
confidence per ANA Provision 1 2025.
9. The new RN forgets to document a PRN pain med. Priority action? A. Back-chart as
“late entry” with time given B. Ask coworker to document C. Omit documentation D.
Change time to appear on-time Correct Answer: A. Back-chart as “late entry” with
time given Rationale: ANA Documentation Standards: late entries must be labeled;
falsification is fraud per CMS 2025.
10. Which is a sign of reality shock in a new RN? A. Seeking learning opportunities B.
Crying after shift due to moral distress C. Volunteering for committees D. Mentoring
peers Correct Answer: B. Crying after shift due to moral distress Rationale:
Kramer’s Reality Shock Phases: “shock & rejection” common in first 6 months per NLN
2025.
11. A new RN is asked to float to ICU. Appropriate response? A. “I’m not trained for
ICU” and request orientation B. Accept without question C. Refuse and go home D.
Pretend to know ICU skills Correct Answer: A. “I’m not trained for ICU” and
request orientation Rationale: ANA Position Statement on Floating: must have
competency validation per Joint Commission 2025.
12. Which delegation principle should the new RN follow? A. Delegate vital signs to UAP
for stable patients B. Delegate IV push meds to LPN C. Delegate assessment to UAP D.
Delegate all tasks to work faster Correct Answer: A. Delegate vital signs to UAP for
stable patients Rationale: NCSBN Five Rights of Delegation: right task (VS = stable)
per ANA 2025.
13. A physician yells at the new RN for a delayed lab result. Best response? A. “SBAR
the issue calmly and request collaboration” B. Yell back C. Cry in break room D. Ignore
and avoid physician Correct Answer: A. “SBAR the issue calmly and request
collaboration” Rationale: AACN Healthy Work Environment: skilled communication
reduces incivility per AHRQ 2025.
14. The new RN’s preceptor calls in sick. Best action? A. Ask charge nurse for
reassignment or buddy B. Work alone C. Call in sick too D. Refuse patient assignment
Correct Answer: A. Ask charge nurse for reassignment or buddy Rationale: QSEN
Teamwork: continuity of mentorship prevents errors per IHI 2025.
