NUR 283 Transition to RN Comprehensive
Exam Review (Galen) 2025 | All Exams |
100% Verified Grade A Answers
Question 1: A newly licensed RN is about to administer morning medications. Which action best
demonstrates the transition from “task-focused” (LPN) to “outcome-focused” (RN) practice?
A) Giving all pills on time so report is not delayed
B) Checking each med against the MAR and then the Pyxis
C) Assessing the patient’s current status, labs, and response before deciding whether to give or
hold a dose
D) Asking the charge nurse to verify every PRN medication
Correct Answer: C) Assessing the patient’s current status, labs, and response before deciding
whether to give or hold a dose
Explanation: RNs are accountable for evaluating outcomes; withholding or adjusting therapy based
on assessment data exemplifies outcome-focused, autonomous RN practice versus task-focused
LPN roles.
Question 2: During a rapid-response call, the new RN feels overwhelmed. Which strategy best
supports the RN’s transition to competent team leader?
,A) Remaining at the bedside and documenting everything the charge nurse says
B) Assigning the most critical tasks to the most experienced staff and coordinating care
C) Waiting for the physician to arrive before making any decisions
D) Focusing only on medication administration and leaving airway management to respiratory
therapy
Correct Answer: B) Assigning the most critical tasks to the most experienced staff and coordinating
care
Explanation: Transition to RN includes leadership; delegating appropriately and coordinating the
team during emergencies demonstrates the RN’s expanded scope and ensures patient safety.
Question 3: Which competency best differentiates the RN scope from the LPN/LVN scope during
care planning?
A) Listing tasks to be completed each shift
B) Identifying potential complications and revising the plan based on evaluation data
C) Following the physician’s orders exactly as written
D) Reporting abnormal findings to the charge nurse
Correct Answer: B) Identifying potential complications and revising the plan based on evaluation
data
Explanation: RNs perform ongoing evaluation and modify plans autonomously; LPNs assist with
data collection but do not independently revise care plans.
,Question 4: A graduate RN asks, “Why must I complete a residency program when I already
passed the NCLEX?” Which response by the preceptor is most accurate?
A) “NCLEX only tests minimum competency; residency builds the clinical reasoning and leadership
skills required for safe, autonomous RN practice.”
B) “Residency is optional in most states, so you can opt out after one month.”
C) “Residency replaces the need for orientation on the unit.”
D) “Residency guarantees you a management position within two years.”
Correct Answer: A) “NCLEX only tests minimum competency; residency builds the clinical reasoning
and leadership skills required for safe, autonomous RN practice.”
Explanation: Transition-to-practice programs bridge the gap between entry-level competence and
full professional accountability, focusing on critical thinking, delegation, and systems leadership.
Question 5: The new RN receives a verbal order that seems unsafe. Which action best reflects
professional accountability under the Nurse Practice Act?
A) Following the order because the physician is ultimately responsible
B) Refusing to follow the order and documenting “unsafe order” in the chart
C) Seeking clarification, expressing concerns, and requesting written confirmation while ensuring
patient safety
D) Asking the LPN to administer the medication so responsibility is shared
, Correct Answer: C) Seeking clarification, expressing concerns, and requesting written confirmation
while ensuring patient safety
Explanation: RNs are accountable for acts delegated to them; professional duty requires
clarification and collaborative communication to prevent harm, not passive compliance or
avoidance.
Question 6: Which action best demonstrates the RN’s role in quality improvement during transition?
A) Completing incident reports only when a patient is harmed
B) Participating in unit-based root-cause analyses and proposing evidence-based changes
C) Leaving QI meetings to staff nurses with more experience
D) Focusing on individual tasks and letting management handle systems issues
Correct Answer: B) Participating in unit-based root-cause analyses and proposing evidence-based
changes
Explanation: RNs are expected to lead and participate in QI initiatives, use data to drive decisions,
and implement evidence-based practice changes—key competencies in the RN transition.
Question 7: During hand-off, the RN states, “The patient’s BP dropped after the IV beta-blocker,
but I gave it anyway because it was due.” This represents which transition barrier?
A) Lack of pharmacology knowledge
B) Task-oriented thinking versus clinical judgment
C) Poor communication skills
Exam Review (Galen) 2025 | All Exams |
100% Verified Grade A Answers
Question 1: A newly licensed RN is about to administer morning medications. Which action best
demonstrates the transition from “task-focused” (LPN) to “outcome-focused” (RN) practice?
A) Giving all pills on time so report is not delayed
B) Checking each med against the MAR and then the Pyxis
C) Assessing the patient’s current status, labs, and response before deciding whether to give or
hold a dose
D) Asking the charge nurse to verify every PRN medication
Correct Answer: C) Assessing the patient’s current status, labs, and response before deciding
whether to give or hold a dose
Explanation: RNs are accountable for evaluating outcomes; withholding or adjusting therapy based
on assessment data exemplifies outcome-focused, autonomous RN practice versus task-focused
LPN roles.
Question 2: During a rapid-response call, the new RN feels overwhelmed. Which strategy best
supports the RN’s transition to competent team leader?
,A) Remaining at the bedside and documenting everything the charge nurse says
B) Assigning the most critical tasks to the most experienced staff and coordinating care
C) Waiting for the physician to arrive before making any decisions
D) Focusing only on medication administration and leaving airway management to respiratory
therapy
Correct Answer: B) Assigning the most critical tasks to the most experienced staff and coordinating
care
Explanation: Transition to RN includes leadership; delegating appropriately and coordinating the
team during emergencies demonstrates the RN’s expanded scope and ensures patient safety.
Question 3: Which competency best differentiates the RN scope from the LPN/LVN scope during
care planning?
A) Listing tasks to be completed each shift
B) Identifying potential complications and revising the plan based on evaluation data
C) Following the physician’s orders exactly as written
D) Reporting abnormal findings to the charge nurse
Correct Answer: B) Identifying potential complications and revising the plan based on evaluation
data
Explanation: RNs perform ongoing evaluation and modify plans autonomously; LPNs assist with
data collection but do not independently revise care plans.
,Question 4: A graduate RN asks, “Why must I complete a residency program when I already
passed the NCLEX?” Which response by the preceptor is most accurate?
A) “NCLEX only tests minimum competency; residency builds the clinical reasoning and leadership
skills required for safe, autonomous RN practice.”
B) “Residency is optional in most states, so you can opt out after one month.”
C) “Residency replaces the need for orientation on the unit.”
D) “Residency guarantees you a management position within two years.”
Correct Answer: A) “NCLEX only tests minimum competency; residency builds the clinical reasoning
and leadership skills required for safe, autonomous RN practice.”
Explanation: Transition-to-practice programs bridge the gap between entry-level competence and
full professional accountability, focusing on critical thinking, delegation, and systems leadership.
Question 5: The new RN receives a verbal order that seems unsafe. Which action best reflects
professional accountability under the Nurse Practice Act?
A) Following the order because the physician is ultimately responsible
B) Refusing to follow the order and documenting “unsafe order” in the chart
C) Seeking clarification, expressing concerns, and requesting written confirmation while ensuring
patient safety
D) Asking the LPN to administer the medication so responsibility is shared
, Correct Answer: C) Seeking clarification, expressing concerns, and requesting written confirmation
while ensuring patient safety
Explanation: RNs are accountable for acts delegated to them; professional duty requires
clarification and collaborative communication to prevent harm, not passive compliance or
avoidance.
Question 6: Which action best demonstrates the RN’s role in quality improvement during transition?
A) Completing incident reports only when a patient is harmed
B) Participating in unit-based root-cause analyses and proposing evidence-based changes
C) Leaving QI meetings to staff nurses with more experience
D) Focusing on individual tasks and letting management handle systems issues
Correct Answer: B) Participating in unit-based root-cause analyses and proposing evidence-based
changes
Explanation: RNs are expected to lead and participate in QI initiatives, use data to drive decisions,
and implement evidence-based practice changes—key competencies in the RN transition.
Question 7: During hand-off, the RN states, “The patient’s BP dropped after the IV beta-blocker,
but I gave it anyway because it was due.” This represents which transition barrier?
A) Lack of pharmacology knowledge
B) Task-oriented thinking versus clinical judgment
C) Poor communication skills
