NSG 506
Transition to Advanced Practice Nursing
Proctored Final Exam Review
(With Solutions)
2026
1
,Multiple Choice (15 questions)
A Nurse Practitioner is developing a plan to manage a patient with
chronic heart failure. Which advanced practice nursing role principle
should guide care coordination?
a) Independent diagnosis
b) Interprofessional collaboration
c) Focusing solely on pharmacologic treatment
d) Delegation of all care tasks to medical assistants
Answer: b) Interprofessional collaboration
Rationale: Effective management of chronic conditions requires
coordination among healthcare professionals to optimize outcomes.
What is the most critical skill for an advanced practice nurse (APN)
during the transition from RN to APN?
a) Memorization of drug doses
b) Development of clinical reasoning and decision-making skills
c) Strict adherence to nursing routines
d) Administrative paperwork completion
Answer: b) Development of clinical reasoning and decision-making
skills
Rationale: The transition to APN involves a shift from task execution
to complex clinical judgment.
Which leadership style is most effective for APNs leading
interprofessional teams?
a) Autocratic
b) Transformational
c) Transactional
d) Laissez-faire
Answer: b) Transformational
Rationale: Transformational leadership motivates and inspires team
2
, members, fostering collaboration and innovation.
An APN encounters a conflict with a physician about patient
management. What is the best first step?
a) Report the physician to the hospital administration
b) Engage in open dialogue to resolve concerns collaboratively
c) Ignore the conflict and proceed independently
d) Refer the patient to another provider
Answer: b) Engage in open dialogue to resolve concerns
collaboratively
Rationale: Effective communication helps resolve conflicts and
supports patient-centered care.
Which of the following is an example of evidence-based practice
integration by APNs?
a) Following outdated hospital policies strictly
b) Using the latest clinical guidelines to inform patient care
c) Relying only on personal clinical experience
d) Avoiding use of research evidence to maintain tradition
Answer: b) Using the latest clinical guidelines to inform patient care
Rationale: Evidence-based practice is fundamental to advanced
nursing roles to improve outcomes.
What ethical principle must APNs prioritize when transitioning to
advanced practice roles?
a) Beneficence
b) Maleficence
c) Autonomy of the healthcare team
d) Justice for resources allocation only
Answer: a) Beneficence
Rationale: APNs must always act to benefit the patient’s well-being.
Which documentation practice is crucial to avoid liability for APNs?
3
Transition to Advanced Practice Nursing
Proctored Final Exam Review
(With Solutions)
2026
1
,Multiple Choice (15 questions)
A Nurse Practitioner is developing a plan to manage a patient with
chronic heart failure. Which advanced practice nursing role principle
should guide care coordination?
a) Independent diagnosis
b) Interprofessional collaboration
c) Focusing solely on pharmacologic treatment
d) Delegation of all care tasks to medical assistants
Answer: b) Interprofessional collaboration
Rationale: Effective management of chronic conditions requires
coordination among healthcare professionals to optimize outcomes.
What is the most critical skill for an advanced practice nurse (APN)
during the transition from RN to APN?
a) Memorization of drug doses
b) Development of clinical reasoning and decision-making skills
c) Strict adherence to nursing routines
d) Administrative paperwork completion
Answer: b) Development of clinical reasoning and decision-making
skills
Rationale: The transition to APN involves a shift from task execution
to complex clinical judgment.
Which leadership style is most effective for APNs leading
interprofessional teams?
a) Autocratic
b) Transformational
c) Transactional
d) Laissez-faire
Answer: b) Transformational
Rationale: Transformational leadership motivates and inspires team
2
, members, fostering collaboration and innovation.
An APN encounters a conflict with a physician about patient
management. What is the best first step?
a) Report the physician to the hospital administration
b) Engage in open dialogue to resolve concerns collaboratively
c) Ignore the conflict and proceed independently
d) Refer the patient to another provider
Answer: b) Engage in open dialogue to resolve concerns
collaboratively
Rationale: Effective communication helps resolve conflicts and
supports patient-centered care.
Which of the following is an example of evidence-based practice
integration by APNs?
a) Following outdated hospital policies strictly
b) Using the latest clinical guidelines to inform patient care
c) Relying only on personal clinical experience
d) Avoiding use of research evidence to maintain tradition
Answer: b) Using the latest clinical guidelines to inform patient care
Rationale: Evidence-based practice is fundamental to advanced
nursing roles to improve outcomes.
What ethical principle must APNs prioritize when transitioning to
advanced practice roles?
a) Beneficence
b) Maleficence
c) Autonomy of the healthcare team
d) Justice for resources allocation only
Answer: a) Beneficence
Rationale: APNs must always act to benefit the patient’s well-being.
Which documentation practice is crucial to avoid liability for APNs?
3
