NUR 1330 – TRANSITION TO PROFESSIONAL NURSING EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT
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Core Domains
Professional Nursing Role and Identity
Ethics and Ethical Principles in Nursing
Legal Aspects of Nursing Practice
Regulatory Compliance and Nursing Standards
Scope of Practice and Delegation
Therapeutic Communication and Patient Advocacy
Accountability and Professional Responsibility
Evidence-Based Practice and Critical Thinking
,Introduction
This exam assesses foundational knowledge and skills essential for transitioning from student nurse to
professional nursing practice. It evaluates competency in professional role identity, ethical decision-making
frameworks, legal responsibilities, regulatory compliance requirements, and scope of practice boundaries. The
multiple-choice and scenario-based structure emphasizes real-world clinical application, critical thinking, and
professional decision-making rather than rote memorization. Questions test your ability to apply ethical
principles, navigate legal complexities, communicate effectively with patients and teams, delegate
appropriately, and demonstrate accountability in diverse healthcare settings. Success on this exam
demonstrates readiness for professional nursing practice and adherence to standards that protect patient safety
and promote quality care delivery.
Question 1
A newly licensed nurse is unsure about the scope of practice for administering a specific medication. What
should the nurse do first?
A. Ask a colleague nurse what they think is appropriate
B. Consult the state Nurse Practice Act
C. Administer the medication based on hospital policy alone
D. Wait until the physician provides additional instructions
🟢 Correct answer: B
, 🔴 RATIONALE: The state Nurse Practice Act defines the legal scope of nursing practice and is the primary
authoritative source for determining what actions a nurse is legally permitted to perform. Hospital policy must
align with the Practice Act, and colleagues' opinions may not be legally accurate.
Question 2
A patient with dementia refuses a necessary medication but previously had a care plan stating they would accept
it. The nurse administers the medication against the patient's current refusal. Which ethical principle has the
nurse violated?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
🟢 Correct answer: C
🔴 RATIONALE: Autonomy is the right of individuals to make informed healthcare decisions about their own
care. Even patients with dementia retain autonomy unless legally determined incompetent. Administering
medication against current refusal violates this fundamental ethical principle.
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE| INSTANT
DOWNLOAD PDF
Core Domains
Professional Nursing Role and Identity
Ethics and Ethical Principles in Nursing
Legal Aspects of Nursing Practice
Regulatory Compliance and Nursing Standards
Scope of Practice and Delegation
Therapeutic Communication and Patient Advocacy
Accountability and Professional Responsibility
Evidence-Based Practice and Critical Thinking
,Introduction
This exam assesses foundational knowledge and skills essential for transitioning from student nurse to
professional nursing practice. It evaluates competency in professional role identity, ethical decision-making
frameworks, legal responsibilities, regulatory compliance requirements, and scope of practice boundaries. The
multiple-choice and scenario-based structure emphasizes real-world clinical application, critical thinking, and
professional decision-making rather than rote memorization. Questions test your ability to apply ethical
principles, navigate legal complexities, communicate effectively with patients and teams, delegate
appropriately, and demonstrate accountability in diverse healthcare settings. Success on this exam
demonstrates readiness for professional nursing practice and adherence to standards that protect patient safety
and promote quality care delivery.
Question 1
A newly licensed nurse is unsure about the scope of practice for administering a specific medication. What
should the nurse do first?
A. Ask a colleague nurse what they think is appropriate
B. Consult the state Nurse Practice Act
C. Administer the medication based on hospital policy alone
D. Wait until the physician provides additional instructions
🟢 Correct answer: B
, 🔴 RATIONALE: The state Nurse Practice Act defines the legal scope of nursing practice and is the primary
authoritative source for determining what actions a nurse is legally permitted to perform. Hospital policy must
align with the Practice Act, and colleagues' opinions may not be legally accurate.
Question 2
A patient with dementia refuses a necessary medication but previously had a care plan stating they would accept
it. The nurse administers the medication against the patient's current refusal. Which ethical principle has the
nurse violated?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
🟢 Correct answer: C
🔴 RATIONALE: Autonomy is the right of individuals to make informed healthcare decisions about their own
care. Even patients with dementia retain autonomy unless legally determined incompetent. Administering
medication against current refusal violates this fundamental ethical principle.
