,NUR 210 Exam 2 | Transition to Practice & Capstone
(2026) Actual Q&A PDF | Fortis College
1. During a preceptorship, a new graduate is asked to manage a patient assignment
independently while the preceptor remains available on the unit. Which type of
supervision does this represent?
A) Direct supervision
B) Indirect supervision
C) Unsupervised practice
D) Collaborative practice
Correct Answer: Indirect supervision
Rationale: Indirect supervision occurs when the preceptor is immediately available on
the unit but does not directly observe every interaction. Direct supervision requires the
preceptor to be physically present during the task. Unsupervised practice is not
appropriate for a new graduate, and collaborative practice involves shared decision-
making with another provider.
2. A nurse manager is discussing the transition from student to registered nurse with a
group of new graduates. Which statement by a new graduate indicates the need for
further teaching about reality shock?
A) "I understand that my idealistic view of nursing may not match the realities of
practice."
B) "I should expect to feel completely confident in my skills within the first month."
C) "Seeking support from experienced nurses can help me through this transition."
,D) "Reality shock is a normal part of becoming a professional nurse."
Correct Answer: "I should expect to feel completely confident in my skills within the
first month."
Rationale: Reality shock is a well-documented phenomenon where new nurses
experience a discrepancy between their idealized expectations and the realities of
clinical practice. Expecting complete confidence within one month is unrealistic and
indicates a misunderstanding of the transition process. Recognizing reality shock as
normal and seeking support are healthy strategies.
3. A nurse is preparing to delegate a task to a licensed practical nurse (LPN). Which task
is most appropriate for the nurse to delegate?
A) Performing the initial admission assessment on a newly admitted patient
B) Administering an intramuscular injection to a stable client
C) Developing the plan of care for a patient with complex comorbidities
D) Teaching a newly diagnosed diabetic patient about insulin administration
Correct Answer: Administering an intramuscular injection to a stable client
Rationale: LPNs may administer intramuscular injections to stable clients within their
scope of practice. Initial assessments, care plan development, and patient teaching are
RN responsibilities that require critical thinking, clinical judgment, and comprehensive
evaluation, and cannot be delegated to LPNs.
4. A charge nurse is making patient assignments for the upcoming shift. Which factor is
most important for ensuring safe and effective patient care?
, A) Assigning equal numbers of patients to each nurse
B) Matching patient acuity with nurse competency and experience
C) Allowing nurses to choose their own patient assignments
D) Rotating assignments randomly to promote fairness
Correct Answer: Matching patient acuity with nurse competency and experience
Rationale: Safe patient care requires that the acuity and complexity of the patient's
condition be matched with the competency and experience level of the nurse. Equal
numbers of patients, self-selection, or random rotation may not account for varying
patient needs and can lead to unsafe situations.
5. A nurse is using the SBAR communication tool during a handoff. Which component
involves the nurse's analysis of the patient's current status?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer: Assessment
Rationale: The "A" in SBAR stands for Assessment, which is the nurse's clinical
judgment and analysis of the patient's current status. Situation describes the current
problem, Background provides relevant history, and Recommendation suggests the next
steps.
(2026) Actual Q&A PDF | Fortis College
1. During a preceptorship, a new graduate is asked to manage a patient assignment
independently while the preceptor remains available on the unit. Which type of
supervision does this represent?
A) Direct supervision
B) Indirect supervision
C) Unsupervised practice
D) Collaborative practice
Correct Answer: Indirect supervision
Rationale: Indirect supervision occurs when the preceptor is immediately available on
the unit but does not directly observe every interaction. Direct supervision requires the
preceptor to be physically present during the task. Unsupervised practice is not
appropriate for a new graduate, and collaborative practice involves shared decision-
making with another provider.
2. A nurse manager is discussing the transition from student to registered nurse with a
group of new graduates. Which statement by a new graduate indicates the need for
further teaching about reality shock?
A) "I understand that my idealistic view of nursing may not match the realities of
practice."
B) "I should expect to feel completely confident in my skills within the first month."
C) "Seeking support from experienced nurses can help me through this transition."
,D) "Reality shock is a normal part of becoming a professional nurse."
Correct Answer: "I should expect to feel completely confident in my skills within the
first month."
Rationale: Reality shock is a well-documented phenomenon where new nurses
experience a discrepancy between their idealized expectations and the realities of
clinical practice. Expecting complete confidence within one month is unrealistic and
indicates a misunderstanding of the transition process. Recognizing reality shock as
normal and seeking support are healthy strategies.
3. A nurse is preparing to delegate a task to a licensed practical nurse (LPN). Which task
is most appropriate for the nurse to delegate?
A) Performing the initial admission assessment on a newly admitted patient
B) Administering an intramuscular injection to a stable client
C) Developing the plan of care for a patient with complex comorbidities
D) Teaching a newly diagnosed diabetic patient about insulin administration
Correct Answer: Administering an intramuscular injection to a stable client
Rationale: LPNs may administer intramuscular injections to stable clients within their
scope of practice. Initial assessments, care plan development, and patient teaching are
RN responsibilities that require critical thinking, clinical judgment, and comprehensive
evaluation, and cannot be delegated to LPNs.
4. A charge nurse is making patient assignments for the upcoming shift. Which factor is
most important for ensuring safe and effective patient care?
, A) Assigning equal numbers of patients to each nurse
B) Matching patient acuity with nurse competency and experience
C) Allowing nurses to choose their own patient assignments
D) Rotating assignments randomly to promote fairness
Correct Answer: Matching patient acuity with nurse competency and experience
Rationale: Safe patient care requires that the acuity and complexity of the patient's
condition be matched with the competency and experience level of the nurse. Equal
numbers of patients, self-selection, or random rotation may not account for varying
patient needs and can lead to unsafe situations.
5. A nurse is using the SBAR communication tool during a handoff. Which component
involves the nurse's analysis of the patient's current status?
A) Situation
B) Background
C) Assessment
D) Recommendation
Correct Answer: Assessment
Rationale: The "A" in SBAR stands for Assessment, which is the nurse's clinical
judgment and analysis of the patient's current status. Situation describes the current
problem, Background provides relevant history, and Recommendation suggests the next
steps.
