Galen NSG 4800 Transition to Professional Nursing Practice:
Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. Burnout is characterized by:
A. Increased energy and engagement
B. Physical illness only
C. A single bad shift
D. Emotional exhaustion, depersonalization and reduced sense of accomplishment
Correct Answer: D. Emotional exhaustion, depersonalization and reduced sense of
accomplishment
Rationale: Maslach's three dimensions define burnout. Strategies include self-care, peer support,
reasonable workloads and organizational changes. A single bad shift is ordinary stress, and burnout is not
purely physical; it develops over time when demands chronically exceed resources.
2. Professional boundaries are crossed when a nurse:
A. Provides therapeutic communication
B. Advocates for the patient
C. Develops a personal or financial relationship with a patient
D. Uses touch appropriately during care
Correct Answer: C. Develops a personal or financial relationship with a patient
Rationale: Boundary violations exploit the nurse-patient power imbalance and can lead to discipline.
Therapeutic communication, advocacy and appropriate touch are part of professional care; personal or
financial relationships cross the line.
3. The four elements a plaintiff must prove in a malpractice case are:
A. Intent, motive, action and harm
B. Assessment, diagnosis, plan and evaluation
C. Duty, breach, causation and damages
D. Consent, privacy, safety and comfort
Correct Answer: C. Duty, breach, causation and damages
Rationale: All four must be proven; without damages, there is no successful malpractice claim. If any
element is missing, such as no actual harm, the malpractice claim fails.
,4. Interprofessional collaboration is best supported by:
A. Mutual respect, clear roles and structured communication tools like SBAR
B. Hierarchical silence
C. Avoiding team meetings
D. Communicating only in writing
Correct Answer: A. Mutual respect, clear roles and structured communication tools like SBAR
Rationale: IPEC competencies emphasize values, roles, communication and teamwork. Silence in a
hierarchy and avoiding team meetings are linked to communication failures, a leading cause of sentinel
events.
5. A new nurse's resume should emphasize:
A. Personal hobbies only
B. Unrelated jobs only
C. Salary expectations
D. Clinical experiences, skills, certifications and achievements relevant to the position
Correct Answer: D. Clinical experiences, skills, certifications and achievements relevant to
the position
Rationale: Tailored resumes highlight relevant capstone and clinical experiences. Employers look for
evidence of relevant clinical experience and skills, not unrelated hobbies or salary demands.
6. Self-care strategies to prevent burnout include:
A. Adequate sleep, exercise, boundaries and use of employee assistance programs
B. Working extra shifts constantly
C. Skipping meals to finish tasks
D. Avoiding support
Correct Answer: A. Adequate sleep, exercise, boundaries and use of employee assistance
programs
Rationale: Sustainable practice requires attention to personal well-being. Constant extra shifts and
skipped meals accelerate exhaustion, while boundaries and support services help nurses sustain their
careers.
,7. The Next Generation NCLEX (NGN) is built around:
A. The NCSBN Clinical Judgment Measurement Model
B. Maslow's hierarchy only
C. Memorization of lab values
D. Nursing theory recall
Correct Answer: A. The NCSBN Clinical Judgment Measurement Model
Rationale: Launched in April 2023, NGN uses case studies and new item types to test recognizing cues,
analyzing cues, prioritizing hypotheses, generating solutions, taking action and evaluating outcomes.
8. Shared governance in a hospital means:
A. Administrators make all decisions
B. Physicians govern nursing
C. Nurses participate in decisions about practice, quality and education through councils
D. Unions determine all policies
Correct Answer: C. Nurses participate in decisions about practice, quality and education
through councils
Rationale: Shared governance empowers frontline nurses and is a Magnet component. Decisions made
solely by administrators, physicians or unions exclude the nurses who deliver care, which shared
governance is designed to prevent.
9. A nurse receives an order that seems unsafe. The first action is to:
A. Carry it out as written
B. Clarify the order with the prescriber
C. Ignore it
D. Ask the patient's family
Correct Answer: B. Clarify the order with the prescriber
Rationale: Nurses are legally responsible for actions they take; if clarification fails, use the chain of
command. Carrying out an unsafe order makes the nurse liable for harm, and ignoring it or asking the
family does not resolve the concern.
, 10. The 'just culture' model in health care:
A. Punishes every error
B. Never holds anyone accountable
C. Distinguishes human error, at-risk behavior and reckless behavior to guide fair responses
D. Only applies to physicians
Correct Answer: C. Distinguishes human error, at-risk behavior and reckless behavior to
guide fair responses
Rationale: Just culture consoles human error, coaches at-risk behavior and sanctions reckless behavior.
This encourages error reporting while maintaining accountability.
11. Lifelong learning for nurses is supported by:
A. Avoiding new evidence
B. Relying only on school knowledge
C. Continuing education, certification and advanced degrees
D. Ignoring practice changes
Correct Answer: C. Continuing education, certification and advanced degrees
Rationale: Practice evolves rapidly; ongoing learning maintains competence. Knowledge from school
becomes outdated as evidence changes, so ongoing education is part of maintaining competence.
12. The ANA Code of Ethics for Nurses Provision 1 states that the nurse:
A. Practices with compassion and respect for the inherent dignity, worth and unique attributes of
every person
B. Must follow all physician orders
C. Should put the employer's interests first
D. May refuse care based on personal bias
Correct Answer: A. Practices with compassion and respect for the inherent dignity, worth and
unique attributes of every person
Rationale: Provision 1 is the foundation of nursing ethics. Nurses question unsafe orders and cannot
refuse care based on prejudice. Blind obedience to orders and employer-first loyalty are not ethical duties;
the Code places the patient's dignity at the center of practice.
Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. Burnout is characterized by:
A. Increased energy and engagement
B. Physical illness only
C. A single bad shift
D. Emotional exhaustion, depersonalization and reduced sense of accomplishment
Correct Answer: D. Emotional exhaustion, depersonalization and reduced sense of
accomplishment
Rationale: Maslach's three dimensions define burnout. Strategies include self-care, peer support,
reasonable workloads and organizational changes. A single bad shift is ordinary stress, and burnout is not
purely physical; it develops over time when demands chronically exceed resources.
2. Professional boundaries are crossed when a nurse:
A. Provides therapeutic communication
B. Advocates for the patient
C. Develops a personal or financial relationship with a patient
D. Uses touch appropriately during care
Correct Answer: C. Develops a personal or financial relationship with a patient
Rationale: Boundary violations exploit the nurse-patient power imbalance and can lead to discipline.
Therapeutic communication, advocacy and appropriate touch are part of professional care; personal or
financial relationships cross the line.
3. The four elements a plaintiff must prove in a malpractice case are:
A. Intent, motive, action and harm
B. Assessment, diagnosis, plan and evaluation
C. Duty, breach, causation and damages
D. Consent, privacy, safety and comfort
Correct Answer: C. Duty, breach, causation and damages
Rationale: All four must be proven; without damages, there is no successful malpractice claim. If any
element is missing, such as no actual harm, the malpractice claim fails.
,4. Interprofessional collaboration is best supported by:
A. Mutual respect, clear roles and structured communication tools like SBAR
B. Hierarchical silence
C. Avoiding team meetings
D. Communicating only in writing
Correct Answer: A. Mutual respect, clear roles and structured communication tools like SBAR
Rationale: IPEC competencies emphasize values, roles, communication and teamwork. Silence in a
hierarchy and avoiding team meetings are linked to communication failures, a leading cause of sentinel
events.
5. A new nurse's resume should emphasize:
A. Personal hobbies only
B. Unrelated jobs only
C. Salary expectations
D. Clinical experiences, skills, certifications and achievements relevant to the position
Correct Answer: D. Clinical experiences, skills, certifications and achievements relevant to
the position
Rationale: Tailored resumes highlight relevant capstone and clinical experiences. Employers look for
evidence of relevant clinical experience and skills, not unrelated hobbies or salary demands.
6. Self-care strategies to prevent burnout include:
A. Adequate sleep, exercise, boundaries and use of employee assistance programs
B. Working extra shifts constantly
C. Skipping meals to finish tasks
D. Avoiding support
Correct Answer: A. Adequate sleep, exercise, boundaries and use of employee assistance
programs
Rationale: Sustainable practice requires attention to personal well-being. Constant extra shifts and
skipped meals accelerate exhaustion, while boundaries and support services help nurses sustain their
careers.
,7. The Next Generation NCLEX (NGN) is built around:
A. The NCSBN Clinical Judgment Measurement Model
B. Maslow's hierarchy only
C. Memorization of lab values
D. Nursing theory recall
Correct Answer: A. The NCSBN Clinical Judgment Measurement Model
Rationale: Launched in April 2023, NGN uses case studies and new item types to test recognizing cues,
analyzing cues, prioritizing hypotheses, generating solutions, taking action and evaluating outcomes.
8. Shared governance in a hospital means:
A. Administrators make all decisions
B. Physicians govern nursing
C. Nurses participate in decisions about practice, quality and education through councils
D. Unions determine all policies
Correct Answer: C. Nurses participate in decisions about practice, quality and education
through councils
Rationale: Shared governance empowers frontline nurses and is a Magnet component. Decisions made
solely by administrators, physicians or unions exclude the nurses who deliver care, which shared
governance is designed to prevent.
9. A nurse receives an order that seems unsafe. The first action is to:
A. Carry it out as written
B. Clarify the order with the prescriber
C. Ignore it
D. Ask the patient's family
Correct Answer: B. Clarify the order with the prescriber
Rationale: Nurses are legally responsible for actions they take; if clarification fails, use the chain of
command. Carrying out an unsafe order makes the nurse liable for harm, and ignoring it or asking the
family does not resolve the concern.
, 10. The 'just culture' model in health care:
A. Punishes every error
B. Never holds anyone accountable
C. Distinguishes human error, at-risk behavior and reckless behavior to guide fair responses
D. Only applies to physicians
Correct Answer: C. Distinguishes human error, at-risk behavior and reckless behavior to
guide fair responses
Rationale: Just culture consoles human error, coaches at-risk behavior and sanctions reckless behavior.
This encourages error reporting while maintaining accountability.
11. Lifelong learning for nurses is supported by:
A. Avoiding new evidence
B. Relying only on school knowledge
C. Continuing education, certification and advanced degrees
D. Ignoring practice changes
Correct Answer: C. Continuing education, certification and advanced degrees
Rationale: Practice evolves rapidly; ongoing learning maintains competence. Knowledge from school
becomes outdated as evidence changes, so ongoing education is part of maintaining competence.
12. The ANA Code of Ethics for Nurses Provision 1 states that the nurse:
A. Practices with compassion and respect for the inherent dignity, worth and unique attributes of
every person
B. Must follow all physician orders
C. Should put the employer's interests first
D. May refuse care based on personal bias
Correct Answer: A. Practices with compassion and respect for the inherent dignity, worth and
unique attributes of every person
Rationale: Provision 1 is the foundation of nursing ethics. Nurses question unsafe orders and cannot
refuse care based on prejudice. Blind obedience to orders and employer-first loyalty are not ethical duties;
the Code places the patient's dignity at the center of practice.
