Question 1

A new graduate has been providing patient care for several months and the preceptor has decided to change the relationship to one of benevolent surveillance. What action will the preceptor perform when practicing this type of surveillance?

Accepted Answer

A)  Being approachable 
B)  Encouraging question asking 
C)  Providing constructive feedback 
D)  Keeping an eye on the new graduate Correct D

Question 2

The nurse manager is evaluating the competency of new graduate nurses when providing patient care. On which area do most graduate nurses need more assistance and focus?

Accepted Answer

A)  Delegation 
B)  Conflict resolution 
C)  Tracking multiple responsibilities 
D)  Understanding quality improvement Correct A

Question 3

Several nursing leaders are asked to participate on a task force to study the feasibility of a national standardized transition to practice nursing program. What is the major reason for the development of such a program in the United States?

Accepted Answer

A)  Practice settings are failing 
B)  Education programs are failing 
C)  New graduates need to be prepared to work on day one 
D)  Response to changes in health care over the last 20 years Correct D

Question 4

A new graduate nurse is overheard making plans to leave current employment on a patient care area. What workplace issues would contribute to this nurse's decision to terminate employment? Standard Text: Select all that apply.

Accepted Answer

A)  Inability to understand team dynamics 
B)  Lack of support with coordinating care 
C)  Communication issues 
D)  Supportive leadership 
E)  The stress of change Correct

Question 5

The nurse manager identifies that an increase in medication errors and adverse patient incidents are occurring with the new nurses. What would be happening with the new nursing staff that is causing this increase in patient safety issues?

Accepted Answer

A)  Participation in a year-long transition to practice program continues 
B)  Participation in a formal orientation program has ended 
C)  More rigid disciplinary procedures for novice nurses 
D)  Less rigid disciplinary procedures for novice nurses Correct

Question 6

The nursing leader is reviewing a transition to practice program implemented in Ireland. What is a characteristic of this program?

Accepted Answer

A)  Occurs during the students' last year of school 
B)  Provides the new graduate with a provisional license 
C)  Incorporates an on-line mentorship program 
D)  Includes a voluntary year-long transition program Correct

Question 7

The number of new nurses hired for a patient care area equals the number of seasoned staff currently employed on the same unit. What is prone to occur on this patient care area? Standard Text: Select all that apply.

Accepted Answer

A)  Falls 
B)  Pressure ulcers 
C)  Failure to rescue 
D)  Few practice errors 
E)  Improved care quality Correct

Question 8

A nurse tells the staff development trainer to not assign any new staff to preceptor for at least a year. What could be done to change this nurse's decision?

Accepted Answer

A)  Orient the preceptor to the role. 
B)  Use simulation to help with decision making. 
C)  Review the concepts of Six Sigma. 
D)  Reduce the transition program to 2 months. Correct

Question 9

A new graduate nurse is seen crying when leaving work at the end of a scheduled shift. When asked about the emotional response, the reply is "this is not what I expected nursing to be." What is this nurse most likely experiencing?

Accepted Answer

A)  Reaction to being a novice nurse 
B)  Low self-esteem 
C)  Culture shock 
D)  Reality shock Correct

Question 10

An organization is planning to implement the National Council of the State Boards of Nursing's (NCSBN) transition to nursing practice model. What is a guiding principle of this model?

Accepted Answer

A)  Promote public safety by supporting new nurses 
B)  Outcomes to be consistent with safe nursing care 
C)  Select best practice models to protect the public 
D)  Focus learning on repetition of specific skills Correct

Question 11

A nursing leader is having difficulty convincing hospital administrators to implement a transition to practice program for nurses. Which information about evidence-based practice would add to the leader's difficulty?

Accepted Answer

A)  Evidence-based practice integrates clinical expertise with patient values. 
B)  Evaluation studies are available to use as evidence for the program. 
C)  Expert opinions are available to use as evidence for the program. 
D)  There are few randomized studies available to support the program. Correct

Question 12

A healthcare organization has decided to suspend the transition to nursing practice program because of budgetary constraints. Within several months one care area reported an increase in breaches of confidential patient information. Which part of the NCSBN's transition to practice model is needed at this time?

Accepted Answer

A)  Informatics 
B)  Communication 
C)  Patient-centered care 
D)  Quality improvement Correct

Question 13

During an exit interview a graduate nurse says that the only feedback received during the last 3. months occurred at the end of the probationary period. What would be the consequences of not providing ongoing feedback to new graduates during the transition period?

Accepted Answer

A)  Practice will not improve 
B)  Communication will suffer 
C)  Confidential information will be shared 
D)  No ability to learn how to think like a nurse Correct

Question 14

The nurse manager is analyzing why the number of medication errors and patient safety issues has significantly increased over the early summer months. What would be the reason for this increase? Standard Text: Select all that apply.

Accepted Answer

A)  Experiencing a patient care problem for the first-time 
B)  New nurses not being aware of the big picture 
C)  Extreme disciplinary action by the preceptors 
D)  Lack of knowledge about unit work flows 
E)  Novices assisting novices Correct

Question 15

A hospital administrator is meeting with the vice president of nursing to discuss the implementation of a transition to practice program for nurses. What reasons would the vice president of nursing explain as evidence to support this program? Standard Text: Select all that apply.

Accepted Answer

A)  Reduces medication errors 
B)  Reduces adverse events 
C)  Combat the expertise gap 
D)  Reduce turnover rate 
E)  Improves salary levels Correct

Question 16

A new nurse has been working on a patient care area for 5. months. In an organization without a transition to practice program, what is likely to occur with this nurse?

Accepted Answer

A)  Improved quality of care 
B)  Greater satisfaction 
C)  Practice breakdown 
D)  Fewer errors Correct

Exam 3: Transition to Practice: an Essential Element of Quality and Safety