NURS 110 Professional Nursing Comprehensive Exam 4 2026 |WCU
1. A nurse is advocating for a patient who does not speak English and requires
an informed consent for surgery. Which action is most appropriate?
A. Ask the patient’s bilingual child to translate the consent form.
B. Request a certified medical interpreter to facilitate the discussion.
C. Proceed with the signature since the patient nodded when the doctor spoke.
D. Translate the document using a basic mobile translation application.
Answer: B
Rationale: Advocacy and legal standards require the use of a certified medical interpreter
to ensure the patient fully understands the procedure for informed consent.
2. Which ethical principle is being applied when a nurse ensures that all patients
on a unit receive the same quality of care regardless of their socioeconomic
status?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: A
Rationale: Justice refers to the principle of fairness and the equitable distribution of
resources and care.
,3. According to Benner’s stages of nursing proficiency, a nurse who has been in
the same clinical position for 2 to 3 years and can anticipate nursing care actions
is at which level?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Answer: B
Rationale: A competent nurse has typically been in the same clinical position for 2 to 3
years and understands the organization and specific care required by certain types of
patients.
4. A nurse is caring for a patient who refuses to take their prescribed
medication. The nurse informs the patient that they will be forcibly restrained
and injected if they do not comply. This is an example of:
A. Battery
B. Libel
C. Negligence
D. Assault
Answer: D
Rationale: Assault is an intentional threat that places a person in fear of harmful, or
offensive contact. No actual contact is required.
, 5. When utilizing the SBAR communication tool, which information belongs in
the ‘B’ (Background) section?
A. The patient’s admitting diagnosis and medical history.
B. A specific request for a medication change.
C. The patient’s current vital signs and mental status.
D. The nurse’s assessment of the current situation.
Answer: A
Rationale: Background (B) includes the patient’s admitting diagnosis, date of admission,
and relevant past medical history.
6. The Nurse Practice Act (NPA) is an example of which type of law?
A. Statutory Law
B. Common Law
C. Criminal Law
D. Case Law
Answer: A
Rationale: Nurse Practice Acts are statutes enacted by state legislatures to regulate the
practice of nursing.
7. A nurse discovers a patient has fallen in their room. After assessing the
patient and notifying the physician, the nurse completes an incident report.
Where should the nurse document the occurrence of the incident report?
A. The incident report should not be mentioned in the patient’s medical record.
B. In the ‘Incident’ tab of the patient’s chart.
C. In the patient’s electronic health record under nursing notes.
D. On the discharge summary for the patient’s family to see.
Answer: A
1. A nurse is advocating for a patient who does not speak English and requires
an informed consent for surgery. Which action is most appropriate?
A. Ask the patient’s bilingual child to translate the consent form.
B. Request a certified medical interpreter to facilitate the discussion.
C. Proceed with the signature since the patient nodded when the doctor spoke.
D. Translate the document using a basic mobile translation application.
Answer: B
Rationale: Advocacy and legal standards require the use of a certified medical interpreter
to ensure the patient fully understands the procedure for informed consent.
2. Which ethical principle is being applied when a nurse ensures that all patients
on a unit receive the same quality of care regardless of their socioeconomic
status?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Answer: A
Rationale: Justice refers to the principle of fairness and the equitable distribution of
resources and care.
,3. According to Benner’s stages of nursing proficiency, a nurse who has been in
the same clinical position for 2 to 3 years and can anticipate nursing care actions
is at which level?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Answer: B
Rationale: A competent nurse has typically been in the same clinical position for 2 to 3
years and understands the organization and specific care required by certain types of
patients.
4. A nurse is caring for a patient who refuses to take their prescribed
medication. The nurse informs the patient that they will be forcibly restrained
and injected if they do not comply. This is an example of:
A. Battery
B. Libel
C. Negligence
D. Assault
Answer: D
Rationale: Assault is an intentional threat that places a person in fear of harmful, or
offensive contact. No actual contact is required.
, 5. When utilizing the SBAR communication tool, which information belongs in
the ‘B’ (Background) section?
A. The patient’s admitting diagnosis and medical history.
B. A specific request for a medication change.
C. The patient’s current vital signs and mental status.
D. The nurse’s assessment of the current situation.
Answer: A
Rationale: Background (B) includes the patient’s admitting diagnosis, date of admission,
and relevant past medical history.
6. The Nurse Practice Act (NPA) is an example of which type of law?
A. Statutory Law
B. Common Law
C. Criminal Law
D. Case Law
Answer: A
Rationale: Nurse Practice Acts are statutes enacted by state legislatures to regulate the
practice of nursing.
7. A nurse discovers a patient has fallen in their room. After assessing the
patient and notifying the physician, the nurse completes an incident report.
Where should the nurse document the occurrence of the incident report?
A. The incident report should not be mentioned in the patient’s medical record.
B. In the ‘Incident’ tab of the patient’s chart.
C. In the patient’s electronic health record under nursing notes.
D. On the discharge summary for the patient’s family to see.
Answer: A
