NR 103 Transition to the Nursing Profession - Exam 2 Study Guide
(2026 Update) Chamberlain College
1. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision even though they
disagree. Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care, provided they have the capacity to do so.
2. Which component of the PICOT framework represents the ‘I’ when
formulating a clinical question?
A. Implementation of policy
B. Incidence of disease
C. Inpatient population
D. Intervention of interest
Answer: D
Rationale: In PICOT, ‘I’ stands for Intervention, which is the specific action or treatment
being studied.
,3. A nurse is using the SBAR tool to communicate with a physician. Which
statement represents the ‘Background’ portion?
A. ‘I am calling because the patient’s oxygen saturation dropped to 85%.’
B. ‘The patient was admitted yesterday with a diagnosis of heart failure and has a history of COPD.’
C. ‘I think the patient needs a stat chest X-ray and arterial blood gas analysis.’
D. ‘The patient appears to be in respiratory distress and is using accessory muscles.’
Answer: B
Rationale: Background (B) provides the clinical context and history relevant to the current
situation.
4. Which of the following is a primary characteristic of a ‘Just Culture’ in
nursing?
A. Immediate termination for any medication error
B. Limiting communication about near-misses to avoid anxiety
C. Reporting only errors that result in patient harm
D. Focusing on system failures rather than individual blame for errors
Answer: D
Rationale: Just Culture encourages the reporting of errors and near-misses by focusing on
improving systems rather than punishing individuals for human error.
5. A nurse experiences physical and emotional exhaustion, leading to a
decreased sense of personal accomplishment. This is best described as:
A. Compassion satisfaction
B. Resilience
C. Moral distress
D. Burnout
Answer: D
Rationale: Burnout is a state of emotional, physical, and mental exhaustion caused by
excessive and prolonged stress.
, 6. What is the primary purpose of the Nurse Practice Act (NPA)?
A. To ensure nurses receive fair wages
B. To protect nurses from malpractice lawsuits
C. To provide a standardized curriculum for nursing schools
D. To define the scope of practice and protect the public
Answer: D
Rationale: The NPA is state-specific legislation that defines the scope of nursing practice to
protect the health and safety of the public.
7. The nurse provides a patient with information about the risks and benefits of
a surgery before the patient signs a consent form. What is the nurse’s role in
this process?
A. Explaining the surgical procedure in detail
B. Deciding if the patient should have the surgery
C. Obtaining the consent for the surgeon
D. Ensuring the patient is competent and witnessing the signature
Answer: D
Rationale: The surgeon is responsible for explaining the procedure; the nurse witnesses
the signature and ensures the patient is capable of giving informed consent.
8. According to Benner’s Stages of Nursing Proficiency, a nurse who has been on
the same unit for 2-3 years and can coordinate multiple complex care demands
is at which level?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Answer: B
(2026 Update) Chamberlain College
1. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s decision even though they
disagree. Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care, provided they have the capacity to do so.
2. Which component of the PICOT framework represents the ‘I’ when
formulating a clinical question?
A. Implementation of policy
B. Incidence of disease
C. Inpatient population
D. Intervention of interest
Answer: D
Rationale: In PICOT, ‘I’ stands for Intervention, which is the specific action or treatment
being studied.
,3. A nurse is using the SBAR tool to communicate with a physician. Which
statement represents the ‘Background’ portion?
A. ‘I am calling because the patient’s oxygen saturation dropped to 85%.’
B. ‘The patient was admitted yesterday with a diagnosis of heart failure and has a history of COPD.’
C. ‘I think the patient needs a stat chest X-ray and arterial blood gas analysis.’
D. ‘The patient appears to be in respiratory distress and is using accessory muscles.’
Answer: B
Rationale: Background (B) provides the clinical context and history relevant to the current
situation.
4. Which of the following is a primary characteristic of a ‘Just Culture’ in
nursing?
A. Immediate termination for any medication error
B. Limiting communication about near-misses to avoid anxiety
C. Reporting only errors that result in patient harm
D. Focusing on system failures rather than individual blame for errors
Answer: D
Rationale: Just Culture encourages the reporting of errors and near-misses by focusing on
improving systems rather than punishing individuals for human error.
5. A nurse experiences physical and emotional exhaustion, leading to a
decreased sense of personal accomplishment. This is best described as:
A. Compassion satisfaction
B. Resilience
C. Moral distress
D. Burnout
Answer: D
Rationale: Burnout is a state of emotional, physical, and mental exhaustion caused by
excessive and prolonged stress.
, 6. What is the primary purpose of the Nurse Practice Act (NPA)?
A. To ensure nurses receive fair wages
B. To protect nurses from malpractice lawsuits
C. To provide a standardized curriculum for nursing schools
D. To define the scope of practice and protect the public
Answer: D
Rationale: The NPA is state-specific legislation that defines the scope of nursing practice to
protect the health and safety of the public.
7. The nurse provides a patient with information about the risks and benefits of
a surgery before the patient signs a consent form. What is the nurse’s role in
this process?
A. Explaining the surgical procedure in detail
B. Deciding if the patient should have the surgery
C. Obtaining the consent for the surgeon
D. Ensuring the patient is competent and witnessing the signature
Answer: D
Rationale: The surgeon is responsible for explaining the procedure; the nurse witnesses
the signature and ensures the patient is capable of giving informed consent.
8. According to Benner’s Stages of Nursing Proficiency, a nurse who has been on
the same unit for 2-3 years and can coordinate multiple complex care demands
is at which level?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Answer: B
