NR 103 | Transition to the Nursing Profession | Actual Exam 4
Questions and Answers 2026 |Chamberlain College
1. A nurse is caring for a client who decides to stop chemotherapy despite the
physician’s recommendation. The nurse supports the client’s decision. Which
ethical principle is the nurse demonstrating?
A. Autonomy
B. Justice
C. Non-maleficence
D. Veracity
Answer: A
Rationale: Autonomy refers to the right of the client to make their own decisions about
their medical care, even if those decisions conflict with the advice of medical professionals.
2. 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 for a
specific population is at which level?
A. Competent
B. Advanced Beginner
C. Novice
D. Proficient
Answer: A
Rationale: The competent nurse has usually been in the same clinical position for 2 to 3
years and understands the specific organization and care required by certain types of
patients.
,3. Which of the following elements is necessary to establish a legal claim of
nursing malpractice?
A. A written contract between the nurse and the patient
B. Proof that the nurse intended to harm the patient
C. A breach of duty that directly caused injury to the patient
D. Documentation of the incident in the patient’s record
Answer: C
Rationale: Malpractice requires four elements: duty, breach of duty, causation (the breach
caused the harm), and damages (injury).
4. A nurse is using the SBAR tool to communicate with a physician. The nurse
states, ‘The patient’s heart rate is 120 and blood pressure is 80/40.’ Which
component of SBAR does this represent?
A. Assessment
B. Background
C. Situation
D. Recommendation
Answer: A
Rationale: Assessment in SBAR involves providing current clinical data such as vital signs
and physical findings.
5. A nurse manager encourages staff members to participate in decision-making
and values their input on unit policies. Which leadership style is being used?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
, Rationale: Democratic leadership involves sharing the decision-making process with the
group and encouraging participation.
6. The Nurse Practice Act is primarily designed to:
A. Protect the nurse’s right to work
B. Define the scope of nursing practice and protect the public
C. Establish national standards for nursing education
D. Protect hospitals from liability lawsuits
Answer: B
Rationale: The Nurse Practice Act is state legislation that defines the scope of practice for
nurses and ensures public safety by regulating nursing licenses.
7. Which QSEN competency focuses on using data to monitor the outcomes of
care processes and improve the quality and safety of healthcare systems?
A. Quality Improvement
B. Informatics
C. Patient-Centered Care
D. Evidence-Based Practice
Answer: A
Rationale: Quality Improvement involves using data to monitor outcomes and using
improvement methods to design and test changes to improve the system.
8. A nurse reports a peer who is suspected of being under the influence of
alcohol while on duty. Which ethical principle most directly applies to this
action?
A. Fidelity
B. Non-maleficence
C. Beneficence
D. Justice
Answer: B
Questions and Answers 2026 |Chamberlain College
1. A nurse is caring for a client who decides to stop chemotherapy despite the
physician’s recommendation. The nurse supports the client’s decision. Which
ethical principle is the nurse demonstrating?
A. Autonomy
B. Justice
C. Non-maleficence
D. Veracity
Answer: A
Rationale: Autonomy refers to the right of the client to make their own decisions about
their medical care, even if those decisions conflict with the advice of medical professionals.
2. 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 for a
specific population is at which level?
A. Competent
B. Advanced Beginner
C. Novice
D. Proficient
Answer: A
Rationale: The competent nurse has usually been in the same clinical position for 2 to 3
years and understands the specific organization and care required by certain types of
patients.
,3. Which of the following elements is necessary to establish a legal claim of
nursing malpractice?
A. A written contract between the nurse and the patient
B. Proof that the nurse intended to harm the patient
C. A breach of duty that directly caused injury to the patient
D. Documentation of the incident in the patient’s record
Answer: C
Rationale: Malpractice requires four elements: duty, breach of duty, causation (the breach
caused the harm), and damages (injury).
4. A nurse is using the SBAR tool to communicate with a physician. The nurse
states, ‘The patient’s heart rate is 120 and blood pressure is 80/40.’ Which
component of SBAR does this represent?
A. Assessment
B. Background
C. Situation
D. Recommendation
Answer: A
Rationale: Assessment in SBAR involves providing current clinical data such as vital signs
and physical findings.
5. A nurse manager encourages staff members to participate in decision-making
and values their input on unit policies. Which leadership style is being used?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
, Rationale: Democratic leadership involves sharing the decision-making process with the
group and encouraging participation.
6. The Nurse Practice Act is primarily designed to:
A. Protect the nurse’s right to work
B. Define the scope of nursing practice and protect the public
C. Establish national standards for nursing education
D. Protect hospitals from liability lawsuits
Answer: B
Rationale: The Nurse Practice Act is state legislation that defines the scope of practice for
nurses and ensures public safety by regulating nursing licenses.
7. Which QSEN competency focuses on using data to monitor the outcomes of
care processes and improve the quality and safety of healthcare systems?
A. Quality Improvement
B. Informatics
C. Patient-Centered Care
D. Evidence-Based Practice
Answer: A
Rationale: Quality Improvement involves using data to monitor outcomes and using
improvement methods to design and test changes to improve the system.
8. A nurse reports a peer who is suspected of being under the influence of
alcohol while on duty. Which ethical principle most directly applies to this
action?
A. Fidelity
B. Non-maleficence
C. Beneficence
D. Justice
Answer: B
