|Chamberlain College
1. A nurse is faced with an ethical dilemma regarding a patient’s refusal of life-
saving treatment. Which ethical principle is the nurse upholding by supporting
the patient’s right to refuse?
A. Beneficence
B. Autonomy
C. Non-maleficence
D. Justice
Answer: B
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions,
even if those decisions conflict with the medical team’s advice.
2. Which of the following best describes the ‘Novice’ stage according to Patricia
Benner’s ‘Novice to Expert’ theory?
A. A nurse who has 2-3 years of experience in the same field.
B. A nursing student or any nurse entering a new clinical area with no prior experience.
C. A nurse who views situations holistically rather than in terms of chopped-up parts.
D. A nurse who no longer relies on principles to connect their understanding of the situation.
Answer: B
Rationale: According to Benner, a Novice has no professional experience in the situation
they are involved in and relies heavily on rules.
,3. During a hand-off report, a nurse uses the SBAR tool. What does the ‘R’ in
SBAR stand for?
A. Response
B. Recommendation
C. Reason
D. Review
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation,
which provides a structured way to communicate critical information.
4. A nurse is accused of negligence. Which of the following must be proven for a
malpractice claim to be successful?
A. The nurse intended to harm the patient.
B. The patient was unhappy with the care received.
C. The nurse failed to document the vitals every hour.
D. A breach of duty directly caused injury to the patient.
Answer: D
Rationale: Malpractice requires four elements: Duty, Breach of Duty, Causation, and
Damages (injury).
5. The nurse understands that ‘Beneficence’ is an ethical principle that involves:
A. Taking positive actions to help others and doing good.
B. Doing no harm to the patient.
C. Telling the truth at all times.
D. Allocating resources fairly among all patients.
Answer: A
Rationale: Beneficence is the duty to act for the benefit of others and is a core principle of
patient advocacy.
, 6. Which organization is responsible for the ‘National Patient Safety Goals’?
A. The Joint Commission (TJC)
B. American Nurses Association (ANA)
C. National Council of State Boards of Nursing (NCSBN)
D. Occupational Safety and Health Administration (OSHA)
Answer: A
Rationale: The Joint Commission establishes and monitors National Patient Safety Goals to
improve patient safety in healthcare settings.
7. A nurse delegates a task to an Unlicensed Assistive Personnel (UAP). Who is
ultimately accountable for the outcome of the task?
A. The UAP
B. The Nurse Manager
C. The Physician
D. The Registered Nurse (RN)
Answer: D
Rationale: While a nurse can delegate the authority to perform a task, the RN retains
accountability for the patient and the outcome.
8. Which document outlines the professional duties of a nurse and provides a
framework for ethical decision-making?
A. The ANA Code of Ethics for Nurses
B. The Nurse Practice Act
C. The Patient Care Partnership
D. HIPAA Privacy Rules
Answer: A
Rationale: The ANA Code of Ethics establishes the ethical standard for the profession and
provides a guide for nurses to use in ethical analysis.