Comprehensive 2026 |Chamberlain College
1. According to Benner’s stages of nursing proficiency, a nurse who has been in
the same clinical position for 2 to 3 years and is able to anticipate nursing care
and establish long-range goals is at which level?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Answer: D
Rationale: The Competent nurse has been in the same clinical position for 2 to 3 years and
understands the organization and specific care required by the type of patients.
2. A nurse provides a patient with information about the risks and benefits of a
scheduled surgery, ensuring the patient understands before signing. Which
ethical principle is primarily being supported?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care, which is the foundation of informed consent.
,3. During a shift report, a nurse utilizes the SBAR tool. What does the ‘R’ in SBAR
stand for?
A. Review
B. Rationale
C. Recommendation
D. Response
Answer: C
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. It is
a standardized communication tool.
4. Which QSEN competency focuses on minimizing risk of harm to patients
through both system effectiveness and individual performance?
A. Patient-Centered Care
B. Informatics
C. Safety
D. Quality Improvement
Answer: C
Rationale: The Safety competency aims to minimize risk of harm to patients and providers
through system effectiveness and individual performance.
5. A nurse fails to engage the bed alarm for a patient at high risk for falls. The
patient falls and sustains a hip fracture. This is an example of:
A. Negligence
B. Battery
C. Assault
D. Slander
Answer: A
Rationale: Negligence is the failure to provide the care that a reasonably prudent person
would use in a similar situation, resulting in unintended harm.
, 6. What is the primary purpose of the Nurse Practice Act (NPA)?
A. To regulate the cost of healthcare services
B. To set the national standard for NCLEX-RN passing scores
C. To protect the nursing profession from liability
D. To define the scope of nursing practice in each state
Answer: D
Rationale: The Nurse Practice Act is state legislation that defines the scope of practice and
regulates nursing to protect the public.
7. A nurse is experiencing conflict with a colleague and decides to ignore the
issue, hoping it will resolve itself. Which conflict management style is being
used?
A. Avoiding
B. Compromising
C. Collaborating
D. Accommodating
Answer: A
Rationale: Avoiding is a passive response to conflict where the individual ignores or
withdraws from the situation.
8. Which of the following is the first step in the Evidence-Based Practice (EBP)
process?
A. Search for the most relevant evidence
B. Cultivate a spirit of inquiry
C. Critically appraise the evidence
D. Ask a clinical question in PICOT format
Answer: B
Rationale: Before asking a question, a nurse must cultivate a spirit of inquiry to identify
areas of practice that need improvement.