6) 2026 |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 despite personal
disagreement. Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Veracity
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their healthcare, even if those decisions conflict with the healthcare provider’s
recommendations.
2. According to Benner’s Stages of Clinical Competence, which stage describes a
nurse who has been in the same clinical position for 2 to 3 years and can
anticipate nursing care and establish long-range goals?
A. Advanced Beginner
B. Competent
C. Proficient
D. Expert
Answer: B
Rationale: The Competent nurse typically has 2-3 years of experience and is able to
prioritize tasks by utilizing past experiences to plan and coordinate complex care.
,3. Which QSEN competency is a nurse practicing when they use a bedside
scanner to verify a patient’s ID band before administering medication?
A. Informatics
B. Evidence-Based Practice
C. Patient-Centered Care
D. Quality Improvement
Answer: A
Rationale: Informatics involves using information and technology to communicate,
manage knowledge, mitigate error, and support decision-making.
4. A nurse is evaluating the reliability of a website for patient education. Which
factor indicates that the site is likely a credible source of health information?
A. The website ends in .com and has numerous advertisements.
B. The information was last updated 10 years ago.
C. The site is maintained by a government agency or professional organization.
D. The author’s credentials are not listed, but the content sounds professional.
Answer: C
Rationale: Websites ending in .gov, .edu, or .org (from professional associations) are
generally more reliable than commercial (.com) sites.
5. During an interdisciplinary meeting, the nurse uses the SBAR tool to
communicate. What does the ‘B’ in SBAR represent?
A. Behavior
B. Beliefs
C. Barrier
D. Background
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
‘Background’ provides the clinical context related to the current situation.
, 6. Jean Watson’s Theory of Human Caring focuses on which of the following
aspects of nursing?
A. Environmental control and cleanliness.
B. The adaptation model and physiological needs.
C. Self-care deficit and patient independence.
D. The transpersonal relationship and 10 Caritas Processes.
Answer: D
Rationale: Jean Watson’s theory emphasizes the holistic aspect of nursing through
‘Carative’ factors and the healing power of the relationship between nurse and patient.
7. The nurse is preparing to teach a patient with low health literacy about a new
medication. Which strategy is most effective?
A. Providing a 20-page detailed pamphlet.
B. Using medical terminology to ensure accuracy.
C. Using the ‘Teach-Back’ method.
D. Speaking in a loud, slow voice.
Answer: C
Rationale: The Teach-Back method is a validated tool to confirm patient understanding by
asking them to explain the information in their own words.
8. Which ethical principle is violated if a nurse promises to return with pain
medication in 10 minutes but fails to do so and does not update the patient?
A. Fidelity
B. Justice
C. Nonmaleficence
D. Beneficence
Answer: A
Rationale: Fidelity refers to faithfulness and keeping promises made to patients.