Quiz (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 right to refuse, even though
it conflicts with the nurse’s personal values. Which ethical principle is being
demonstrated?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy is the principle that recognizes a patient’s right to self-determination
and to make their own decisions regarding healthcare, even if those decisions conflict with
medical advice.
2. According to Patricia Benner’s stages of clinical competence, a nurse who has
been in the same clinical position for 2 to 3 years and begins to see actions in
terms of long-range goals is at which level?
A. Advanced Beginner
B. Proficient
C. Competent
D. Expert
Answer: C
Rationale: The Competent nurse typically has been in the same job for 2-3 years, can
prioritize tasks, and views actions in relation to long-term goals and plans for the patient.
,3. In a legal context, what is the primary difference between negligence and
malpractice?
A. Negligence is intentional, while malpractice is accidental.
B. Negligence involves a breach of duty, while malpractice only involves physical harm.
C. There is no legal difference between the two terms.
D. Malpractice is professional negligence committed by a person acting in a professional capacity.
Answer: D
Rationale: Malpractice is a specific type of negligence that applies to professionals (like
nurses and doctors) when their performance falls below the established standard of care.
4. A nurse is reviewing the QSEN competencies. Which competency focuses on
the use of data to monitor the outcomes of care processes and improve the
quality and safety of healthcare systems?
A. Safety
B. Informatics
C. Quality Improvement
D. Evidence-Based Practice
Answer: C
Rationale: The Quality Improvement (QI) competency involves using data to monitor
outcomes and using improvement methods to design and test changes to continuously
improve the quality and safety of healthcare.
, 5. During a shift change report, a nurse discovers that a patient was given the
wrong medication. The nurse immediately notifies the provider and completes
an incident report. Which ethical principle is most directly applied when the
nurse takes accountability for the error?
A. Non-maleficence
B. Confidentiality
C. Paternalism
D. Veracity
Answer: D
Rationale: Veracity refers to the duty to tell the truth. By admitting the error and reporting
it accurately, the nurse is practicing veracity.
6. Which of the following best describes the ‘Standard of Care’ in a nursing
malpractice case?
A. The highest level of care achievable in a perfect clinical environment.
B. The specific instructions provided by the hospital’s Chief Nursing Officer.
C. What a reasonably prudent nurse with similar education and experience would do in a similar situation.
D. The protocols defined by the American Medical Association.
Answer: C
Rationale: Standard of Care is defined by what a reasonably prudent nurse with similar
background and training would do under the same or similar circumstances.
7. A nurse is explaining the ‘Five Rights of Delegation’ to a new graduate. Which
of the following is NOT one of the five rights?
A. Right Task
B. Right Circumstance
C. Right Supervision/Evaluation
D. Right Documentation
Answer: D