|Chamberlain College
1. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports this decision, demonstrating which
ethical principle?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without interference, even if those decisions conflict with medical advice.
2. According to the ANA Standards of Professional Performance, which of the
following is a primary responsibility of the registered nurse?
A. Diagnosing medical conditions independently
B. Prescribing pharmacological agents in all 50 states
C. Evaluating one’s own nursing practice in relation to professional practice standards
D. Determining the financial eligibility of patients for care
Answer: C
Rationale: Self-evaluation and maintaining professional standards are key components of
the ANA Standards of Professional Performance.
,3. A nurse administers the wrong medication to a patient but the patient suffers
no ill effects. Which element of negligence is missing if a malpractice suit is
filed?
A. Duty
B. Breach of duty
C. Injury or damages
D. Causation
Answer: C
Rationale: To prove negligence, there must be actual injury or harm. If no harm occurred,
the legal requirement for damages is not met.
4. Which document provides the legal framework for nursing practice within a
specific state?
A. ANA Code of Ethics
B. Nursing Social Policy Statement
C. Nurse Practice Act
D. The Belmont Report
Answer: C
Rationale: The Nurse Practice Act is state legislation that defines the scope of practice and
legal boundaries for nurses within that state.
5. When using the SBAR communication tool, in which section does the nurse
describe the current clinical situation and the patient’s immediate problem?
A. Recommendation
B. Background
C. Assessment
D. Situation
Answer: D
, Rationale: The ‘Situation’ component of SBAR is where the nurse provides a concise
statement of the problem.
6. A nurse is found to be sharing patient information on a private social media
group. This is a violation of which federal regulation?
A. HIPAA
B. The Nurse Licensure Compact
C. The Affordable Care Act
D. The Patient Self-Determination Act
Answer: A
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) protects the
privacy and security of health information.
7. What is the primary goal of the Quality and Safety Education for Nurses
(QSEN) initiative?
A. To reduce the cost of nursing education
B. To eliminate the need for clinical rotations in nursing school
C. To prepare future nurses with knowledge, skills, and attitudes to improve healthcare quality
D. To establish a single national licensing exam for all healthcare workers
Answer: C
Rationale: QSEN focuses on six competencies: Patient-Centered Care, Teamwork and
Collaboration, Evidence-Based Practice, Quality Improvement, Safety, and Informatics.