2026/2027
NSG 3250 Exam 3 Advanced
Preparation Manual 2026/2027 with
Practice Questions, Rationales, and
Quiz Review
Question 1:
What should a nurse avoid when advocating for a patient?
A. Supporting patient autonomy
B. Collaborating with the healthcare team
C. Judging or confronting the patient
D. Educating the patient about options
**Correct Answer: C. Judging or confronting the patient
Rationale:
Advocacy requires supporting and protecting patient rights while maintaining
professionalism and nonjudgmental communication. Judging or confronting a patient
undermines trust and therapeutic relationships. Effective advocacy includes education,
collaboration, and respect for autonomy, ensuring the patient’s voice is represented
without bias or personal criticism.
Question 2:
Which class of medications is contraindicated in patients with tic disorders?
A. Antidepressants
B. Stimulants
C. Antihistamines
D. Antibiotics
**Correct Answer: B. Stimulants
Rationale:
Stimulant medications can worsen or precipitate tics by increasing central nervous
system activity. They are commonly avoided or used cautiously in patients with tic
disorders. Antidepressants, antihistamines, and antibiotics do not directly exacerbate
tics in the same way.
,2026/2027
Question 3:
What is the priority action before assessing a suspected abuse victim?
A. Obtain laboratory tests
B. Notify family members
C. Ensure a safe environment
D. Complete full psychiatric evaluation
**Correct Answer: C. Ensure a safe environment
Rationale:
Safety is always the first priority when dealing with suspected abuse. Ensuring the
patient is in a safe and private environment reduces risk of further harm and allows
for accurate disclosure. Assessment and reporting follow once safety is secured.
Question 4:
What is the appropriate nursing action when a child reports abuse?
A. Interview parents first
B. Immediately confront the accused
C. Interview the child separately and report to CPS
D. Document only and monitor
**Correct Answer: C. Interview the child separately and report to CPS
Rationale:
Children should be interviewed in a safe, private setting without caregivers present to
avoid coercion or influence. Mandatory reporting laws require notifying Child
Protective Services (CPS) promptly after disclosure.
Question 5:
What is the appropriate response if a child is observed playing in a way that suggests
abuse?
A. Ignore unless confirmed
B. Report suspicion to CPS
C. Ask parents for explanation first
D. Document only
**Correct Answer: B. Report suspicion to CPS
Rationale:
Healthcare providers are mandatory reporters. Even suspicion of abuse—such as
,2026/2027
concerning play behavior—must be reported. Investigation is performed by CPS, not
the nurse.
Question 6:
What is the appropriate setting for interviewing an inpatient?
A. Public hallway
B. Shared room with family present
C. Private room with door partially open
D. Nurse station
**Correct Answer: C. Private room with door partially open
Rationale:
A private but safe environment ensures confidentiality while maintaining safety
protocols. This setting promotes open communication and reduces fear or intimidation.
Question 7:
How should a nurse begin an interview with an adolescent?
A. Begin with medical history immediately
B. Establish rapport and explain confidentiality
C. Question parents first
D. Focus only on symptoms
**Correct Answer: B. Establish rapport and explain confidentiality
Rationale:
Adolescents respond best when trust is established first. Explaining confidentiality
(and its limits) encourages honest communication and improves assessment accuracy.
Question 8:
Should adolescents be interviewed with parents present?
A. Always with parents
B. Never without parents
C. Preferably without parents
D. Only if requested by parents
**Correct Answer: C. Preferably without parents
, 2026/2027
Rationale:
Interviewing adolescents alone promotes privacy and increases the likelihood of
truthful disclosure, especially regarding sensitive issues like sexual behavior,
substance use, or mental health.
Question 9:
How should a nurse respond if an adolescent discloses homosexuality and requests
confidentiality?
A. Inform parents immediately
B. Keep information confidential
C. Report to school authorities
D. Document but disclose to guardians
**Correct Answer: B. Keep information confidential
Rationale:
Adolescent sexual orientation is confidential unless there is a safety concern.
Maintaining confidentiality builds trust and aligns with ethical practice and legal
standards.
Question 10:
What is the first step when a patient requests lab results be sent to another facility?
A. Send immediately
B. Get informed consent/ROI
C. Refuse request
D. Call receiving facility first
**Correct Answer: B. Get informed consent/ROI
Rationale:
Protected health information requires a signed release of information before sharing.
This ensures legal and ethical protection of patient privacy.
Question 11:
What should a nurse do if a medical evaluation is required but outside scope?
A. Perform evaluation
B. Refer to appropriate provider
C. Ignore condition
D. Delay until next visit
NSG 3250 Exam 3 Advanced
Preparation Manual 2026/2027 with
Practice Questions, Rationales, and
Quiz Review
Question 1:
What should a nurse avoid when advocating for a patient?
A. Supporting patient autonomy
B. Collaborating with the healthcare team
C. Judging or confronting the patient
D. Educating the patient about options
**Correct Answer: C. Judging or confronting the patient
Rationale:
Advocacy requires supporting and protecting patient rights while maintaining
professionalism and nonjudgmental communication. Judging or confronting a patient
undermines trust and therapeutic relationships. Effective advocacy includes education,
collaboration, and respect for autonomy, ensuring the patient’s voice is represented
without bias or personal criticism.
Question 2:
Which class of medications is contraindicated in patients with tic disorders?
A. Antidepressants
B. Stimulants
C. Antihistamines
D. Antibiotics
**Correct Answer: B. Stimulants
Rationale:
Stimulant medications can worsen or precipitate tics by increasing central nervous
system activity. They are commonly avoided or used cautiously in patients with tic
disorders. Antidepressants, antihistamines, and antibiotics do not directly exacerbate
tics in the same way.
,2026/2027
Question 3:
What is the priority action before assessing a suspected abuse victim?
A. Obtain laboratory tests
B. Notify family members
C. Ensure a safe environment
D. Complete full psychiatric evaluation
**Correct Answer: C. Ensure a safe environment
Rationale:
Safety is always the first priority when dealing with suspected abuse. Ensuring the
patient is in a safe and private environment reduces risk of further harm and allows
for accurate disclosure. Assessment and reporting follow once safety is secured.
Question 4:
What is the appropriate nursing action when a child reports abuse?
A. Interview parents first
B. Immediately confront the accused
C. Interview the child separately and report to CPS
D. Document only and monitor
**Correct Answer: C. Interview the child separately and report to CPS
Rationale:
Children should be interviewed in a safe, private setting without caregivers present to
avoid coercion or influence. Mandatory reporting laws require notifying Child
Protective Services (CPS) promptly after disclosure.
Question 5:
What is the appropriate response if a child is observed playing in a way that suggests
abuse?
A. Ignore unless confirmed
B. Report suspicion to CPS
C. Ask parents for explanation first
D. Document only
**Correct Answer: B. Report suspicion to CPS
Rationale:
Healthcare providers are mandatory reporters. Even suspicion of abuse—such as
,2026/2027
concerning play behavior—must be reported. Investigation is performed by CPS, not
the nurse.
Question 6:
What is the appropriate setting for interviewing an inpatient?
A. Public hallway
B. Shared room with family present
C. Private room with door partially open
D. Nurse station
**Correct Answer: C. Private room with door partially open
Rationale:
A private but safe environment ensures confidentiality while maintaining safety
protocols. This setting promotes open communication and reduces fear or intimidation.
Question 7:
How should a nurse begin an interview with an adolescent?
A. Begin with medical history immediately
B. Establish rapport and explain confidentiality
C. Question parents first
D. Focus only on symptoms
**Correct Answer: B. Establish rapport and explain confidentiality
Rationale:
Adolescents respond best when trust is established first. Explaining confidentiality
(and its limits) encourages honest communication and improves assessment accuracy.
Question 8:
Should adolescents be interviewed with parents present?
A. Always with parents
B. Never without parents
C. Preferably without parents
D. Only if requested by parents
**Correct Answer: C. Preferably without parents
, 2026/2027
Rationale:
Interviewing adolescents alone promotes privacy and increases the likelihood of
truthful disclosure, especially regarding sensitive issues like sexual behavior,
substance use, or mental health.
Question 9:
How should a nurse respond if an adolescent discloses homosexuality and requests
confidentiality?
A. Inform parents immediately
B. Keep information confidential
C. Report to school authorities
D. Document but disclose to guardians
**Correct Answer: B. Keep information confidential
Rationale:
Adolescent sexual orientation is confidential unless there is a safety concern.
Maintaining confidentiality builds trust and aligns with ethical practice and legal
standards.
Question 10:
What is the first step when a patient requests lab results be sent to another facility?
A. Send immediately
B. Get informed consent/ROI
C. Refuse request
D. Call receiving facility first
**Correct Answer: B. Get informed consent/ROI
Rationale:
Protected health information requires a signed release of information before sharing.
This ensures legal and ethical protection of patient privacy.
Question 11:
What should a nurse do if a medical evaluation is required but outside scope?
A. Perform evaluation
B. Refer to appropriate provider
C. Ignore condition
D. Delay until next visit
