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WEST COAST UNIVERSITY NURS 460 –
PROFESSIONAL ROLES WITHIN NURSING
COMPREHENSIVE PRACTICE EXAM 2 QUESTIONS
WITH ANSWERS AND RATIONALES |100% PASS
|GRADED A+ 2026/27
1. The nurse is transitioning from a novice to an expert nurse. According
to Benner's stages of clinical competence, which stage is characterized
by the ability to see the "big picture" and prioritize care?
a) Novice
b) Advanced beginner
c) Competent
d) Proficient
Verified Answer: d
Rationale: According to Benner's model, the Proficient nurse can see the
"big picture" (holistic view) and prioritize care based on patterns and
experience. Novice follows rules. Advanced beginner recognizes
patterns. Competent is able to plan and coordinate.
2. The nurse is caring for a client with a chronic illness. The nurse
recognizes that the client is the expert on their own condition. This
demonstrates which nursing principle?
a) Paternalism
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b) Patient-centered care
c) Medical model
d) Authoritarianism
Verified Answer: b
Rationale: Patient-centered care recognizes that the patient is the expert
on their own body and life, respecting their preferences, values, and
autonomy. Paternalism and authoritarianism involve healthcare
providers making decisions for patients. The medical model is disease-
focused.
3. A nurse is asked to serve on a hospital ethics committee. Which
function is the primary role of the ethics committee?
a) To make legal decisions for the organization
b) To provide consultation on ethical dilemmas
c) To discipline staff who violate policies
d) To determine medical treatment without patient input
Verified Answer: b
Rationale: The primary role of the hospital ethics committee is to
provide consultation, education, and support on ethical dilemmas in
patient care. They do not make legal decisions, discipline staff, or make
treatment decisions without patient input.
4. The nurse is preparing to delegate tasks to unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
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a) Administering oral medications
b) Performing a sterile dressing change
c) Assisting a stable client with ambulation
d) Assessing a client's wound
Verified Answer: c
Rationale: Assisting a stable client with ambulation is within the scope
of UAPs. Medication administration, sterile dressing changes, and
assessments require licensed nursing staff (RN or LPN/LVN).
5. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The nurse should:
a) Administer the transfusion because it is medically necessary
b) Respect the client's decision and notify the healthcare provider
c) Ask the client's family to convince them to accept the transfusion
d) Document the refusal and proceed with the transfusion
Verified Answer: b
Rationale: Respect for patient autonomy is a core ethical principle. The
client has the right to refuse treatment, even if it is life-saving. The nurse
should respect the decision, notify the provider, and document the
refusal.
6. The nurse manager is conducting a performance evaluation. Which
approach is most effective?
a) Focus only on the nurse's weaknesses
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b) Use objective data and specific examples of performance
c) Compare the nurse to other staff members
d) Conduct the evaluation without input from the nurse
Verified Answer: b
Rationale: Effective performance evaluations are based on objective
data, specific examples, and measurable outcomes. They should include
both strengths and areas for improvement and involve the employee's
self-assessment.
7. The nurse is providing care to a client at the end of life. Which
intervention is appropriate?
a) Focus on curative treatment
b) Provide symptom management and comfort care
c) Encourage aggressive interventions
d) Avoid discussing the client's wishes
Verified Answer: b
Rationale: End-of-life care focuses on symptom management, comfort,
and supporting the client and family. Curative treatment is no longer the
goal. Encouraging aggressive interventions and avoiding discussions
about wishes are not appropriate.
8. A nurse is involved in a medication error. Which action should the
nurse take first?
a) Complete an incident report
WEST COAST UNIVERSITY NURS 460 –
PROFESSIONAL ROLES WITHIN NURSING
COMPREHENSIVE PRACTICE EXAM 2 QUESTIONS
WITH ANSWERS AND RATIONALES |100% PASS
|GRADED A+ 2026/27
1. The nurse is transitioning from a novice to an expert nurse. According
to Benner's stages of clinical competence, which stage is characterized
by the ability to see the "big picture" and prioritize care?
a) Novice
b) Advanced beginner
c) Competent
d) Proficient
Verified Answer: d
Rationale: According to Benner's model, the Proficient nurse can see the
"big picture" (holistic view) and prioritize care based on patterns and
experience. Novice follows rules. Advanced beginner recognizes
patterns. Competent is able to plan and coordinate.
2. The nurse is caring for a client with a chronic illness. The nurse
recognizes that the client is the expert on their own condition. This
demonstrates which nursing principle?
a) Paternalism
,2 | Page
b) Patient-centered care
c) Medical model
d) Authoritarianism
Verified Answer: b
Rationale: Patient-centered care recognizes that the patient is the expert
on their own body and life, respecting their preferences, values, and
autonomy. Paternalism and authoritarianism involve healthcare
providers making decisions for patients. The medical model is disease-
focused.
3. A nurse is asked to serve on a hospital ethics committee. Which
function is the primary role of the ethics committee?
a) To make legal decisions for the organization
b) To provide consultation on ethical dilemmas
c) To discipline staff who violate policies
d) To determine medical treatment without patient input
Verified Answer: b
Rationale: The primary role of the hospital ethics committee is to
provide consultation, education, and support on ethical dilemmas in
patient care. They do not make legal decisions, discipline staff, or make
treatment decisions without patient input.
4. The nurse is preparing to delegate tasks to unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
,3 | Page
a) Administering oral medications
b) Performing a sterile dressing change
c) Assisting a stable client with ambulation
d) Assessing a client's wound
Verified Answer: c
Rationale: Assisting a stable client with ambulation is within the scope
of UAPs. Medication administration, sterile dressing changes, and
assessments require licensed nursing staff (RN or LPN/LVN).
5. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The nurse should:
a) Administer the transfusion because it is medically necessary
b) Respect the client's decision and notify the healthcare provider
c) Ask the client's family to convince them to accept the transfusion
d) Document the refusal and proceed with the transfusion
Verified Answer: b
Rationale: Respect for patient autonomy is a core ethical principle. The
client has the right to refuse treatment, even if it is life-saving. The nurse
should respect the decision, notify the provider, and document the
refusal.
6. The nurse manager is conducting a performance evaluation. Which
approach is most effective?
a) Focus only on the nurse's weaknesses
, 4 | Page
b) Use objective data and specific examples of performance
c) Compare the nurse to other staff members
d) Conduct the evaluation without input from the nurse
Verified Answer: b
Rationale: Effective performance evaluations are based on objective
data, specific examples, and measurable outcomes. They should include
both strengths and areas for improvement and involve the employee's
self-assessment.
7. The nurse is providing care to a client at the end of life. Which
intervention is appropriate?
a) Focus on curative treatment
b) Provide symptom management and comfort care
c) Encourage aggressive interventions
d) Avoid discussing the client's wishes
Verified Answer: b
Rationale: End-of-life care focuses on symptom management, comfort,
and supporting the client and family. Curative treatment is no longer the
goal. Encouraging aggressive interventions and avoiding discussions
about wishes are not appropriate.
8. A nurse is involved in a medication error. Which action should the
nurse take first?
a) Complete an incident report
