EXAM QUESTIONS & ANSWERS | 2026/2027 EDITION |
COMPLETE STRESS RESPONSE & PATIENT CARE MASTERY
GUIDE - GRADED A+
230 Questions with Answers and Detailed Rationales
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CHAMBERLAIN UNIVERSITY NR 103 TRANSITION TO NURSING EXAM QUESTIONS & ANSWERS |
2026/2027 EDITION | COMPLETE STRESS RESPONSE & PATIENT CARE MASTERY GUIDE - GRADED A+. It
contains 230 carefully selected questions that reflect the most current exam content and testing strategies. Each
question is accompanied by a correct answer and a detailed rationale that explains the underlying
pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 230 Questions
Foundations - Application - Chamberlain University NR 103 Transition TO Nursing & 2026/2027 Edition
Complete Stress Response & Patient CARE Mastery Guide A Transition TO Nursing Stress Response AND
Patient CARE Undergraduate YEAR 3 Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Chamberlain University NR 1-39 Patient S, Stress, General Adaptation Syndrome, Stage, Nursing
103 Transition TO Nursing &
2026/2027 Edition Complete
Stress Response & Patient
CARE Mastery Guide A
Transition TO Nursing Stress
Response AND Patient CARE
Undergraduate YEAR 3
Pre-licensure BSN
Patient S 40-78 Stress, Finding, Response, Indicates, Intervention
Response 79-117 Stage, Finding, General Adaptation Syndrome, Patient S,
Demonstrates
Finding 118-156 Stress, Patient S, Nursing, Appropriate, Response
Indicates 157-195 Stress, Response, Chronic, Patient S, Nursing
Nursing 196-230 Finding, Stress, Caring, Acute, Indicates
TOTAL 230 All questions include answers and detailed rationales
,Section A - Chamberlain University NR 103 Transition TO
Nursing & 2026/2027 Edition Complete Stress Response &
Patient CARE Mastery Guide A Transition TO Nursing Stress
Response AND Patient CARE Undergraduate YEAR 3
Pre-licensure BSN
Q1.
A patient in the alarm stage of the general adaptation syndrome exhibits which of the
following physiological responses as a direct result of hypothalamic-pituitary-adrenal axis
activation?
A. Decreased cortisol secretion B. Increased insulin sensitivity
C. Elevated blood glucose levels D. Reduced heart rate
Correct: C - Elevated blood glucose levels
Rationale:During the alarm stage, the HPA axis releases cortisol, which promotes
gluconeogenesis and elevates blood glucose. Insulin sensitivity typically decreases. Heart
rate increases due to sympathetic stimulation.
Q2.
Which nursing intervention best addresses the underlying pathophysiology of a patient
experiencing chronic stress-induced hypertension and hyperglycemia?
A. Administering antihypertensive B. Teaching the patient diaphragmatic
medication as prescribed breathing and progressive muscle relaxation
C. Recommending a low-sodium diet D. Scheduling the patient for a stress test
Correct: B - Teaching the patient diaphragmatic breathing and progressive muscle
relaxation
Rationale:Chronic stress sustains HPA activation, leading to persistent hypertension and
hyperglycemia. Non-pharmacological stress reduction techniques like diaphragmatic
breathing and PMR directly counter the stress response, whereas other options are
symptomatic.
Q3.
A nurse uses a standardized handoff tool (SBAR) to communicate with a physician. Which
component of SBAR is being used when the nurse states, 'The patient's blood pressure
has dropped from 120/80 to 85/50 over the past hour'?
A. Situation B. Background
Page 3
, Section A - Chamberlain University NR 103 Transition TO Nursing & 2026/2027 Edition Complete Stress Response & Patient CARE Mastery
Guide A Transition TO Nursing Stress Response AND Patient CARE Undergraduate YEAR 3 Pre-licensure BSN
C. Assessment D. Recommendation
Correct: C - Assessment
Rationale:The statement describes the nurse's evaluation of the patient's current status,
which is the 'Assessment' component. 'Situation' is the initial problem, 'Background' is
relevant history, and 'Recommendation' is a proposed action.
Q4.
Which of the following actions by a nurse demonstrates the most effective application of
National Patient Safety Goals (NPSG) in a clinical setting?
A. Using two patient identifiers before B. Repeating a verbal order back to the
administering medications prescriber
C. Performing a fall risk assessment on D. Labeling all medications that are not
admission immediately administered
Correct: A - Using two patient identifiers before administering medications
Rationale:NPSG 1 requires using at least two patient identifiers before providing care, which
directly prevents errors. While B, C, and D are safety practices, they are not the core NPSG
requirement for patient identification.
Q5.
A nurse notices a colleague documenting care that was not provided. Which ethical
principle primarily guides the nurse's obligation to intervene?
A. Autonomy B. Beneficence
C. Nonmaleficence D. Fidelity
Correct: C - Nonmaleficence
Rationale:Nonmaleficence requires avoiding harm to patients; false documentation can lead
to harm. Beneficence is doing good, autonomy respects patient choices, and fidelity is
keeping promises.
Q6.
A patient from a culture that values family decision-making is facing a major treatment
choice. The patient's adult child asks to be the primary decision-maker. Which action by
the nurse is most culturally competent?
A. Insist the patient make the decision B. Involve the family in the discussion while
independently to respect autonomy ensuring the patient's wishes are heard
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