ATI NSG 4800 Exit actual Exam | 2026/2027 | 3000 Practice Questions,
Correct Answers & Detailed Rationales | Galen College of Nursing
Comprehensive Exit Exam — Questions 1–300
1.
A newly licensed RN is transitioning into professional practice. Which action best
demonstrates professional accountability?
A. Asking another nurse to verify every decision
B. Accepting responsibility for nursing actions and decisions
C. Delegating unfamiliar procedures to assistive personnel
D. Avoiding patient assignments that appear complex
Correct Answer: B. Accepting responsibility for nursing actions and decisions
Rationale: Professional accountability means accepting responsibility for one's
nursing decisions, actions, and outcomes.
2.
Which nursing action best demonstrates advocacy?
A. Completing all care without patient input
B. Allowing the provider to make every decision
C. Communicating the patient's concerns to the healthcare team
D. Asking the family to make decisions for every adult patient
Correct Answer: C. Communicating the patient's concerns to the healthcare
team
Rationale: Advocacy involves protecting patient rights, preferences, safety, and
access to appropriate care.
3.
A nurse uses current research findings when selecting a wound-care intervention.
This demonstrates:
,A. Evidence-based practice
B. Informal delegation
C. Organizational hierarchy
D. Primary prevention
Correct Answer: A. Evidence-based practice
Rationale: Evidence-based practice integrates current best evidence with clinical
expertise and patient preferences.
4.
Which action demonstrates autonomy in nursing practice?
A. Following every physician request without question
B. Making an independent nursing judgment within scope of practice
C. Refusing to collaborate with other disciplines
D. Allowing family members to determine nursing priorities
Correct Answer: B. Making an independent nursing judgment within scope of
practice
Rationale: Autonomy involves making appropriate professional decisions
independently within one's legal and professional scope.
5.
A nurse recognizes that a medication was administered incorrectly. What is the
priority action?
A. Alter the medical record
B. Wait until the next shift
C. Assess the patient and report the error according to policy
D. Ask another nurse to document the error
Correct Answer: C. Assess the patient and report the error according to policy
Rationale: Patient assessment and safety are the immediate priorities after a
medication error.
6.
,Which ethical principle requires the nurse to avoid causing harm?
A. Fidelity
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: C. Nonmaleficence
Rationale: Nonmaleficence means avoiding intentional or preventable harm.
7.
A nurse provides the same quality of care to patients regardless of socioeconomic
status. Which principle is demonstrated?
A. Justice
B. Fidelity
C. Veracity
D. Autonomy
Correct Answer: A. Justice
Rationale: Justice involves fairness and equitable distribution of healthcare
resources and services.
8.
A nurse promises to return with a patient's medication and does so as promised.
Which principle is demonstrated?
A. Justice
B. Fidelity
C. Beneficence
D. Nonmaleficence
Correct Answer: B. Fidelity
Rationale: Fidelity involves keeping promises and maintaining professional
commitments.
9.
, Which action best demonstrates veracity?
A. Withholding information to prevent anxiety
B. Providing truthful information to the patient
C. Allowing the family to answer all questions
D. Avoiding discussion of prognosis
Correct Answer: B. Providing truthful information to the patient
Rationale: Veracity is the ethical obligation to tell the truth.
10.
A nurse promotes a patient's well-being by arranging appropriate pain
management. Which principle is demonstrated?
A. Beneficence
B. Justice
C. Fidelity
D. Confidentiality
Correct Answer: A. Beneficence
Rationale: Beneficence means taking actions intended to benefit the patient.
11.
Which communication technique is most appropriate when obtaining information
from a patient?
A. Asking several questions simultaneously
B. Using leading questions
C. Using open-ended questions
D. Changing the subject when emotions arise
Correct Answer: C. Using open-ended questions
Rationale: Open-ended questions encourage patients to provide meaningful
information in their own words.
12.
Correct Answers & Detailed Rationales | Galen College of Nursing
Comprehensive Exit Exam — Questions 1–300
1.
A newly licensed RN is transitioning into professional practice. Which action best
demonstrates professional accountability?
A. Asking another nurse to verify every decision
B. Accepting responsibility for nursing actions and decisions
C. Delegating unfamiliar procedures to assistive personnel
D. Avoiding patient assignments that appear complex
Correct Answer: B. Accepting responsibility for nursing actions and decisions
Rationale: Professional accountability means accepting responsibility for one's
nursing decisions, actions, and outcomes.
2.
Which nursing action best demonstrates advocacy?
A. Completing all care without patient input
B. Allowing the provider to make every decision
C. Communicating the patient's concerns to the healthcare team
D. Asking the family to make decisions for every adult patient
Correct Answer: C. Communicating the patient's concerns to the healthcare
team
Rationale: Advocacy involves protecting patient rights, preferences, safety, and
access to appropriate care.
3.
A nurse uses current research findings when selecting a wound-care intervention.
This demonstrates:
,A. Evidence-based practice
B. Informal delegation
C. Organizational hierarchy
D. Primary prevention
Correct Answer: A. Evidence-based practice
Rationale: Evidence-based practice integrates current best evidence with clinical
expertise and patient preferences.
4.
Which action demonstrates autonomy in nursing practice?
A. Following every physician request without question
B. Making an independent nursing judgment within scope of practice
C. Refusing to collaborate with other disciplines
D. Allowing family members to determine nursing priorities
Correct Answer: B. Making an independent nursing judgment within scope of
practice
Rationale: Autonomy involves making appropriate professional decisions
independently within one's legal and professional scope.
5.
A nurse recognizes that a medication was administered incorrectly. What is the
priority action?
A. Alter the medical record
B. Wait until the next shift
C. Assess the patient and report the error according to policy
D. Ask another nurse to document the error
Correct Answer: C. Assess the patient and report the error according to policy
Rationale: Patient assessment and safety are the immediate priorities after a
medication error.
6.
,Which ethical principle requires the nurse to avoid causing harm?
A. Fidelity
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: C. Nonmaleficence
Rationale: Nonmaleficence means avoiding intentional or preventable harm.
7.
A nurse provides the same quality of care to patients regardless of socioeconomic
status. Which principle is demonstrated?
A. Justice
B. Fidelity
C. Veracity
D. Autonomy
Correct Answer: A. Justice
Rationale: Justice involves fairness and equitable distribution of healthcare
resources and services.
8.
A nurse promises to return with a patient's medication and does so as promised.
Which principle is demonstrated?
A. Justice
B. Fidelity
C. Beneficence
D. Nonmaleficence
Correct Answer: B. Fidelity
Rationale: Fidelity involves keeping promises and maintaining professional
commitments.
9.
, Which action best demonstrates veracity?
A. Withholding information to prevent anxiety
B. Providing truthful information to the patient
C. Allowing the family to answer all questions
D. Avoiding discussion of prognosis
Correct Answer: B. Providing truthful information to the patient
Rationale: Veracity is the ethical obligation to tell the truth.
10.
A nurse promotes a patient's well-being by arranging appropriate pain
management. Which principle is demonstrated?
A. Beneficence
B. Justice
C. Fidelity
D. Confidentiality
Correct Answer: A. Beneficence
Rationale: Beneficence means taking actions intended to benefit the patient.
11.
Which communication technique is most appropriate when obtaining information
from a patient?
A. Asking several questions simultaneously
B. Using leading questions
C. Using open-ended questions
D. Changing the subject when emotions arise
Correct Answer: C. Using open-ended questions
Rationale: Open-ended questions encourage patients to provide meaningful
information in their own words.
12.
