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CLIENT-CENTERED CARE 2026 PRACTICE
EXAM QUESTIONS AND ANSWERS JUST
RELEASED VERSION
SECTION I: Patient Advocacy, Communication & Ethics (Q1–20)
1. A nurse notices a colleague administering the wrong
medication. Best first action?
A. Report to the nurse manager immediately
B. Confront the colleague privately
C. Administer the medication anyway
D. Document only
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Answer: B. Confront the colleague privately
Rationale: Addressing the colleague first is professional, then
escalate if unsafe practice continues.
2. Which action demonstrates patient advocacy?
A. Ensuring informed consent is obtained before procedures
B. Delegating tasks to unlicensed staff without supervision
C. Completing paperwork before patient education
D. Ignoring patient concerns to save time
Answer: A. Ensuring informed consent is obtained before
procedures
Rationale: Advocacy involves protecting patient rights,
including informed consent.
3. Which statement by a nurse demonstrates therapeutic
communication?
A. “I understand how you feel, can you tell me more?”
B. “You should not feel that way.”
C. “Don’t worry, everything will be fine.”
D. “I’m too busy to discuss this now.”
Answer: A. “I understand how you feel, can you tell me more?”
Rationale: Open-ended statements encourage expression and
build trust.
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4. A patient refuses a blood transfusion for religious reasons.
What is the nurse’s priority?
A. Respect the patient’s decision and notify the provider
B. Attempt to convince the patient
C. Ignore their preference
D. Administer transfusion anyway
Answer: A. Respect the patient’s decision and notify the
provider
Rationale: Respecting autonomy and documenting the refusal is
ethically and legally correct.
5. A nurse is caring for a non-English speaking patient. Best
practice?
A. Use a professional interpreter
B. Rely on family members to translate
C. Speak loudly and slowly
D. Skip patient education
Answer: A. Use a professional interpreter
Rationale: Professional interpreters reduce miscommunication
and improve patient safety.
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6. Which scenario is a breach of patient confidentiality?
A. Discussing patient care with another nurse outside work
B. Documenting care in the patient record
C. Reporting abuse to authorities
D. Providing shift report at the nursing station
Answer: A. Discussing patient care with another nurse outside
work
Rationale: Confidential information must not be shared outside
professional settings.
7. A nurse administers pain medication without a prescription.
Which principle is violated?
A. Nonmaleficence
B. Beneficence
C. Autonomy
D. Justice
Answer: A. Nonmaleficence
Rationale: Administering medication without an order can
harm the patient, violating “do no harm.”
8. A patient asks the nurse for guidance on smoking cessation.
Best initial step?
A. Assess readiness to change
CLIENT-CENTERED CARE 2026 PRACTICE
EXAM QUESTIONS AND ANSWERS JUST
RELEASED VERSION
SECTION I: Patient Advocacy, Communication & Ethics (Q1–20)
1. A nurse notices a colleague administering the wrong
medication. Best first action?
A. Report to the nurse manager immediately
B. Confront the colleague privately
C. Administer the medication anyway
D. Document only
,2
Answer: B. Confront the colleague privately
Rationale: Addressing the colleague first is professional, then
escalate if unsafe practice continues.
2. Which action demonstrates patient advocacy?
A. Ensuring informed consent is obtained before procedures
B. Delegating tasks to unlicensed staff without supervision
C. Completing paperwork before patient education
D. Ignoring patient concerns to save time
Answer: A. Ensuring informed consent is obtained before
procedures
Rationale: Advocacy involves protecting patient rights,
including informed consent.
3. Which statement by a nurse demonstrates therapeutic
communication?
A. “I understand how you feel, can you tell me more?”
B. “You should not feel that way.”
C. “Don’t worry, everything will be fine.”
D. “I’m too busy to discuss this now.”
Answer: A. “I understand how you feel, can you tell me more?”
Rationale: Open-ended statements encourage expression and
build trust.
,3
4. A patient refuses a blood transfusion for religious reasons.
What is the nurse’s priority?
A. Respect the patient’s decision and notify the provider
B. Attempt to convince the patient
C. Ignore their preference
D. Administer transfusion anyway
Answer: A. Respect the patient’s decision and notify the
provider
Rationale: Respecting autonomy and documenting the refusal is
ethically and legally correct.
5. A nurse is caring for a non-English speaking patient. Best
practice?
A. Use a professional interpreter
B. Rely on family members to translate
C. Speak loudly and slowly
D. Skip patient education
Answer: A. Use a professional interpreter
Rationale: Professional interpreters reduce miscommunication
and improve patient safety.
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6. Which scenario is a breach of patient confidentiality?
A. Discussing patient care with another nurse outside work
B. Documenting care in the patient record
C. Reporting abuse to authorities
D. Providing shift report at the nursing station
Answer: A. Discussing patient care with another nurse outside
work
Rationale: Confidential information must not be shared outside
professional settings.
7. A nurse administers pain medication without a prescription.
Which principle is violated?
A. Nonmaleficence
B. Beneficence
C. Autonomy
D. Justice
Answer: A. Nonmaleficence
Rationale: Administering medication without an order can
harm the patient, violating “do no harm.”
8. A patient asks the nurse for guidance on smoking cessation.
Best initial step?
A. Assess readiness to change
