NSG 4800 Comprehensive actual Exams 1–4 | 2026/2027 |
Complete Practice Questions, Correct Answers & Detailed
Rationales | Galen College of Nursing
COMPREHENSIVE EXAM 1 — QUESTIONS 1–70
1.
A newly licensed RN is developing a professional identity. Which action best
demonstrates professional nursing practice?
A. Following only unit routines
B. Accepting accountability for nursing decisions
C. Avoiding collaboration with other disciplines
D. Delegating all complex decisions
Correct Answer: B. Accepting accountability for nursing decisions
Rationale: Professional nurses are accountable for their clinical decisions, actions,
and outcomes within their scope of practice.
2.
Which characteristic best reflects Benner's concept of the expert nurse?
A. Reliance primarily on rules
B. Difficulty recognizing patterns
C. Intuitive recognition of clinical situations
D. Dependence on direct supervision
Correct Answer: C. Intuitive recognition of clinical situations
Rationale: Expert nurses recognize patterns rapidly and use extensive clinical
experience to guide judgment.
,3.
A nurse recognizes a medication error before administering the medication. What
is the priority action?
A. Hide the error
B. Report the near miss according to policy
C. Document that the medication was given
D. Blame the pharmacy
Correct Answer: B. Report the near miss according to policy
Rationale: Reporting near misses supports patient safety and allows systems to
identify hazards before harm occurs.
4.
Which ethical principle requires nurses to avoid causing harm?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Autonomy
Correct Answer: C. Nonmaleficence
Rationale: Nonmaleficence means avoiding actions that cause unnecessary harm.
5.
A competent adult refuses a recommended procedure. Which principle supports
the patient's decision?
A. Autonomy
B. Justice
C. Fidelity
D. Beneficence
,Correct Answer: A. Autonomy
Rationale: Autonomy recognizes a competent patient's right to make informed
decisions about their own care.
6.
Which action is an example of beneficence?
A. Respecting a refusal of treatment
B. Promoting the patient's welfare
C. Treating everyone identically
D. Maintaining confidentiality
Correct Answer: B. Promoting the patient's welfare
Rationale: Beneficence involves actions intended to benefit the patient.
7.
A nurse promises to return with pain medication and does so. Which ethical
principle is demonstrated?
A. Justice
B. Fidelity
C. Autonomy
D. Veracity
Correct Answer: B. Fidelity
Rationale: Fidelity involves keeping commitments and promises.
8.
Which statement best demonstrates veracity?
, A. “I will not discuss your condition.”
B. “I will make the decision for you.”
C. “The procedure may cause discomfort.”
D. “Everyone receives identical treatment.”
Correct Answer: C. “The procedure may cause discomfort.”
Rationale: Veracity is the ethical obligation to communicate truthfully.
9.
Which nursing action best demonstrates advocacy?
A. Making decisions without the patient
B. Supporting the patient's informed preferences
C. Ignoring patient concerns
D. Withholding information
Correct Answer: B. Supporting the patient's informed preferences
Rationale: Advocacy involves protecting patient rights and helping patients
participate meaningfully in decisions.
10.
Which communication technique is most appropriate when a patient is angry?
A. Interrupt the patient
B. Defend the hospital immediately
C. Listen without becoming defensive
D. Leave without explanation
Correct Answer: C. Listen without becoming defensive
Rationale: Active listening helps identify the patient's concerns and prevents
escalation.
Complete Practice Questions, Correct Answers & Detailed
Rationales | Galen College of Nursing
COMPREHENSIVE EXAM 1 — QUESTIONS 1–70
1.
A newly licensed RN is developing a professional identity. Which action best
demonstrates professional nursing practice?
A. Following only unit routines
B. Accepting accountability for nursing decisions
C. Avoiding collaboration with other disciplines
D. Delegating all complex decisions
Correct Answer: B. Accepting accountability for nursing decisions
Rationale: Professional nurses are accountable for their clinical decisions, actions,
and outcomes within their scope of practice.
2.
Which characteristic best reflects Benner's concept of the expert nurse?
A. Reliance primarily on rules
B. Difficulty recognizing patterns
C. Intuitive recognition of clinical situations
D. Dependence on direct supervision
Correct Answer: C. Intuitive recognition of clinical situations
Rationale: Expert nurses recognize patterns rapidly and use extensive clinical
experience to guide judgment.
,3.
A nurse recognizes a medication error before administering the medication. What
is the priority action?
A. Hide the error
B. Report the near miss according to policy
C. Document that the medication was given
D. Blame the pharmacy
Correct Answer: B. Report the near miss according to policy
Rationale: Reporting near misses supports patient safety and allows systems to
identify hazards before harm occurs.
4.
Which ethical principle requires nurses to avoid causing harm?
A. Justice
B. Fidelity
C. Nonmaleficence
D. Autonomy
Correct Answer: C. Nonmaleficence
Rationale: Nonmaleficence means avoiding actions that cause unnecessary harm.
5.
A competent adult refuses a recommended procedure. Which principle supports
the patient's decision?
A. Autonomy
B. Justice
C. Fidelity
D. Beneficence
,Correct Answer: A. Autonomy
Rationale: Autonomy recognizes a competent patient's right to make informed
decisions about their own care.
6.
Which action is an example of beneficence?
A. Respecting a refusal of treatment
B. Promoting the patient's welfare
C. Treating everyone identically
D. Maintaining confidentiality
Correct Answer: B. Promoting the patient's welfare
Rationale: Beneficence involves actions intended to benefit the patient.
7.
A nurse promises to return with pain medication and does so. Which ethical
principle is demonstrated?
A. Justice
B. Fidelity
C. Autonomy
D. Veracity
Correct Answer: B. Fidelity
Rationale: Fidelity involves keeping commitments and promises.
8.
Which statement best demonstrates veracity?
, A. “I will not discuss your condition.”
B. “I will make the decision for you.”
C. “The procedure may cause discomfort.”
D. “Everyone receives identical treatment.”
Correct Answer: C. “The procedure may cause discomfort.”
Rationale: Veracity is the ethical obligation to communicate truthfully.
9.
Which nursing action best demonstrates advocacy?
A. Making decisions without the patient
B. Supporting the patient's informed preferences
C. Ignoring patient concerns
D. Withholding information
Correct Answer: B. Supporting the patient's informed preferences
Rationale: Advocacy involves protecting patient rights and helping patients
participate meaningfully in decisions.
10.
Which communication technique is most appropriate when a patient is angry?
A. Interrupt the patient
B. Defend the hospital immediately
C. Listen without becoming defensive
D. Leave without explanation
Correct Answer: C. Listen without becoming defensive
Rationale: Active listening helps identify the patient's concerns and prevents
escalation.
