NSG 48001 COMPS Exam 2 | Study Guide |
Practice Questions & Answers | Latest
Update 2026 | Comprehensive Exam Prep
SUMMARIZED EXAM COVERAGE
This comprehensive exam covers ethical principles including veracity, fidelity, autonomy,
beneficence, nonmaleficence, and justice. Legal foundations encompass statutory law, common
law, public law, private law, administrative law, and Nurse Practice Acts. Regulatory and
adjudicatory powers of Boards of Nursing are examined alongside contract law, breach of
contract, and the National Labor Relations Act. Tort law including negligence, malpractice,
assault, battery, false imprisonment, informed consent, and breach of confidentiality are
thoroughly covered. HIPAA regulations, disaster nursing provisions, and Good Samaritan
protections are included. Quality and safety initiatives from IOM, QSEN, TJC, WHO, ICN,
AHRQ, and AACN are addressed. Communication frameworks including SBAR, therapeutic and
non-therapeutic communication, cultural considerations, and developmental communication
across the lifespan are examined. Cultural competence models including Campinha-Bacote and
LEARN are covered along with safety reporting, just culture principles, and evidence-based
practice standards.
COMPREHENSIVE PRACTICE EXAMINATION
Question 1
A nurse discovers a medication error was made but the patient experienced no adverse effects.
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The nurse reports the error through the facility's reporting system. Which concept supports
protecting this nurse from disciplinary action?
A) Quality improvement processes
B) Evidence-based practice
C) Just culture principles
D) Administrative law regulations
C) Just culture principles
Just culture encourages open reporting of errors and learning from mistakes while holding
practitioners accountable as indicated, with nurses protected from disciplinary action for near
misses they personally report.
Question 2
A patient refuses a life-saving blood transfusion based on religious beliefs. The healthcare team
respects this decision. Which ethical principle is primarily being upheld?
A) Beneficence
B) Nonmaleficence
C) Veracity
D) Autonomy
D) Autonomy
Autonomy recognizes the individual's right to choose and make their own healthcare decisions
even when providers may disagree with those choices.
Question 3
A nurse administers an injection to a patient who refused the medication earlier. The patient was
physically restrained to receive the injection. This action constitutes which legal violation?
A) Assault
B) Negligence
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C) Battery
D) Malpractice
C) Battery
Battery is defined as nonconsensual touching even when the touching is intended to benefit the
patient, making this a clear violation of the patient's rights.
Question 4
When providing a shift report, the nurse states, "Room 412, Mr. Johnson, 67-year-old male
admitted with pneumonia, currently receiving IV antibiotics, vital signs stable, oxygen at 2 liters,
ambulates with assistance." This communication represents which component of SBAR?
A) Situation
B) Background
C) Assessment
D) Recommendation
B) Background
Background includes pertinent information such as allergies, code status, vitals, medications,
mobility status, and other relevant clinical data that provides context for the patient's current
condition.
Question 5
A patient threatens to hit a nurse and appears physically capable of carrying out the threat. The
nurse feels genuinely afraid. Which legal tort has occurred?
A) Battery
B) Assault
C) False imprisonment
D) Negligence
B) Assault
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Assault is a deliberate act in which one person threatens to harm another without consent and
has the ability to carry out that threat, creating fear in the victim.
Question 6
A nurse fails to assess a postoperative patient's surgical site and the patient develops a wound
infection that was potentially preventable. The patient sues for damages. Which element of
malpractice would be most difficult to prove?
A) Duty
B) Breach of duty
C) Causation
D) Damages
C) Causation
Causation requires proving that the nurse's action or inaction directly caused the injury and that
the injury was foreseeable, which can be challenging when multiple factors may contribute to an
outcome.
Question 7
A nursing student asks about the primary purpose of Nurse Practice Acts. What is the most
accurate response?
A) To protect nurses from lawsuits
B) To protect the health, safety, and welfare of citizens
C) To establish nursing salaries and benefits
D) To create professional nursing organizations
B) To protect the health, safety, and welfare of citizens
Nurse Practice Acts are designed to protect the public through licensure requirements, scope of
practice definitions, and standards for nursing education and practice.