Nursing
VERIFIED EXAM PREP & SUCCESS GUIDE (2026/2027) - GALEN COLLEGE
(1) What is the primary difference between Associate Degree in Nursing (ADN) and Bachelor of
Science in Nursing (BSN) prepared nurses regarding clinical judgment?
A. BSN nurses perform technical skills better.
B. BSN education emphasizes leadership, research, and community health.
C. ADN nurses are more focused on nursing theory.
D. There is no difference in the scope of practice.
CORRECT ANSWER: B
Transition Rationale: While both are RNs, BSN programs provide additional preparation in leadership,
evidence-based practice, community health, and systems-level thinking.
(2) A BSN student is searching for high-quality evidence. Which source is considered the 'gold
standard' for secondary evidence in EBP?
A. A single randomized controlled trial (RCT).
B. Systematic reviews or meta-analyses (e.g., Cochrane Database).
C. Expert opinion from a senior nurse.
D. A case study published in a journal.
CORRECT ANSWER: B
Transition Rationale: Systematic reviews and meta-analyses sit at the top of the evidence hierarchy because
they synthesize findings from multiple high-quality studies.
,(3) The 'P' in a PICOT question stands for Patient/Population. What does the 'I' represent?
A. Implementation
B. Information
C. Intervention
D. Institution
CORRECT ANSWER: C
Transition Rationale: PICOT stands for Patient/Population, Intervention, Comparison, Outcome, and Time.
(4) Which nursing theorist developed the 'Culture Care Diversity and Universality' theory,
emphasizing transcultural nursing?
A. Jean Watson
B. Madeleine Leininger
C. Martha Rogers
D. Rosemarie Parse
CORRECT ANSWER: B
Transition Rationale: Madeleine Leininger is the founder of transcultural nursing, focusing on how cultural
background influences health and care needs.
(5) According to Benner's 'From Novice to Expert' model, a nurse who has 2-3 years of experience
in the same clinical position and can prioritize tasks effectively is at which level?
A. Advanced Beginner
B. Competent
C. Proficient
D. Expert
CORRECT ANSWER: B
Transition Rationale: A 'Competent' nurse has typically been on the job for 2-3 years and can see their actions
in terms of long-range goals and organizational plans.
,(6) A nurse researcher ensures that all participants in a study have signed an informed consent
form. This action primarily supports which ethical principle?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Respect for autonomy
CORRECT ANSWER: D
Transition Rationale: Informed consent ensures that individuals have the right to self-determination and can
make their own decisions about participating in research.
(7) Information literacy in professional nursing practice is defined as the ability to:
A. Use a computer to document vital signs.
B. Recognize when information is needed and locate, evaluate, and use it effectively.
C. Search Google for medical definitions.
D. Repair hardware issues with the electronic health record (EHR).
CORRECT ANSWER: B
Transition Rationale: Information literacy involves a set of abilities requiring individuals to recognize when
information is needed and have the ability to locate, evaluate, and use effectively the needed information.
(8) Which organization's report 'The Future of Nursing' recommended that 80% of the nursing
workforce hold a BSN degree?
A. American Nurses Association (ANA)
B. National League for Nursing (NLN)
C. Institute of Medicine (IOM) / National Academy of Medicine
D. Joint Commission
CORRECT ANSWER: C
Transition Rationale: The 2010 IOM report 'The Future of Nursing: Leading Change, Advancing Health' set
the goal for 80% of RNs to be BSN-prepared by 2020 to improve patient outcomes.
, (9) What is the primary focus of Quality Improvement (QI) in a hospital setting?
A. To assign blame for medical errors.
B. To improve systems and processes to provide better patient care.
C. To decrease the salary of hospital administrators.
D. To ensure the hospital has the most expensive technology.
CORRECT ANSWER: B
Transition Rationale: QI focuses on identifying gaps in care and using data to change processes and systems,
rather than focusing on individual human error.
(10) A BSN-prepared nurse is acting as a 'Change Agent'. What is the first step in the change
process according to Lewin?
A. Moving
B. Refreezing
C. Unfreezing
D. Evaluation
CORRECT ANSWER: C
Transition Rationale: Unfreezing involves creating the motivation for change by disconfirming the current
status quo.
(11) What is the primary difference between Associate Degree in Nursing (ADN) and Bachelor of
Science in Nursing (BSN) prepared nurses regarding clinical judgment?
A. BSN nurses perform technical skills better.
B. BSN education emphasizes leadership, research, and community health.
C. ADN nurses are more focused on nursing theory.
D. There is no difference in the scope of practice.
CORRECT ANSWER: B
Transition Rationale: While both are RNs, BSN programs provide additional preparation in leadership,
evidence-based practice, community health, and systems-level thinking.