,NUS 210 Proctored PrepU Exam Questions And Answers 2026/2027
Jersey College
Q1. A healthcare worker is asked to perform a procedure that has
not been taught or validated as part of the worker's role. Which
action is most appropriate?
A) Perform the procedure because another staff member requested it
B) Decline to perform it independently and obtain appropriately qualified
assistance
C) Attempt the procedure if the patient agrees
D) Review the procedure afterward if complications occur
Correct Answer: B) Decline to perform it independently and obtain
appropriately qualified assistance
Rationale: Safe professional practice requires recognition of role limitations
and performance only of activities for which the individual is appropriately
educated, competent, and authorized.
Q2. Which three elements are integrated in evidence-based
practice?
A) Best current evidence, clinical expertise, and patient values and
preferences
B) Tradition, institutional routine, and personal opinion
C) Research evidence, cost, and provider convenience
D) Patient preference alone
Correct Answer: A) Best current evidence, clinical expertise, and patient
values and preferences
Rationale: Evidence-based practice combines high-quality evidence with
professional judgment and the individual patient's circumstances and
preferences.
Q3. A patient cannot afford transportation to follow-up
appointments. Which factor is most directly affecting the patient's
health?
A) Genetic inheritance
B) Social determinant of health
C) Acute physiologic adaptation
D) Developmental milestone
,Correct Answer: B) Social determinant of health
Rationale: Transportation access is a social condition that can directly
influence healthcare access, adherence, and outcomes.
Q4. A patient with limited English proficiency requires education
before discharge. Which action is most appropriate?
A) Ask a young family member to interpret all instructions
B) Provide written English instructions only
C) Use a qualified interpreter and communicate directly with the patient
D) Delay all education until a family member arrives
Correct Answer: C) Use a qualified interpreter and communicate directly with
the patient
Rationale: Qualified interpretation supports accurate communication,
confidentiality, patient participation, and informed decision-making.
Q5. A competent patient refuses a treatment after receiving
understandable information about its benefits and risks. Which
ethical principle supports this decision?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
Correct Answer: A) Autonomy
Rationale: Autonomy protects a competent person's right to make informed
healthcare decisions, including refusal of treatment.
Q6. Which situation would make informed consent invalid?
A) The patient asks several questions before deciding
B) The patient voluntarily agrees after receiving understandable information
C) The patient changes the decision before the procedure
D) The patient signs after being threatened with abandonment if consent is
refused
Correct Answer: D) The patient signs after being threatened with
abandonment if consent is refused
Rationale: Valid consent must be voluntary and free from coercion.
, Q7. Which four elements are generally required to establish
professional negligence?
A) Duty, breach of duty, causation, and injury
B) Diagnosis, treatment, discharge, and follow-up
C) Intent, anger, financial loss, and complaint
D) Consent, documentation, insurance, and medication
Correct Answer: A) Duty, breach of duty, causation, and injury
Rationale: Negligence requires an established duty, failure to meet the
expected standard, a causal connection, and resulting harm.
Q8. Which chart entry is most appropriate?
A) “Patient appears lazy and refuses to cooperate.”
B) “Patient probably exaggerated the pain.”
C) “Patient declined ambulation at 0900 and stated, ‘I feel dizzy when I
stand.’”
D) “Patient is difficult today.”
Correct Answer: C) “Patient declined ambulation at 0900 and stated, ‘I feel
dizzy when I stand.’”
Rationale: Documentation should contain objective observations, relevant
measurements, and direct patient statements rather than judgmental
conclusions.
Q9. A patient says, “I'm terrified about what this diagnosis means.”
Which response is most therapeutic?
A) “You shouldn't worry until all tests are finished.”
B) “Tell me what concerns you most about the diagnosis.”
C) “Everything will work out.”
D) “Try to focus on something positive.”
Correct Answer: B) “Tell me what concerns you most about the diagnosis.”
Rationale: Open-ended exploration encourages expression of concerns
without minimizing or falsely reassuring the patient.
Q10. Which handoff statement best follows SBAR?
A) “The patient is acting strange. Please come.”
B) “Everything is written in the chart.”
C) “The patient has several issues, but I'm not sure which matters.”
Jersey College
Q1. A healthcare worker is asked to perform a procedure that has
not been taught or validated as part of the worker's role. Which
action is most appropriate?
A) Perform the procedure because another staff member requested it
B) Decline to perform it independently and obtain appropriately qualified
assistance
C) Attempt the procedure if the patient agrees
D) Review the procedure afterward if complications occur
Correct Answer: B) Decline to perform it independently and obtain
appropriately qualified assistance
Rationale: Safe professional practice requires recognition of role limitations
and performance only of activities for which the individual is appropriately
educated, competent, and authorized.
Q2. Which three elements are integrated in evidence-based
practice?
A) Best current evidence, clinical expertise, and patient values and
preferences
B) Tradition, institutional routine, and personal opinion
C) Research evidence, cost, and provider convenience
D) Patient preference alone
Correct Answer: A) Best current evidence, clinical expertise, and patient
values and preferences
Rationale: Evidence-based practice combines high-quality evidence with
professional judgment and the individual patient's circumstances and
preferences.
Q3. A patient cannot afford transportation to follow-up
appointments. Which factor is most directly affecting the patient's
health?
A) Genetic inheritance
B) Social determinant of health
C) Acute physiologic adaptation
D) Developmental milestone
,Correct Answer: B) Social determinant of health
Rationale: Transportation access is a social condition that can directly
influence healthcare access, adherence, and outcomes.
Q4. A patient with limited English proficiency requires education
before discharge. Which action is most appropriate?
A) Ask a young family member to interpret all instructions
B) Provide written English instructions only
C) Use a qualified interpreter and communicate directly with the patient
D) Delay all education until a family member arrives
Correct Answer: C) Use a qualified interpreter and communicate directly with
the patient
Rationale: Qualified interpretation supports accurate communication,
confidentiality, patient participation, and informed decision-making.
Q5. A competent patient refuses a treatment after receiving
understandable information about its benefits and risks. Which
ethical principle supports this decision?
A) Autonomy
B) Justice
C) Fidelity
D) Nonmaleficence
Correct Answer: A) Autonomy
Rationale: Autonomy protects a competent person's right to make informed
healthcare decisions, including refusal of treatment.
Q6. Which situation would make informed consent invalid?
A) The patient asks several questions before deciding
B) The patient voluntarily agrees after receiving understandable information
C) The patient changes the decision before the procedure
D) The patient signs after being threatened with abandonment if consent is
refused
Correct Answer: D) The patient signs after being threatened with
abandonment if consent is refused
Rationale: Valid consent must be voluntary and free from coercion.
, Q7. Which four elements are generally required to establish
professional negligence?
A) Duty, breach of duty, causation, and injury
B) Diagnosis, treatment, discharge, and follow-up
C) Intent, anger, financial loss, and complaint
D) Consent, documentation, insurance, and medication
Correct Answer: A) Duty, breach of duty, causation, and injury
Rationale: Negligence requires an established duty, failure to meet the
expected standard, a causal connection, and resulting harm.
Q8. Which chart entry is most appropriate?
A) “Patient appears lazy and refuses to cooperate.”
B) “Patient probably exaggerated the pain.”
C) “Patient declined ambulation at 0900 and stated, ‘I feel dizzy when I
stand.’”
D) “Patient is difficult today.”
Correct Answer: C) “Patient declined ambulation at 0900 and stated, ‘I feel
dizzy when I stand.’”
Rationale: Documentation should contain objective observations, relevant
measurements, and direct patient statements rather than judgmental
conclusions.
Q9. A patient says, “I'm terrified about what this diagnosis means.”
Which response is most therapeutic?
A) “You shouldn't worry until all tests are finished.”
B) “Tell me what concerns you most about the diagnosis.”
C) “Everything will work out.”
D) “Try to focus on something positive.”
Correct Answer: B) “Tell me what concerns you most about the diagnosis.”
Rationale: Open-ended exploration encourages expression of concerns
without minimizing or falsely reassuring the patient.
Q10. Which handoff statement best follows SBAR?
A) “The patient is acting strange. Please come.”
B) “Everything is written in the chart.”
C) “The patient has several issues, but I'm not sure which matters.”
