NUR 282 | Advanced Clinical / Transition Nursing | Exam 1 Study
Guide 2026 |Galen College
1. Which of the following tasks is most appropriate for a Registered Nurse (RN)
to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
B. Assisting a stable patient with morning hygiene and ambulation
C. Teaching a patient how to use an incentive spirometer
D. Evaluating the effectiveness of a new diet plan
Answer: B
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Assessment, teaching, and evaluation require the clinical judgment of an RN.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a fractured hip reporting pain 7/10
B. A patient with chronic COPD requiring oxygen at 2L/min
C. A patient scheduled for discharge needing education on wound care
D. A patient with Type 1 diabetes who is diaphoretic and shaky
Answer: D
Rationale: Diaphoresis and shakiness in a diabetic patient are signs of hypoglycemia,
which is an acute, life-threatening situation requiring immediate intervention.
,3. The ethical principle that refers to the obligation to ‘do no harm’ is known as:
A. Beneficence
B. Justice
C. Fidelity
D. Non-maleficence
Answer: D
Rationale: Non-maleficence is the commitment to do no harm. Beneficence is doing good;
Justice is fairness; Fidelity is keeping promises.
4. A nurse threatens to place a restrictive device on a patient who refuses to
stay in bed. This is an example of which intentional tort?
A. Battery
B. Negligence
C. Assault
D. False Imprisonment
Answer: C
Rationale: Assault is the threat of harm that causes fear. Battery is the actual physical
contact or harm. False imprisonment involves illegal detention.
5. In Benner’s ‘Novice to Expert’ model, which stage describes a nurse who has
been in the same clinical position for 2 to 3 years and can anticipate nursing
care?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Answer: B
Rationale: A Competent nurse has usually been in the same role for 2-3 years and can plan
and perform tasks efficiently.
, 6. What is the primary purpose of the SBAR communication tool in a clinical
setting?
A. To document patient care in the electronic health record
B. To provide a structured framework for communicating critical information
C. To assign tasks to the nursing team
D. To evaluate the performance of nursing students
Answer: B
Rationale: SBAR (Situation, Background, Assessment, Recommendation) provides a
standardized way to relay information to other healthcare professionals to improve safety.
7. Which leadership style is characterized by a leader who makes decisions
independently without input from the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leaders maintain total control and make decisions alone. Democratic
leaders involve staff, while Laissez-faire leaders provide little direction.
8. Which of the following is a ‘Right’ of delegation?
A. Right Room
B. Right Time
C. Right Diagnosis
D. Right Supervision
Answer: D
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
Guide 2026 |Galen College
1. Which of the following tasks is most appropriate for a Registered Nurse (RN)
to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
B. Assisting a stable patient with morning hygiene and ambulation
C. Teaching a patient how to use an incentive spirometer
D. Evaluating the effectiveness of a new diet plan
Answer: B
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Assessment, teaching, and evaluation require the clinical judgment of an RN.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a fractured hip reporting pain 7/10
B. A patient with chronic COPD requiring oxygen at 2L/min
C. A patient scheduled for discharge needing education on wound care
D. A patient with Type 1 diabetes who is diaphoretic and shaky
Answer: D
Rationale: Diaphoresis and shakiness in a diabetic patient are signs of hypoglycemia,
which is an acute, life-threatening situation requiring immediate intervention.
,3. The ethical principle that refers to the obligation to ‘do no harm’ is known as:
A. Beneficence
B. Justice
C. Fidelity
D. Non-maleficence
Answer: D
Rationale: Non-maleficence is the commitment to do no harm. Beneficence is doing good;
Justice is fairness; Fidelity is keeping promises.
4. A nurse threatens to place a restrictive device on a patient who refuses to
stay in bed. This is an example of which intentional tort?
A. Battery
B. Negligence
C. Assault
D. False Imprisonment
Answer: C
Rationale: Assault is the threat of harm that causes fear. Battery is the actual physical
contact or harm. False imprisonment involves illegal detention.
5. In Benner’s ‘Novice to Expert’ model, which stage describes a nurse who has
been in the same clinical position for 2 to 3 years and can anticipate nursing
care?
A. Novice
B. Competent
C. Advanced Beginner
D. Proficient
Answer: B
Rationale: A Competent nurse has usually been in the same role for 2-3 years and can plan
and perform tasks efficiently.
, 6. What is the primary purpose of the SBAR communication tool in a clinical
setting?
A. To document patient care in the electronic health record
B. To provide a structured framework for communicating critical information
C. To assign tasks to the nursing team
D. To evaluate the performance of nursing students
Answer: B
Rationale: SBAR (Situation, Background, Assessment, Recommendation) provides a
standardized way to relay information to other healthcare professionals to improve safety.
7. Which leadership style is characterized by a leader who makes decisions
independently without input from the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leaders maintain total control and make decisions alone. Democratic
leaders involve staff, while Laissez-faire leaders provide little direction.
8. Which of the following is a ‘Right’ of delegation?
A. Right Room
B. Right Time
C. Right Diagnosis
D. Right Supervision
Answer: D
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
