NUR 282 Advanced Clinical / Transition Nursing Exam 9 Study Guide
2026 |Galen College
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assessing a patient’s breathing pattern
B. Administering a nebulizer treatment
C. Assisting a stable patient with ambulation
D. Performing a sterile dressing change
Answer: C
Rationale: Assisting with activities of daily living (ADLs) and ambulating stable patients
are within the UAP’s scope of practice. Assessment, medication administration, and sterile
procedures require the skills of a licensed nurse.
2. Which ethical principle is the nurse demonstrating when they uphold a
promise to return to a patient’s room in 15 minutes?
A. Beneficence
B. Justice
C. Fidelity
D. Veracity
Answer: C
Rationale: Fidelity refers to the agreement to keep promises and the obligation to be
faithful to commitments made to others.
,3. A nurse is triage officer at a mass casualty scene. A victim is unconscious, has
no respirations after repositioning the airway, and has no pulse. What color tag
should be assigned?
A. Red
B. Yellow
C. Green
D. Black
Answer: D
Rationale: A black tag is used for victims who are deceased or have injuries so extensive
they are not expected to survive even with care.
4. In Lewin’s Change Theory, which stage involves the nurse manager convincing
the staff that a change is necessary due to current inefficiencies?
A. Stabilizing
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the need for change is
identified and the group is prepared for the change.
5. Which leadership style is most effective during a cardiac arrest (Code Blue)
situation?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Situational
Answer: B
, Rationale: Autocratic leadership is most effective in emergency or crisis situations where
decisions must be made quickly and tasks must be directed immediately.
6. A nurse witnesses a patient signing an informed consent form. The nurse’s
signature as a witness implies what?
A. The nurse explained the risks and benefits of the procedure.
B. The nurse ensures the patient is signing voluntarily and is competent.
C. The nurse agrees that the procedure is necessary for the patient.
D. The nurse is legally responsible for any complications of the surgery.
Answer: B
Rationale: The nurse’s role in witnessing informed consent is to confirm that the signature
is authentic, the patient is competent, and the consent was given voluntarily.
7. Which of the following is a primary characteristic of a ‘Just Culture’ in a
healthcare organization?
A. Punishing any individual who makes a clinical error
B. Reporting errors only when they result in patient harm
C. Ignoring minor errors to maintain staff morale
D. Focusing on system failures rather than individual blame for errors
Answer: D
Rationale: A Just Culture encourages the reporting of errors and near misses by focusing
on identifying system improvements rather than automatically punishing individuals.
8. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a new onset of chest pain and shortness of breath
B. A patient with chronic obstructive pulmonary disease (COPD) with an O2 saturation of 90%
C. A patient who had an abdominal surgery 2 days ago and reports pain of 6/10
D. A patient who needs discharge instructions for a newly prescribed medication
Answer: A
2026 |Galen College
1. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assessing a patient’s breathing pattern
B. Administering a nebulizer treatment
C. Assisting a stable patient with ambulation
D. Performing a sterile dressing change
Answer: C
Rationale: Assisting with activities of daily living (ADLs) and ambulating stable patients
are within the UAP’s scope of practice. Assessment, medication administration, and sterile
procedures require the skills of a licensed nurse.
2. Which ethical principle is the nurse demonstrating when they uphold a
promise to return to a patient’s room in 15 minutes?
A. Beneficence
B. Justice
C. Fidelity
D. Veracity
Answer: C
Rationale: Fidelity refers to the agreement to keep promises and the obligation to be
faithful to commitments made to others.
,3. A nurse is triage officer at a mass casualty scene. A victim is unconscious, has
no respirations after repositioning the airway, and has no pulse. What color tag
should be assigned?
A. Red
B. Yellow
C. Green
D. Black
Answer: D
Rationale: A black tag is used for victims who are deceased or have injuries so extensive
they are not expected to survive even with care.
4. In Lewin’s Change Theory, which stage involves the nurse manager convincing
the staff that a change is necessary due to current inefficiencies?
A. Stabilizing
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the need for change is
identified and the group is prepared for the change.
5. Which leadership style is most effective during a cardiac arrest (Code Blue)
situation?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Situational
Answer: B
, Rationale: Autocratic leadership is most effective in emergency or crisis situations where
decisions must be made quickly and tasks must be directed immediately.
6. A nurse witnesses a patient signing an informed consent form. The nurse’s
signature as a witness implies what?
A. The nurse explained the risks and benefits of the procedure.
B. The nurse ensures the patient is signing voluntarily and is competent.
C. The nurse agrees that the procedure is necessary for the patient.
D. The nurse is legally responsible for any complications of the surgery.
Answer: B
Rationale: The nurse’s role in witnessing informed consent is to confirm that the signature
is authentic, the patient is competent, and the consent was given voluntarily.
7. Which of the following is a primary characteristic of a ‘Just Culture’ in a
healthcare organization?
A. Punishing any individual who makes a clinical error
B. Reporting errors only when they result in patient harm
C. Ignoring minor errors to maintain staff morale
D. Focusing on system failures rather than individual blame for errors
Answer: D
Rationale: A Just Culture encourages the reporting of errors and near misses by focusing
on identifying system improvements rather than automatically punishing individuals.
8. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a new onset of chest pain and shortness of breath
B. A patient with chronic obstructive pulmonary disease (COPD) with an O2 saturation of 90%
C. A patient who had an abdominal surgery 2 days ago and reports pain of 6/10
D. A patient who needs discharge instructions for a newly prescribed medication
Answer: A
