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Biobanking involves altruistic donation for unspecified future research and demands robust informed consent. Key elements include a clear description of purpose, specimen types, potential future uses (including genetic analyses), governance/ownership, privacy protections (coding/de-identification), data sharing (e.g., with collaborators/consortia), commercial use possibilities, and policies on return of results/incidental findings (often not guaranteed). Consent should explain voluntariness, lack of direct benefit, and the right to withdraw specimens not yet used—recognizing that data from completed studies cannot usually be retracted. Opt-out or implied consent (Options A/C) fails ethical standards. Promising all individual results (Option D) is unrealistic; plans typically specify when clinically actionable findings may be returned. APRNs ensure comprehension with plain language and teach-back, offer time for questions, and document decisional capacity. They also coordinate with research offices for proper specimen handling, maintain separation between clinical care and research decisions, and avoid undue influence during vulnerable moments (e.g., acute diagnosis discussions).