NR446 Exam 1 Actual Exam Style V1 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse is caring for a client who has a chest tube. Which of the following tasks should the
nurse delegate to an unlicensed assistive personnel (UAP)?
A. Checking the chest tube for air leaks
B. Measuring the drainage amount from the collection chamber
C. Adjusting the wall suction pressure for the chest tube
D. Repositioning the client in bed
Answer: D
Rationale: Repositioning a stable client is within the scope of practice for a UAP. The RN is
responsible for tasks that require clinical judgment, such as assessing for air leaks or
adjusting suction. Measuring chest tube drainage is often reserved for the RN due to the
critical nature of the output assessment.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
,D. Autocratic
Answer: D
Rationale: Autocratic leaders maintain total control and make decisions independently to
ensure efficiency in emergencies. While this style can be effective in crises, it often reduces
staff motivation and morale. It is the opposite of a democratic style where input is valued
and shared.
3. A charge nurse is managing four clients. Which client should the nurse assess first?
A. A client who had an appendectomy 24 hours ago and reports pain of 4/10
B. A client who is being discharged today and needs instruction on wound care
C. A client with a history of heart failure who has developed a new onset of shortness of
breath
D. A client with diabetes whose blood glucose was 150 mg/dL two hours ago
Answer: C
Rationale: The client with new-onset shortness of breath represents a potential airway or
breathing emergency and must be prioritized. This follows the ABC (Airway, Breathing,
Circulation) framework for clinical prioritization. The other clients are stable and their
needs can be addressed after the emergency is managed.
4. What is the primary purpose of a Root Cause Analysis (RCA) in a healthcare setting?
A. To identify system-level vulnerabilities that led to a sentinel event
, B. To assign blame to the individual responsible for an error
C. To document the event for legal defense only
D. To punish staff members who do not follow protocols
Answer: A
Rationale: Root Cause Analysis is a retrospective process focused on improving safety
systems rather than individual blame. It identifies the underlying causes of a sentinel event
to prevent recurrence in the future. This approach fosters a culture of safety and
continuous quality improvement within the organization.
5. A nurse is working with a Licensed Practical Nurse (LPN). Which task is appropriate to
delegate to the LPN?
A. Administering oral medications to a stable client
B. Performing the initial admission assessment on a new client
C. Creating the initial nursing care plan
D. Teaching a client how to manage a new diagnosis of diabetes
Answer: A
Rationale: Administering oral medications to stable clients is within the LPN’s scope of
practice. Initial assessments and complex client teaching must be performed by the
Registered Nurse (RN). The RN is also responsible for the development of the nursing care
plan and clinical evaluation.
446 Collaborative Healthcare |
Chamberlain
1. A nurse is caring for a client who has a chest tube. Which of the following tasks should the
nurse delegate to an unlicensed assistive personnel (UAP)?
A. Checking the chest tube for air leaks
B. Measuring the drainage amount from the collection chamber
C. Adjusting the wall suction pressure for the chest tube
D. Repositioning the client in bed
Answer: D
Rationale: Repositioning a stable client is within the scope of practice for a UAP. The RN is
responsible for tasks that require clinical judgment, such as assessing for air leaks or
adjusting suction. Measuring chest tube drainage is often reserved for the RN due to the
critical nature of the output assessment.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
,D. Autocratic
Answer: D
Rationale: Autocratic leaders maintain total control and make decisions independently to
ensure efficiency in emergencies. While this style can be effective in crises, it often reduces
staff motivation and morale. It is the opposite of a democratic style where input is valued
and shared.
3. A charge nurse is managing four clients. Which client should the nurse assess first?
A. A client who had an appendectomy 24 hours ago and reports pain of 4/10
B. A client who is being discharged today and needs instruction on wound care
C. A client with a history of heart failure who has developed a new onset of shortness of
breath
D. A client with diabetes whose blood glucose was 150 mg/dL two hours ago
Answer: C
Rationale: The client with new-onset shortness of breath represents a potential airway or
breathing emergency and must be prioritized. This follows the ABC (Airway, Breathing,
Circulation) framework for clinical prioritization. The other clients are stable and their
needs can be addressed after the emergency is managed.
4. What is the primary purpose of a Root Cause Analysis (RCA) in a healthcare setting?
A. To identify system-level vulnerabilities that led to a sentinel event
, B. To assign blame to the individual responsible for an error
C. To document the event for legal defense only
D. To punish staff members who do not follow protocols
Answer: A
Rationale: Root Cause Analysis is a retrospective process focused on improving safety
systems rather than individual blame. It identifies the underlying causes of a sentinel event
to prevent recurrence in the future. This approach fosters a culture of safety and
continuous quality improvement within the organization.
5. A nurse is working with a Licensed Practical Nurse (LPN). Which task is appropriate to
delegate to the LPN?
A. Administering oral medications to a stable client
B. Performing the initial admission assessment on a new client
C. Creating the initial nursing care plan
D. Teaching a client how to manage a new diagnosis of diabetes
Answer: A
Rationale: Administering oral medications to stable clients is within the LPN’s scope of
practice. Initial assessments and complex client teaching must be performed by the
Registered Nurse (RN). The RN is also responsible for the development of the nursing care
plan and clinical evaluation.
