NR446 Exam 1 Actual Exam Style V2 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Evaluating the effectiveness of a pain medication.
B. Performing post-mortem care on a deceased patient.
C. Assessing a patient’s surgical incision site.
D. Providing discharge instructions to a new mother.
Answer: B
Rationale: Delegation to a UAP should only include non-invasive tasks and basic care that
do not require clinical judgment. Post-mortem care is a standardized procedure that does
not involve assessment or evaluation. The nurse remains responsible for ensuring the task
is performed correctly according to hospital policy.
2. The charge nurse is observing a newly licensed nurse who is prioritizing care for four
patients. Which patient should the nurse see first?
A. A patient with a blood glucose level of 150 mg/dL.
B. A patient who needs a dressing change for a chronic wound.
C. A patient requesting a PRN medication for mild nausea.
,D. A patient reporting a sudden onset of shortness of breath.
Answer: D
Rationale: The ABC (Airway, Breathing, Circulation) framework is the standard for clinical
prioritization. Shortness of breath indicates a potential respiratory emergency that
requires immediate assessment and intervention. Prioritizing the most unstable patient
ensures safety and timely medical response.
3. A nurse manager is discussing the concept of ‘autonomy’ during a staff meeting. Which
action by a nurse best demonstrates this ethical principle?
A. Telling a patient the truth about a poor prognosis.
B. Ensuring that all patients receive equal care regardless of status.
C. Maintaining a patient’s confidentiality during a shift report.
D. Supporting a patient’s decision to refuse a life-saving blood transfusion.
Answer: D
Rationale: Autonomy refers to the right of the individual to make their own healthcare
decisions based on their values and beliefs. By supporting the refusal of treatment, the
nurse respects the patient’s self-determination. This principle is a cornerstone of patient-
centered collaborative healthcare.
4. Which leadership style is characterized by a leader who makes all decisions with little to no
input from the staff?
A. Democratic leadership
, B. Laissez-faire leadership
C. Transformational leadership
D. Autocratic leadership
Answer: D
Rationale: Autocratic leadership involves centralized decision-making where the leader
maintains high control over the group. While efficient in emergency situations, it often
decreases staff morale and creativity over time. This style contrasts sharply with
democratic or participative leadership models.
5. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ (Background) portion of the report?
A. The patient’s admitting diagnosis and medical history.
B. The patient’s current blood pressure and heart rate.
C. A request for a specific change in the patient’s medication.
D. The nurse’s assessment of the patient’s deteriorating condition.
Answer: A
Rationale: The Background component of SBAR provides the context of the situation, such
as history and admission data. This allows the receiver to understand the clinical timeline
before hearing the current assessment. Proper use of SBAR improves patient safety and
minimizes communication errors.
446 Collaborative Healthcare |
Chamberlain
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Evaluating the effectiveness of a pain medication.
B. Performing post-mortem care on a deceased patient.
C. Assessing a patient’s surgical incision site.
D. Providing discharge instructions to a new mother.
Answer: B
Rationale: Delegation to a UAP should only include non-invasive tasks and basic care that
do not require clinical judgment. Post-mortem care is a standardized procedure that does
not involve assessment or evaluation. The nurse remains responsible for ensuring the task
is performed correctly according to hospital policy.
2. The charge nurse is observing a newly licensed nurse who is prioritizing care for four
patients. Which patient should the nurse see first?
A. A patient with a blood glucose level of 150 mg/dL.
B. A patient who needs a dressing change for a chronic wound.
C. A patient requesting a PRN medication for mild nausea.
,D. A patient reporting a sudden onset of shortness of breath.
Answer: D
Rationale: The ABC (Airway, Breathing, Circulation) framework is the standard for clinical
prioritization. Shortness of breath indicates a potential respiratory emergency that
requires immediate assessment and intervention. Prioritizing the most unstable patient
ensures safety and timely medical response.
3. A nurse manager is discussing the concept of ‘autonomy’ during a staff meeting. Which
action by a nurse best demonstrates this ethical principle?
A. Telling a patient the truth about a poor prognosis.
B. Ensuring that all patients receive equal care regardless of status.
C. Maintaining a patient’s confidentiality during a shift report.
D. Supporting a patient’s decision to refuse a life-saving blood transfusion.
Answer: D
Rationale: Autonomy refers to the right of the individual to make their own healthcare
decisions based on their values and beliefs. By supporting the refusal of treatment, the
nurse respects the patient’s self-determination. This principle is a cornerstone of patient-
centered collaborative healthcare.
4. Which leadership style is characterized by a leader who makes all decisions with little to no
input from the staff?
A. Democratic leadership
, B. Laissez-faire leadership
C. Transformational leadership
D. Autocratic leadership
Answer: D
Rationale: Autocratic leadership involves centralized decision-making where the leader
maintains high control over the group. While efficient in emergency situations, it often
decreases staff morale and creativity over time. This style contrasts sharply with
democratic or participative leadership models.
5. A nurse is using the SBAR tool to communicate with a healthcare provider. Which
information should the nurse include in the ‘B’ (Background) portion of the report?
A. The patient’s admitting diagnosis and medical history.
B. The patient’s current blood pressure and heart rate.
C. A request for a specific change in the patient’s medication.
D. The nurse’s assessment of the patient’s deteriorating condition.
Answer: A
Rationale: The Background component of SBAR provides the context of the situation, such
as history and admission data. This allows the receiver to understand the clinical timeline
before hearing the current assessment. Proper use of SBAR improves patient safety and
minimizes communication errors.
