NR446 Exam 2 Actual Exam Style V2 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse manager is observing a staff nurse who is using a transactional leadership style.
Which of the following behaviors should the manager expect?
A. Focusing on the personal development of the staff
B. Encouraging group decision-making and autonomy
C. Inspiring a shared vision for the unit’s future
D. Using rewards and punishments to motivate staff
Answer: D
Rationale: Transactional leadership focuses on the exchange between leaders and
followers, often using rewards for performance and corrective actions for failures. This
style maintains the status quo rather than pursuing revolutionary change. It is effective in
crisis situations but may lack the inspirational qualities of transformational leadership.
2. Which task is most appropriate for a nurse to delegate to an unlicensed assistive personnel
(UAP)?
A. Performing an initial post-operative assessment
B. Titrating an oxygen flow rate for a patient with COPD
C. Providing discharge instructions regarding medications
,D. Assisting a stable patient with ambulation
Answer: D
Rationale: The nurse must only delegate tasks that are within the UAP’s scope of practice,
which generally includes basic activities of daily living for stable patients. Ambulation of a
stable patient is a routine task that does not require clinical judgment or assessment. The
RN remains responsible for patient teaching, clinical assessments, and medical
adjustments.
3. A nurse is using the SBAR tool to communicate with a provider. Which statement belongs
in the ‘B’ (Background) section?
A. The patient’s heart rate is 120 beats per minute.
B. I am calling because the patient is having chest pain.
C. The patient was admitted yesterday with a history of heart failure.
D. I recommend obtaining an EKG immediately.
Answer: C
Rationale: The ‘Background’ section of SBAR provides the context leading up to the
current situation, such as the reason for admission and medical history. Option A
represents ‘Assessment’ or ‘Situation’ data, while Option B is the ‘Situation’. Option D is the
‘Recommendation’ portion of the communication tool.
4. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8/10 following surgery
, B. A patient with Type 1 diabetes whose glucose is 180 mg/dL
C. A patient with asthma reporting sudden shortness of breath
D. A patient scheduled for discharge who needs instructions
Answer: C
Rationale: The nurse should follow the ABC (Airway, Breathing, Circulation) framework
for prioritization. Sudden shortness of breath indicates a potential airway or breathing
emergency that must be addressed immediately. While pain and discharge are important,
they do not take precedence over respiratory stability.
5. A nurse manager is resolving a conflict where both parties agree to give up something of
value to reach a solution. Which conflict resolution strategy is being used?
A. Avoiding
B. Compromising
C. Competing
D. Collaborating
Answer: B
Rationale: Compromising involves each party making concessions to reach a middle
ground. This is often considered a lose-lose or win-lose situation depending on the weight
of the concessions. It is a useful strategy when a quick solution is needed for a complex
issue.
446 Collaborative Healthcare |
Chamberlain
1. A nurse manager is observing a staff nurse who is using a transactional leadership style.
Which of the following behaviors should the manager expect?
A. Focusing on the personal development of the staff
B. Encouraging group decision-making and autonomy
C. Inspiring a shared vision for the unit’s future
D. Using rewards and punishments to motivate staff
Answer: D
Rationale: Transactional leadership focuses on the exchange between leaders and
followers, often using rewards for performance and corrective actions for failures. This
style maintains the status quo rather than pursuing revolutionary change. It is effective in
crisis situations but may lack the inspirational qualities of transformational leadership.
2. Which task is most appropriate for a nurse to delegate to an unlicensed assistive personnel
(UAP)?
A. Performing an initial post-operative assessment
B. Titrating an oxygen flow rate for a patient with COPD
C. Providing discharge instructions regarding medications
,D. Assisting a stable patient with ambulation
Answer: D
Rationale: The nurse must only delegate tasks that are within the UAP’s scope of practice,
which generally includes basic activities of daily living for stable patients. Ambulation of a
stable patient is a routine task that does not require clinical judgment or assessment. The
RN remains responsible for patient teaching, clinical assessments, and medical
adjustments.
3. A nurse is using the SBAR tool to communicate with a provider. Which statement belongs
in the ‘B’ (Background) section?
A. The patient’s heart rate is 120 beats per minute.
B. I am calling because the patient is having chest pain.
C. The patient was admitted yesterday with a history of heart failure.
D. I recommend obtaining an EKG immediately.
Answer: C
Rationale: The ‘Background’ section of SBAR provides the context leading up to the
current situation, such as the reason for admission and medical history. Option A
represents ‘Assessment’ or ‘Situation’ data, while Option B is the ‘Situation’. Option D is the
‘Recommendation’ portion of the communication tool.
4. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8/10 following surgery
, B. A patient with Type 1 diabetes whose glucose is 180 mg/dL
C. A patient with asthma reporting sudden shortness of breath
D. A patient scheduled for discharge who needs instructions
Answer: C
Rationale: The nurse should follow the ABC (Airway, Breathing, Circulation) framework
for prioritization. Sudden shortness of breath indicates a potential airway or breathing
emergency that must be addressed immediately. While pain and discharge are important,
they do not take precedence over respiratory stability.
5. A nurse manager is resolving a conflict where both parties agree to give up something of
value to reach a solution. Which conflict resolution strategy is being used?
A. Avoiding
B. Compromising
C. Competing
D. Collaborating
Answer: B
Rationale: Compromising involves each party making concessions to reach a middle
ground. This is often considered a lose-lose or win-lose situation depending on the weight
of the concessions. It is a useful strategy when a quick solution is needed for a complex
issue.
