NUR2790 Exam 4 V1 | NUR 2790
Professional Nursing III / PN3 Exam Q&A |
Rasmussen University
1. A nurse manager is implementing a new evidence-based practice protocol. Which
leadership style is characterized by empowering staff to participate in decision-making and
fostering a sense of shared vision?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Transformational
Answer: D
Rationale: Transformational leadership focuses on building relationships and empowering
staff to contribute to a shared vision, which is essential for successful change management
in nursing. It contrasts with autocratic styles that limit input and laissez-faire styles that
lack guidance.
2. Which task is most appropriate for a registered nurse (RN) to delegate to an assistive
personnel (AP)?
A. Checking the pressure of a patient’s arterial line
B. Teaching a patient how to perform insulin injections
,C. Assisting a stable patient with ambulation in the hallway
D. Evaluating the effectiveness of a pain medication
Answer: C
Rationale: RNs may delegate routine, non-invasive tasks to APs, such as ambulating a
stable patient. Tasks involving clinical judgment, assessment, teaching, or complex
technical procedures must remain with the licensed nurse.
3. A nurse is organizing a community-wide blood pressure screening event. This activity is an
example of which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Rationale: Secondary prevention focuses on early detection and screening of diseases to
limit the impact of the condition. Primary prevention aims to prevent the disease before it
occurs, while tertiary prevention focuses on rehabilitation after a disease has occurred.
4. A client refuses to take a prescribed medication. The nurse respects this decision,
demonstrating which ethical principle?
A. Beneficence
, B. Fidelity
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy is the right of the patient to make their own decisions about their
healthcare, even if those decisions conflict with medical advice. The nurse’s role is to
ensure the patient is informed of the risks and benefits before supporting the decision.
5. A healthcare team is conducting a Root Cause Analysis (RCA) following a sentinel event.
What is the primary purpose of this process?
A. To assign blame to the individual responsible
B. To identify systemic failures and prevent recurrence
C. To satisfy legal requirements for the state board
D. To discipline the staff involved in the incident
Answer: B
Rationale: Root Cause Analysis is a quality improvement process used to identify the
underlying systems factors that led to an error. The focus is on improving the system
rather than blaming individuals to enhance patient safety.
Professional Nursing III / PN3 Exam Q&A |
Rasmussen University
1. A nurse manager is implementing a new evidence-based practice protocol. Which
leadership style is characterized by empowering staff to participate in decision-making and
fostering a sense of shared vision?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Transformational
Answer: D
Rationale: Transformational leadership focuses on building relationships and empowering
staff to contribute to a shared vision, which is essential for successful change management
in nursing. It contrasts with autocratic styles that limit input and laissez-faire styles that
lack guidance.
2. Which task is most appropriate for a registered nurse (RN) to delegate to an assistive
personnel (AP)?
A. Checking the pressure of a patient’s arterial line
B. Teaching a patient how to perform insulin injections
,C. Assisting a stable patient with ambulation in the hallway
D. Evaluating the effectiveness of a pain medication
Answer: C
Rationale: RNs may delegate routine, non-invasive tasks to APs, such as ambulating a
stable patient. Tasks involving clinical judgment, assessment, teaching, or complex
technical procedures must remain with the licensed nurse.
3. A nurse is organizing a community-wide blood pressure screening event. This activity is an
example of which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Rationale: Secondary prevention focuses on early detection and screening of diseases to
limit the impact of the condition. Primary prevention aims to prevent the disease before it
occurs, while tertiary prevention focuses on rehabilitation after a disease has occurred.
4. A client refuses to take a prescribed medication. The nurse respects this decision,
demonstrating which ethical principle?
A. Beneficence
, B. Fidelity
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy is the right of the patient to make their own decisions about their
healthcare, even if those decisions conflict with medical advice. The nurse’s role is to
ensure the patient is informed of the risks and benefits before supporting the decision.
5. A healthcare team is conducting a Root Cause Analysis (RCA) following a sentinel event.
What is the primary purpose of this process?
A. To assign blame to the individual responsible
B. To identify systemic failures and prevent recurrence
C. To satisfy legal requirements for the state board
D. To discipline the staff involved in the incident
Answer: B
Rationale: Root Cause Analysis is a quality improvement process used to identify the
underlying systems factors that led to an error. The focus is on improving the system
rather than blaming individuals to enhance patient safety.
