NR446 EXAM 1: COLLABORATIVE
HEALTHCARE HIGH-LEVEL
ASSESSMENT QUESTIONS AND
ANSWERS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new bedside reporting
protocol. Which action represents the ‘Unfreezing’ stage?
A. Implementing the new reporting template on a pilot unit.
B. Evaluating the effectiveness of the new protocol after one month.
C. Updating the facility policy manual to reflect the new reporting requirements.
D. Conducting a survey to identify staff dissatisfaction with the current reporting method.
Answer: D
Conceptual Explanation: Unfreezing involves creating the motivation or readiness for
change by identifying problems and overcoming resistance.
2. Which of the following tasks is most appropriate for a registered nurse (RN) to delegate to
a licensed practical nurse (LPN) who is cross-trained to the unit?
A. Performing the initial admission assessment on a client with heart failure.
B. Titrating an intravenous heparin drip based on aPTT results.
,C. Developing a teaching plan for a client newly diagnosed with type 2 diabetes.
D. Administering a scheduled subcutaneous insulin injection to a stable client.
Answer: D
Conceptual Explanation: LPNs can perform routine tasks and administer medications to
stable clients. Assessment, planning, and complex titrations require the judgment of an RN.
3. A charge nurse is managing a conflict where two nurses both want to take the same
weekend off. The charge nurse decides to let them flip a coin. Which conflict management
strategy is being used?
A. Avoiding
B. Collaborating
C. Compromising
D. Competing
Answer: C
Conceptual Explanation: Compromising involves a ‘give and take’ approach where each
party gives up something to reach a solution, often used when both sides have equal power.
4. A nurse is caring for a group of clients. Which client should the nurse assess first?
A. A client with a tracheostomy who has new-onset restlessness and audible gurgling.
B. A client who is 4 hours postoperative following a cholecystectomy and reports a pain
level of 6/10.
, C. A client with a history of COPD who has an oxygen saturation of 89% on room air.
D. A client who is scheduled for discharge and is waiting for their final prescription.
Answer: A
Conceptual Explanation: Airway and breathing take priority. Restlessness and gurgling in
a tracheostomy client suggest potential airway obstruction.
5. Which leadership style is characterized by a leader who provides little direction, leaves
decisions to the group, and is most effective with highly motivated professional teams?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: C
Conceptual Explanation: Laissez-faire leadership is ‘hands-off,’ allowing the group to
make decisions, which works best with autonomous, expert staff.
6. The nurse is practicing the ethical principle of ‘Fidelity’ when performing which action?
A. Providing the client with all the information needed to make an informed choice.
B. Allocating resources fairly among all clients on the unit.
C. Keeping a promise to return in 15 minutes to check on a client’s pain.
HEALTHCARE HIGH-LEVEL
ASSESSMENT QUESTIONS AND
ANSWERS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new bedside reporting
protocol. Which action represents the ‘Unfreezing’ stage?
A. Implementing the new reporting template on a pilot unit.
B. Evaluating the effectiveness of the new protocol after one month.
C. Updating the facility policy manual to reflect the new reporting requirements.
D. Conducting a survey to identify staff dissatisfaction with the current reporting method.
Answer: D
Conceptual Explanation: Unfreezing involves creating the motivation or readiness for
change by identifying problems and overcoming resistance.
2. Which of the following tasks is most appropriate for a registered nurse (RN) to delegate to
a licensed practical nurse (LPN) who is cross-trained to the unit?
A. Performing the initial admission assessment on a client with heart failure.
B. Titrating an intravenous heparin drip based on aPTT results.
,C. Developing a teaching plan for a client newly diagnosed with type 2 diabetes.
D. Administering a scheduled subcutaneous insulin injection to a stable client.
Answer: D
Conceptual Explanation: LPNs can perform routine tasks and administer medications to
stable clients. Assessment, planning, and complex titrations require the judgment of an RN.
3. A charge nurse is managing a conflict where two nurses both want to take the same
weekend off. The charge nurse decides to let them flip a coin. Which conflict management
strategy is being used?
A. Avoiding
B. Collaborating
C. Compromising
D. Competing
Answer: C
Conceptual Explanation: Compromising involves a ‘give and take’ approach where each
party gives up something to reach a solution, often used when both sides have equal power.
4. A nurse is caring for a group of clients. Which client should the nurse assess first?
A. A client with a tracheostomy who has new-onset restlessness and audible gurgling.
B. A client who is 4 hours postoperative following a cholecystectomy and reports a pain
level of 6/10.
, C. A client with a history of COPD who has an oxygen saturation of 89% on room air.
D. A client who is scheduled for discharge and is waiting for their final prescription.
Answer: A
Conceptual Explanation: Airway and breathing take priority. Restlessness and gurgling in
a tracheostomy client suggest potential airway obstruction.
5. Which leadership style is characterized by a leader who provides little direction, leaves
decisions to the group, and is most effective with highly motivated professional teams?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: C
Conceptual Explanation: Laissez-faire leadership is ‘hands-off,’ allowing the group to
make decisions, which works best with autonomous, expert staff.
6. The nurse is practicing the ethical principle of ‘Fidelity’ when performing which action?
A. Providing the client with all the information needed to make an informed choice.
B. Allocating resources fairly among all clients on the unit.
C. Keeping a promise to return in 15 minutes to check on a client’s pain.
