,NUR 2790 Exam 4 | Professional Nursing III (2026) Actual
Q&A PDF | Rasmussen College
1. Which of the following best describes the primary purpose of the Health Insurance
Portability and Accountability Act (HIPAA) in nursing informatics?
A) To standardize the cost of electronic health record systems across all states
B) To provide patients with free access to all medical software used by their providers
C) To eliminate the use of paper records in all acute care settings by a specific
deadline
D) To ensure the privacy and security of protected health information while allowing
for necessary data flow
Correct Answer: To ensure the privacy and security of protected health information
while allowing for necessary data flow
Rationale: The primary goal of HIPAA is to protect the privacy and security of health
information while ensuring healthcare providers have the data needed for care. This
regulation sets national standards for electronic healthcare transactions. Nurses must
adhere to these standards to prevent unauthorized access to sensitive patient data.
2. 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
Correct Answer: Transformational
,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. This approach fosters staff engagement.
3. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which client
should be assigned to the LPN?
A) A client who is 24 hours post-operative and requires a sterile dressing change
B) A client who was just admitted with a suspected pulmonary embolism
C) A client requiring a comprehensive admission assessment and care plan
D) A client who is experiencing a sudden drop in oxygen saturation levels
Correct Answer: A client who is 24 hours post-operative and requires a sterile
dressing change
Rationale: LPNs are trained to perform specific technical tasks such as sterile
dressing changes for stable clients. The RN is responsible for initial assessments,
developing the plan of care, and managing unstable patients. Assigning the stable
post-operative client allows the RN to focus on more complex clinical judgments.
4. 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
Correct Answer: Assisting a stable patient with ambulation in the hallway
, 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. Checking an arterial line
and evaluating pain require RN-level assessment.
5. A nurse is using the SBAR communication tool. Which information should be
included in the 'Background' portion of the report?
A) The client's current vital signs and mental status
B) The client's medical history and relevant past treatments
C) The nurse's suggestion for a change in the medication dose
D) The reason why the nurse is calling the provider right now
Correct Answer: The client's medical history and relevant past treatments
Rationale: The Background component of SBAR focuses on context, including
medical history and previous interventions. Situation describes what is happening
currently, while Assessment includes vital signs. Recommendation is where the nurse
suggests a specific action or intervention.
6. 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
Correct Answer: Secondary prevention
Q&A PDF | Rasmussen College
1. Which of the following best describes the primary purpose of the Health Insurance
Portability and Accountability Act (HIPAA) in nursing informatics?
A) To standardize the cost of electronic health record systems across all states
B) To provide patients with free access to all medical software used by their providers
C) To eliminate the use of paper records in all acute care settings by a specific
deadline
D) To ensure the privacy and security of protected health information while allowing
for necessary data flow
Correct Answer: To ensure the privacy and security of protected health information
while allowing for necessary data flow
Rationale: The primary goal of HIPAA is to protect the privacy and security of health
information while ensuring healthcare providers have the data needed for care. This
regulation sets national standards for electronic healthcare transactions. Nurses must
adhere to these standards to prevent unauthorized access to sensitive patient data.
2. 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
Correct Answer: Transformational
,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. This approach fosters staff engagement.
3. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which client
should be assigned to the LPN?
A) A client who is 24 hours post-operative and requires a sterile dressing change
B) A client who was just admitted with a suspected pulmonary embolism
C) A client requiring a comprehensive admission assessment and care plan
D) A client who is experiencing a sudden drop in oxygen saturation levels
Correct Answer: A client who is 24 hours post-operative and requires a sterile
dressing change
Rationale: LPNs are trained to perform specific technical tasks such as sterile
dressing changes for stable clients. The RN is responsible for initial assessments,
developing the plan of care, and managing unstable patients. Assigning the stable
post-operative client allows the RN to focus on more complex clinical judgments.
4. 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
Correct Answer: Assisting a stable patient with ambulation in the hallway
, 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. Checking an arterial line
and evaluating pain require RN-level assessment.
5. A nurse is using the SBAR communication tool. Which information should be
included in the 'Background' portion of the report?
A) The client's current vital signs and mental status
B) The client's medical history and relevant past treatments
C) The nurse's suggestion for a change in the medication dose
D) The reason why the nurse is calling the provider right now
Correct Answer: The client's medical history and relevant past treatments
Rationale: The Background component of SBAR focuses on context, including
medical history and previous interventions. Situation describes what is happening
currently, while Assessment includes vital signs. Recommendation is where the nurse
suggests a specific action or intervention.
6. 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
Correct Answer: Secondary prevention
