,NR 446 Collaborative Healthcare Exam Prep —
Comprehensive Review + Practice MCQs —
Chamberlain College of Nursing 2025/2026
1. A nurse manager is preparing to implement a new electronic documentation system. According to Lewin's
Change Theory, which stage involves creating the motivation and readiness for change?
A. Refreezing
B. Moving
C. Unfreezing
D. Stabilizing
Correct Answer: C. Unfreezing
Rationale: Lewin's Change Theory consists of three stages: Unfreezing (creating readiness for change and
letting go of old patterns), Moving (implementing the change), and Refreezing (stabilizing the change).
Unfreezing is the first stage where the need for change is recognized and staff are prepared to accept the
change .
2. A nurse delegates ambulation of a stable postoperative patient to unlicensed assistive personnel (UAP).
Which principle of delegation is being followed?
A. Delegating nursing assessment responsibilities
B. Assigning a task within the UAP's scope and competency
C. Transferring accountability to the UAP
D. Delegating clinical judgment
,Correct Answer: B. Assigning a task within the UAP's scope and competency
Rationale: Safe delegation requires assigning tasks appropriate to the delegatee's education, training, and
scope of practice. The RN retains accountability and cannot delegate assessment, evaluation, or clinical
judgment .
3. A nurse is caring for four patients. Using the ABCDE priority framework, which patient should the nurse
assess first?
A. A patient requesting pain medication for chronic back pain
B. A patient with a blood pressure of 88/50 mmHg and tachycardia
C. A patient scheduled for physical therapy in one hour
D. A patient who needs a sterile dressing change before noon
Correct Answer: B. A patient with a blood pressure of 88/50 mmHg and tachycardia
Rationale: The ABCDE framework (Airway, Breathing, Circulation, Disability, Exposure) prioritizes physiological
stability. Hypotension and tachycardia indicate hemodynamic instability requiring immediate assessment to
prevent shock or further deterioration .
4. A nurse manager encourages staff participation in decision-making and values team input. Which leadership
style is being demonstrated?
A. Autocratic
B. Bureaucratic
C. Laissez-faire
, D. Democratic
Correct Answer: D. Democratic
Rationale: Democratic leadership involves including the group in decision-making and fostering communication
and collaboration. Autocratic leaders make decisions independently, while laissez-faire leaders provide minimal
guidance .
5. A patient refuses a life-saving blood transfusion due to religious beliefs. The nurse supports this decision
based on which ethical principle?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B. Autonomy
Rationale: Autonomy is the right of the patient to make their own decisions about their healthcare, even if the
nurse disagrees with the decision. Beneficence is doing good, and nonmaleficence is doing no harm .
6. A nurse administers the wrong medication to a patient but the patient suffers no harm. Which element of
malpractice is missing if a lawsuit is filed?
A. Breach of duty
B. Injury or damages
C. Causation
Comprehensive Review + Practice MCQs —
Chamberlain College of Nursing 2025/2026
1. A nurse manager is preparing to implement a new electronic documentation system. According to Lewin's
Change Theory, which stage involves creating the motivation and readiness for change?
A. Refreezing
B. Moving
C. Unfreezing
D. Stabilizing
Correct Answer: C. Unfreezing
Rationale: Lewin's Change Theory consists of three stages: Unfreezing (creating readiness for change and
letting go of old patterns), Moving (implementing the change), and Refreezing (stabilizing the change).
Unfreezing is the first stage where the need for change is recognized and staff are prepared to accept the
change .
2. A nurse delegates ambulation of a stable postoperative patient to unlicensed assistive personnel (UAP).
Which principle of delegation is being followed?
A. Delegating nursing assessment responsibilities
B. Assigning a task within the UAP's scope and competency
C. Transferring accountability to the UAP
D. Delegating clinical judgment
,Correct Answer: B. Assigning a task within the UAP's scope and competency
Rationale: Safe delegation requires assigning tasks appropriate to the delegatee's education, training, and
scope of practice. The RN retains accountability and cannot delegate assessment, evaluation, or clinical
judgment .
3. A nurse is caring for four patients. Using the ABCDE priority framework, which patient should the nurse
assess first?
A. A patient requesting pain medication for chronic back pain
B. A patient with a blood pressure of 88/50 mmHg and tachycardia
C. A patient scheduled for physical therapy in one hour
D. A patient who needs a sterile dressing change before noon
Correct Answer: B. A patient with a blood pressure of 88/50 mmHg and tachycardia
Rationale: The ABCDE framework (Airway, Breathing, Circulation, Disability, Exposure) prioritizes physiological
stability. Hypotension and tachycardia indicate hemodynamic instability requiring immediate assessment to
prevent shock or further deterioration .
4. A nurse manager encourages staff participation in decision-making and values team input. Which leadership
style is being demonstrated?
A. Autocratic
B. Bureaucratic
C. Laissez-faire
, D. Democratic
Correct Answer: D. Democratic
Rationale: Democratic leadership involves including the group in decision-making and fostering communication
and collaboration. Autocratic leaders make decisions independently, while laissez-faire leaders provide minimal
guidance .
5. A patient refuses a life-saving blood transfusion due to religious beliefs. The nurse supports this decision
based on which ethical principle?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B. Autonomy
Rationale: Autonomy is the right of the patient to make their own decisions about their healthcare, even if the
nurse disagrees with the decision. Beneficence is doing good, and nonmaleficence is doing no harm .
6. A nurse administers the wrong medication to a patient but the patient suffers no harm. Which element of
malpractice is missing if a lawsuit is filed?
A. Breach of duty
B. Injury or damages
C. Causation
