NSG 3160 FINAL EXAM COMPREHENSIVE STUDY GUIDE: 2026/2027
UPDATE COMPLETE QUESTIONS WITH 100% VERIFIED ANSWERS
1. A nurse manager is implementing a new bedside shift report
protocol. According to Lewin's Change Theory, which action
represents the 'unfreezing' stage?
A. Evaluating the effectiveness of the new report format after one
month.
B. Providing educational sessions to staff about the risks of current
reporting methods.
C. Integrating the new protocol into the formal unit policy manual.
D. Mentoring 'super-users' to assist colleagues during the transition.
Answer: B
Rationale: Unfreezing involves creating the motivation to change by
helping individuals realize that the current status quo is no longer
effective. Providing education on the risks of the current method is a
classic example of this stage.
2. Which task is most appropriate for the RN to delegate to an
experienced Unlicensed Assistive Personnel (UAP)?
A. Assessing a newly admitted patient with chest pain.
B. Administering oral pain medication to a stable patient.
C. Ambulating a stable patient who had surgery two days ago.
D. Teaching a patient how to administer their own insulin injections.
Answer: C
Rationale: UAPs can perform tasks that do not require nursing
,judgment, such as ambulating stable patients. Assessment, medication
administration, and patient teaching require an RN or LPN license.
3. A nurse is caring for four patients. Which patient should the nurse
assess first?
A. A patient reporting sudden onset of shortness of breath.
B. A patient requesting pain medication for a headache.
C. A patient who needs assistance with ambulation to the bathroom.
D. A patient scheduled for discharge in one hour.
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework,
shortness of breath indicates a potential airway or breathing issue and
requires immediate assessment.
4. A nurse manager is resolving a conflict between two staff nurses.
Which conflict resolution strategy involves one party giving up their
own goals to satisfy the other party?
A. Compromising.
B. Collaborating.
C. Avoiding.
D. Accommodating.
Answer: D
Rationale: Accommodating is a conflict resolution style where one party
sacrifices their own needs or goals to satisfy the concerns of the other
party.
5. Which action by a nurse constitutes a violation of HIPAA?
A. Discussing a patient's condition in a private hospital elevator.
B. Accessing the medical record of a patient assigned to their care.
C. Providing a verbal report to the oncoming nurse at the bedside.
,D. Faxing a medical record to a specialist with a secure cover sheet.
Answer: A
Rationale: Discussing patient information in public areas, such as an
elevator, where it can be overheard by unauthorized individuals, is a
breach of patient confidentiality and HIPAA.
6. A nurse is preparing to administer blood to a patient. Which action
is the priority?
A. Verifying the blood type with a second nurse.
B. Checking the patient's vital signs.
C. Obtaining the patient's consent for the transfusion.
D. Pre-medicating the patient with an antihistamine.
Answer: A
Rationale: Verifying blood products with a second licensed nurse is a
critical safety step to prevent a fatal hemolytic transfusion reaction. This
is the highest priority action before initiating the transfusion.
7. Which leadership style is characterized by the leader making
decisions without consulting the staff?
A. Democratic.
B. Laissez-faire.
C. Autocratic.
D. Transformational.
Answer: C
Rationale: An autocratic leader retains all authority and makes
decisions unilaterally, without seeking input from subordinates.
8. A nurse is using the SBAR communication tool. What information
should the nurse include in the 'A' section?
A. The nurse's name and unit.
, B. The patient's current vital signs and assessment.
C. The nurse's recommendation for the patient.
D. The patient's background and history.
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and
Recommendation. The 'A' (Assessment) section includes the nurse's
clinical findings, such as vital signs and physical assessment data.
9. What is the primary purpose of a root cause analysis (RCA) after a
sentinel event?
A. To determine which staff member is at fault.
B. To identify system flaws that contributed to the error.
C. To provide a forum for the patient's family to express anger.
D. To satisfy legal requirements for reporting.
Answer: B
Rationale: The primary goal of an RCA is to identify the underlying
system failures and processes that led to the error, rather than placing
blame on individuals.
10. A nurse is prioritizing care for a group of patients. Which patient
should the nurse see second?
A. A patient with an uncomplicated appendectomy requesting water.
B. A patient with pneumonia who is febrile and confused.
C. A patient with a fractured femur who is complaining of severe pain.
D. A patient with a urinary tract infection who is stable.
Answer: C
Rationale: After addressing immediate life-threatening issues (like the
confused pneumonia patient in the previous question, assuming this is
a follow-up), severe pain is a priority that requires prompt intervention.
UPDATE COMPLETE QUESTIONS WITH 100% VERIFIED ANSWERS
1. A nurse manager is implementing a new bedside shift report
protocol. According to Lewin's Change Theory, which action
represents the 'unfreezing' stage?
A. Evaluating the effectiveness of the new report format after one
month.
B. Providing educational sessions to staff about the risks of current
reporting methods.
C. Integrating the new protocol into the formal unit policy manual.
D. Mentoring 'super-users' to assist colleagues during the transition.
Answer: B
Rationale: Unfreezing involves creating the motivation to change by
helping individuals realize that the current status quo is no longer
effective. Providing education on the risks of the current method is a
classic example of this stage.
2. Which task is most appropriate for the RN to delegate to an
experienced Unlicensed Assistive Personnel (UAP)?
A. Assessing a newly admitted patient with chest pain.
B. Administering oral pain medication to a stable patient.
C. Ambulating a stable patient who had surgery two days ago.
D. Teaching a patient how to administer their own insulin injections.
Answer: C
Rationale: UAPs can perform tasks that do not require nursing
,judgment, such as ambulating stable patients. Assessment, medication
administration, and patient teaching require an RN or LPN license.
3. A nurse is caring for four patients. Which patient should the nurse
assess first?
A. A patient reporting sudden onset of shortness of breath.
B. A patient requesting pain medication for a headache.
C. A patient who needs assistance with ambulation to the bathroom.
D. A patient scheduled for discharge in one hour.
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework,
shortness of breath indicates a potential airway or breathing issue and
requires immediate assessment.
4. A nurse manager is resolving a conflict between two staff nurses.
Which conflict resolution strategy involves one party giving up their
own goals to satisfy the other party?
A. Compromising.
B. Collaborating.
C. Avoiding.
D. Accommodating.
Answer: D
Rationale: Accommodating is a conflict resolution style where one party
sacrifices their own needs or goals to satisfy the concerns of the other
party.
5. Which action by a nurse constitutes a violation of HIPAA?
A. Discussing a patient's condition in a private hospital elevator.
B. Accessing the medical record of a patient assigned to their care.
C. Providing a verbal report to the oncoming nurse at the bedside.
,D. Faxing a medical record to a specialist with a secure cover sheet.
Answer: A
Rationale: Discussing patient information in public areas, such as an
elevator, where it can be overheard by unauthorized individuals, is a
breach of patient confidentiality and HIPAA.
6. A nurse is preparing to administer blood to a patient. Which action
is the priority?
A. Verifying the blood type with a second nurse.
B. Checking the patient's vital signs.
C. Obtaining the patient's consent for the transfusion.
D. Pre-medicating the patient with an antihistamine.
Answer: A
Rationale: Verifying blood products with a second licensed nurse is a
critical safety step to prevent a fatal hemolytic transfusion reaction. This
is the highest priority action before initiating the transfusion.
7. Which leadership style is characterized by the leader making
decisions without consulting the staff?
A. Democratic.
B. Laissez-faire.
C. Autocratic.
D. Transformational.
Answer: C
Rationale: An autocratic leader retains all authority and makes
decisions unilaterally, without seeking input from subordinates.
8. A nurse is using the SBAR communication tool. What information
should the nurse include in the 'A' section?
A. The nurse's name and unit.
, B. The patient's current vital signs and assessment.
C. The nurse's recommendation for the patient.
D. The patient's background and history.
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and
Recommendation. The 'A' (Assessment) section includes the nurse's
clinical findings, such as vital signs and physical assessment data.
9. What is the primary purpose of a root cause analysis (RCA) after a
sentinel event?
A. To determine which staff member is at fault.
B. To identify system flaws that contributed to the error.
C. To provide a forum for the patient's family to express anger.
D. To satisfy legal requirements for reporting.
Answer: B
Rationale: The primary goal of an RCA is to identify the underlying
system failures and processes that led to the error, rather than placing
blame on individuals.
10. A nurse is prioritizing care for a group of patients. Which patient
should the nurse see second?
A. A patient with an uncomplicated appendectomy requesting water.
B. A patient with pneumonia who is febrile and confused.
C. A patient with a fractured femur who is complaining of severe pain.
D. A patient with a urinary tract infection who is stable.
Answer: C
Rationale: After addressing immediate life-threatening issues (like the
confused pneumonia patient in the previous question, assuming this is
a follow-up), severe pain is a priority that requires prompt intervention.
