NR 446 Week 1 review – UPDATED Questions with 100% Verified Answers
NR 446 Week 1 review – UPDATED Questions with
100% Verified Answers
Science › Medicine › Nursing
Section 1: Nurse, Critical, Thinking (Q1–Q12)
Question & Answer
Q1 The nurse manager has arrived at the nursing unit and is preparing for the day. In what
order should the nurse manager address these issues? Place the issues in the order in
which they should be resolved sequentially, starting with the first.
Inadequate staffing for the nursing unit that day Complaints about new laboratory label
printers not working properly The interdisciplinary team dissatisfied with client
discharge delays Budgeting reports for resource allocation are due later this afternoon
A —
Q2 For each characteristic, specify if it aligns with a leadership or management position.
1. Less delegated authority 2. Direct subordinates 3. Emphasizes control and results 4.
Emphasizes interpersonal relationships 5. Manipulate resources to achieve goals 6. May
or may not be part of the formal hierarchy of the organization
A Leadership: 1, 4, 6 Management: 2, 3, 5
Q3 Which skill is a basic requirement for the development of sound critical thinking?
Writing Evaluating Listening Reading
A Evaluating
Q4 Which process is not used to support decision making by the nurse and nurse leader?
Problem solving Emphathizing Deductive reasoning Critical thinking Assuming
A Assuming
Q5 A nurse is appointed to a charge nurse position in a local hospital. Which term best
describes this new role?
Manager Colleague Formal leader Informal leader
A Formal leader
Q6 The nurse leader is orienting a new charge nurse to the expected decision-making
process they will share. Which of the following are the benefits of using a structured
approach to decision-making? Select all that apply.
A. Organizes thoughts
B. Leads to faster decisions
C. Promotes critical thinking
D. Focuses attention
E. Removes human error
A A, C, D
Page 1 of 18
,NR 446 Week 1 review – UPDATED Questions with 100% Verified Answers
Question & Answer
Q7 In which situation is the nurse demonstrating self-reflection to improve critical thinking?
Highlight the correct response.
A. Revises a plan of care after noting the client's response to interventions
B. Approaches data collection in an orderly manner prior to contacting a health care
provider
C. Remains objective when assessing a client's level of consciousness
D. Follows policies exactly as they are written in all situations
A A
Q8 Critical thinking and decision-making are both cognitive processes that require thought.
Which cognitive process steps are unique to critical thinking? Select all that apply.
A. Taking action
B. Analyzing cues
C. Evaluating outcomes
D. Prioritizing hypotheses
E. Generating solutions F. Recognizing cues
A B, C
Q9 Completing a client assessment is the best way to detect ___ of the client's status, even
if the nurse is not certain what is causing the change. Critical thinking skills help the
nurse figure out what additional ___ is needed to provide the ___ care possible.
deterioration/improvement information/task(s) lowest cost/safest
A Deterioration Information Safest
Q10 The nurse manager who overheard a nurse saying, "men have such a low tolerance for
pain" realizes that the nurse's clients are at risk for harm due to which factor?
A. Preconceived ideas
B. Lack of motivation
C. Poor decision-making
D. Influence of peers
A A
Q11 For each question, specify if the statement demonstrates if the nurse is or is not using
critical thinking.
1. "That did not work well. How can I do it differently next time?" 2. "That chair has had
a broken leg for a while. When will someone do something about it?" 3. "This should help
the client, but is it safe?" 4. "The facts are there, but what do they mean?" 5. "Why does
nothing go right for me?
A Uses critial thinking: 1, 3, 4 Does no use critical thinking: 2, 5
Q12 The nurse leader is mentoring a new nurse whose clinical reasoning skills are limited.
Before creating an improvement plan, which three skills of the new nurse should be
evaluated by the nurse leader?
A. Physical assessment
B. Delegation
C. Critical thinking
D. Time management
E. Problem-solving F. Decision-making
A C, E, F
Page 2 of 18
, NR 446 Week 1 review – UPDATED Questions with 100% Verified Answers
Section 2: Nurse, Leadership, Manager (Q13–Q24)
Question & Answer
Q13 Leadership vs management
1. speaks at all new colleague orientation sessions to personally welcome colleagues
and share their vision 2. informs subordinates that normal working hours will be
changed in the coming year 3. offers bonuses to assure tasks are completed on time 4.
uses a monthly "Pulse Check" survey to receive feedback from colleagues 5. sets a
schedule for when colleagues can take breaks
A Leadership: 1, 4 Management: 2, 3, 5
Q14 A staff nurse who serves on the facility policy and procedure committee encourages a
colleague to volunteer to fill a recently opened position on the same committee. Which
role is this colleague demonstrating?
A. Informal leader
B. Coach
C. Formal manager
D. Mentor
A A
Q15 The nurse manager has received feedback from their mentor that the quality of
decisions the nurse manager makes could be improved using critical thinking. Which
actions should the mentor recommend the nurse manager take to increase their
competence? Select all that apply.
A. Ask more questions to understand the issue
B. Generate as many alternatives as possible
C. Make decisions when the unit is quietest
D. Limit the number of experts providing input
E. Collect information during an emergency
A A, B
Q16 The ethics committee is reviewing a recent decision involving a family whose father was
at the end of his life, and the adult children could not agree on a treatment plan. The
client's nurse, who was present for the consultation and contributed to the discussion,
asks the medical ethicist why families struggle with a decision that seems clear to the
nurse. Which statement is the best response by the medical ethicist?
A. Each family member's decisions are impacted by their personal values.
B. This could have been prevented with an advance directive for health care.
C. Not all family members get along.
D. Most families are not familiar with the end-of-life options.
A A
Q17 In which situations should the nurse leader use critical thinking? Select all that apply.
A. When selecting which job applicant to hire
B. During an investigation of uncharged care items
C. When sharing policy changes with staff
D. During a fire emergency
A A, B
Page 3 of 18
NR 446 Week 1 review – UPDATED Questions with
100% Verified Answers
Science › Medicine › Nursing
Section 1: Nurse, Critical, Thinking (Q1–Q12)
Question & Answer
Q1 The nurse manager has arrived at the nursing unit and is preparing for the day. In what
order should the nurse manager address these issues? Place the issues in the order in
which they should be resolved sequentially, starting with the first.
Inadequate staffing for the nursing unit that day Complaints about new laboratory label
printers not working properly The interdisciplinary team dissatisfied with client
discharge delays Budgeting reports for resource allocation are due later this afternoon
A —
Q2 For each characteristic, specify if it aligns with a leadership or management position.
1. Less delegated authority 2. Direct subordinates 3. Emphasizes control and results 4.
Emphasizes interpersonal relationships 5. Manipulate resources to achieve goals 6. May
or may not be part of the formal hierarchy of the organization
A Leadership: 1, 4, 6 Management: 2, 3, 5
Q3 Which skill is a basic requirement for the development of sound critical thinking?
Writing Evaluating Listening Reading
A Evaluating
Q4 Which process is not used to support decision making by the nurse and nurse leader?
Problem solving Emphathizing Deductive reasoning Critical thinking Assuming
A Assuming
Q5 A nurse is appointed to a charge nurse position in a local hospital. Which term best
describes this new role?
Manager Colleague Formal leader Informal leader
A Formal leader
Q6 The nurse leader is orienting a new charge nurse to the expected decision-making
process they will share. Which of the following are the benefits of using a structured
approach to decision-making? Select all that apply.
A. Organizes thoughts
B. Leads to faster decisions
C. Promotes critical thinking
D. Focuses attention
E. Removes human error
A A, C, D
Page 1 of 18
,NR 446 Week 1 review – UPDATED Questions with 100% Verified Answers
Question & Answer
Q7 In which situation is the nurse demonstrating self-reflection to improve critical thinking?
Highlight the correct response.
A. Revises a plan of care after noting the client's response to interventions
B. Approaches data collection in an orderly manner prior to contacting a health care
provider
C. Remains objective when assessing a client's level of consciousness
D. Follows policies exactly as they are written in all situations
A A
Q8 Critical thinking and decision-making are both cognitive processes that require thought.
Which cognitive process steps are unique to critical thinking? Select all that apply.
A. Taking action
B. Analyzing cues
C. Evaluating outcomes
D. Prioritizing hypotheses
E. Generating solutions F. Recognizing cues
A B, C
Q9 Completing a client assessment is the best way to detect ___ of the client's status, even
if the nurse is not certain what is causing the change. Critical thinking skills help the
nurse figure out what additional ___ is needed to provide the ___ care possible.
deterioration/improvement information/task(s) lowest cost/safest
A Deterioration Information Safest
Q10 The nurse manager who overheard a nurse saying, "men have such a low tolerance for
pain" realizes that the nurse's clients are at risk for harm due to which factor?
A. Preconceived ideas
B. Lack of motivation
C. Poor decision-making
D. Influence of peers
A A
Q11 For each question, specify if the statement demonstrates if the nurse is or is not using
critical thinking.
1. "That did not work well. How can I do it differently next time?" 2. "That chair has had
a broken leg for a while. When will someone do something about it?" 3. "This should help
the client, but is it safe?" 4. "The facts are there, but what do they mean?" 5. "Why does
nothing go right for me?
A Uses critial thinking: 1, 3, 4 Does no use critical thinking: 2, 5
Q12 The nurse leader is mentoring a new nurse whose clinical reasoning skills are limited.
Before creating an improvement plan, which three skills of the new nurse should be
evaluated by the nurse leader?
A. Physical assessment
B. Delegation
C. Critical thinking
D. Time management
E. Problem-solving F. Decision-making
A C, E, F
Page 2 of 18
, NR 446 Week 1 review – UPDATED Questions with 100% Verified Answers
Section 2: Nurse, Leadership, Manager (Q13–Q24)
Question & Answer
Q13 Leadership vs management
1. speaks at all new colleague orientation sessions to personally welcome colleagues
and share their vision 2. informs subordinates that normal working hours will be
changed in the coming year 3. offers bonuses to assure tasks are completed on time 4.
uses a monthly "Pulse Check" survey to receive feedback from colleagues 5. sets a
schedule for when colleagues can take breaks
A Leadership: 1, 4 Management: 2, 3, 5
Q14 A staff nurse who serves on the facility policy and procedure committee encourages a
colleague to volunteer to fill a recently opened position on the same committee. Which
role is this colleague demonstrating?
A. Informal leader
B. Coach
C. Formal manager
D. Mentor
A A
Q15 The nurse manager has received feedback from their mentor that the quality of
decisions the nurse manager makes could be improved using critical thinking. Which
actions should the mentor recommend the nurse manager take to increase their
competence? Select all that apply.
A. Ask more questions to understand the issue
B. Generate as many alternatives as possible
C. Make decisions when the unit is quietest
D. Limit the number of experts providing input
E. Collect information during an emergency
A A, B
Q16 The ethics committee is reviewing a recent decision involving a family whose father was
at the end of his life, and the adult children could not agree on a treatment plan. The
client's nurse, who was present for the consultation and contributed to the discussion,
asks the medical ethicist why families struggle with a decision that seems clear to the
nurse. Which statement is the best response by the medical ethicist?
A. Each family member's decisions are impacted by their personal values.
B. This could have been prevented with an advance directive for health care.
C. Not all family members get along.
D. Most families are not familiar with the end-of-life options.
A A
Q17 In which situations should the nurse leader use critical thinking? Select all that apply.
A. When selecting which job applicant to hire
B. During an investigation of uncharged care items
C. When sharing policy changes with staff
D. During a fire emergency
A A, B
Page 3 of 18
