exam 1 NR446, NR 446 Leadership Exam 1 Study – UPDATED Questions with 100% Verified A…
exam 1 NR446, NR 446 Leadership Exam 1 Study
– UPDATED Questions with 100% Verified
Answers
Chamberlain University-Illinois
NR 446
Section 1: Level, Delegation, Delegate (Q1–Q13)
Question & Answer
Q1 plan priorites based on
A Purpose of care Current clinical picture Picture of the outcome or result
Q2 ABCDE principle: used when? define parts?
A -used this when figuring out which patient goes first!
A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected
B (Breathing): Assess for respirations & ventilatory effort
C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding too
D (Disability): Assess client's level of consciousness. Think neuro*
E (Exposure): Undress patient, assess client's body. Also could be under environment in the book.
Assess the whole body
Q3 Maslow's Hierarchy of Needs
A (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and
Affection, (level 4) Self Esteem, (level 5) Self Actualization
Q4 levels of priority setting: level 1? level 2? level 3?
A level 1: ABCs level 2: mental status changes, acute pain, abnormal labs/tests level 3: risk
categories, at risk groups-safety and infection along with chronic problems
Q5 prioritization of client care: just review
A UNSTABLE over STABLE ACUTE over CHRONIC problems SYSTEMIC over LOCAL problems
Q6 compliation over expected findings what does this mean?
A Complication: medical emergency Stroke patient, ICP is a complication. Expected findings would be
unsteady gait and numbness. We would pick ICP over numbness
Q7 delegation
A The assignment of new or additional responsibilities to a subordinate
Q8 assignment nurse?
A distribution of work to each staff member
Q9 RN can delegate what?
A what you can EAT: -evaluate -assess -teach
-nursing process -initial client education or assessment -tasks the required clinical judgement
Page 1 of 20
,exam 1 NR446, NR 446 Leadership Exam 1 Study – UPDATED Questions with 100% Verified A…
Question & Answer
Q10 Five Right of Delegation
A 1. Right task 2. Right circumstances 3. Right person 4. Right direction/communication 5. Right
supervision
Q11 five right of delegation: right direction and communication- Four C's of this
A -clear -concise -correct -complete
Q12 RN delegate to PN
A -medication everything besides IV -Enteral feeding -all task excepts blood administion and IV push
-reassessment, reinforcement of patient teaching
Q13 RN delegate to AP
A -ADLS -ambulating -feeding patient without swallowing precautions -positioning -vitals on stable
-bed making speciment collection (not sterile) -I/O -basic CPR
Section 2: Ethical, Ethics, Principles (Q14–Q26)
Question & Answer
Q14 ethics
A the principles of right and wrong that guide an individual in making decisions
Q15 applied ethics
A The manner in which principles of ethics are incorporated into professional conduct.
Q16 ethical theory
A varies ideas and principles used to make judgement between right and wrong
Q17 morals
A values and ideas to make decision from right from wrong
Q18 Ethical Principles
A standards of what is right/wrong with regard to important social values and norms
Q19 ethical principles that impact nurses
A -moral indifference -moral uncertainlty or conflict (unsure about morals for a situation) -moral
distress-knows the right thing but unable to do it -moral outrage -moral or ethical delium
Q20 autonomy
A patient has right for own body, freedom to pick what they want example: leaving AMA
Q21 beneficence
A doing good for the best interest for the patient
Q22 Nonmaleficence
A do no harm
Page 2 of 20
, exam 1 NR446, NR 446 Leadership Exam 1 Study – UPDATED Questions with 100% Verified A…
Question & Answer
Q23 paternalism
A person who takes charge of a patient decision when the patient cannot make their own choices
-healthcare professional takes over for patient who is altered or SI
Q24 utility define?
A used for MCI by doing the most good for the most amount of people
Q25 justice define
A treating people fairly
Q26 veracity
A telling the truth
Section 3: Ethical, Decision, Making (Q27–Q39)
Question & Answer
Q27 fidelity
A keeping a promise: tell a patient you will be back in 20min and actually following through
Q28 code of ethics for nurses
A made by the american nurses association in 1950 to support the ethical obligation of nursing
outlines the important general values, duties, and responsibilites that flow from specific role of
being a nurse
Q29 international council of nurses code of ethics for nurses
A made in 1953
makes it clear that nursing has respect for human rights including right to life, to dignity and to be
treated with respect
guide nurses in everyday choices and it supports their refusal to care
Q30 how to ID an ethical dilemmas
A -cannot be solved solely by review data -involved conflict between two moral imperatives -anwer
will have a profound effect of the situation or client many cant be solved by a nurse, charge nurse
or doctor needs to be a board
Q31 Steps in ethical decision making
A -identify whether or not the issue is indeed an ethical dilemma -state the ethical dilemma including
all surrounding issues and individuals involved -list and analyze all possible options for resolving the
dilemma and review implications of each option -select option that is in concert with the ethical
principle applicable to this situation, the decision maker's values and beliefs, and the profession's
values set forth for client care; justify why chosen over other options -apply this decision to the
dilemma and evaluate the outcomes
Q32 other strategies for ethical decision making: traditional problem solving?
A -define the objectives -gather data -take your times -make as many solutions -remove emotions
Page 3 of 20
exam 1 NR446, NR 446 Leadership Exam 1 Study
– UPDATED Questions with 100% Verified
Answers
Chamberlain University-Illinois
NR 446
Section 1: Level, Delegation, Delegate (Q1–Q13)
Question & Answer
Q1 plan priorites based on
A Purpose of care Current clinical picture Picture of the outcome or result
Q2 ABCDE principle: used when? define parts?
A -used this when figuring out which patient goes first!
A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected
B (Breathing): Assess for respirations & ventilatory effort
C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding too
D (Disability): Assess client's level of consciousness. Think neuro*
E (Exposure): Undress patient, assess client's body. Also could be under environment in the book.
Assess the whole body
Q3 Maslow's Hierarchy of Needs
A (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and
Affection, (level 4) Self Esteem, (level 5) Self Actualization
Q4 levels of priority setting: level 1? level 2? level 3?
A level 1: ABCs level 2: mental status changes, acute pain, abnormal labs/tests level 3: risk
categories, at risk groups-safety and infection along with chronic problems
Q5 prioritization of client care: just review
A UNSTABLE over STABLE ACUTE over CHRONIC problems SYSTEMIC over LOCAL problems
Q6 compliation over expected findings what does this mean?
A Complication: medical emergency Stroke patient, ICP is a complication. Expected findings would be
unsteady gait and numbness. We would pick ICP over numbness
Q7 delegation
A The assignment of new or additional responsibilities to a subordinate
Q8 assignment nurse?
A distribution of work to each staff member
Q9 RN can delegate what?
A what you can EAT: -evaluate -assess -teach
-nursing process -initial client education or assessment -tasks the required clinical judgement
Page 1 of 20
,exam 1 NR446, NR 446 Leadership Exam 1 Study – UPDATED Questions with 100% Verified A…
Question & Answer
Q10 Five Right of Delegation
A 1. Right task 2. Right circumstances 3. Right person 4. Right direction/communication 5. Right
supervision
Q11 five right of delegation: right direction and communication- Four C's of this
A -clear -concise -correct -complete
Q12 RN delegate to PN
A -medication everything besides IV -Enteral feeding -all task excepts blood administion and IV push
-reassessment, reinforcement of patient teaching
Q13 RN delegate to AP
A -ADLS -ambulating -feeding patient without swallowing precautions -positioning -vitals on stable
-bed making speciment collection (not sterile) -I/O -basic CPR
Section 2: Ethical, Ethics, Principles (Q14–Q26)
Question & Answer
Q14 ethics
A the principles of right and wrong that guide an individual in making decisions
Q15 applied ethics
A The manner in which principles of ethics are incorporated into professional conduct.
Q16 ethical theory
A varies ideas and principles used to make judgement between right and wrong
Q17 morals
A values and ideas to make decision from right from wrong
Q18 Ethical Principles
A standards of what is right/wrong with regard to important social values and norms
Q19 ethical principles that impact nurses
A -moral indifference -moral uncertainlty or conflict (unsure about morals for a situation) -moral
distress-knows the right thing but unable to do it -moral outrage -moral or ethical delium
Q20 autonomy
A patient has right for own body, freedom to pick what they want example: leaving AMA
Q21 beneficence
A doing good for the best interest for the patient
Q22 Nonmaleficence
A do no harm
Page 2 of 20
, exam 1 NR446, NR 446 Leadership Exam 1 Study – UPDATED Questions with 100% Verified A…
Question & Answer
Q23 paternalism
A person who takes charge of a patient decision when the patient cannot make their own choices
-healthcare professional takes over for patient who is altered or SI
Q24 utility define?
A used for MCI by doing the most good for the most amount of people
Q25 justice define
A treating people fairly
Q26 veracity
A telling the truth
Section 3: Ethical, Decision, Making (Q27–Q39)
Question & Answer
Q27 fidelity
A keeping a promise: tell a patient you will be back in 20min and actually following through
Q28 code of ethics for nurses
A made by the american nurses association in 1950 to support the ethical obligation of nursing
outlines the important general values, duties, and responsibilites that flow from specific role of
being a nurse
Q29 international council of nurses code of ethics for nurses
A made in 1953
makes it clear that nursing has respect for human rights including right to life, to dignity and to be
treated with respect
guide nurses in everyday choices and it supports their refusal to care
Q30 how to ID an ethical dilemmas
A -cannot be solved solely by review data -involved conflict between two moral imperatives -anwer
will have a profound effect of the situation or client many cant be solved by a nurse, charge nurse
or doctor needs to be a board
Q31 Steps in ethical decision making
A -identify whether or not the issue is indeed an ethical dilemma -state the ethical dilemma including
all surrounding issues and individuals involved -list and analyze all possible options for resolving the
dilemma and review implications of each option -select option that is in concert with the ethical
principle applicable to this situation, the decision maker's values and beliefs, and the profession's
values set forth for client care; justify why chosen over other options -apply this decision to the
dilemma and evaluate the outcomes
Q32 other strategies for ethical decision making: traditional problem solving?
A -define the objectives -gather data -take your times -make as many solutions -remove emotions
Page 3 of 20
