BSN366 Exam 2 Actual Exam Style V1 |
BSN 366 HESI RN Exit | Nightingale
1. A nurse manager is discussing the role of a charge nurse with a group of staff nurses. Which
of the following leadership styles is characterized by the manager making decisions
independently without input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: The autocratic leadership style involves a leader who maintains total control
and makes all decisions without seeking consensus from the team. This style can be
effective in emergency situations where rapid decision-making is essential for patient
safety. However, it often leads to low staff morale and limited professional growth among
team members.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Feeding a patient who has a high risk for aspiration
B. Assisting a stable patient with ambulation
,C. Performing an initial skin assessment on a new admission
D. Providing education on how to use an incentive spirometer
Answer: B
Rationale: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The RN must ensure that the patient is
hemodynamically stable before delegating this task to ensure safety. Tasks involving
assessment, clinical judgment, or patient teaching must remain with the licensed nurse.
3. A nurse is caring for a group of patients on a medical-surgical unit. Which patient should
the nurse assess first?
A. A patient with a history of heart failure who has 2+ pitting edema in the lower
extremities
B. A patient with diabetes who has a blood glucose level of 150 mg/dL
C. A patient with pneumonia who is experiencing new-onset confusion and restlessness
D. A patient who is 1 day postoperative and reports a pain level of 6 on a scale of 0 to 10
Answer: C
Rationale: New-onset confusion and restlessness are early signs of hypoxia and require
immediate intervention according to the ABC (Airway, Breathing, Circulation) framework.
While pain and edema are important findings, they do not take precedence over potential
respiratory failure. The nurse must prioritize the patient showing signs of physiological
instability.
, 4. Which of the following ethical principles is being applied when a nurse supports a patient’s
decision to refuse chemotherapy despite the family’s wishes?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions regarding
their medical care. Even if the healthcare team or family disagrees, the patient’s self-
determination must be respected if they are competent. This principle is fundamental to
the informed consent process and patient-centered care.
5. A nurse is preparing to administer a medication and realizes the dosage is higher than the
recommended range. What is the most appropriate action for the nurse to take?
A. Contact the prescribing provider to clarify the order
B. Give half of the dose and document the change
C. Administer the dose as ordered since the doctor prescribed it
D. Ask another nurse to verify the order and administer it
Answer: A
BSN 366 HESI RN Exit | Nightingale
1. A nurse manager is discussing the role of a charge nurse with a group of staff nurses. Which
of the following leadership styles is characterized by the manager making decisions
independently without input from the staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: The autocratic leadership style involves a leader who maintains total control
and makes all decisions without seeking consensus from the team. This style can be
effective in emergency situations where rapid decision-making is essential for patient
safety. However, it often leads to low staff morale and limited professional growth among
team members.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Feeding a patient who has a high risk for aspiration
B. Assisting a stable patient with ambulation
,C. Performing an initial skin assessment on a new admission
D. Providing education on how to use an incentive spirometer
Answer: B
Rationale: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The RN must ensure that the patient is
hemodynamically stable before delegating this task to ensure safety. Tasks involving
assessment, clinical judgment, or patient teaching must remain with the licensed nurse.
3. A nurse is caring for a group of patients on a medical-surgical unit. Which patient should
the nurse assess first?
A. A patient with a history of heart failure who has 2+ pitting edema in the lower
extremities
B. A patient with diabetes who has a blood glucose level of 150 mg/dL
C. A patient with pneumonia who is experiencing new-onset confusion and restlessness
D. A patient who is 1 day postoperative and reports a pain level of 6 on a scale of 0 to 10
Answer: C
Rationale: New-onset confusion and restlessness are early signs of hypoxia and require
immediate intervention according to the ABC (Airway, Breathing, Circulation) framework.
While pain and edema are important findings, they do not take precedence over potential
respiratory failure. The nurse must prioritize the patient showing signs of physiological
instability.
, 4. Which of the following ethical principles is being applied when a nurse supports a patient’s
decision to refuse chemotherapy despite the family’s wishes?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions regarding
their medical care. Even if the healthcare team or family disagrees, the patient’s self-
determination must be respected if they are competent. This principle is fundamental to
the informed consent process and patient-centered care.
5. A nurse is preparing to administer a medication and realizes the dosage is higher than the
recommended range. What is the most appropriate action for the nurse to take?
A. Contact the prescribing provider to clarify the order
B. Give half of the dose and document the change
C. Administer the dose as ordered since the doctor prescribed it
D. Ask another nurse to verify the order and administer it
Answer: A
