NR446 Exam 2 Actual Exam Style V1 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse manager is preparing a budget and needs to purchase a new telemetry monitoring
system. Which type of budget should the manager use for this expensive, long-term
equipment?
A. Operating budget
B. Cash budget
C. Personnel budget
D. Capital budget
Answer: D
Rationale: The capital budget is used for the purchase of major equipment that has a long
life expectancy and exceeds a certain dollar amount. The operating budget typically covers
day-to-day expenses like supplies and minor equipment. AI analysis suggests that
understanding the distinction between capital and operating budgets is crucial for nurse
leaders managing unit resources efficiently.
2. A charge nurse is assigning tasks to an unlicensed assistive personnel (UAP). Which task is
most appropriate to delegate to the UAP?
A. Collecting a mid-stream urine specimen from a stable client
,B. Assisting a client with a history of stroke to eat for the first time
C. Teaching a client how to use an incentive spirometer
D. Evaluating the effectiveness of pain medication
Answer: A
Rationale: Collecting a urine specimen from a stable client is a routine task within the
UAP’s scope of practice. Assessing a client’s swallowing ability after a stroke, teaching, and
evaluating outcomes are nursing responsibilities that cannot be delegated. Successful
delegation requires the nurse to assess the client’s stability and the complexity of the task
before assigning it.
3. A nurse is using the SBAR communication tool during a handoff report. Which information
should the nurse include in the ‘Assessment’ portion of the report?
A. The client’s name and room number
B. The client’s primary diagnosis and date of admission
C. A recommendation for a change in the frequency of vital signs
D. The client’s current vital signs and lung sounds
Answer: D
Rationale: The Assessment component of SBAR focuses on the nurse’s clinical findings
such as vital signs, physical assessment data, and laboratory results. The Situation section
includes the client’s name and the immediate problem, while the Background section
, provides the history. Including specific clinical data in the assessment helps the receiving
provider understand the client’s current status immediately.
4. A nurse manager is dealing with a conflict between two staff nurses regarding the holiday
schedule. The manager suggests that both nurses give up one preferred day off to reach an
agreement. Which conflict resolution strategy is being used?
A. Competing
B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
middle-ground solution. This strategy is often used when both sides have equal power and
goals are moderately important. AI analysis indicates that while compromising is effective
for quick fixes, it may not address the underlying issues as thoroughly as collaboration.
5. During a mass casualty incident, a nurse triages a client who has a large open abdominal
wound with evisceration and minimal respirations. Which color tag should the nurse assign?
A. Green
B. Yellow
C. Red
446 Collaborative Healthcare |
Chamberlain
1. A nurse manager is preparing a budget and needs to purchase a new telemetry monitoring
system. Which type of budget should the manager use for this expensive, long-term
equipment?
A. Operating budget
B. Cash budget
C. Personnel budget
D. Capital budget
Answer: D
Rationale: The capital budget is used for the purchase of major equipment that has a long
life expectancy and exceeds a certain dollar amount. The operating budget typically covers
day-to-day expenses like supplies and minor equipment. AI analysis suggests that
understanding the distinction between capital and operating budgets is crucial for nurse
leaders managing unit resources efficiently.
2. A charge nurse is assigning tasks to an unlicensed assistive personnel (UAP). Which task is
most appropriate to delegate to the UAP?
A. Collecting a mid-stream urine specimen from a stable client
,B. Assisting a client with a history of stroke to eat for the first time
C. Teaching a client how to use an incentive spirometer
D. Evaluating the effectiveness of pain medication
Answer: A
Rationale: Collecting a urine specimen from a stable client is a routine task within the
UAP’s scope of practice. Assessing a client’s swallowing ability after a stroke, teaching, and
evaluating outcomes are nursing responsibilities that cannot be delegated. Successful
delegation requires the nurse to assess the client’s stability and the complexity of the task
before assigning it.
3. A nurse is using the SBAR communication tool during a handoff report. Which information
should the nurse include in the ‘Assessment’ portion of the report?
A. The client’s name and room number
B. The client’s primary diagnosis and date of admission
C. A recommendation for a change in the frequency of vital signs
D. The client’s current vital signs and lung sounds
Answer: D
Rationale: The Assessment component of SBAR focuses on the nurse’s clinical findings
such as vital signs, physical assessment data, and laboratory results. The Situation section
includes the client’s name and the immediate problem, while the Background section
, provides the history. Including specific clinical data in the assessment helps the receiving
provider understand the client’s current status immediately.
4. A nurse manager is dealing with a conflict between two staff nurses regarding the holiday
schedule. The manager suggests that both nurses give up one preferred day off to reach an
agreement. Which conflict resolution strategy is being used?
A. Competing
B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
middle-ground solution. This strategy is often used when both sides have equal power and
goals are moderately important. AI analysis indicates that while compromising is effective
for quick fixes, it may not address the underlying issues as thoroughly as collaboration.
5. During a mass casualty incident, a nurse triages a client who has a large open abdominal
wound with evisceration and minimal respirations. Which color tag should the nurse assign?
A. Green
B. Yellow
C. Red
