NR446 Exam 4 Actual Exam Style V2 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assessing a client’s surgical incision site.
B. Providing discharge instructions to a client.
C. Adjusting the rate of an IV infusion.
D. Assisting a stable client with ambulation.
Answer: D
Rationale: Assisting with activities of daily living for stable clients is within the UAP’s
scope of practice. Assessing, teaching, and managing IV medications are responsibilities
that must be performed by a licensed nurse. The nurse must always verify the client’s
stability before delegating tasks to assistive personnel.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which conflict resolution strategy is being used when both nurses give up
something to reach a solution?
A. Compromising
B. Avoiding
,C. Competing
D. Collaborating
Answer: A
Rationale: Compromising involves both parties making concessions to reach a middle-
ground solution. This strategy is effective when a quick agreement is needed and the goals
are of moderate importance. Unlike collaborating, where a win-win is sought,
compromising often results in a ‘lose-lose’ or ‘win-lose’ perception because neither party
gets exactly what they wanted.
3. A nurse receives a change-of-shift report on four clients. Which client should the nurse
assess first?
A. A client with a new onset of confusion and restlessness.
B. A client who is scheduled for an endoscopy in two hours.
C. A client requesting PRN medication for chronic back pain.
D. A client who had a bowel movement and needs to be cleaned.
Answer: A
Rationale: New onset confusion and restlessness are often early signs of hypoxia or
neurological changes and require immediate assessment. Using the ABC (Airway,
Breathing, Circulation) framework, physiological instability takes priority over scheduled
procedures or chronic pain. The nurse must identify acute changes to prevent further
patient deterioration.
, 4. A nurse manager is preparing a budget that includes the purchase of a new MRI machine.
This type of budget is referred to as which of the following?
A. Operating budget
B. Capital budget
C. Cash budget
D. Personnel budget
Answer: B
Rationale: A capital budget is used for the purchase of major equipment or assets that
have a long life expectancy, usually exceeding one year. This differs from the operating
budget, which covers day-to-day expenses like supplies and utilities. Managers must plan
capital expenditures well in advance due to the high costs involved.
5. A nurse is using Lewin’s change theory to implement a new electronic health record
system. Which stage involves the nurse manager creating motivation for change among the
staff?
A. Restructuring
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
446 Collaborative Healthcare |
Chamberlain
1. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assessing a client’s surgical incision site.
B. Providing discharge instructions to a client.
C. Adjusting the rate of an IV infusion.
D. Assisting a stable client with ambulation.
Answer: D
Rationale: Assisting with activities of daily living for stable clients is within the UAP’s
scope of practice. Assessing, teaching, and managing IV medications are responsibilities
that must be performed by a licensed nurse. The nurse must always verify the client’s
stability before delegating tasks to assistive personnel.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. Which conflict resolution strategy is being used when both nurses give up
something to reach a solution?
A. Compromising
B. Avoiding
,C. Competing
D. Collaborating
Answer: A
Rationale: Compromising involves both parties making concessions to reach a middle-
ground solution. This strategy is effective when a quick agreement is needed and the goals
are of moderate importance. Unlike collaborating, where a win-win is sought,
compromising often results in a ‘lose-lose’ or ‘win-lose’ perception because neither party
gets exactly what they wanted.
3. A nurse receives a change-of-shift report on four clients. Which client should the nurse
assess first?
A. A client with a new onset of confusion and restlessness.
B. A client who is scheduled for an endoscopy in two hours.
C. A client requesting PRN medication for chronic back pain.
D. A client who had a bowel movement and needs to be cleaned.
Answer: A
Rationale: New onset confusion and restlessness are often early signs of hypoxia or
neurological changes and require immediate assessment. Using the ABC (Airway,
Breathing, Circulation) framework, physiological instability takes priority over scheduled
procedures or chronic pain. The nurse must identify acute changes to prevent further
patient deterioration.
, 4. A nurse manager is preparing a budget that includes the purchase of a new MRI machine.
This type of budget is referred to as which of the following?
A. Operating budget
B. Capital budget
C. Cash budget
D. Personnel budget
Answer: B
Rationale: A capital budget is used for the purchase of major equipment or assets that
have a long life expectancy, usually exceeding one year. This differs from the operating
budget, which covers day-to-day expenses like supplies and utilities. Managers must plan
capital expenditures well in advance due to the high costs involved.
5. A nurse is using Lewin’s change theory to implement a new electronic health record
system. Which stage involves the nurse manager creating motivation for change among the
staff?
A. Restructuring
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
