NR446 Final Exam Actual Exam Style V2 |
NR 446 Collaborative Healthcare |
Chamberlain
1. A nurse manager is teaching a group of staff nurses about the five rights of delegation.
Which of the following should the manager include as one of the five rights?
A. Right documentation
B. Right supervision
C. Right location
D. Right time
Answer: B
Rationale: Right supervision/evaluation is one of the five essential rights of delegation as
defined by the NCSBN and ANA. It involves the delegating nurse providing monitoring,
evaluation, and feedback regarding the task performance. The other four rights are right
task, right circumstance, right person, and right direction/communication.
2. Which leadership style is characterized by a leader who makes all decisions without
consulting others and exercises high control over the group?
A. Autocratic
B. Laissez-faire
C. Democratic
,D. Transformational
Answer: A
Rationale: Autocratic leadership involves centralized decision-making with little input
from staff. This style can be effective in emergency situations where quick decisions are
mandatory for safety. However, it often results in low staff satisfaction and lack of
autonomy in the long term.
3. A nurse is caring for a group of patients. Which patient should the nurse assess first after
receiving the change-of-shift report?
A. A patient with a history of COPD reporting a cough
B. A patient with heart failure reporting new onset shortness of breath
C. A patient 2 hours post-op from a cholecystectomy reporting 6/10 pain
D. A patient waiting for discharge instructions for a broken arm
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, new onset shortness
of breath in a heart failure patient is the highest priority. This symptom indicates a
potential acute exacerbation or pulmonary edema requiring immediate intervention. The
other patients are currently stable and can be seen after the acute respiratory issue is
addressed.
, 4. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which of the following
tasks is appropriate to delegate?
A. Assisting a stable patient with a bed bath
B. Providing discharge education to a patient
C. Assessing a patient’s surgical incision
D. Adjusting the rate of an IV infusion pump
Answer: A
Rationale: Assisting with activities of daily living (ADLs), such as a bed bath for a stable
patient, is within the scope of practice for an AP. Assessment, education, and medication
administration (including IV fluids) are responsibilities that require the clinical judgment
of an RN. Delegating these tasks to unlicensed personnel would be unsafe and outside their
legal scope.
5. Which ethical principle is demonstrated when a nurse honors a patient’s refusal of a life-
saving blood transfusion due to religious beliefs?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B
NR 446 Collaborative Healthcare |
Chamberlain
1. A nurse manager is teaching a group of staff nurses about the five rights of delegation.
Which of the following should the manager include as one of the five rights?
A. Right documentation
B. Right supervision
C. Right location
D. Right time
Answer: B
Rationale: Right supervision/evaluation is one of the five essential rights of delegation as
defined by the NCSBN and ANA. It involves the delegating nurse providing monitoring,
evaluation, and feedback regarding the task performance. The other four rights are right
task, right circumstance, right person, and right direction/communication.
2. Which leadership style is characterized by a leader who makes all decisions without
consulting others and exercises high control over the group?
A. Autocratic
B. Laissez-faire
C. Democratic
,D. Transformational
Answer: A
Rationale: Autocratic leadership involves centralized decision-making with little input
from staff. This style can be effective in emergency situations where quick decisions are
mandatory for safety. However, it often results in low staff satisfaction and lack of
autonomy in the long term.
3. A nurse is caring for a group of patients. Which patient should the nurse assess first after
receiving the change-of-shift report?
A. A patient with a history of COPD reporting a cough
B. A patient with heart failure reporting new onset shortness of breath
C. A patient 2 hours post-op from a cholecystectomy reporting 6/10 pain
D. A patient waiting for discharge instructions for a broken arm
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, new onset shortness
of breath in a heart failure patient is the highest priority. This symptom indicates a
potential acute exacerbation or pulmonary edema requiring immediate intervention. The
other patients are currently stable and can be seen after the acute respiratory issue is
addressed.
, 4. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which of the following
tasks is appropriate to delegate?
A. Assisting a stable patient with a bed bath
B. Providing discharge education to a patient
C. Assessing a patient’s surgical incision
D. Adjusting the rate of an IV infusion pump
Answer: A
Rationale: Assisting with activities of daily living (ADLs), such as a bed bath for a stable
patient, is within the scope of practice for an AP. Assessment, education, and medication
administration (including IV fluids) are responsibilities that require the clinical judgment
of an RN. Delegating these tasks to unlicensed personnel would be unsafe and outside their
legal scope.
5. Which ethical principle is demonstrated when a nurse honors a patient’s refusal of a life-
saving blood transfusion due to religious beliefs?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Answer: B
