NR546 Final Exam actual questions and answers| Newest
Version 2025/2026.
What can be delegated to Assistive personnel (AP)? - CORRECT ANSWERS- -
ADLs - bathing - grooming - dressing - ambulating - feeding (w/o
swallow precautions) - positioning - bed making - specimen collection -
I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will
care for 4 clients. Which of the following clients needs will the nurse
assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad
cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS- C
A nurse is delegating the ambulation of a client who had knee arthroplasty
5 days ago to an AP. Which of the following info should the nurse share
with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERS- B
C
D
An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted
on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS-
D
,A nurse is preparing an inservice program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS- B
C
E
A nurse manager of a med surge unit is assigning care responsibilities for
the oncoming shift. A client is waiting transfer back to the unit from the
PACU following thoracic surgery. To which staff member should the nurse
assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - CORRECT ANSWERS- B
What is the study of conduct and character? - CORRECT ANSWERS- Ethics
What are the values and beliefs that guide behavior and decision making?
- CORRECT ANSWERS- Morals
What is the right to make ones own personal decisions, even tho those
decisions might not be in the persons best interest - CORRECT ANSWERS-
Autonomy
What are positive actions to help others - CORRECT ANSWERS- Beneficience
What is an agreement to keep promises - CORRECT ANSWERS- Fidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERS-
Justice
What is avoidance of harm or injury - CORRECT ANSWERS- Non-maleficence
A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands that
this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERS- A
,A nurse offers pain meds to a client who is postop prior to ambulation. The
nurse understands that this aspect of care delivery is an example of which
of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERS- D
A nurse is instructing a group of nursing students about the
responsibilities involved with organ donation and procurement. When the
nurse explains that all clients waiting for a kidney transplant have to meet
the same qualifications, the students should understand that this aspect of
care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT ANSWERS- C
A nurse questions a med prescription as too extreme and light of the
clients advanced age and unstable status. The nurse understands that this
action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - CORRECT ANSWERS- D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical
impairment
B. A nurse over hears another nurse telling an older adult client that if he
doesnt stay in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral tube
feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her
durable power of attorney form - CORRECT ANSWERS- C
Most managers can be categorized as - CORRECT ANSWERS- authoritative,
democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
, Work output by the staff is usually high-good for crisis situations and
bureaucratic settings - CORRECT ANSWERS- Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and
collaboration is necessary - CORRECT ANSWERS- Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between
group members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the
situation - CORRECT ANSWERS- Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing
interventions, which are? - CORRECT ANSWERS- - Physiological needs first
(oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for
sustaining life - CORRECT ANSWERS- Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning
tasks - CORRECT ANSWERS- ANA codes of standards
What values would a nurse possess to be a client advocate? - CORRECT
ANSWERS- - caring
- autonomy
- respect
- empowerment
What do the nurse need to keep in mind about the client when being their
advocate? - CORRECT ANSWERS- Client's religion & culture
When should planning discharge process begin?
a. at time of admission
b. 2 days after client is admitted
c. whenever the nurse has the time to do planning
Version 2025/2026.
What can be delegated to Assistive personnel (AP)? - CORRECT ANSWERS- -
ADLs - bathing - grooming - dressing - ambulating - feeding (w/o
swallow precautions) - positioning - bed making - specimen collection -
I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will
care for 4 clients. Which of the following clients needs will the nurse
assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration
pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad
cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS- C
A nurse is delegating the ambulation of a client who had knee arthroplasty
5 days ago to an AP. Which of the following info should the nurse share
with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERS- B
C
D
An RN is making assignments for client care to an LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted
on the previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS-
D
,A nurse is preparing an inservice program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS- B
C
E
A nurse manager of a med surge unit is assigning care responsibilities for
the oncoming shift. A client is waiting transfer back to the unit from the
PACU following thoracic surgery. To which staff member should the nurse
assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - CORRECT ANSWERS- B
What is the study of conduct and character? - CORRECT ANSWERS- Ethics
What are the values and beliefs that guide behavior and decision making?
- CORRECT ANSWERS- Morals
What is the right to make ones own personal decisions, even tho those
decisions might not be in the persons best interest - CORRECT ANSWERS-
Autonomy
What are positive actions to help others - CORRECT ANSWERS- Beneficience
What is an agreement to keep promises - CORRECT ANSWERS- Fidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERS-
Justice
What is avoidance of harm or injury - CORRECT ANSWERS- Non-maleficence
A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands that
this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERS- A
,A nurse offers pain meds to a client who is postop prior to ambulation. The
nurse understands that this aspect of care delivery is an example of which
of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERS- D
A nurse is instructing a group of nursing students about the
responsibilities involved with organ donation and procurement. When the
nurse explains that all clients waiting for a kidney transplant have to meet
the same qualifications, the students should understand that this aspect of
care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT ANSWERS- C
A nurse questions a med prescription as too extreme and light of the
clients advanced age and unstable status. The nurse understands that this
action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - CORRECT ANSWERS- D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical
impairment
B. A nurse over hears another nurse telling an older adult client that if he
doesnt stay in bed she will restrain him
C. A family has conflicting feelings about the initiation of enteral tube
feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her
durable power of attorney form - CORRECT ANSWERS- C
Most managers can be categorized as - CORRECT ANSWERS- authoritative,
democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
, Work output by the staff is usually high-good for crisis situations and
bureaucratic settings - CORRECT ANSWERS- Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation and
collaboration is necessary - CORRECT ANSWERS- Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between
group members
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the
situation - CORRECT ANSWERS- Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing
interventions, which are? - CORRECT ANSWERS- - Physiological needs first
(oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for
sustaining life - CORRECT ANSWERS- Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning
tasks - CORRECT ANSWERS- ANA codes of standards
What values would a nurse possess to be a client advocate? - CORRECT
ANSWERS- - caring
- autonomy
- respect
- empowerment
What do the nurse need to keep in mind about the client when being their
advocate? - CORRECT ANSWERS- Client's religion & culture
When should planning discharge process begin?
a. at time of admission
b. 2 days after client is admitted
c. whenever the nurse has the time to do planning
