NUR 282 | Advanced Clinical / Transition Nursing | Exam 8 2026
|Galen College
1. A nurse manager is resolving a conflict between two staff nurses. The
manager asks both parties to give up something to reach a solution. Which
conflict resolution strategy is being used?
A. Avoiding
B. Collaborating
C. Compromising
D. Competing
Answer: C
Rationale: Compromising involves both parties giving up something of value to reach a
middle ground. Avoiding is ignoring the conflict; collaborating is a win-win where both
parties meet all goals; competing is a win-lose situation.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN?
A. Developing the initial plan of care for a new admission.
B. Administering an intravenous push (IVP) cardiac medication.
C. Evaluating the effectiveness of a patient’s new teaching plan.
D. Performing a focused respiratory assessment on a stable patient.
Answer: D
Rationale: LPNs can perform focused assessments and care for stable patients. Initial
assessments, IV push medications (in many states/facilities), and evaluation of care plans
are typically reserved for the RN.
,3. A nurse is caring for a patient in the compensatory stage of shock. Which
clinical manifestation should the nurse expect?
A. Decreased heart rate
B. Increased urinary output
C. Cool, clammy skin
D. Respiratory alkalosis
Answer: C
Rationale: In the compensatory stage of shock, the body attempts to maintain perfusion.
Sympathetic nervous system activation leads to peripheral vasoconstriction (cool, clammy
skin) and increased heart rate. Respiratory alkalosis can occur due to tachypnea, but cool,
clammy skin is a hallmark sign of blood shunting.
4. Which leadership style is characterized by a leader who maintains strong
control, makes decisions without input from others, and is most effective in
emergency situations?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Autocratic leaders make decisions independently and maintain high control,
which is necessary in crisis situations where quick action is required.
, 5. A patient has the following ABG results: pH 7.30, PaCO2 55, HCO3 26. How
should the nurse interpret these results?
A. Metabolic Acidosis
B. Respiratory Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: B
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory cause), while the
HCO3 is normal, indicating uncompensated respiratory acidosis.
6. According to Lewin’s Change Theory, which stage involves the process of
creating a motivation or readiness for change?
A. Moving
B. Unfreezing
C. Refreezing
D. Transitioning
Answer: B
Rationale: Unfreezing is the first stage, where the leader helps others let go of old patterns
and prepares them for change.
7. A nurse is triaging victims of a mass casualty incident. A victim has a sucking
chest wound and is in severe respiratory distress. Which color tag should the
nurse assign?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
|Galen College
1. A nurse manager is resolving a conflict between two staff nurses. The
manager asks both parties to give up something to reach a solution. Which
conflict resolution strategy is being used?
A. Avoiding
B. Collaborating
C. Compromising
D. Competing
Answer: C
Rationale: Compromising involves both parties giving up something of value to reach a
middle ground. Avoiding is ignoring the conflict; collaborating is a win-win where both
parties meet all goals; competing is a win-lose situation.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN?
A. Developing the initial plan of care for a new admission.
B. Administering an intravenous push (IVP) cardiac medication.
C. Evaluating the effectiveness of a patient’s new teaching plan.
D. Performing a focused respiratory assessment on a stable patient.
Answer: D
Rationale: LPNs can perform focused assessments and care for stable patients. Initial
assessments, IV push medications (in many states/facilities), and evaluation of care plans
are typically reserved for the RN.
,3. A nurse is caring for a patient in the compensatory stage of shock. Which
clinical manifestation should the nurse expect?
A. Decreased heart rate
B. Increased urinary output
C. Cool, clammy skin
D. Respiratory alkalosis
Answer: C
Rationale: In the compensatory stage of shock, the body attempts to maintain perfusion.
Sympathetic nervous system activation leads to peripheral vasoconstriction (cool, clammy
skin) and increased heart rate. Respiratory alkalosis can occur due to tachypnea, but cool,
clammy skin is a hallmark sign of blood shunting.
4. Which leadership style is characterized by a leader who maintains strong
control, makes decisions without input from others, and is most effective in
emergency situations?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Autocratic leaders make decisions independently and maintain high control,
which is necessary in crisis situations where quick action is required.
, 5. A patient has the following ABG results: pH 7.30, PaCO2 55, HCO3 26. How
should the nurse interpret these results?
A. Metabolic Acidosis
B. Respiratory Acidosis
C. Metabolic Alkalosis
D. Respiratory Alkalosis
Answer: B
Rationale: The pH is low (acidosis) and the PaCO2 is high (respiratory cause), while the
HCO3 is normal, indicating uncompensated respiratory acidosis.
6. According to Lewin’s Change Theory, which stage involves the process of
creating a motivation or readiness for change?
A. Moving
B. Unfreezing
C. Refreezing
D. Transitioning
Answer: B
Rationale: Unfreezing is the first stage, where the leader helps others let go of old patterns
and prepares them for change.
7. A nurse is triaging victims of a mass casualty incident. A victim has a sucking
chest wound and is in severe respiratory distress. Which color tag should the
nurse assign?
A. Green
B. Yellow
C. Red
D. Black
Answer: C
