NUR 3106
Lead And Inspire
EXAM I
Undergraduate Nursing
(BSN)
Exam-authentic, instructor-style questions
Leadership & professional nursing practice scenarios
Delegation, prioritization, and decision-making questions
Ethics, legal standards, and scope of practice concepts
Communication, teamwork, and conflict management items
Evidence-based practice & quality improvement topics
Application-focused and critical-thinking questions
University exam–aligned wording and structure
Correct answers discreetly embedded in options
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
1
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____1. A newly licensed nurse is reviewing the foundational documents that guide professional
nursing practice in the United States. Which document serves as the essential framework for
professional nursing standards and includes the scope and standards of practice?
A) American Nurses Association Code of Ethics for Nurses
B) Nursing: Scope and Standards of Practice – Correct answer✅✅
C) The Joint Commission National Patient Safety Goals
D) State Nurse Practice Act
_____2. A charge nurse on a medical-surgical unit is preparing to delegate vital sign assessment
to an unlicensed assistive personnel. Which factor must the nurse consider first before
delegating this task?
A) Whether the UAP has been trained to perform the task – Correct answer✅✅
B) Whether the patient's insurance will cover the UAP's involvement
C) Whether the UAP prefers to work with this particular patient
D) Whether the physician has specifically ordered vital signs by nursing staff
_____3. A nurse manager is implementing a new evidence-based fall prevention protocol on the
unit. Several staff nurses express resistance, stating the current system works fine. Which
leadership approach is most appropriate in this situation?
A) Directing staff to comply immediately under threat of disciplinary action
B) Engaging staff in discussing the evidence behind the change and addressing concerns
collaboratively – Correct answer✅✅
C) Waiting until all staff agree before implementing the new protocol
D) Reassigning resistant staff to a different unit during the transition
_____4. Which statement by a nurse best demonstrates understanding of the American Nurses
Association Code of Ethics provision regarding nursing practice and the profession?
A) I will only accept assignments within my scope of practice and maintain competence. –
Correct answer✅✅
B) I will follow physician orders without question to avoid legal liability.
C) I will prioritize the needs of my own family over patient needs during staffing
shortages.
D) I will report any colleague who disagrees with my clinical decisions to the board of
nursing.
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
2
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____5. A nurse is caring for a patient who refuses a blood transfusion based on religious beliefs.
The patient is competent and the healthcare team disagrees with the decision. What is the
nurse's primary ethical obligation?
A) Advocate for the patient's right to autonomy and self-determination – Correct
answer✅✅
B) Convince the patient to accept the transfusion to preserve life
C) Contact the hospital's legal department to override the patient's decision
D) Transfer care to another nurse who shares the patient's religious beliefs
_____6. A nursing student asks the clinical instructor to explain the difference between nursing
diagnosis and medical diagnosis. Which response by the instructor is most accurate?
A) A nursing diagnosis focuses on the human response to a health condition, while a
medical diagnosis identifies the disease process. – Correct answer✅✅
B) A nursing diagnosis is used for billing purposes, while a medical diagnosis guides
treatment.
C) A nursing diagnosis is determined by the physician, while a medical diagnosis is
determined by the nurse.
D) There is no meaningful difference; the terms are used interchangeably in clinical
practice.
_____7. A nurse preceptor is evaluating a new graduate's ability to prioritize care for a group of
patients. Which principle should guide the prioritization process?
A) Patients with the most pleasant demeanor should be seen first to build rapport.
B) Patients with the most unstable physiological status require immediate attention. –
Correct answer✅✅
C) Patients whose families are most demanding should be prioritized to reduce complaints.
D) Tasks should be completed in the order they appear on the assignment sheet.
_____8. During a interdisciplinary team meeting, a nurse identifies a potential medication
interaction that has not been addressed. The nurse's action best exemplifies which role of the
professional nurse?
A) Informal leader
B) Patient advocate – Correct answer✅✅
C) Primary care provider
D) Quality assurance coordinator
_____9. A hospital is pursuing Magnet recognition. Which characteristic is most central to
achieving this designation?
A) Having the highest nurse-to-patient ratio in the region
B) Demonstrating excellence in nursing practice and a culture of professional development
– Correct answer✅✅
C) Employing only nurses with doctoral degrees in direct care roles
D) Eliminating all medication errors for a minimum of five consecutive years
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
3
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____10. A nurse is caring for a patient from a culture different from the nurse's own. The
patient's family requests that a traditional healer be allowed to visit and perform a healing
ritual. What is the nurse's most appropriate response?
A) Inform the family that only medically approved interventions are permitted in the
hospital.
B) Facilitate the request after consulting with the healthcare team and ensuring the ritual
does not harm the patient. – Correct answer✅✅
C) Allow the healer to visit but prohibit any physical contact with the patient.
D) Report the request to the charge nurse as a potential safety concern.
_____11. A nurse manager notices that medication errors on the night shift have increased over
the past three months. Which approach reflects the principles of a just culture?
A) Identifying and terminating the nurses involved in the errors to set an example.
B) Analyzing system factors contributing to errors while addressing individual
accountability appropriately. – Correct answer✅✅
C) Ignoring the errors assuming they represent normal variation in practice.
D) Requiring all night shift nurses to complete additional pharmacology coursework as
punishment.
_____12. Which action by a nurse leader best promotes shared governance within a healthcare
organization?
A) Making all unit-level decisions independently to ensure consistency.
B) Establishing unit practice councils that give staff nurses a voice in decision-making
processes. – Correct answer✅✅
C) Delegating all administrative responsibilities to the assistant nurse manager.
D) Requiring physician approval for all nursing practice changes.
_____13. A nurse is preparing to administer a medication and discovers that the prescribed dose
exceeds the recommended maximum. The physician insists the dose is correct. What is the
nurse's most appropriate action?
A) Administer the medication as prescribed to maintain a collaborative relationship with
the physician.
B) Refuse to administer the medication, document the concern, and escalate through the
chain of command. – Correct answer✅✅
C) Administer half the prescribed dose as a compromise.
D) Ask another nurse to administer the medication to share the liability.
_____14. A nurse is involved in developing a clinical practice guideline for pressure injury
prevention. Which source of evidence should be given the highest priority?
A) Expert opinion from senior nursing staff
B) A single randomized controlled trial published in a high-impact journal
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
4
© 2026. All rights reserved. Unauthorized distribution is prohibited.
Lead And Inspire
EXAM I
Undergraduate Nursing
(BSN)
Exam-authentic, instructor-style questions
Leadership & professional nursing practice scenarios
Delegation, prioritization, and decision-making questions
Ethics, legal standards, and scope of practice concepts
Communication, teamwork, and conflict management items
Evidence-based practice & quality improvement topics
Application-focused and critical-thinking questions
University exam–aligned wording and structure
Correct answers discreetly embedded in options
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
1
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____1. A newly licensed nurse is reviewing the foundational documents that guide professional
nursing practice in the United States. Which document serves as the essential framework for
professional nursing standards and includes the scope and standards of practice?
A) American Nurses Association Code of Ethics for Nurses
B) Nursing: Scope and Standards of Practice – Correct answer✅✅
C) The Joint Commission National Patient Safety Goals
D) State Nurse Practice Act
_____2. A charge nurse on a medical-surgical unit is preparing to delegate vital sign assessment
to an unlicensed assistive personnel. Which factor must the nurse consider first before
delegating this task?
A) Whether the UAP has been trained to perform the task – Correct answer✅✅
B) Whether the patient's insurance will cover the UAP's involvement
C) Whether the UAP prefers to work with this particular patient
D) Whether the physician has specifically ordered vital signs by nursing staff
_____3. A nurse manager is implementing a new evidence-based fall prevention protocol on the
unit. Several staff nurses express resistance, stating the current system works fine. Which
leadership approach is most appropriate in this situation?
A) Directing staff to comply immediately under threat of disciplinary action
B) Engaging staff in discussing the evidence behind the change and addressing concerns
collaboratively – Correct answer✅✅
C) Waiting until all staff agree before implementing the new protocol
D) Reassigning resistant staff to a different unit during the transition
_____4. Which statement by a nurse best demonstrates understanding of the American Nurses
Association Code of Ethics provision regarding nursing practice and the profession?
A) I will only accept assignments within my scope of practice and maintain competence. –
Correct answer✅✅
B) I will follow physician orders without question to avoid legal liability.
C) I will prioritize the needs of my own family over patient needs during staffing
shortages.
D) I will report any colleague who disagrees with my clinical decisions to the board of
nursing.
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
2
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____5. A nurse is caring for a patient who refuses a blood transfusion based on religious beliefs.
The patient is competent and the healthcare team disagrees with the decision. What is the
nurse's primary ethical obligation?
A) Advocate for the patient's right to autonomy and self-determination – Correct
answer✅✅
B) Convince the patient to accept the transfusion to preserve life
C) Contact the hospital's legal department to override the patient's decision
D) Transfer care to another nurse who shares the patient's religious beliefs
_____6. A nursing student asks the clinical instructor to explain the difference between nursing
diagnosis and medical diagnosis. Which response by the instructor is most accurate?
A) A nursing diagnosis focuses on the human response to a health condition, while a
medical diagnosis identifies the disease process. – Correct answer✅✅
B) A nursing diagnosis is used for billing purposes, while a medical diagnosis guides
treatment.
C) A nursing diagnosis is determined by the physician, while a medical diagnosis is
determined by the nurse.
D) There is no meaningful difference; the terms are used interchangeably in clinical
practice.
_____7. A nurse preceptor is evaluating a new graduate's ability to prioritize care for a group of
patients. Which principle should guide the prioritization process?
A) Patients with the most pleasant demeanor should be seen first to build rapport.
B) Patients with the most unstable physiological status require immediate attention. –
Correct answer✅✅
C) Patients whose families are most demanding should be prioritized to reduce complaints.
D) Tasks should be completed in the order they appear on the assignment sheet.
_____8. During a interdisciplinary team meeting, a nurse identifies a potential medication
interaction that has not been addressed. The nurse's action best exemplifies which role of the
professional nurse?
A) Informal leader
B) Patient advocate – Correct answer✅✅
C) Primary care provider
D) Quality assurance coordinator
_____9. A hospital is pursuing Magnet recognition. Which characteristic is most central to
achieving this designation?
A) Having the highest nurse-to-patient ratio in the region
B) Demonstrating excellence in nursing practice and a culture of professional development
– Correct answer✅✅
C) Employing only nurses with doctoral degrees in direct care roles
D) Eliminating all medication errors for a minimum of five consecutive years
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
3
© 2026. All rights reserved. Unauthorized distribution is prohibited.
, _____10. A nurse is caring for a patient from a culture different from the nurse's own. The
patient's family requests that a traditional healer be allowed to visit and perform a healing
ritual. What is the nurse's most appropriate response?
A) Inform the family that only medically approved interventions are permitted in the
hospital.
B) Facilitate the request after consulting with the healthcare team and ensuring the ritual
does not harm the patient. – Correct answer✅✅
C) Allow the healer to visit but prohibit any physical contact with the patient.
D) Report the request to the charge nurse as a potential safety concern.
_____11. A nurse manager notices that medication errors on the night shift have increased over
the past three months. Which approach reflects the principles of a just culture?
A) Identifying and terminating the nurses involved in the errors to set an example.
B) Analyzing system factors contributing to errors while addressing individual
accountability appropriately. – Correct answer✅✅
C) Ignoring the errors assuming they represent normal variation in practice.
D) Requiring all night shift nurses to complete additional pharmacology coursework as
punishment.
_____12. Which action by a nurse leader best promotes shared governance within a healthcare
organization?
A) Making all unit-level decisions independently to ensure consistency.
B) Establishing unit practice councils that give staff nurses a voice in decision-making
processes. – Correct answer✅✅
C) Delegating all administrative responsibilities to the assistant nurse manager.
D) Requiring physician approval for all nursing practice changes.
_____13. A nurse is preparing to administer a medication and discovers that the prescribed dose
exceeds the recommended maximum. The physician insists the dose is correct. What is the
nurse's most appropriate action?
A) Administer the medication as prescribed to maintain a collaborative relationship with
the physician.
B) Refuse to administer the medication, document the concern, and escalate through the
chain of command. – Correct answer✅✅
C) Administer half the prescribed dose as a compromise.
D) Ask another nurse to administer the medication to share the liability.
_____14. A nurse is involved in developing a clinical practice guideline for pressure injury
prevention. Which source of evidence should be given the highest priority?
A) Expert opinion from senior nursing staff
B) A single randomized controlled trial published in a high-impact journal
This study guide is an independent educational resource and is not affiliated with or endorsed by any academic institution. It is intended for exam
preparation purposes only.
4
© 2026. All rights reserved. Unauthorized distribution is prohibited.
