BSN366 Exam 3 Actual Exam Style V3 |
BSN 366 HESI RN Exit | Nightingale
1. A nurse manager is planning to implement a new electronic health record system. Which of
the following actions should the nurse manager take first according to Lewin’s Change
Theory?
A. Identify the barriers to the acceptance of the new system.
B. Provide training sessions for all staff members.
C. Evaluate the effectiveness of the system after one month.
D. Celebrate the successful implementation with a staff party.
Answer: A
Rationale: The first stage of Lewin’s Change Theory is unfreezing, which involves
preparing the group for the change. Identifying barriers allows the manager to address
concerns and build a case for why the change is necessary. This step is crucial for
minimizing resistance before moving to the implementation phase.
2. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a chest tube who has 50 mL of drainage in the last hour.
B. A client who is 2 days post-appendectomy and has a temperature of 100.2 F.
C. A client with chronic obstructive pulmonary disease (COPD) and an SpO2 of 89%.
,D. A client with chronic obstructive pulmonary disease (COPD) and an SpO2 of 89%.
C. A client who just returned from a cardiac catheterization and has a saturated dressing.
Answer: C
Rationale: A saturated dressing following a cardiac catheterization indicates active
bleeding or hemorrhage from an arterial site. This is a life-threatening emergency that
requires immediate intervention to apply pressure. The other clients are relatively stable
or experiencing expected findings for their conditions.
3. Which task is most appropriate for a nurse to delegate to an assistive personnel (AP)?
A. Administering a nebulizer treatment to a client with asthma.
B. Assisting a client with oral hygiene and a partial bed bath.
C. Monitoring the skin integrity of a client who is immobile.
D. Teaching a client how to use an incentive spirometer.
Answer: B
Rationale: Standard hygiene tasks like oral care and bathing fall within the scope of
practice for assistive personnel. These tasks do not require clinical judgment or complex
assessment skills. The nurse remains responsible for evaluating the client’s overall status
even after delegation.
, 4. A nurse is involved in a conflict with a coworker regarding the holiday schedule. The nurse
decides to give up their preferred shift to maintain harmony. Which conflict resolution
strategy is the nurse using?
A. Compromising
B. Collaborating
C. Accommodating
D. Avoiding
Answer: C
Rationale: Accommodating is a strategy where one party neglects their own concerns to
satisfy the concerns of the other party. It is often used to preserve relationships when the
issue is less important to one individual. While it resolves the immediate conflict, it may
lead to resentment if used too frequently.
5. Which of the following actions by a nurse demonstrates the ethical principle of
beneficence?
A. Respecting a client’s right to refuse a life-saving blood transfusion.
B. Holding a client’s hand and providing comfort during a painful procedure.
C. Providing the same quality of care to all clients regardless of status.
D. Telling the truth to a client about a terminal diagnosis.
Answer: B
BSN 366 HESI RN Exit | Nightingale
1. A nurse manager is planning to implement a new electronic health record system. Which of
the following actions should the nurse manager take first according to Lewin’s Change
Theory?
A. Identify the barriers to the acceptance of the new system.
B. Provide training sessions for all staff members.
C. Evaluate the effectiveness of the system after one month.
D. Celebrate the successful implementation with a staff party.
Answer: A
Rationale: The first stage of Lewin’s Change Theory is unfreezing, which involves
preparing the group for the change. Identifying barriers allows the manager to address
concerns and build a case for why the change is necessary. This step is crucial for
minimizing resistance before moving to the implementation phase.
2. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a chest tube who has 50 mL of drainage in the last hour.
B. A client who is 2 days post-appendectomy and has a temperature of 100.2 F.
C. A client with chronic obstructive pulmonary disease (COPD) and an SpO2 of 89%.
,D. A client with chronic obstructive pulmonary disease (COPD) and an SpO2 of 89%.
C. A client who just returned from a cardiac catheterization and has a saturated dressing.
Answer: C
Rationale: A saturated dressing following a cardiac catheterization indicates active
bleeding or hemorrhage from an arterial site. This is a life-threatening emergency that
requires immediate intervention to apply pressure. The other clients are relatively stable
or experiencing expected findings for their conditions.
3. Which task is most appropriate for a nurse to delegate to an assistive personnel (AP)?
A. Administering a nebulizer treatment to a client with asthma.
B. Assisting a client with oral hygiene and a partial bed bath.
C. Monitoring the skin integrity of a client who is immobile.
D. Teaching a client how to use an incentive spirometer.
Answer: B
Rationale: Standard hygiene tasks like oral care and bathing fall within the scope of
practice for assistive personnel. These tasks do not require clinical judgment or complex
assessment skills. The nurse remains responsible for evaluating the client’s overall status
even after delegation.
, 4. A nurse is involved in a conflict with a coworker regarding the holiday schedule. The nurse
decides to give up their preferred shift to maintain harmony. Which conflict resolution
strategy is the nurse using?
A. Compromising
B. Collaborating
C. Accommodating
D. Avoiding
Answer: C
Rationale: Accommodating is a strategy where one party neglects their own concerns to
satisfy the concerns of the other party. It is often used to preserve relationships when the
issue is less important to one individual. While it resolves the immediate conflict, it may
lead to resentment if used too frequently.
5. Which of the following actions by a nurse demonstrates the ethical principle of
beneficence?
A. Respecting a client’s right to refuse a life-saving blood transfusion.
B. Holding a client’s hand and providing comfort during a painful procedure.
C. Providing the same quality of care to all clients regardless of status.
D. Telling the truth to a client about a terminal diagnosis.
Answer: B
