NR446 Final Exam Actual Exam Style V3 |
NR 446 Collaborative Healthcare |
Chamberlain
1. A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)?
A. Evaluating the effectiveness of a client’s pain medication.
B. Performing a sterile dressing change on a post-operative wound.
C. Teaching a client how to use a glucose monitor for home use.
D. Transporting a stable client to the radiology department for an X-ray.
Answer: D
Rationale: Transporting a stable client is a task within the scope of practice for an assistive
personnel. Evaluation, sterile procedures, and education are the responsibility of the
registered nurse and cannot be delegated. Ensuring client safety during transport remains
a priority for the healthcare team.
2. A nurse manager is discussing the concept of ‘just culture’ with the staff. Which statement
by a staff nurse indicates an understanding of this concept?
A. It means that no one will be held accountable for clinical errors.
B. It is a process where the manager makes all the decisions regarding safety.
C. It focuses on identifying system failures rather than individual blame.
,D. It requires the nurse to report only major sentinel events to the board.
Answer: C
Rationale: Just culture recognizes that individual professionals should not be held
accountable for system failings over which they have no control. It encourages reporting of
errors and near misses to improve the overall safety of the environment. This approach
balances individual accountability with a focus on system improvements.
3. A charge nurse is observing a newly licensed nurse provide care for a client. Which action
by the new nurse requires intervention?
A. The nurse asks a client to sign an informed consent form after they received sedation.
B. The nurse uses a barcode scanner to verify the client’s identity.
C. The nurse documents a medication administration immediately after giving it.
D. The nurse performs hand hygiene before and after client contact.
Answer: A
Rationale: A client cannot legally sign an informed consent form if they have received
sedative medication that impairs their judgment. The nurse must ensure the client is fully
awake and alert before obtaining a signature. The charge nurse must intervene to ensure
the legal and ethical standards of care are maintained.
4. Which leadership style is characterized by the leader making decisions independently
without input from the group?
A. Democratic
, B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making where the leader
maintains total control. This style is often used in emergency situations where quick
decisions are vital for client safety. However, it can lead to low staff morale if used
exclusively in non-emergent settings.
5. A nurse is preparing to delegate tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the LPN?
A. Performing a focused assessment on a client who is 2 days post-op.
B. Administering an intravenous bolus of a high-risk medication.
C. Developing the initial plan of care for a new admission.
D. Completing the discharge teaching for a client with a new colostomy.
Answer: A
Rationale: LPNs are trained to perform focused assessments on stable clients and
contribute to the plan of care. Initial assessments, high-risk IV medications, and complex
discharge teaching are usually reserved for the RN. The RN must always supervise the LPN
and remain accountable for the client’s outcomes.
NR 446 Collaborative Healthcare |
Chamberlain
1. A nurse is planning care for a group of clients. Which of the following tasks should the
nurse delegate to an assistive personnel (AP)?
A. Evaluating the effectiveness of a client’s pain medication.
B. Performing a sterile dressing change on a post-operative wound.
C. Teaching a client how to use a glucose monitor for home use.
D. Transporting a stable client to the radiology department for an X-ray.
Answer: D
Rationale: Transporting a stable client is a task within the scope of practice for an assistive
personnel. Evaluation, sterile procedures, and education are the responsibility of the
registered nurse and cannot be delegated. Ensuring client safety during transport remains
a priority for the healthcare team.
2. A nurse manager is discussing the concept of ‘just culture’ with the staff. Which statement
by a staff nurse indicates an understanding of this concept?
A. It means that no one will be held accountable for clinical errors.
B. It is a process where the manager makes all the decisions regarding safety.
C. It focuses on identifying system failures rather than individual blame.
,D. It requires the nurse to report only major sentinel events to the board.
Answer: C
Rationale: Just culture recognizes that individual professionals should not be held
accountable for system failings over which they have no control. It encourages reporting of
errors and near misses to improve the overall safety of the environment. This approach
balances individual accountability with a focus on system improvements.
3. A charge nurse is observing a newly licensed nurse provide care for a client. Which action
by the new nurse requires intervention?
A. The nurse asks a client to sign an informed consent form after they received sedation.
B. The nurse uses a barcode scanner to verify the client’s identity.
C. The nurse documents a medication administration immediately after giving it.
D. The nurse performs hand hygiene before and after client contact.
Answer: A
Rationale: A client cannot legally sign an informed consent form if they have received
sedative medication that impairs their judgment. The nurse must ensure the client is fully
awake and alert before obtaining a signature. The charge nurse must intervene to ensure
the legal and ethical standards of care are maintained.
4. Which leadership style is characterized by the leader making decisions independently
without input from the group?
A. Democratic
, B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making where the leader
maintains total control. This style is often used in emergency situations where quick
decisions are vital for client safety. However, it can lead to low staff morale if used
exclusively in non-emergent settings.
5. A nurse is preparing to delegate tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the LPN?
A. Performing a focused assessment on a client who is 2 days post-op.
B. Administering an intravenous bolus of a high-risk medication.
C. Developing the initial plan of care for a new admission.
D. Completing the discharge teaching for a client with a new colostomy.
Answer: A
Rationale: LPNs are trained to perform focused assessments on stable clients and
contribute to the plan of care. Initial assessments, high-risk IV medications, and complex
discharge teaching are usually reserved for the RN. The RN must always supervise the LPN
and remain accountable for the client’s outcomes.
