NUR2115 Exam 4 V1 | NUR 2115
Fundamentals of Professional Nursing
Exam Q&A | Rasmussen University
1. Which leadership style is characterized by a leader who provides little direction and allows
the group to make their own decisions?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: B
Rationale: The Laissez-faire leadership style is ‘hands-off’ and provides minimal guidance
to the team. While this can foster autonomy, it may also lead to a lack of productivity if the
team is not highly self-motivated. This style is often less effective in high-stakes clinical
environments.
2. When a nurse delegates a task to an Unlicensed Assistive Personnel (UAP), who maintains
the ultimate accountability for the patient outcome?
A. The RN who delegated the task
B. The UAP
C. The Charge Nurse
,D. The Hospital Administration
Answer: A
Rationale: According to the Five Rights of Delegation, accountability remains with the RN
even after the task is assigned. The RN is responsible for ensuring the task was performed
correctly and evaluating the outcome. The UAP is responsible for the performance of the
task, but not the clinical assessment.
3. Which of the following is an example of Primary Prevention?
A. Performing a colonoscopy on a 50-year-old patient
B. Providing influenza immunizations at a local health fair
C. Educating a patient with diabetes on how to manage blood sugar
D. Conducting physical therapy sessions for a post-stroke patient
Answer: B
Rationale: Primary prevention focuses on health promotion and protection against specific
diseases before they occur. Immunizations are a classic example as they prevent the onset
of illness. Screenings like colonoscopies are secondary prevention, while rehabilitation is
tertiary.
4. A nurse is using the PICO format to develop a clinical question for evidence-based practice.
What does the ‘I’ represent in PICO?
A. Intervention
, B. Implementation
C. Identification
D. Improvement
Answer: A
Rationale: In the PICO acronym, ‘I’ stands for Intervention or Issue of interest. The other
components are P for Population, C for Comparison, and O for Outcome. This framework is
essential for structuring research to improve patient care.
5. Which ethical principle is defined as the duty to do good and act in the best interest of the
patient?
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Justice
Answer: C
Rationale: Beneficence involves taking positive actions to help others and ensuring that
the patient’s well-being is the priority. It differs from non-maleficence, which is the duty to
‘do no harm.’ Justice refers to fairness, and autonomy refers to the patient’s right to choose.
Fundamentals of Professional Nursing
Exam Q&A | Rasmussen University
1. Which leadership style is characterized by a leader who provides little direction and allows
the group to make their own decisions?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: B
Rationale: The Laissez-faire leadership style is ‘hands-off’ and provides minimal guidance
to the team. While this can foster autonomy, it may also lead to a lack of productivity if the
team is not highly self-motivated. This style is often less effective in high-stakes clinical
environments.
2. When a nurse delegates a task to an Unlicensed Assistive Personnel (UAP), who maintains
the ultimate accountability for the patient outcome?
A. The RN who delegated the task
B. The UAP
C. The Charge Nurse
,D. The Hospital Administration
Answer: A
Rationale: According to the Five Rights of Delegation, accountability remains with the RN
even after the task is assigned. The RN is responsible for ensuring the task was performed
correctly and evaluating the outcome. The UAP is responsible for the performance of the
task, but not the clinical assessment.
3. Which of the following is an example of Primary Prevention?
A. Performing a colonoscopy on a 50-year-old patient
B. Providing influenza immunizations at a local health fair
C. Educating a patient with diabetes on how to manage blood sugar
D. Conducting physical therapy sessions for a post-stroke patient
Answer: B
Rationale: Primary prevention focuses on health promotion and protection against specific
diseases before they occur. Immunizations are a classic example as they prevent the onset
of illness. Screenings like colonoscopies are secondary prevention, while rehabilitation is
tertiary.
4. A nurse is using the PICO format to develop a clinical question for evidence-based practice.
What does the ‘I’ represent in PICO?
A. Intervention
, B. Implementation
C. Identification
D. Improvement
Answer: A
Rationale: In the PICO acronym, ‘I’ stands for Intervention or Issue of interest. The other
components are P for Population, C for Comparison, and O for Outcome. This framework is
essential for structuring research to improve patient care.
5. Which ethical principle is defined as the duty to do good and act in the best interest of the
patient?
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Justice
Answer: C
Rationale: Beneficence involves taking positive actions to help others and ensuring that
the patient’s well-being is the priority. It differs from non-maleficence, which is the duty to
‘do no harm.’ Justice refers to fairness, and autonomy refers to the patient’s right to choose.
