NUR2115 Exam 4 V2 | NUR 2115
Fundamentals of Professional Nursing
Exam Q&A | Rasmussen University
1. A Registered Nurse (RN) is planning the patient assignments for the shift. Which patient is
most appropriate to assign to a Licensed Practical Nurse (LPN)?
A. A patient with a chronic pressure ulcer requiring a sterile dressing change.
B. A newly admitted patient with chest pain and shortness of breath.
C. A patient who needs discharge teaching regarding new insulin administration.
D. A patient scheduled for surgery who needs to sign an informed consent form.
Answer: A
Rationale: LPNs can perform sterile procedures and care for stable patients with chronic
conditions. New admissions, complex teaching, and legal consent assessments require the
advanced judgment of an RN.
2. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Time
B. Right Supervision
C. Right Documentation
D. Right Patient
,Answer: B
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient who had an abdominal surgery 2 days ago and is reporting pain.
B. A patient with a tracheostomy who has copious secretions.
C. A patient with a fractured hip who is scheduled for physical therapy.
D. A patient who is being discharged and needs their prescriptions.
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with tracheostomy secretions represents a potential airway obstruction and must be seen
first.
4. The nurse is practicing ‘Beneficence’ when performing which of the following actions?
A. Providing the patient with the information needed to make an informed choice.
B. Fairly distributing nursing care among all assigned patients.
C. Keeping a promise made to the patient’s family.
D. Implementing a fall prevention protocol for an elderly patient.
Answer: D
, Rationale: Beneficence is the duty to do good and take positive actions to help others. Fall
prevention is a direct action to promote the patient’s well-being.
5. Which leadership style is most effective during a cardiac arrest (Code Blue) situation?
A. Laissez-faire
B. Democratic
C. Transactional
D. Autocratic
Answer: D
Rationale: Autocratic (authoritarian) leadership is best in emergency situations where
quick, decisive action is needed and there is no time for group discussion.
6. A nurse delegates the task of taking vital signs on a stable patient to a Unlicensed Assistive
Personnel (UAP). Who is ultimately accountable for the accuracy of these vital signs?
A. The RN
B. The Nurse Manager
C. The UAP
D. The Physician
Answer: A
Rationale: While the UAP is responsible for performing the task, the RN retains
accountability for the outcome and the overall assessment of the patient’s condition.
Fundamentals of Professional Nursing
Exam Q&A | Rasmussen University
1. A Registered Nurse (RN) is planning the patient assignments for the shift. Which patient is
most appropriate to assign to a Licensed Practical Nurse (LPN)?
A. A patient with a chronic pressure ulcer requiring a sterile dressing change.
B. A newly admitted patient with chest pain and shortness of breath.
C. A patient who needs discharge teaching regarding new insulin administration.
D. A patient scheduled for surgery who needs to sign an informed consent form.
Answer: A
Rationale: LPNs can perform sterile procedures and care for stable patients with chronic
conditions. New admissions, complex teaching, and legal consent assessments require the
advanced judgment of an RN.
2. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Time
B. Right Supervision
C. Right Documentation
D. Right Patient
,Answer: B
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient who had an abdominal surgery 2 days ago and is reporting pain.
B. A patient with a tracheostomy who has copious secretions.
C. A patient with a fractured hip who is scheduled for physical therapy.
D. A patient who is being discharged and needs their prescriptions.
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with tracheostomy secretions represents a potential airway obstruction and must be seen
first.
4. The nurse is practicing ‘Beneficence’ when performing which of the following actions?
A. Providing the patient with the information needed to make an informed choice.
B. Fairly distributing nursing care among all assigned patients.
C. Keeping a promise made to the patient’s family.
D. Implementing a fall prevention protocol for an elderly patient.
Answer: D
, Rationale: Beneficence is the duty to do good and take positive actions to help others. Fall
prevention is a direct action to promote the patient’s well-being.
5. Which leadership style is most effective during a cardiac arrest (Code Blue) situation?
A. Laissez-faire
B. Democratic
C. Transactional
D. Autocratic
Answer: D
Rationale: Autocratic (authoritarian) leadership is best in emergency situations where
quick, decisive action is needed and there is no time for group discussion.
6. A nurse delegates the task of taking vital signs on a stable patient to a Unlicensed Assistive
Personnel (UAP). Who is ultimately accountable for the accuracy of these vital signs?
A. The RN
B. The Nurse Manager
C. The UAP
D. The Physician
Answer: A
Rationale: While the UAP is responsible for performing the task, the RN retains
accountability for the outcome and the overall assessment of the patient’s condition.
