EXAM 1 NR446, NR 446 LEADERSHIP EXAM
1 STUDY QUESTIONS WITH CORRECT
ANSWERS 2026
plan priorites based on - CORRECT ANSWER -Purpose of care
Current clinical picture
Picture of the outcome or result
ABCDE principle:
used when?
define parts? - CORRECT ANSWER --used thisRwhen figuring out which patient goes first!
A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected
B (Breathing): Assess for respirations & ventilatory effort
C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding too
D (Disability): Assess client's level of consciousness. Think neuro*
E (Exposure): Undress patient, assess client's body. Also could be under environment in the book. Assess
the whole body
Maslow's Hierarchy of Needs - CORRECT ANSWER -
(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (le
vel 4) Self Esteem, (level 5) Self Actualization
,levels of priority setting:
level 1?
level 2?
level 3? -RCORRECT ANSWER -level 1: ABCs
level 2: mental status changes, acute pain, abnormal labs/tests
level 3: risk categories, at risk groups- safety and infection along with chronic problems
prioritization of client care:
just review - CORRECT ANSWER -UNSTABLE over STABLE
ACUTE over CHRONIC problems
SYSTEMIC over LOCAL problems
compliation over expected findings what does this mean? - CORRECT ANSWER -
Complication: medical emergency Stroke patient, ICP is a complication. Expected findings would be unst
eady gait and numbness. We would pick ICP over numbness
delegation - CORRECT ANSWER -The assignment of new or additional responsibilities to a subordinate
assignment nurse? - CORRECT ANSWER -distribution of work to each staff member
,RN can delegate what? - CORRECT ANSWER -what you can EAT:
-evaluate
-assess
-teach
-nursing process
-initial client education or assessment
-tasks the required clinical judgement
Five Right of Delegation - CORRECT ANSWER -1. Right task
2. Right circumstances
3. Right person
4. Right direction/communication
5. Right supervision
five right of delegation:
right direction and communication- Four C's of this - CORRECT ANSWER --clear
-concise
-correct
-complete
RN delegate to PN - CORRECT ANSWER --medication everything besides IV
-Enteral feeding
-all task excepts blood administion and IV push
-reassessment, reinforcement of patient teaching
RN delegate to AP - CORRECT ANSWER --ADLS
-ambulating
, -feeding patient without swallowing precautions
-positioning
-vitals on stable
-bed making
speciment collection (not sterile)
-I/O
-basic CPR
ethics - CORRECT ANSWER -
the principles of right and wrong that guide an individual in making decisions
applied ethics - CORRECT ANSWER -
The manner in which principles of ethics are incorporated into professional conduct.
ethical theory - CORRECT ANSWER -
varies ideas and principles used to make judgement between right and wrong
morals - CORRECT ANSWER -values and ideas to make decision from right from wrong
Ethical Principles - CORRECT ANSWER -
standards of what is right/wrongRwith regard to important social values and norms
ethical principles that impact nurses - CORRECT ANSWER --moral indifference
-moral uncertainlty or conflict (unsure about morals for a situation)
-moral distress- knows the right thing but unable to do it
-moral outrage
-moral or ethical delium
autonomy - CORRECT ANSWER -patient has right for own body, freedom to pickRwhat they want
1 STUDY QUESTIONS WITH CORRECT
ANSWERS 2026
plan priorites based on - CORRECT ANSWER -Purpose of care
Current clinical picture
Picture of the outcome or result
ABCDE principle:
used when?
define parts? - CORRECT ANSWER --used thisRwhen figuring out which patient goes first!
A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected
B (Breathing): Assess for respirations & ventilatory effort
C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding too
D (Disability): Assess client's level of consciousness. Think neuro*
E (Exposure): Undress patient, assess client's body. Also could be under environment in the book. Assess
the whole body
Maslow's Hierarchy of Needs - CORRECT ANSWER -
(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (le
vel 4) Self Esteem, (level 5) Self Actualization
,levels of priority setting:
level 1?
level 2?
level 3? -RCORRECT ANSWER -level 1: ABCs
level 2: mental status changes, acute pain, abnormal labs/tests
level 3: risk categories, at risk groups- safety and infection along with chronic problems
prioritization of client care:
just review - CORRECT ANSWER -UNSTABLE over STABLE
ACUTE over CHRONIC problems
SYSTEMIC over LOCAL problems
compliation over expected findings what does this mean? - CORRECT ANSWER -
Complication: medical emergency Stroke patient, ICP is a complication. Expected findings would be unst
eady gait and numbness. We would pick ICP over numbness
delegation - CORRECT ANSWER -The assignment of new or additional responsibilities to a subordinate
assignment nurse? - CORRECT ANSWER -distribution of work to each staff member
,RN can delegate what? - CORRECT ANSWER -what you can EAT:
-evaluate
-assess
-teach
-nursing process
-initial client education or assessment
-tasks the required clinical judgement
Five Right of Delegation - CORRECT ANSWER -1. Right task
2. Right circumstances
3. Right person
4. Right direction/communication
5. Right supervision
five right of delegation:
right direction and communication- Four C's of this - CORRECT ANSWER --clear
-concise
-correct
-complete
RN delegate to PN - CORRECT ANSWER --medication everything besides IV
-Enteral feeding
-all task excepts blood administion and IV push
-reassessment, reinforcement of patient teaching
RN delegate to AP - CORRECT ANSWER --ADLS
-ambulating
, -feeding patient without swallowing precautions
-positioning
-vitals on stable
-bed making
speciment collection (not sterile)
-I/O
-basic CPR
ethics - CORRECT ANSWER -
the principles of right and wrong that guide an individual in making decisions
applied ethics - CORRECT ANSWER -
The manner in which principles of ethics are incorporated into professional conduct.
ethical theory - CORRECT ANSWER -
varies ideas and principles used to make judgement between right and wrong
morals - CORRECT ANSWER -values and ideas to make decision from right from wrong
Ethical Principles - CORRECT ANSWER -
standards of what is right/wrongRwith regard to important social values and norms
ethical principles that impact nurses - CORRECT ANSWER --moral indifference
-moral uncertainlty or conflict (unsure about morals for a situation)
-moral distress- knows the right thing but unable to do it
-moral outrage
-moral or ethical delium
autonomy - CORRECT ANSWER -patient has right for own body, freedom to pickRwhat they want
