, NUR 283 Exam 2 – Transition to RN
Practice – Actual Questions & Answers
(Galen) 100% Guarantee Pass
1. A new RN is assigned to a patient who is deteriorating. The RN delegates vital
signs to the UAP and calls the provider. This is an example of:
A. Effective delegation
B. Poor time management
C. Inappropriate delegation
D. Lack of critical thinking
Correct Answer: A. Effective delegation
Rationale: Delegation is the transfer of responsibility for the performance of a task to
another person while retaining accountability. The RN appropriately delegated a routine
task (vital signs) to a UAP so the RN could focus on the higher-priority task of
communicating with the provider about the deteriorating patient.
2. A nurse manager is implementing a new scheduling system. Staff members are
resistant to the change. The manager decides to involve staff in the decision-
making process to gain buy-in. This leadership style is known as:
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: B. Democratic
Rationale: A democratic (or participative) leader involves team members in the
decision-making process. This approach can increase staff satisfaction and buy-in,
especially during times of change. An autocratic leader makes decisions without input.
3. The nurse is caring for a patient who is confused and at high risk for falls. The
nurse delegates frequent rounding to the UAP. The UAP reports that the patient is
attempting to get out of bed. The RN's best response is to:
A. Tell the UAP to restrain the patient.
B. Assess the patient and implement fall prevention measures.
,C. Ignore the report as the UAP is responsible for safety.
D. Ask the UAP to stay with the patient while the RN finishes charting.
Correct Answer: B. Assess the patient and implement fall prevention measures.
Rationale: The RN is accountable for patient safety. The RN must assess the patient and
determine appropriate interventions, which may include increased observation, bed
alarms, or restraints as a last resort. The RN cannot delegate the responsibility for
assessment.
4. A nurse is assigned to care for four patients. One patient has a new chest tube,
one requires wound care, one is stable post-op, and one is ready for discharge.
Which patient should the nurse prioritize first?
A. The patient ready for discharge
B. The stable post-op patient
C. The patient requiring wound care
D. The patient with the new chest tube
Correct Answer: D. The patient with the new chest tube
Rationale: Prioritization is based on Maslow's hierarchy and the ABCs (Airway,
Breathing, Circulation). A patient with a new chest tube has a potentially unstable
airway/breathing status and requires immediate assessment to ensure the chest tube is
functioning properly.
5. The charge nurse is making assignments for the shift. Which patient should be
assigned to the most experienced RN?
A. A 60-year-old with stable angina
B. A 45-year-old scheduled for a cholecystectomy
C. A 75-year-old with heart failure and acute renal failure
D. A 30-year-old with pneumonia
Correct Answer: C. A 75-year-old with heart failure and acute renal failure
Rationale: The most experienced RN should care for the most unstable and complex
patient. This patient has multiple co-morbidities and is at risk for complications. The
stable patients can be assigned to less experienced nurses or UAPs with appropriate
delegation.
6. A nurse manager is creating a schedule for the unit. Which scheduling practice
promotes staff retention?
A. Mandatory overtime for all shifts
, B. Rotating shifts without staff input
C. Allowing self-scheduling with guidelines
D. Assigning the same shift to all staff members
Correct Answer: C. Allowing self-scheduling with guidelines
Rationale: Self-scheduling gives staff a sense of control and autonomy, which can
improve job satisfaction and retention. It is a common practice in healthcare settings.
Mandatory overtime and rotating shifts without input can lead to burnout.
7. The RN delegates the task of ambulating a post-operative patient to a UAP. The
UAP reports that the patient's blood pressure is low and the patient is dizzy. The
RN's appropriate action is to:
A. Instruct the UAP to continue ambulating slowly.
B. Tell the UAP to have the patient sit down immediately and then assess the patient.
C. Document the UAP's report without intervening.
D. Ask the UAP to get another set of vital signs.
Correct Answer: B. Tell the UAP to have the patient sit down immediately and then
assess the patient.
Rationale: The UAP's report indicates a potential complication (hypotension). The RN
must assess the patient immediately. Telling the UAP to have the patient sit down
prevents a potential fall. The RN must take accountability for the situation.
8. A nurse is leading a quality improvement (QI) project on the unit. The first step
in the QI process is to:
A. Implement the change.
B. Identify a problem or area for improvement.
C. Collect data.
D. Evaluate the outcome.
Correct Answer: B. Identify a problem or area for improvement.
Rationale: The QI process begins with identifying a specific problem or area that needs
improvement (e.g., high rates of CAUTI, falls, medication errors). Once the problem is
identified, a team can plan, implement, and evaluate changes.
9. The nurse is caring for a patient who is refusing a life-saving treatment. The
nurse understands that the patient has the right to refuse treatment based on
which ethical principle?
A. Beneficence
Practice – Actual Questions & Answers
(Galen) 100% Guarantee Pass
1. A new RN is assigned to a patient who is deteriorating. The RN delegates vital
signs to the UAP and calls the provider. This is an example of:
A. Effective delegation
B. Poor time management
C. Inappropriate delegation
D. Lack of critical thinking
Correct Answer: A. Effective delegation
Rationale: Delegation is the transfer of responsibility for the performance of a task to
another person while retaining accountability. The RN appropriately delegated a routine
task (vital signs) to a UAP so the RN could focus on the higher-priority task of
communicating with the provider about the deteriorating patient.
2. A nurse manager is implementing a new scheduling system. Staff members are
resistant to the change. The manager decides to involve staff in the decision-
making process to gain buy-in. This leadership style is known as:
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: B. Democratic
Rationale: A democratic (or participative) leader involves team members in the
decision-making process. This approach can increase staff satisfaction and buy-in,
especially during times of change. An autocratic leader makes decisions without input.
3. The nurse is caring for a patient who is confused and at high risk for falls. The
nurse delegates frequent rounding to the UAP. The UAP reports that the patient is
attempting to get out of bed. The RN's best response is to:
A. Tell the UAP to restrain the patient.
B. Assess the patient and implement fall prevention measures.
,C. Ignore the report as the UAP is responsible for safety.
D. Ask the UAP to stay with the patient while the RN finishes charting.
Correct Answer: B. Assess the patient and implement fall prevention measures.
Rationale: The RN is accountable for patient safety. The RN must assess the patient and
determine appropriate interventions, which may include increased observation, bed
alarms, or restraints as a last resort. The RN cannot delegate the responsibility for
assessment.
4. A nurse is assigned to care for four patients. One patient has a new chest tube,
one requires wound care, one is stable post-op, and one is ready for discharge.
Which patient should the nurse prioritize first?
A. The patient ready for discharge
B. The stable post-op patient
C. The patient requiring wound care
D. The patient with the new chest tube
Correct Answer: D. The patient with the new chest tube
Rationale: Prioritization is based on Maslow's hierarchy and the ABCs (Airway,
Breathing, Circulation). A patient with a new chest tube has a potentially unstable
airway/breathing status and requires immediate assessment to ensure the chest tube is
functioning properly.
5. The charge nurse is making assignments for the shift. Which patient should be
assigned to the most experienced RN?
A. A 60-year-old with stable angina
B. A 45-year-old scheduled for a cholecystectomy
C. A 75-year-old with heart failure and acute renal failure
D. A 30-year-old with pneumonia
Correct Answer: C. A 75-year-old with heart failure and acute renal failure
Rationale: The most experienced RN should care for the most unstable and complex
patient. This patient has multiple co-morbidities and is at risk for complications. The
stable patients can be assigned to less experienced nurses or UAPs with appropriate
delegation.
6. A nurse manager is creating a schedule for the unit. Which scheduling practice
promotes staff retention?
A. Mandatory overtime for all shifts
, B. Rotating shifts without staff input
C. Allowing self-scheduling with guidelines
D. Assigning the same shift to all staff members
Correct Answer: C. Allowing self-scheduling with guidelines
Rationale: Self-scheduling gives staff a sense of control and autonomy, which can
improve job satisfaction and retention. It is a common practice in healthcare settings.
Mandatory overtime and rotating shifts without input can lead to burnout.
7. The RN delegates the task of ambulating a post-operative patient to a UAP. The
UAP reports that the patient's blood pressure is low and the patient is dizzy. The
RN's appropriate action is to:
A. Instruct the UAP to continue ambulating slowly.
B. Tell the UAP to have the patient sit down immediately and then assess the patient.
C. Document the UAP's report without intervening.
D. Ask the UAP to get another set of vital signs.
Correct Answer: B. Tell the UAP to have the patient sit down immediately and then
assess the patient.
Rationale: The UAP's report indicates a potential complication (hypotension). The RN
must assess the patient immediately. Telling the UAP to have the patient sit down
prevents a potential fall. The RN must take accountability for the situation.
8. A nurse is leading a quality improvement (QI) project on the unit. The first step
in the QI process is to:
A. Implement the change.
B. Identify a problem or area for improvement.
C. Collect data.
D. Evaluate the outcome.
Correct Answer: B. Identify a problem or area for improvement.
Rationale: The QI process begins with identifying a specific problem or area that needs
improvement (e.g., high rates of CAUTI, falls, medication errors). Once the problem is
identified, a team can plan, implement, and evaluate changes.
9. The nurse is caring for a patient who is refusing a life-saving treatment. The
nurse understands that the patient has the right to refuse treatment based on
which ethical principle?
A. Beneficence
