BSN 465 Final Exam V2 | BSN 465
Decision-making in Nursing | Q&A with
Rationale (BSN465 Final Exam) |
Nightingale College
1. A nurse is using Tanner’s Model of Clinical Judgment to evaluate a patient’s declining
status. Which action represents the ‘Noticing’ phase?
A. Analyzing the lab results to identify a trend.
B. Checking the patient’s vital signs and physical appearance.
C. Implementing a new plan of care based on findings.
D. Evaluating the effectiveness of the intervention.
Correct Answer: B
Rationale: Noticing involves the initial grasp of the situation based on the nurse’s
expectations and patterns. In this phase, the nurse identifies cues such as vital signs or
changes in the patient’s physical state. It is the essential first step that informs the
subsequent interpretation and response in the clinical judgment process.
2. When delegating tasks to a Licensed Practical Nurse (LPN), which task is most appropriate
for the Registered Nurse (RN) to assign?
A. Performing an admission assessment on a new patient.
B. Developing the initial nursing care plan for a post-op patient.
,C. Administering a routine scheduled intramuscular medication.
D. Providing discharge teaching to a patient with a new diagnosis.
Correct Answer: C
Rationale: Administering routine medications is within the scope of practice for an LPN.
RNs are responsible for initial assessments, care planning, and complex patient education
such as discharge teaching. Proper delegation ensures that each team member operates
within their legal scope of practice while maintaining patient safety.
3. A nurse manager is resolving a conflict between two staff members by asking both to give
up something of value to reach a middle ground. What conflict resolution strategy is being
used?
A. Collaborating
B. Avoiding
C. Smoothing
D. Compromising
Correct Answer: D
Rationale: Compromising involves each party making concessions to reach a mutually
acceptable solution. It is often described as a ‘lose-lose’ or ‘win-lose’ hybrid because neither
side gets exactly what they wanted. This strategy is useful when a quick resolution is
needed for a complex problem where both sides have equal power.
, 4. Which ethical principle is a nurse upholding when they support a patient’s decision to
refuse a life-saving blood transfusion based on religious beliefs?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Correct Answer: A
Rationale: Autonomy refers to the right of the patient to make their own healthcare
decisions without coercion. The nurse’s role is to ensure the patient is fully informed while
respecting their ultimate choice, even if the nurse disagrees. This principle is fundamental
to the patient-centered care model in modern nursing practice.
5. A nurse uses the PDSA cycle to improve the rate of bedside shift reports. What does the ‘S’
in PDSA stand for?
A. Standardize
B. Safety
C. Schedule
D. Study
Correct Answer: D
Decision-making in Nursing | Q&A with
Rationale (BSN465 Final Exam) |
Nightingale College
1. A nurse is using Tanner’s Model of Clinical Judgment to evaluate a patient’s declining
status. Which action represents the ‘Noticing’ phase?
A. Analyzing the lab results to identify a trend.
B. Checking the patient’s vital signs and physical appearance.
C. Implementing a new plan of care based on findings.
D. Evaluating the effectiveness of the intervention.
Correct Answer: B
Rationale: Noticing involves the initial grasp of the situation based on the nurse’s
expectations and patterns. In this phase, the nurse identifies cues such as vital signs or
changes in the patient’s physical state. It is the essential first step that informs the
subsequent interpretation and response in the clinical judgment process.
2. When delegating tasks to a Licensed Practical Nurse (LPN), which task is most appropriate
for the Registered Nurse (RN) to assign?
A. Performing an admission assessment on a new patient.
B. Developing the initial nursing care plan for a post-op patient.
,C. Administering a routine scheduled intramuscular medication.
D. Providing discharge teaching to a patient with a new diagnosis.
Correct Answer: C
Rationale: Administering routine medications is within the scope of practice for an LPN.
RNs are responsible for initial assessments, care planning, and complex patient education
such as discharge teaching. Proper delegation ensures that each team member operates
within their legal scope of practice while maintaining patient safety.
3. A nurse manager is resolving a conflict between two staff members by asking both to give
up something of value to reach a middle ground. What conflict resolution strategy is being
used?
A. Collaborating
B. Avoiding
C. Smoothing
D. Compromising
Correct Answer: D
Rationale: Compromising involves each party making concessions to reach a mutually
acceptable solution. It is often described as a ‘lose-lose’ or ‘win-lose’ hybrid because neither
side gets exactly what they wanted. This strategy is useful when a quick resolution is
needed for a complex problem where both sides have equal power.
, 4. Which ethical principle is a nurse upholding when they support a patient’s decision to
refuse a life-saving blood transfusion based on religious beliefs?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Correct Answer: A
Rationale: Autonomy refers to the right of the patient to make their own healthcare
decisions without coercion. The nurse’s role is to ensure the patient is fully informed while
respecting their ultimate choice, even if the nurse disagrees. This principle is fundamental
to the patient-centered care model in modern nursing practice.
5. A nurse uses the PDSA cycle to improve the rate of bedside shift reports. What does the ‘S’
in PDSA stand for?
A. Standardize
B. Safety
C. Schedule
D. Study
Correct Answer: D
