NUR 283 Complete QUESTION Bank | Practice
QUESTIONs, Correct Answers & Step-by-Step
Rationales – Latest 2026/2027
QUESTION 1
A healthcare quality team is implementing a methodology aimed
primarily at reducing process variation and defects in medication
administration. Which quality improvement framework is being
utilized?
• A. Six Sigma
• B. Lean
• C. Root Cause Analysis
• D. SWOT Analysis
Correct Answer: A. Six Sigma
Detailed Rationale: Six Sigma focuses on eliminating defects, reducing
variation, and improving process capability (often using the DMAIC
cycle). Lean focuses on waste reduction and efficiency.
QUESTION 2
A nurse threatens to apply physical restraints to a cooperative client
who is trying to exit the bed unassisted. Which intentional tort has the
nurse committed?
• A. Battery
• B. Assault
, • C. Defamation
• D. False imprisonment
Correct Answer: B. Assault
Detailed Rationale: Assault is an intentional threat or attempt to cause
harmful or offensive contact that creates a reasonable apprehension of
imminent harm in the client. Battery involves actual physical contact
without consent.
QUESTION 3
An RN is delegating tasks on a busy medical unit. Which task is
appropriate to delegate to an experienced unlicensed assistive
personnel (UAP)?
• A. Assessing the lung sounds of a client with pneumonia.
• B. Feeding a stable client who has mild dysphagia.
• C. Applying a barrier cream to the intact skin of an incontinent
client.
• D. Administering oral acetaminophen to a client with a fever.
Correct Answer: C. Applying a barrier cream to the intact skin of an
incontinent client.
Detailed Rationale: UAPs can perform non-invasive routine hygiene
tasks such as applying barrier creams to intact skin. Assessment,
teaching, medication administration, and care of clients with
swallowing difficulties require professional nursing judgment.
QUESTION 4
,A nurse manager operates with a hands-off approach, providing little to
no direction, allowing staff complete freedom to make decisions and
solve problems independently. What leadership style is this?
• A. Autocratic
• B. Democratic
• C. Laissez-faire
• D. Transactional
Correct Answer: C. Laissez-faire
Detailed Rationale: Laissez-faire leadership is a permissive, hands-off
style where the leader abdicates responsibility, leaving decision-making
entirely up to the group or individuals.
QUESTION 5
A nurse allocates limited ICU beds during a mass casualty event based
strictly on medical need and survival probability, treating all individuals
fairly regardless of status. Which ethical principle is being applied?
• A. Autonomy
• B. Beneficence
• C. Justice
• D. Fidelity
Correct Answer: C. Justice
Detailed Rationale: Justice refers to fairness, equity, and the impartial
distribution of healthcare resources based on medical need rather than
social or financial status.
, QUESTION 6
According to Lewin's Change Theory, what occurs during the
"Refreezing" stage?
• A. The need for change is recognized and anxiety is created.
• B. New behaviors and processes are put into practice.
• C. The change is integrated, stabilized, and accepted as the new
standard operating procedure.
• D. The organizational structure is completely dismantled.
Correct Answer: C. The change is integrated, stabilized, and accepted as
the new standard operating procedure.
Detailed Rationale: Refreezing is the final stage where the
implemented changes become permanently integrated into the
organizational culture and daily routine.
QUESTION 7
A nurse manager compares actual labor expenses against the projected
operational budget and finds a negative variance due to unexpected
overtime. What does this indicate?
• A. Less money was spent than budgeted.
• B. Expenses exceeded the budgeted amount.
• C. Revenue was higher than expenses.
• D. No financial variances occurred.
Correct Answer: B. Expenses exceeded the budgeted amount.
QUESTIONs, Correct Answers & Step-by-Step
Rationales – Latest 2026/2027
QUESTION 1
A healthcare quality team is implementing a methodology aimed
primarily at reducing process variation and defects in medication
administration. Which quality improvement framework is being
utilized?
• A. Six Sigma
• B. Lean
• C. Root Cause Analysis
• D. SWOT Analysis
Correct Answer: A. Six Sigma
Detailed Rationale: Six Sigma focuses on eliminating defects, reducing
variation, and improving process capability (often using the DMAIC
cycle). Lean focuses on waste reduction and efficiency.
QUESTION 2
A nurse threatens to apply physical restraints to a cooperative client
who is trying to exit the bed unassisted. Which intentional tort has the
nurse committed?
• A. Battery
• B. Assault
, • C. Defamation
• D. False imprisonment
Correct Answer: B. Assault
Detailed Rationale: Assault is an intentional threat or attempt to cause
harmful or offensive contact that creates a reasonable apprehension of
imminent harm in the client. Battery involves actual physical contact
without consent.
QUESTION 3
An RN is delegating tasks on a busy medical unit. Which task is
appropriate to delegate to an experienced unlicensed assistive
personnel (UAP)?
• A. Assessing the lung sounds of a client with pneumonia.
• B. Feeding a stable client who has mild dysphagia.
• C. Applying a barrier cream to the intact skin of an incontinent
client.
• D. Administering oral acetaminophen to a client with a fever.
Correct Answer: C. Applying a barrier cream to the intact skin of an
incontinent client.
Detailed Rationale: UAPs can perform non-invasive routine hygiene
tasks such as applying barrier creams to intact skin. Assessment,
teaching, medication administration, and care of clients with
swallowing difficulties require professional nursing judgment.
QUESTION 4
,A nurse manager operates with a hands-off approach, providing little to
no direction, allowing staff complete freedom to make decisions and
solve problems independently. What leadership style is this?
• A. Autocratic
• B. Democratic
• C. Laissez-faire
• D. Transactional
Correct Answer: C. Laissez-faire
Detailed Rationale: Laissez-faire leadership is a permissive, hands-off
style where the leader abdicates responsibility, leaving decision-making
entirely up to the group or individuals.
QUESTION 5
A nurse allocates limited ICU beds during a mass casualty event based
strictly on medical need and survival probability, treating all individuals
fairly regardless of status. Which ethical principle is being applied?
• A. Autonomy
• B. Beneficence
• C. Justice
• D. Fidelity
Correct Answer: C. Justice
Detailed Rationale: Justice refers to fairness, equity, and the impartial
distribution of healthcare resources based on medical need rather than
social or financial status.
, QUESTION 6
According to Lewin's Change Theory, what occurs during the
"Refreezing" stage?
• A. The need for change is recognized and anxiety is created.
• B. New behaviors and processes are put into practice.
• C. The change is integrated, stabilized, and accepted as the new
standard operating procedure.
• D. The organizational structure is completely dismantled.
Correct Answer: C. The change is integrated, stabilized, and accepted as
the new standard operating procedure.
Detailed Rationale: Refreezing is the final stage where the
implemented changes become permanently integrated into the
organizational culture and daily routine.
QUESTION 7
A nurse manager compares actual labor expenses against the projected
operational budget and finds a negative variance due to unexpected
overtime. What does this indicate?
• A. Less money was spent than budgeted.
• B. Expenses exceeded the budgeted amount.
• C. Revenue was higher than expenses.
• D. No financial variances occurred.
Correct Answer: B. Expenses exceeded the budgeted amount.
