NUR 283 Final Exam | Complete Practice
QUESTIONs, Verified Answers & Detailed Rationales
(2026/2027
QUESTION 1
A charge nurse is making shift assignments on a medical-surgical unit.
Which client can the nurse safely assign to a licensed practical nurse
(LPN)?
• A. A client admitted two hours ago with new-onset chest pain and
shortness of breath.
• B. A client receiving a first unit of packed red blood cells who
requires vital sign monitoring.
• C. A client with chronic, stable chronic obstructive pulmonary
disease (COPD) scheduled for oral medications.
• D. A client post-operative day zero who is actively hemorrhaging
from the surgical site.
Correct Answer: C. A client with chronic, stable chronic obstructive
pulmonary disease (COPD) scheduled for oral medications.
Detailed Rationale: LPNs can care for stable clients with predictable
outcomes and administer oral medications. Unstable clients, those with
acute new-onset symptoms, clients receiving blood products, and
clients experiencing hemorrhage require the advanced assessment and
clinical judgment of a registered nurse (RN).
QUESTION 2
,A nurse is obtaining informed consent from a client scheduled for an
invasive surgical procedure. The client states, "I am not sure if I want
this surgery or if there are other options." What is the appropriate
initial nursing action?
• A. Explain alternative surgical procedures in detail.
• B. Notify the healthcare provider that the client has QUESTIONs
about alternatives.
• C. Tell the client that the surgeon already decided this is the only
treatment.
• D. Proceed with signing the consent form since it was pre-printed
by the hospital.
Correct Answer: B. Notify the healthcare provider that the client has
QUESTIONs about alternatives.
Detailed Rationale: The nurse's role in informed consent is to act as a
witness to the client's signature, verify voluntariness, and ensure the
client is informed. If a client expresses uncertainty or asks about
alternatives, the nurse must notify the provider (surgeon), who has the
legal and ethical duty to discuss treatment alternatives and risks.
QUESTION 3
A nurse manager empowers staff nurses, articulates a compelling
shared vision, and fosters professional growth and innovation on the
unit. Which leadership style is this manager demonstrating?
• A. Transactional leadership
• B. Autocratic leadership
, • C. Transformational leadership
• D. Laissez-faire leadership
Correct Answer: C. Transformational leadership
Detailed Rationale: Transformational leadership focuses on inspiring
and motivating followers through a shared vision, empowerment, and
intellectual stimulation. Transactional leadership focuses on day-to-day
operations and rewards/punishments, autocratic relies on top-down
control, and laissez-faire is a hands-off approach.
QUESTION 4
During a mass casualty incident (MCI) triage exercise, a client presents
with an open femur fracture, respiratory rate of 34 breaths/min, and a
capillary refill time greater than 2 seconds. Using the START triage
method, what color tag should this client receive?
• A. Red (Immediate)
• B. Yellow (Delayed)
• C. Green (Minor)
• D. Black (Expectant)
Correct Answer: A. Red (Immediate)
Detailed Rationale: Under the Simple Triage and Rapid Treatment
(START) system, clients with respiratory rates greater than 30
breaths/min, delayed capillary refill (> 2 seconds), or inability to follow
simple commands are tagged Red, indicating immediate life-threatening
injuries requiring urgent intervention.
QUESTION 5
, Following a sentinel medication error, a hospital quality committee
conducts a Root Cause Analysis (RCA). What is the primary objective of
an RCA?
• A. To determine which individual staff member is to blame for
disciplinary action.
• B. To identify systemic and process failures that contributed to the
incident rather than focusing solely on individual blame.
• C. To immediately report the nurse involved to the state board of
nursing.
• D. To rewrite the organization's job descriptions and salary
structures.
Correct Answer: B. To identify systemic and process failures that
contributed to the incident rather than focusing solely on individual
blame.
Detailed Rationale: Root Cause Analysis is a structured problem-solving
method aimed at identifying underlying system vulnerabilities,
communication breakdowns, and workflow flaws rather than punishing
individuals, thereby preventing future recurrence.
QUESTION 6
Two staff nurses disagree regarding weekend holiday scheduling. The
nurse manager uses a problem-solving approach where both parties
openly communicate and work together to find a mutually satisfying
solution. Which conflict management strategy is being utilized?
• A. Avoiding
• B. Competing
QUESTIONs, Verified Answers & Detailed Rationales
(2026/2027
QUESTION 1
A charge nurse is making shift assignments on a medical-surgical unit.
Which client can the nurse safely assign to a licensed practical nurse
(LPN)?
• A. A client admitted two hours ago with new-onset chest pain and
shortness of breath.
• B. A client receiving a first unit of packed red blood cells who
requires vital sign monitoring.
• C. A client with chronic, stable chronic obstructive pulmonary
disease (COPD) scheduled for oral medications.
• D. A client post-operative day zero who is actively hemorrhaging
from the surgical site.
Correct Answer: C. A client with chronic, stable chronic obstructive
pulmonary disease (COPD) scheduled for oral medications.
Detailed Rationale: LPNs can care for stable clients with predictable
outcomes and administer oral medications. Unstable clients, those with
acute new-onset symptoms, clients receiving blood products, and
clients experiencing hemorrhage require the advanced assessment and
clinical judgment of a registered nurse (RN).
QUESTION 2
,A nurse is obtaining informed consent from a client scheduled for an
invasive surgical procedure. The client states, "I am not sure if I want
this surgery or if there are other options." What is the appropriate
initial nursing action?
• A. Explain alternative surgical procedures in detail.
• B. Notify the healthcare provider that the client has QUESTIONs
about alternatives.
• C. Tell the client that the surgeon already decided this is the only
treatment.
• D. Proceed with signing the consent form since it was pre-printed
by the hospital.
Correct Answer: B. Notify the healthcare provider that the client has
QUESTIONs about alternatives.
Detailed Rationale: The nurse's role in informed consent is to act as a
witness to the client's signature, verify voluntariness, and ensure the
client is informed. If a client expresses uncertainty or asks about
alternatives, the nurse must notify the provider (surgeon), who has the
legal and ethical duty to discuss treatment alternatives and risks.
QUESTION 3
A nurse manager empowers staff nurses, articulates a compelling
shared vision, and fosters professional growth and innovation on the
unit. Which leadership style is this manager demonstrating?
• A. Transactional leadership
• B. Autocratic leadership
, • C. Transformational leadership
• D. Laissez-faire leadership
Correct Answer: C. Transformational leadership
Detailed Rationale: Transformational leadership focuses on inspiring
and motivating followers through a shared vision, empowerment, and
intellectual stimulation. Transactional leadership focuses on day-to-day
operations and rewards/punishments, autocratic relies on top-down
control, and laissez-faire is a hands-off approach.
QUESTION 4
During a mass casualty incident (MCI) triage exercise, a client presents
with an open femur fracture, respiratory rate of 34 breaths/min, and a
capillary refill time greater than 2 seconds. Using the START triage
method, what color tag should this client receive?
• A. Red (Immediate)
• B. Yellow (Delayed)
• C. Green (Minor)
• D. Black (Expectant)
Correct Answer: A. Red (Immediate)
Detailed Rationale: Under the Simple Triage and Rapid Treatment
(START) system, clients with respiratory rates greater than 30
breaths/min, delayed capillary refill (> 2 seconds), or inability to follow
simple commands are tagged Red, indicating immediate life-threatening
injuries requiring urgent intervention.
QUESTION 5
, Following a sentinel medication error, a hospital quality committee
conducts a Root Cause Analysis (RCA). What is the primary objective of
an RCA?
• A. To determine which individual staff member is to blame for
disciplinary action.
• B. To identify systemic and process failures that contributed to the
incident rather than focusing solely on individual blame.
• C. To immediately report the nurse involved to the state board of
nursing.
• D. To rewrite the organization's job descriptions and salary
structures.
Correct Answer: B. To identify systemic and process failures that
contributed to the incident rather than focusing solely on individual
blame.
Detailed Rationale: Root Cause Analysis is a structured problem-solving
method aimed at identifying underlying system vulnerabilities,
communication breakdowns, and workflow flaws rather than punishing
individuals, thereby preventing future recurrence.
QUESTION 6
Two staff nurses disagree regarding weekend holiday scheduling. The
nurse manager uses a problem-solving approach where both parties
openly communicate and work together to find a mutually satisfying
solution. Which conflict management strategy is being utilized?
• A. Avoiding
• B. Competing
