NUR 2868 | Role, Scope, Quality, and Leadership in Professional Nursing Page 1
NUR 2868
ROLE, SCOPE, QUALITY, AND LEADERSHIP
IN PROFESSIONAL NURSING
EXAM 2 - ACTUAL EXAM WITH ANSWERS AND RATIONALES
2026/2027 UPDATED
Rasmussen College Curriculum Aligned | Total Questions: 75
Format: Multiple Choice (4 Options, 1 Correct) | Cognitive Levels: 25% Recall, 50% Application, 25% Analysis
Verified Answers with Comprehensive Rationales
Sections: Professional Role/Scope (Q1-12) | Leadership Theories (Q13-22) | Quality/Safety (Q23-32) | Policy/Ethics (Q33-42) |
Collaboration (Q43-50) | Change Management (Q51-58) | Economics (Q59-65) | EBP/Research (Q66-72) | Integrated Scenarios
(Q73-75)
Rasmussen College NUR 2868 Examination 2026/2027
,NUR 2868 | Role, Scope, Quality, and Leadership in Professional Nursing Page 2
SECTION 1: PROFESSIONAL NURSING ROLE AND SCOPE OF PRACTICE (Q1-12)
History, Scope of Practice, Standards, Nursing Theory, Licensure, and Education
Q1: A nursing instructor is teaching students about the evolution of professional nursing. The instructor
asks, 'Which historical figure is considered the founder of modern nursing and established the first
formal nursing training program?'
A. Clara Barton
B. Florence Nightingale [CORRECT]
C. Dorothea Dix
D. Lillian Wald
Correct Answer: B
Rationale: Florence Nightingale is recognized as the founder of modern nursing. She established the first formal nursing training
program at St. Thomas' Hospital in London after her work during the Crimean War, where she demonstrated that improved
sanitation and environmental conditions dramatically reduced mortality rates. Clara Barton founded the American Red Cross.
Dorothea Dix was a mental health reform advocate. Lillian Wald pioneered public health nursing.
Q2: A nurse manager is explaining the differences between RN and LPN scope of practice to a group of
new graduates. Which activity is WITHIN the LPN scope of practice under the supervision of an RN?
A. Performing the initial comprehensive admission assessment
B. Establishing the nursing diagnosis for a newly admitted client
C. Administering oral medications to a stable client with hypertension [CORRECT]
D. Developing the plan of care for a client with complex needs
Correct Answer: C
Rationale: LPNs/LVNs can administer medications, provide basic wound care, and reinforce teaching for stable clients under RN
supervision. They cannot perform comprehensive assessments, establish nursing diagnoses, or develop plans of care for complex
clients. These higher-level activities require RN education and scope. The RN retains accountability for delegating appropriately
and supervising LPN practice.
Q3: A nurse is preparing to take the NCLEX-RN examination. The nurse understands that this
examination is primarily designed to test which of the following?
A. Knowledge of nursing history and theory
B. Minimum competency for safe and effective entry-level nursing practice [CORRECT]
C. Advanced practice nursing specialization knowledge
D. Knowledge of hospital-specific policies and procedures
Correct Answer: B
Rationale: The NCLEX-RN tests MINIMUM COMPETENCY for safe and effective entry-level nursing practice. It does not test
advanced specialization, institutional policies, or historical knowledge specifically. The exam uses a computerized adaptive testing
(CAT) format that adjusts question difficulty based on the candidate's performance. Passing indicates the candidate meets the
minimum standard for safe practice.
Q4: A nursing student is learning about the American Nurses Association (ANA) Standards of
Professional Performance. Which standard addresses the nurse's responsibility to participate in
continuous quality improvement?
A. Assessment
B. Planning
C. Quality of Practice [CORRECT]
D. Ethics
Correct Answer: C
Rationale: The ANA Standard 'Quality of Practice' addresses the nurse's responsibility to participate in quality improvement
activities, identify areas for improvement, and implement evidence-based changes. Assessment and Planning are Standards of
Practice (clinical). Ethics is a separate Standard of Professional Performance. The Standards of Professional Performance include
Rasmussen College NUR 2868 Examination 2026/2027
, NUR 2868 | Role, Scope, Quality, and Leadership in Professional Nursing Page 3
Ethics, Education, Evidence-Based Practice, Quality of Practice, Communication, Leadership, Collaboration, and Resource
Utilization.
Q5: A hospital is evaluating different nursing education pathways for hiring. A nurse recruiter explains
the key difference between ADN and BSN programs. Which statement is accurate?
A. ADN programs take 4 years and focus on community health.
B. BSN programs include broader education in leadership, research, and community health. [CORRECT]
C. Both ADN and BSN graduates have identical scopes of practice and career opportunities.
D. BSN programs do not include clinical rotations.
Correct Answer: B
Rationale: BSN programs (typically 4 years) include broader education in leadership, research, community and public health
nursing, and evidence-based practice. ADN programs (typically 2-3 years) focus on clinical nursing skills. While both graduates
take the same NCLEX-RN and have the same entry-level scope, BSN-prepared nurses have broader career opportunities
including management, public health, and graduate education. Many hospitals prefer or require BSN for hire.
Q6: A nurse is caring for a post-operative client and delegates vital signs monitoring to an unlicensed
assistive personnel (UAP). Which principle of delegation is the nurse demonstrating?
A. Delegating a task that requires nursing judgment
B. Delegating a routine, standardized task within the delegatee's scope [CORRECT]
C. Delegating the entire nursing process for the client
D. Delegating medication administration to unlicensed personnel
Correct Answer: B
Rationale: The nurse correctly delegates vital signs monitoring to a UAP because it is a routine, standardized task that does not
require nursing judgment. The Five Rights of Delegation must be followed: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. Tasks requiring nursing judgment (assessment, diagnosis, planning,
medication administration) cannot be delegated to unlicensed personnel.
Q7: A nurse theorist is presenting a grand nursing theory that focuses on the nurse-patient relationship
and the interpersonal process of helping individuals achieve health. Which theorist is most closely
associated with this theory?
A. Dorothea Orem (Self-Care Deficit Theory)
B. Hildegard Peplau (Interpersonal Relations Theory) [CORRECT]
C. Virginia Henderson (Need Theory)
D. Callista Roy (Adaptation Model)
Correct Answer: B
Rationale: Hildegard Peplau developed the Interpersonal Relations Theory, which focuses on the therapeutic nurse-patient
relationship and defines nursing as a significant, therapeutic, and interpersonal process. Orem's theory focuses on self-care
deficits. Henderson's Need Theory identifies 14 basic needs. Roy's Adaptation Model views the person as an adaptive system.
Peplau's theory is classified as a middle-range theory that has direct applicability to practice.
Q8: A nurse is applying for a position that requires an advanced practice certification. The nurse
understands that advanced certification differs from basic licensure in which way?
A. Certification is required for all RN positions.
B. Certification validates specialized knowledge beyond basic licensure. [CORRECT]
C. Certification replaces the need for an RN license.
D. Certification is only available for nurse practitioners.
Correct Answer: B
Rationale: Certification validates SPECIALIZED knowledge and competence in a specific area beyond the basic RN licensure. It is
voluntary (though many employers prefer or require it) and is available in numerous specialties (critical care, medical-surgical,
oncology, etc.). Licensure is mandatory for practice and grants the legal authority to provide nursing care. Certification does not
replace licensure.
Rasmussen College NUR 2868 Examination 2026/2027
NUR 2868
ROLE, SCOPE, QUALITY, AND LEADERSHIP
IN PROFESSIONAL NURSING
EXAM 2 - ACTUAL EXAM WITH ANSWERS AND RATIONALES
2026/2027 UPDATED
Rasmussen College Curriculum Aligned | Total Questions: 75
Format: Multiple Choice (4 Options, 1 Correct) | Cognitive Levels: 25% Recall, 50% Application, 25% Analysis
Verified Answers with Comprehensive Rationales
Sections: Professional Role/Scope (Q1-12) | Leadership Theories (Q13-22) | Quality/Safety (Q23-32) | Policy/Ethics (Q33-42) |
Collaboration (Q43-50) | Change Management (Q51-58) | Economics (Q59-65) | EBP/Research (Q66-72) | Integrated Scenarios
(Q73-75)
Rasmussen College NUR 2868 Examination 2026/2027
,NUR 2868 | Role, Scope, Quality, and Leadership in Professional Nursing Page 2
SECTION 1: PROFESSIONAL NURSING ROLE AND SCOPE OF PRACTICE (Q1-12)
History, Scope of Practice, Standards, Nursing Theory, Licensure, and Education
Q1: A nursing instructor is teaching students about the evolution of professional nursing. The instructor
asks, 'Which historical figure is considered the founder of modern nursing and established the first
formal nursing training program?'
A. Clara Barton
B. Florence Nightingale [CORRECT]
C. Dorothea Dix
D. Lillian Wald
Correct Answer: B
Rationale: Florence Nightingale is recognized as the founder of modern nursing. She established the first formal nursing training
program at St. Thomas' Hospital in London after her work during the Crimean War, where she demonstrated that improved
sanitation and environmental conditions dramatically reduced mortality rates. Clara Barton founded the American Red Cross.
Dorothea Dix was a mental health reform advocate. Lillian Wald pioneered public health nursing.
Q2: A nurse manager is explaining the differences between RN and LPN scope of practice to a group of
new graduates. Which activity is WITHIN the LPN scope of practice under the supervision of an RN?
A. Performing the initial comprehensive admission assessment
B. Establishing the nursing diagnosis for a newly admitted client
C. Administering oral medications to a stable client with hypertension [CORRECT]
D. Developing the plan of care for a client with complex needs
Correct Answer: C
Rationale: LPNs/LVNs can administer medications, provide basic wound care, and reinforce teaching for stable clients under RN
supervision. They cannot perform comprehensive assessments, establish nursing diagnoses, or develop plans of care for complex
clients. These higher-level activities require RN education and scope. The RN retains accountability for delegating appropriately
and supervising LPN practice.
Q3: A nurse is preparing to take the NCLEX-RN examination. The nurse understands that this
examination is primarily designed to test which of the following?
A. Knowledge of nursing history and theory
B. Minimum competency for safe and effective entry-level nursing practice [CORRECT]
C. Advanced practice nursing specialization knowledge
D. Knowledge of hospital-specific policies and procedures
Correct Answer: B
Rationale: The NCLEX-RN tests MINIMUM COMPETENCY for safe and effective entry-level nursing practice. It does not test
advanced specialization, institutional policies, or historical knowledge specifically. The exam uses a computerized adaptive testing
(CAT) format that adjusts question difficulty based on the candidate's performance. Passing indicates the candidate meets the
minimum standard for safe practice.
Q4: A nursing student is learning about the American Nurses Association (ANA) Standards of
Professional Performance. Which standard addresses the nurse's responsibility to participate in
continuous quality improvement?
A. Assessment
B. Planning
C. Quality of Practice [CORRECT]
D. Ethics
Correct Answer: C
Rationale: The ANA Standard 'Quality of Practice' addresses the nurse's responsibility to participate in quality improvement
activities, identify areas for improvement, and implement evidence-based changes. Assessment and Planning are Standards of
Practice (clinical). Ethics is a separate Standard of Professional Performance. The Standards of Professional Performance include
Rasmussen College NUR 2868 Examination 2026/2027
, NUR 2868 | Role, Scope, Quality, and Leadership in Professional Nursing Page 3
Ethics, Education, Evidence-Based Practice, Quality of Practice, Communication, Leadership, Collaboration, and Resource
Utilization.
Q5: A hospital is evaluating different nursing education pathways for hiring. A nurse recruiter explains
the key difference between ADN and BSN programs. Which statement is accurate?
A. ADN programs take 4 years and focus on community health.
B. BSN programs include broader education in leadership, research, and community health. [CORRECT]
C. Both ADN and BSN graduates have identical scopes of practice and career opportunities.
D. BSN programs do not include clinical rotations.
Correct Answer: B
Rationale: BSN programs (typically 4 years) include broader education in leadership, research, community and public health
nursing, and evidence-based practice. ADN programs (typically 2-3 years) focus on clinical nursing skills. While both graduates
take the same NCLEX-RN and have the same entry-level scope, BSN-prepared nurses have broader career opportunities
including management, public health, and graduate education. Many hospitals prefer or require BSN for hire.
Q6: A nurse is caring for a post-operative client and delegates vital signs monitoring to an unlicensed
assistive personnel (UAP). Which principle of delegation is the nurse demonstrating?
A. Delegating a task that requires nursing judgment
B. Delegating a routine, standardized task within the delegatee's scope [CORRECT]
C. Delegating the entire nursing process for the client
D. Delegating medication administration to unlicensed personnel
Correct Answer: B
Rationale: The nurse correctly delegates vital signs monitoring to a UAP because it is a routine, standardized task that does not
require nursing judgment. The Five Rights of Delegation must be followed: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. Tasks requiring nursing judgment (assessment, diagnosis, planning,
medication administration) cannot be delegated to unlicensed personnel.
Q7: A nurse theorist is presenting a grand nursing theory that focuses on the nurse-patient relationship
and the interpersonal process of helping individuals achieve health. Which theorist is most closely
associated with this theory?
A. Dorothea Orem (Self-Care Deficit Theory)
B. Hildegard Peplau (Interpersonal Relations Theory) [CORRECT]
C. Virginia Henderson (Need Theory)
D. Callista Roy (Adaptation Model)
Correct Answer: B
Rationale: Hildegard Peplau developed the Interpersonal Relations Theory, which focuses on the therapeutic nurse-patient
relationship and defines nursing as a significant, therapeutic, and interpersonal process. Orem's theory focuses on self-care
deficits. Henderson's Need Theory identifies 14 basic needs. Roy's Adaptation Model views the person as an adaptive system.
Peplau's theory is classified as a middle-range theory that has direct applicability to practice.
Q8: A nurse is applying for a position that requires an advanced practice certification. The nurse
understands that advanced certification differs from basic licensure in which way?
A. Certification is required for all RN positions.
B. Certification validates specialized knowledge beyond basic licensure. [CORRECT]
C. Certification replaces the need for an RN license.
D. Certification is only available for nurse practitioners.
Correct Answer: B
Rationale: Certification validates SPECIALIZED knowledge and competence in a specific area beyond the basic RN licensure. It is
voluntary (though many employers prefer or require it) and is available in numerous specialties (critical care, medical-surgical,
oncology, etc.). Licensure is mandatory for practice and grants the legal authority to provide nursing care. Certification does not
replace licensure.
Rasmussen College NUR 2868 Examination 2026/2027
