ADN Exam Questions With Answers and detailed Rationales
Question 1.
Which leadership style focuses on inspiring and motivating followers to achieve a common
vision?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Transformational
Correct Answer: D. Transformational
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision and inspiration.
Question 2.
An RN is delegating tasks to an LPN. Which task is most appropriate for the LPN?
A. Developing the initial plan of care for a new admission
B. Evaluating the effectiveness of a new pain management protocol
C. Administering an oral antibiotic to a stable patient
D. Performing a comprehensive discharge assessment
Correct Answer: C. Administering an oral antibiotic to a stable patient
Explanation: LPNs can perform routine tasks and administer medications to stable
patients, but initial assessments, care planning, and evaluations are the responsibility of
the RN.
Question 3.
Which of the following tasks should an RN delegate to a Unlicensed Assistive Personnel
(UAP)?
A. Assisting a stable patient with a bed bath
B. Interpreting vital signs for a post-operative patient
C. Feeding a patient at risk for aspiration
D. Teaching a patient how to use an incentive spirometer
Correct Answer: A. Assisting a stable patient with a bed bath
Explanation: UAPs can assist with activities of daily living (ADLs) such as bathing for
stable patients. Teaching, interpretation, and high-risk feeding require nursing judgment.
, Question 4.
What is the primary goal of palliative care?
A. To improve quality of life by managing symptoms
B. To accelerate the dying process for comfort
C. To provide a cure for a terminal illness
D. To restrict medical interventions to only pain meds
Correct Answer: A. To improve quality of life by managing symptoms
Explanation: Palliative care focuses on symptom management and improving the quality
of life for patients with serious illnesses, regardless of prognosis.
Question 5.
A nurse manager makes all decisions for the unit without consulting the staff. This is an
example of which leadership style?
A. Democratic
B. Situational
C. Autocratic
D. Laissez-faire
Correct Answer: C. Autocratic
Explanation: Autocratic leaders maintain total control and make decisions independently
without staff input.
Question 6.
Which ethical principle is defined as the right of a patient to make their own decisions
about their care?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A. Autonomy
Explanation: Autonomy refers to the patient’s right to self-determination and making
independent choices about their healthcare.
Question 7.
Which patient should the nurse assess first after receiving the morning shift report?
A. A patient with a scheduled physical therapy session in 30 minutes
B. A patient reporting a pain level of 6 out of 10
C. A patient with a respiratory rate of 28 and oxygen saturation of 88%
D. A patient who needs a dressing change for a stage 2 pressure injury
Correct Answer: C. A patient with a respiratory rate of 28 and oxygen saturation
of 88%
Question 1.
Which leadership style focuses on inspiring and motivating followers to achieve a common
vision?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Transformational
Correct Answer: D. Transformational
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision and inspiration.
Question 2.
An RN is delegating tasks to an LPN. Which task is most appropriate for the LPN?
A. Developing the initial plan of care for a new admission
B. Evaluating the effectiveness of a new pain management protocol
C. Administering an oral antibiotic to a stable patient
D. Performing a comprehensive discharge assessment
Correct Answer: C. Administering an oral antibiotic to a stable patient
Explanation: LPNs can perform routine tasks and administer medications to stable
patients, but initial assessments, care planning, and evaluations are the responsibility of
the RN.
Question 3.
Which of the following tasks should an RN delegate to a Unlicensed Assistive Personnel
(UAP)?
A. Assisting a stable patient with a bed bath
B. Interpreting vital signs for a post-operative patient
C. Feeding a patient at risk for aspiration
D. Teaching a patient how to use an incentive spirometer
Correct Answer: A. Assisting a stable patient with a bed bath
Explanation: UAPs can assist with activities of daily living (ADLs) such as bathing for
stable patients. Teaching, interpretation, and high-risk feeding require nursing judgment.
, Question 4.
What is the primary goal of palliative care?
A. To improve quality of life by managing symptoms
B. To accelerate the dying process for comfort
C. To provide a cure for a terminal illness
D. To restrict medical interventions to only pain meds
Correct Answer: A. To improve quality of life by managing symptoms
Explanation: Palliative care focuses on symptom management and improving the quality
of life for patients with serious illnesses, regardless of prognosis.
Question 5.
A nurse manager makes all decisions for the unit without consulting the staff. This is an
example of which leadership style?
A. Democratic
B. Situational
C. Autocratic
D. Laissez-faire
Correct Answer: C. Autocratic
Explanation: Autocratic leaders maintain total control and make decisions independently
without staff input.
Question 6.
Which ethical principle is defined as the right of a patient to make their own decisions
about their care?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Correct Answer: A. Autonomy
Explanation: Autonomy refers to the patient’s right to self-determination and making
independent choices about their healthcare.
Question 7.
Which patient should the nurse assess first after receiving the morning shift report?
A. A patient with a scheduled physical therapy session in 30 minutes
B. A patient reporting a pain level of 6 out of 10
C. A patient with a respiratory rate of 28 and oxygen saturation of 88%
D. A patient who needs a dressing change for a stage 2 pressure injury
Correct Answer: C. A patient with a respiratory rate of 28 and oxygen saturation
of 88%
