NR446 COLLABORATIVE HEALTHCARE
EXAM 1 PRACTICE QUESTIONS AND
ANSWERS
1. A nurse manager is implementing a new EHR system and holds meetings to allow staff to
voice concerns and provide input. Which leadership style is being demonstrated?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Answer: D
Conceptual Explanation: Democratic leadership involves staff in decision-making and
encourages communication, whereas autocratic leaders make decisions alone.
2. When prioritizing care for four clients, which client should the nurse assess first?
A. A client with a newly applied cast reporting sudden tingling and inability to move their
toes.
B. A client who is post-operative day 1 following a total hip replacement and reports pain
of 6/10.
,C. A client with COPD who has an oxygen saturation of 89% and is resting.
D. A client with a blood pressure of 138/88 mmHg reporting a mild headache.
Answer: A
Conceptual Explanation: Sudden tingling and inability to move toes suggests
Compartment Syndrome, which is a neurovascular emergency and takes priority over
stable pain or expected chronic conditions.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the UAP?
A. Assessing a patient’s skin integrity after a fall.
B. Teaching a client how to use a walker.
C. Developing a plan of care for a client with diabetes.
D. Measuring and recording intake and output.
Answer: D
Conceptual Explanation: UAPs can perform non-invasive, routine tasks such as measuring
I&Os. Assessment, planning, and teaching must be done by the RN.
4. Which element of Lewin’s Change Theory involves the process of stabilizing a new change
so it becomes integrated into the organization’s culture?
A. Refreezing
B. Moving
, C. Unfreezing
D. Resistance
Answer: A
Conceptual Explanation: Refreezing is the final stage where the new behavior is solidified
as the norm.
5. A nurse manager is resolving a conflict between two staff members by encouraging them
to find a solution that satisfies both parties fully. Which conflict management strategy is this?
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
Answer: C
Conceptual Explanation: Collaborating is a win-win strategy where both sides work
together to find an optimal solution.
6. During a mass casualty incident, which color tag is assigned to a client who has a massive
head injury and agonal respirations?
A. Red
B. Black
C. Green
EXAM 1 PRACTICE QUESTIONS AND
ANSWERS
1. A nurse manager is implementing a new EHR system and holds meetings to allow staff to
voice concerns and provide input. Which leadership style is being demonstrated?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Answer: D
Conceptual Explanation: Democratic leadership involves staff in decision-making and
encourages communication, whereas autocratic leaders make decisions alone.
2. When prioritizing care for four clients, which client should the nurse assess first?
A. A client with a newly applied cast reporting sudden tingling and inability to move their
toes.
B. A client who is post-operative day 1 following a total hip replacement and reports pain
of 6/10.
,C. A client with COPD who has an oxygen saturation of 89% and is resting.
D. A client with a blood pressure of 138/88 mmHg reporting a mild headache.
Answer: A
Conceptual Explanation: Sudden tingling and inability to move toes suggests
Compartment Syndrome, which is a neurovascular emergency and takes priority over
stable pain or expected chronic conditions.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the UAP?
A. Assessing a patient’s skin integrity after a fall.
B. Teaching a client how to use a walker.
C. Developing a plan of care for a client with diabetes.
D. Measuring and recording intake and output.
Answer: D
Conceptual Explanation: UAPs can perform non-invasive, routine tasks such as measuring
I&Os. Assessment, planning, and teaching must be done by the RN.
4. Which element of Lewin’s Change Theory involves the process of stabilizing a new change
so it becomes integrated into the organization’s culture?
A. Refreezing
B. Moving
, C. Unfreezing
D. Resistance
Answer: A
Conceptual Explanation: Refreezing is the final stage where the new behavior is solidified
as the norm.
5. A nurse manager is resolving a conflict between two staff members by encouraging them
to find a solution that satisfies both parties fully. Which conflict management strategy is this?
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
Answer: C
Conceptual Explanation: Collaborating is a win-win strategy where both sides work
together to find an optimal solution.
6. During a mass casualty incident, which color tag is assigned to a client who has a massive
head injury and agonal respirations?
A. Red
B. Black
C. Green
