NR446 COLLABORATIVE HEALTHCARE
EXAM 1 COMPREHENSIVE PRACTICE
QUESTIONS AND ANSWERS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘Moving’ stage, which action should the manager take?
A. Identify the need for change and create a sense of urgency.
B. Develop a plan and implement the new system incrementally.
C. Integrate the new system into daily routines to ensure sustainability.
D. Evaluate the results and reward the staff for their compliance.
Answer: B
Conceptual Explanation: In Lewin’s Change Theory, the ‘Moving’ stage involves the actual
implementation of the change, including planning and execution. ‘Unfreezing’ is identifying
the need, and ‘Refreezing’ is integrating it into routine.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating the effectiveness of a patient’s new pain medication.
B. Assisting a stable patient with ambulation for the first time post-surgery.
,C. Providing discharge instructions to a patient going home with a PICC line.
D. Collecting a clean-catch urine specimen from a cooperative patient.
Answer: D
Conceptual Explanation: UAPs can perform non-invasive tasks with predictable outcomes
like specimen collection. Assessment, first-time ambulation (which requires assessment),
and teaching are RN responsibilities.
3. A nurse is caring for four patients. Using the CURE hierarchy, which patient should the
nurse see first?
A. A patient requesting a PRN medication for mild nausea.
B. A patient who needs their surgical dressing changed before lunch.
C. A patient with a sudden onset of shortness of breath and low oxygen saturation.
D. A patient who is upset because their breakfast tray was cold.
Answer: C
Conceptual Explanation: The CURE hierarchy prioritizes Urgent needs (threats to safety
or life) over Routine or Extra needs. Shortness of breath is an immediate physiological
threat (Urgent/Critical).
, 4. A nurse manager is resolving a conflict between two nurses. One nurse agrees to work the
weekend if the other nurse covers their holiday shift. Which conflict management strategy is
being used?
A. Avoiding
B. Competing
C. Compromising
D. Accommodating
Answer: C
Conceptual Explanation: Compromising involves a ‘give-and-take’ approach where both
parties give up something to reach a mutually acceptable solution.
5. An RN is working with a Licensed Practical Nurse (LPN). Which task is within the LPN’s
scope of practice?
A. Developing the initial plan of care for a newly admitted patient.
B. Performing a focused physical assessment on a stable patient.
C. Administering an intravenous push (IVP) cardiac medication.
D. Performing an admission assessment on a patient in respiratory distress.
Answer: B
EXAM 1 COMPREHENSIVE PRACTICE
QUESTIONS AND ANSWERS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘Moving’ stage, which action should the manager take?
A. Identify the need for change and create a sense of urgency.
B. Develop a plan and implement the new system incrementally.
C. Integrate the new system into daily routines to ensure sustainability.
D. Evaluate the results and reward the staff for their compliance.
Answer: B
Conceptual Explanation: In Lewin’s Change Theory, the ‘Moving’ stage involves the actual
implementation of the change, including planning and execution. ‘Unfreezing’ is identifying
the need, and ‘Refreezing’ is integrating it into routine.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating the effectiveness of a patient’s new pain medication.
B. Assisting a stable patient with ambulation for the first time post-surgery.
,C. Providing discharge instructions to a patient going home with a PICC line.
D. Collecting a clean-catch urine specimen from a cooperative patient.
Answer: D
Conceptual Explanation: UAPs can perform non-invasive tasks with predictable outcomes
like specimen collection. Assessment, first-time ambulation (which requires assessment),
and teaching are RN responsibilities.
3. A nurse is caring for four patients. Using the CURE hierarchy, which patient should the
nurse see first?
A. A patient requesting a PRN medication for mild nausea.
B. A patient who needs their surgical dressing changed before lunch.
C. A patient with a sudden onset of shortness of breath and low oxygen saturation.
D. A patient who is upset because their breakfast tray was cold.
Answer: C
Conceptual Explanation: The CURE hierarchy prioritizes Urgent needs (threats to safety
or life) over Routine or Extra needs. Shortness of breath is an immediate physiological
threat (Urgent/Critical).
, 4. A nurse manager is resolving a conflict between two nurses. One nurse agrees to work the
weekend if the other nurse covers their holiday shift. Which conflict management strategy is
being used?
A. Avoiding
B. Competing
C. Compromising
D. Accommodating
Answer: C
Conceptual Explanation: Compromising involves a ‘give-and-take’ approach where both
parties give up something to reach a mutually acceptable solution.
5. An RN is working with a Licensed Practical Nurse (LPN). Which task is within the LPN’s
scope of practice?
A. Developing the initial plan of care for a newly admitted patient.
B. Performing a focused physical assessment on a stable patient.
C. Administering an intravenous push (IVP) cardiac medication.
D. Performing an admission assessment on a patient in respiratory distress.
Answer: B
