CNR N4000: ADVANCED NURSING
CONCEPTS AND LEADERSHIP -
DR. CHELLY TUFTS BEVEL NURSING
QUESTIONS AND ANSWERS | 2026/2027
UPDATED | 100% CORRECT
1. Which ethical principle is primarily involved when a nurse ensures a patient has all the
information necessary to make an informed decision regarding their surgical procedure?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Answer: B
Conceptual Explanation: Autonomy refers to the right of patients to make their own
decisions about their medical care. Ensuring a patient is fully informed supports their self-
determination.
2. In a professional nursing environment, a ‘Sentinel Event’ is best defined as:
A. A minor medication error that caused no harm.
B. A routine incident report filed for a patient fall without injury.
,C. An unexpected occurrence involving death or serious physical or psychological injury.
D. A failure to document a nursing assessment accurately.
Answer: C
Conceptual Explanation: Sentinel events are defined by the Joint Commission as
unexpected occurrences resulting in death or serious injury, signaling the need for
immediate investigation and response.
3. When utilizing the PICO framework for Evidence-Based Practice, what does the ‘I’
represent?
A. Identification of the problem
B. Implementation strategy
C. Intervention or Interest
D. Institutional policy
Answer: C
Conceptual Explanation: In PICO (Population, Intervention, Comparison, Outcome), the ‘I’
stands for the intervention or area of interest being studied.
4. A nurse manager is using Lewin’s Change Theory to implement a new electronic health
record system. During the ‘Unfreezing’ stage, the manager should focus on:
A. Developing new skills and behaviors among the staff.
B. Creating motivation for change by identifying the need for a new system.
, C. Stabilizing the new system to make it part of the culture.
D. Auditing the system to ensure compliance.
Answer: B
Conceptual Explanation: Unfreezing involves overcoming inertia and dismantling the
existing mindset to prepare for change, which includes identifying why the change is
necessary.
5. According to the American Nurses Association (ANA), which of the following tasks can be
safely delegated to an unlicensed assistive personnel (UAP)?
A. Assessing a patient’s pain level after medication administration.
B. Performing an initial head-to-toe assessment on a new admission.
C. Assisting a stable patient with ambulation.
D. Evaluating the effectiveness of a teaching plan for a diabetic patient.
Answer: C
Conceptual Explanation: UAPs can perform routine tasks for stable patients, such as ADLs
and ambulation. Assessment, evaluation, and teaching require professional nursing
judgment and cannot be delegated.
6. Which leadership style is characterized by a leader who inspires and motivates followers to
achieve extraordinary outcomes by internalizing the organization’s goals?
A. Transformational Leadership
CONCEPTS AND LEADERSHIP -
DR. CHELLY TUFTS BEVEL NURSING
QUESTIONS AND ANSWERS | 2026/2027
UPDATED | 100% CORRECT
1. Which ethical principle is primarily involved when a nurse ensures a patient has all the
information necessary to make an informed decision regarding their surgical procedure?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Answer: B
Conceptual Explanation: Autonomy refers to the right of patients to make their own
decisions about their medical care. Ensuring a patient is fully informed supports their self-
determination.
2. In a professional nursing environment, a ‘Sentinel Event’ is best defined as:
A. A minor medication error that caused no harm.
B. A routine incident report filed for a patient fall without injury.
,C. An unexpected occurrence involving death or serious physical or psychological injury.
D. A failure to document a nursing assessment accurately.
Answer: C
Conceptual Explanation: Sentinel events are defined by the Joint Commission as
unexpected occurrences resulting in death or serious injury, signaling the need for
immediate investigation and response.
3. When utilizing the PICO framework for Evidence-Based Practice, what does the ‘I’
represent?
A. Identification of the problem
B. Implementation strategy
C. Intervention or Interest
D. Institutional policy
Answer: C
Conceptual Explanation: In PICO (Population, Intervention, Comparison, Outcome), the ‘I’
stands for the intervention or area of interest being studied.
4. A nurse manager is using Lewin’s Change Theory to implement a new electronic health
record system. During the ‘Unfreezing’ stage, the manager should focus on:
A. Developing new skills and behaviors among the staff.
B. Creating motivation for change by identifying the need for a new system.
, C. Stabilizing the new system to make it part of the culture.
D. Auditing the system to ensure compliance.
Answer: B
Conceptual Explanation: Unfreezing involves overcoming inertia and dismantling the
existing mindset to prepare for change, which includes identifying why the change is
necessary.
5. According to the American Nurses Association (ANA), which of the following tasks can be
safely delegated to an unlicensed assistive personnel (UAP)?
A. Assessing a patient’s pain level after medication administration.
B. Performing an initial head-to-toe assessment on a new admission.
C. Assisting a stable patient with ambulation.
D. Evaluating the effectiveness of a teaching plan for a diabetic patient.
Answer: C
Conceptual Explanation: UAPs can perform routine tasks for stable patients, such as ADLs
and ambulation. Assessment, evaluation, and teaching require professional nursing
judgment and cannot be delegated.
6. Which leadership style is characterized by a leader who inspires and motivates followers to
achieve extraordinary outcomes by internalizing the organization’s goals?
A. Transformational Leadership
