NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
NR 446 Exam 1 – UPDATED Questions with 100%
Verified Answers
Section 1: Hang, Planning, Electrolytes (Q1–Q12)
Question & Answer
Q1 Can an LPN hang electrolytes?
A NO-requires assessment
Q2 Can an LPN hang TPN?
A No
Q3 Can an LPN hang NS with K?
A Yes - diluted
Q4 Can an LPN hang blood?
A No
Q5 Can an LPN hang a bolus?
A No
Q6 Can an LPN do an IV push?
A No
Q7 UAP assignments
A stable patients with chronic conditions
Q8 Who should UAP's not work with?
A -no vitals on: acute cardiac, new patient - depending on status, post-op (not stable patients), if RN is
in room, UAP can help but RN needs to be in room
Q9 reactive planning
A occurs after a problem exists, goal is just to get back to normal
Q10 inactivism
A another type of conventional planning, seeks the status quo, not going to do anything, prevent
change from occurring, standing firm, slow incremental change
Q11 preactivism
A utilize technology to accelerate change and are future oriented. Unsatisfied with the past or
present, preactivists do not value experience and believe that the future is always preferable to the
present.
Page 1 of 38
,NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q12 interactive or proactive planning
A Planners who fall into this category consider the past, present, and future and attempt to plan the
future of their organization rather than react to it. Because the organizational setting changes
often, adaptability is a key requirement for proactive planning. Proactive planning occurs, then, in
anticipation of changing needs or to promote growth within an organization and is required of all
leader-managers so that personal as well as organizational needs and objectives are met.
Section 2: Statement, Forecasting, Swot (Q13–Q24)
Question & Answer
Q13 Forecasting
A involves trying to estimate how a condition will be in the future.
Q14 SWOT analysis
A identifying internal strengths (S) and weaknesses (W) and also examining external opportunities (O)
and threats (T) -need to have an objective first -subjective in nature
Q15 Strengths
A internal attributes that help an organization achieve its objectives
Q16 Weaknesses
A internal attributes resources that work against a successful outcome
Q17 Opportuninities
A external and positive, national focused, evidence based practice
Q18 Threats
A external and negative
Q19 Planning Hierarchy
A 1) Mission 2) Philosophy 3) Goals 4) Objectives 5) Policies 6) Procedures 7) Rules
Q20 Vision statement
A expresses what the organization should become, where it wants to go strategically, future oriented
Q21 MIssion statement
A a statement of the organization's purpose - what it wants to accomplish in the larger environment,
the reason why the organization exists
Q22 Philosophy
A comes out of vision and mission, about values and beliefs -organizational philosophy -nursing
service philosophy
Q23 Goal
A a desired end toward which efforts are directed, the aim of a philosophy -SMART
Page 2 of 38
,NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q24 Objectives
A -more specific and measurable -gets you towards the goal
Section 3: Policies, Model, Strategy (Q25–Q36)
Question & Answer
Q25 process objectives
A written in terms of the method to be used ex: 100% of staff nurses will orient new patients to the
call-light system, within 30 minutes of their admission, by first demonstrating its appropriate use
and then asking the patient to repeat said demonstration.
Q26 results-focused objective
A specify the desired outcome ex: 95% postoperative patients will perceive a decrease in their pain
levels following the administration of parenteral pain medication.
Q27 Policies
A plans reduced to statements, direct organizations in their decision making -limit setting, boundary
setting
Q28 Implied policies
A neither written nor expressed verbally, have usually developed over time and follow a precedent.
Q29 Expressed policies
A delineated verbally or in writing
Q30 Procedures
A how to get things done within that policy, instruct you how to do things
Q31 Rules
A -define actions -form policies and procedures -allow only once choice of action
Q32 strategic planning
A Long-term planning that provides broad goals and directions for the entire business.
Q33 Contemporary Adaptation of Lewins Model - Stages of Change MOdel
A Stage 1: Pre-contemplation: no current intention to change Stage 2: Contemplation: individual
considers making a change Stage 3: Preparation: there is intent to make a change in the near
future Stage 4: Action: individual modifies behavior Stage 5: Maintenance: change in maintained
and relapse is avoided
Q34 Rational Empirical Strategy
A -using evidence, research, hard evidence -ex: smoking causes lung cancer, why they need to do the
change
Q35 normative-reeducative strategy
A -social norms, groups norms and positive peer pressure to cause change
Page 3 of 38
, NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q36 Power-coercive strategies
A Change agent strategies based on the application of power by legitimate authority, economic
sanctions, or political clout. -using power to make change
Section 4: Budget, Budgeting, Cost (Q37–Q48)
Question & Answer
Q37 Steps to time management
A 1. Allow time for planning and establish priorities 2. complete the highest priority task whenever
possible and finish one task before starting another 3. reprioritize based on the remaining tasks
Q38 three categories of prioritization - from a leader-manager
A - dont do - do later (part of a larger plan) - do now (day to day operations)
Q39 cost containment
A procedures used to control costs or expenses, efficiency, not having waste, provide care and still
yield a profit
Q40 cost effective
A not the same as being inexpensive, producing good results for money spent, the product is worth
the price
Q41 The workforce or personnel budget
A largest of budget expenditures, because health care is labor intensive,
Q42 operating budget
A how the facility can operate, bills that need to get paid. supplies are a big expense
Q43 capital budget
A plan for the purchase of buildings or major equipment, assets, big-ticket items, capital is another
word for investment, investment in "stuff"
Q44 incremental budgeting
A flat percentage increase method, multiplying current year expenses by a certain figure, usually the
inflation rate or consumer price index, the budget for the coming year may be projected. Doesnt
assess current coniditon of patient budget -giving a raise
Q45 Zero-based budget
A justify budget every year, labor-intensive for nursing managers
Q46 flexible budgeting
A -flexes with the census -volume based -money allocated in real time
Q47 performance budgeting
A -emphasizes outcomes and results instead of activities or outputs (earn your keep) -efficiency -a
good way to motivate
Page 4 of 38
NR 446 Exam 1 – UPDATED Questions with 100%
Verified Answers
Section 1: Hang, Planning, Electrolytes (Q1–Q12)
Question & Answer
Q1 Can an LPN hang electrolytes?
A NO-requires assessment
Q2 Can an LPN hang TPN?
A No
Q3 Can an LPN hang NS with K?
A Yes - diluted
Q4 Can an LPN hang blood?
A No
Q5 Can an LPN hang a bolus?
A No
Q6 Can an LPN do an IV push?
A No
Q7 UAP assignments
A stable patients with chronic conditions
Q8 Who should UAP's not work with?
A -no vitals on: acute cardiac, new patient - depending on status, post-op (not stable patients), if RN is
in room, UAP can help but RN needs to be in room
Q9 reactive planning
A occurs after a problem exists, goal is just to get back to normal
Q10 inactivism
A another type of conventional planning, seeks the status quo, not going to do anything, prevent
change from occurring, standing firm, slow incremental change
Q11 preactivism
A utilize technology to accelerate change and are future oriented. Unsatisfied with the past or
present, preactivists do not value experience and believe that the future is always preferable to the
present.
Page 1 of 38
,NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q12 interactive or proactive planning
A Planners who fall into this category consider the past, present, and future and attempt to plan the
future of their organization rather than react to it. Because the organizational setting changes
often, adaptability is a key requirement for proactive planning. Proactive planning occurs, then, in
anticipation of changing needs or to promote growth within an organization and is required of all
leader-managers so that personal as well as organizational needs and objectives are met.
Section 2: Statement, Forecasting, Swot (Q13–Q24)
Question & Answer
Q13 Forecasting
A involves trying to estimate how a condition will be in the future.
Q14 SWOT analysis
A identifying internal strengths (S) and weaknesses (W) and also examining external opportunities (O)
and threats (T) -need to have an objective first -subjective in nature
Q15 Strengths
A internal attributes that help an organization achieve its objectives
Q16 Weaknesses
A internal attributes resources that work against a successful outcome
Q17 Opportuninities
A external and positive, national focused, evidence based practice
Q18 Threats
A external and negative
Q19 Planning Hierarchy
A 1) Mission 2) Philosophy 3) Goals 4) Objectives 5) Policies 6) Procedures 7) Rules
Q20 Vision statement
A expresses what the organization should become, where it wants to go strategically, future oriented
Q21 MIssion statement
A a statement of the organization's purpose - what it wants to accomplish in the larger environment,
the reason why the organization exists
Q22 Philosophy
A comes out of vision and mission, about values and beliefs -organizational philosophy -nursing
service philosophy
Q23 Goal
A a desired end toward which efforts are directed, the aim of a philosophy -SMART
Page 2 of 38
,NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q24 Objectives
A -more specific and measurable -gets you towards the goal
Section 3: Policies, Model, Strategy (Q25–Q36)
Question & Answer
Q25 process objectives
A written in terms of the method to be used ex: 100% of staff nurses will orient new patients to the
call-light system, within 30 minutes of their admission, by first demonstrating its appropriate use
and then asking the patient to repeat said demonstration.
Q26 results-focused objective
A specify the desired outcome ex: 95% postoperative patients will perceive a decrease in their pain
levels following the administration of parenteral pain medication.
Q27 Policies
A plans reduced to statements, direct organizations in their decision making -limit setting, boundary
setting
Q28 Implied policies
A neither written nor expressed verbally, have usually developed over time and follow a precedent.
Q29 Expressed policies
A delineated verbally or in writing
Q30 Procedures
A how to get things done within that policy, instruct you how to do things
Q31 Rules
A -define actions -form policies and procedures -allow only once choice of action
Q32 strategic planning
A Long-term planning that provides broad goals and directions for the entire business.
Q33 Contemporary Adaptation of Lewins Model - Stages of Change MOdel
A Stage 1: Pre-contemplation: no current intention to change Stage 2: Contemplation: individual
considers making a change Stage 3: Preparation: there is intent to make a change in the near
future Stage 4: Action: individual modifies behavior Stage 5: Maintenance: change in maintained
and relapse is avoided
Q34 Rational Empirical Strategy
A -using evidence, research, hard evidence -ex: smoking causes lung cancer, why they need to do the
change
Q35 normative-reeducative strategy
A -social norms, groups norms and positive peer pressure to cause change
Page 3 of 38
, NR 446 Exam 1 – UPDATED Questions with 100% Verified Answers
Question & Answer
Q36 Power-coercive strategies
A Change agent strategies based on the application of power by legitimate authority, economic
sanctions, or political clout. -using power to make change
Section 4: Budget, Budgeting, Cost (Q37–Q48)
Question & Answer
Q37 Steps to time management
A 1. Allow time for planning and establish priorities 2. complete the highest priority task whenever
possible and finish one task before starting another 3. reprioritize based on the remaining tasks
Q38 three categories of prioritization - from a leader-manager
A - dont do - do later (part of a larger plan) - do now (day to day operations)
Q39 cost containment
A procedures used to control costs or expenses, efficiency, not having waste, provide care and still
yield a profit
Q40 cost effective
A not the same as being inexpensive, producing good results for money spent, the product is worth
the price
Q41 The workforce or personnel budget
A largest of budget expenditures, because health care is labor intensive,
Q42 operating budget
A how the facility can operate, bills that need to get paid. supplies are a big expense
Q43 capital budget
A plan for the purchase of buildings or major equipment, assets, big-ticket items, capital is another
word for investment, investment in "stuff"
Q44 incremental budgeting
A flat percentage increase method, multiplying current year expenses by a certain figure, usually the
inflation rate or consumer price index, the budget for the coming year may be projected. Doesnt
assess current coniditon of patient budget -giving a raise
Q45 Zero-based budget
A justify budget every year, labor-intensive for nursing managers
Q46 flexible budgeting
A -flexes with the census -volume based -money allocated in real time
Q47 performance budgeting
A -emphasizes outcomes and results instead of activities or outputs (earn your keep) -efficiency -a
good way to motivate
Page 4 of 38
