NR 446 Exam – UPDATED Questions with 100% Verified Answers
NR 446 Exam – UPDATED Questions with 100%
Verified Answers
Section 1: Nurse, Questions, Know (Q1–Q12)
Question & Answer
Q1 What can RN's delegate to assistive personnel/CNA/NAP
A - ADL's - Bathing, Grooming, Dressing -Toileting - Ambulating - Feeding (w/o swallow precautions) -
Positioning - Routine tasks - Making the bed - Collecting specimens - Intake and Output charting -
Vital signs (stable clients)
Dr. beach said they can do blood sugar checks? lol
*UAP's cannot do wound care. Only basics like a bandage
Q2 What can RN's delegate to practical nurses?
A - monitor findings (as input to the RN's ongoing assessment) - REINFORCING client reaching from a
standard care plan - Trach care - Suctioning - Checking if NG tube is patent - Administer enteral
feedings - Insert urinary cath - Administer meds (no IV meds)
Practical nurses technically CANNOT: Start IV Hanging or mixing IV meds IV push Giving blood
Admission, discharge, transfer, unstable patient, plan of care
Q3 What are the 5 rights of delegation?
A 1. Right task-can it be delegated 2. Right Circumstance- Should it be delegated 3. Right person-can
this person do the task 4. Right direction/ communication-is the task being conveyed in a clear
manner 5. Right supervision-is the task being followed up on once complete.
Q4 What is the first assessment the nurse must make when delegating to UAP?
A RN must be aware of the job description, knowledge base, and demonstrated skills of the person
first
Q5 There will be questions on what patient should the nurse see first
A —
Q6 There will be questions to review EHR, assessment findings, and asked what needs to be
done immediately. what patient is at highest risk? when can you advance a patient's
diet (ex. from liquids to soft)?
A —
Page 1 of 8
, NR 446 Exam – UPDATED Questions with 100% Verified Answers
Question & Answer
Q7 Questions on impaired health care workers
If a nurse is in a drug program to save their job, they can be required to do mandatory
drug screens
cannot be mandatory if they did not sign as part of a program
A If you are enrolled in a program to help save your job, they can be required to do mandatory drug
screens.
Otherwise it is not mandatory
Signs of substance abuse in healthcare workers: excessive perfume, calls out Mondays/Friday's,
takes long breaks, decrease concern in personal appearance
Re-entry guidelines for recovering nurses - dayshift for 1 year - paired with a successfully
recovered nurse if possible - willing to consent to random drug screens - nurse must give evidence
of continuing involvement in support groups - encouraged to seek counseling
Late stage of chemical dependency: - employee has developed tolerance to the drug and needs
higher doses - highly defensive behavior - needs the substance even though they no longer gain
pleasure from it
Confrontation: - gather enough evidence - do not nurture of counsel the employee if they get
defensive if manager suspects the employee is impaired - immediate confrontation by the manager
may be necessary - outline a plan for the employee to overcome this
Q8 Understand What patients should be assigned to a float nurse/task nurse that came
from another floor such as L&D to ICU
A You assign the most straight forward patients to the float nurse
Ex. question A nurse from a hospital's float pool has been assigned to the nursing unit to cover a
staff absence. The float nurse reports to the charge nurse and says "I have never worked in this unit
before." The appropriate response by the charge nurse is: "I will assign you to work with a
registered nurse on the unit who is experienced and will act as a resource for you."
Q9 Know When to call healthcare provider
A know the ISBAR and report any new changes to HCP
Q10 Know the difference between assault and battery
A Assault is verbal Ex: RN says they are going to tie a patient up with restraints-this is assault and
false imprisonment, or threatening to inject medication into the patient
Battery is physical
Q11 Tort Laws (civil laws) Intentional vs. Unintentional
A Intentional is: - assault - battery - false imprisonment - Defamation of character (slander and libel)
Unintentional is: - negligence - malpractice
Page 2 of 8
NR 446 Exam – UPDATED Questions with 100%
Verified Answers
Section 1: Nurse, Questions, Know (Q1–Q12)
Question & Answer
Q1 What can RN's delegate to assistive personnel/CNA/NAP
A - ADL's - Bathing, Grooming, Dressing -Toileting - Ambulating - Feeding (w/o swallow precautions) -
Positioning - Routine tasks - Making the bed - Collecting specimens - Intake and Output charting -
Vital signs (stable clients)
Dr. beach said they can do blood sugar checks? lol
*UAP's cannot do wound care. Only basics like a bandage
Q2 What can RN's delegate to practical nurses?
A - monitor findings (as input to the RN's ongoing assessment) - REINFORCING client reaching from a
standard care plan - Trach care - Suctioning - Checking if NG tube is patent - Administer enteral
feedings - Insert urinary cath - Administer meds (no IV meds)
Practical nurses technically CANNOT: Start IV Hanging or mixing IV meds IV push Giving blood
Admission, discharge, transfer, unstable patient, plan of care
Q3 What are the 5 rights of delegation?
A 1. Right task-can it be delegated 2. Right Circumstance- Should it be delegated 3. Right person-can
this person do the task 4. Right direction/ communication-is the task being conveyed in a clear
manner 5. Right supervision-is the task being followed up on once complete.
Q4 What is the first assessment the nurse must make when delegating to UAP?
A RN must be aware of the job description, knowledge base, and demonstrated skills of the person
first
Q5 There will be questions on what patient should the nurse see first
A —
Q6 There will be questions to review EHR, assessment findings, and asked what needs to be
done immediately. what patient is at highest risk? when can you advance a patient's
diet (ex. from liquids to soft)?
A —
Page 1 of 8
, NR 446 Exam – UPDATED Questions with 100% Verified Answers
Question & Answer
Q7 Questions on impaired health care workers
If a nurse is in a drug program to save their job, they can be required to do mandatory
drug screens
cannot be mandatory if they did not sign as part of a program
A If you are enrolled in a program to help save your job, they can be required to do mandatory drug
screens.
Otherwise it is not mandatory
Signs of substance abuse in healthcare workers: excessive perfume, calls out Mondays/Friday's,
takes long breaks, decrease concern in personal appearance
Re-entry guidelines for recovering nurses - dayshift for 1 year - paired with a successfully
recovered nurse if possible - willing to consent to random drug screens - nurse must give evidence
of continuing involvement in support groups - encouraged to seek counseling
Late stage of chemical dependency: - employee has developed tolerance to the drug and needs
higher doses - highly defensive behavior - needs the substance even though they no longer gain
pleasure from it
Confrontation: - gather enough evidence - do not nurture of counsel the employee if they get
defensive if manager suspects the employee is impaired - immediate confrontation by the manager
may be necessary - outline a plan for the employee to overcome this
Q8 Understand What patients should be assigned to a float nurse/task nurse that came
from another floor such as L&D to ICU
A You assign the most straight forward patients to the float nurse
Ex. question A nurse from a hospital's float pool has been assigned to the nursing unit to cover a
staff absence. The float nurse reports to the charge nurse and says "I have never worked in this unit
before." The appropriate response by the charge nurse is: "I will assign you to work with a
registered nurse on the unit who is experienced and will act as a resource for you."
Q9 Know When to call healthcare provider
A know the ISBAR and report any new changes to HCP
Q10 Know the difference between assault and battery
A Assault is verbal Ex: RN says they are going to tie a patient up with restraints-this is assault and
false imprisonment, or threatening to inject medication into the patient
Battery is physical
Q11 Tort Laws (civil laws) Intentional vs. Unintentional
A Intentional is: - assault - battery - false imprisonment - Defamation of character (slander and libel)
Unintentional is: - negligence - malpractice
Page 2 of 8
