NURS 450 Exam 2026/2027 | Nursing Practice Questions, Answers
and Test Bank Review
Delegation - Correct answer✅✅ Transferring the authority to perform a selected nursing task in a
selected situation to anther team member while maintaining accountability
Assignment - Correct answer✅✅ Transferring the author, accountability, and responsibility to another
member of health care team
The NCSBN 5 rights of Delegation (National Council of State Boards of Nursing)RN - Correct answer✅✅
1. Right task (consider credentials, nurse practice act, and agency policy)
2. Right circumstances (consider patient's condition and degree of supervision required)
3. Right person (consider skills and abilities of individual)
4. Right communication (specific instructions)
5. Monitoring and evaluation of patient and staff member performance)
RN Scope of practice - Correct answer✅✅ -Care of complex or unstable patients or care with uncertain
outcomes
-initiate the nursing process (develop plan of care)
-client education
-blood products
-IV push
LPN Scope of Practice - Correct answer✅✅ -care of stable client
-gather data (technically cannot assess)
-contribute to care plan
-reinforce teaching
-perform skills with predictable outcomes
-administer medications (no IVP, chemo, or blood products)
,UAP scope of practice (Unlicensed Assistive Personnel) - Correct answer✅✅ -stable client
-obtain vital signs
-record I & O
-hygiene care
-positioning and ambulation
-feeding
The RN CANNOT delegation what you can EAT: - Correct answer✅✅ -E: evaluation
-A: Assessment
-T: Teaching
Clinical Judgement - Correct answer✅✅ -Interpretation or conclusion about a patient's needs,
concerns, or health problems, and/or the decision to take action (or not), use or modify standard
approaches, or improvise new ones as deemed appropriate by the patient's response
-Nursing process is framework but does not describe how decisions are made
-influenced by knowledge and attitudes
-not task oriented- differentiates professional from technical
-compares assessments to: known normals, patient baseline, and pattern recognition
Situated Clinical Reasoning - Correct answer✅✅ -failure to recognize acute confusion in elderly was
attributed to :
--attitudes and knowledge about normal aging
--lack of awareness of significance of confusion
--inadequate knowledge of patient states
Role of Reflection - Correct answer✅✅ 1. Reflection in action:
-adjusting to patient responses
--reflecting on what happened to patient and adjusting your care
2. Reflection on action
, -what you learn from a clinical experience
-development of clinical judgement
--when you go home and reflect on what happened during the day
Failure to rescue - Correct answer✅✅ clinicians inability to save a hospitalized patient's life when he
experiences a complication
-a condition not present on admission
-most codes are preventable-- warning signs that patient is going downhill
Successful Rescue - Correct answer✅✅ 1. Surveillance
-ongoing interpretation and synthesis
-Recognize emerging complications
2. Rescue
-mobilize resources
--SBAR
--Anticipate what is needed
--Rapid response team
Indicators of emerging complications - Correct answer✅✅ -change in LOC
-pain
-dyspnea
-change in vitals
-change in labs
-urine output (perfusion)
Prioritization - Correct answer✅✅ -Essential aspect of clinical judgment
-Framework:
--ABC's
--Maslow
and Test Bank Review
Delegation - Correct answer✅✅ Transferring the authority to perform a selected nursing task in a
selected situation to anther team member while maintaining accountability
Assignment - Correct answer✅✅ Transferring the author, accountability, and responsibility to another
member of health care team
The NCSBN 5 rights of Delegation (National Council of State Boards of Nursing)RN - Correct answer✅✅
1. Right task (consider credentials, nurse practice act, and agency policy)
2. Right circumstances (consider patient's condition and degree of supervision required)
3. Right person (consider skills and abilities of individual)
4. Right communication (specific instructions)
5. Monitoring and evaluation of patient and staff member performance)
RN Scope of practice - Correct answer✅✅ -Care of complex or unstable patients or care with uncertain
outcomes
-initiate the nursing process (develop plan of care)
-client education
-blood products
-IV push
LPN Scope of Practice - Correct answer✅✅ -care of stable client
-gather data (technically cannot assess)
-contribute to care plan
-reinforce teaching
-perform skills with predictable outcomes
-administer medications (no IVP, chemo, or blood products)
,UAP scope of practice (Unlicensed Assistive Personnel) - Correct answer✅✅ -stable client
-obtain vital signs
-record I & O
-hygiene care
-positioning and ambulation
-feeding
The RN CANNOT delegation what you can EAT: - Correct answer✅✅ -E: evaluation
-A: Assessment
-T: Teaching
Clinical Judgement - Correct answer✅✅ -Interpretation or conclusion about a patient's needs,
concerns, or health problems, and/or the decision to take action (or not), use or modify standard
approaches, or improvise new ones as deemed appropriate by the patient's response
-Nursing process is framework but does not describe how decisions are made
-influenced by knowledge and attitudes
-not task oriented- differentiates professional from technical
-compares assessments to: known normals, patient baseline, and pattern recognition
Situated Clinical Reasoning - Correct answer✅✅ -failure to recognize acute confusion in elderly was
attributed to :
--attitudes and knowledge about normal aging
--lack of awareness of significance of confusion
--inadequate knowledge of patient states
Role of Reflection - Correct answer✅✅ 1. Reflection in action:
-adjusting to patient responses
--reflecting on what happened to patient and adjusting your care
2. Reflection on action
, -what you learn from a clinical experience
-development of clinical judgement
--when you go home and reflect on what happened during the day
Failure to rescue - Correct answer✅✅ clinicians inability to save a hospitalized patient's life when he
experiences a complication
-a condition not present on admission
-most codes are preventable-- warning signs that patient is going downhill
Successful Rescue - Correct answer✅✅ 1. Surveillance
-ongoing interpretation and synthesis
-Recognize emerging complications
2. Rescue
-mobilize resources
--SBAR
--Anticipate what is needed
--Rapid response team
Indicators of emerging complications - Correct answer✅✅ -change in LOC
-pain
-dyspnea
-change in vitals
-change in labs
-urine output (perfusion)
Prioritization - Correct answer✅✅ -Essential aspect of clinical judgment
-Framework:
--ABC's
--Maslow
