NUR 282 Advanced Clinical / Transition Nursing Week 1 Study Guide
2026 |Galen College
1. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task
is most appropriate for the nurse to assign?
A. Evaluating a patient’s response to pain medication
B. Providing initial education on a new diabetic diet
C. Assisting a stable patient with ambulation
D. Performing a comprehensive skin assessment
Answer: C
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Assessment, education, and evaluation require the judgment of a licensed
nurse.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 88%
B. A patient requesting pain medication for chronic back pain
C. A patient who needs a dressing change before discharge
D. A patient scheduled for physical therapy in 30 minutes
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
respiratory distress and low oxygen saturation is the highest priority.
,3. Which ethical principle is the nurse demonstrating when they uphold a
promise to return to a patient’s room in 10 minutes?
A. Autonomy
B. Fidelity
C. Justice
D. Nonmaleficence
Answer: B
Rationale: Fidelity refers to faithfulness and keeping promises made to patients.
4. The nurse is participating in a root cause analysis (RCA) after a medication
error. What is the primary purpose of an RCA?
A. To identify system-wide factors that contributed to the error
B. To document the error for legal defense
C. To terminate the staff involved in the error
D. To assign blame to the individual responsible
Answer: A
Rationale: Root Cause Analysis is a process used to identify the underlying causes of an
event to prevent recurrence, focusing on systems rather than individual blame.
5. A nurse manager uses a ‘laissez-faire’ leadership style. Which behavior is
characteristic of this style?
A. Making all decisions independently without staff input
B. Providing little direction and allowing the group to make decisions
C. Encouraging group discussion and decision-making
D. Using rewards and punishments to motivate staff
Answer: B
Rationale: Laissez-faire leadership is ‘hands-off,’ where the leader provides minimal
guidance and allows followers to function autonomously.
, 6. In the SBAR communication tool, which information belongs in the
‘Background’ section?
A. The patient’s current vital signs and mental status
B. The nurse’s recommendation for a change in treatment
C. The patient’s medical history and admitting diagnosis
D. The reason the nurse is calling the provider at this moment
Answer: C
Rationale: Background (B) includes relevant clinical history, admitting diagnosis, and
previous treatments.
7. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Developing the initial plan of care for a new admission
B. Performing a focused assessment on a stable patient
C. Administering an intravenous push high-alert medication
D. Providing discharge teaching to a complex patient
Answer: B
Rationale: LPNs can perform focused assessments and care for stable patients. Initial
assessments and complex teaching are reserved for the RN.
8. Which of the ‘Five Rights of Delegation’ is being followed when the nurse
ensures the UAP has the necessary skills and training for a task?
A. Right Task
B. Right Circumstance
C. Right Direction
D. Right Person
Answer: D
Rationale: The Right Person ensures the delegatee possesses the appropriate skills and
knowledge to perform the task safely.
2026 |Galen College
1. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task
is most appropriate for the nurse to assign?
A. Evaluating a patient’s response to pain medication
B. Providing initial education on a new diabetic diet
C. Assisting a stable patient with ambulation
D. Performing a comprehensive skin assessment
Answer: C
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Assessment, education, and evaluation require the judgment of a licensed
nurse.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 88%
B. A patient requesting pain medication for chronic back pain
C. A patient who needs a dressing change before discharge
D. A patient scheduled for physical therapy in 30 minutes
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
respiratory distress and low oxygen saturation is the highest priority.
,3. Which ethical principle is the nurse demonstrating when they uphold a
promise to return to a patient’s room in 10 minutes?
A. Autonomy
B. Fidelity
C. Justice
D. Nonmaleficence
Answer: B
Rationale: Fidelity refers to faithfulness and keeping promises made to patients.
4. The nurse is participating in a root cause analysis (RCA) after a medication
error. What is the primary purpose of an RCA?
A. To identify system-wide factors that contributed to the error
B. To document the error for legal defense
C. To terminate the staff involved in the error
D. To assign blame to the individual responsible
Answer: A
Rationale: Root Cause Analysis is a process used to identify the underlying causes of an
event to prevent recurrence, focusing on systems rather than individual blame.
5. A nurse manager uses a ‘laissez-faire’ leadership style. Which behavior is
characteristic of this style?
A. Making all decisions independently without staff input
B. Providing little direction and allowing the group to make decisions
C. Encouraging group discussion and decision-making
D. Using rewards and punishments to motivate staff
Answer: B
Rationale: Laissez-faire leadership is ‘hands-off,’ where the leader provides minimal
guidance and allows followers to function autonomously.
, 6. In the SBAR communication tool, which information belongs in the
‘Background’ section?
A. The patient’s current vital signs and mental status
B. The nurse’s recommendation for a change in treatment
C. The patient’s medical history and admitting diagnosis
D. The reason the nurse is calling the provider at this moment
Answer: C
Rationale: Background (B) includes relevant clinical history, admitting diagnosis, and
previous treatments.
7. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Developing the initial plan of care for a new admission
B. Performing a focused assessment on a stable patient
C. Administering an intravenous push high-alert medication
D. Providing discharge teaching to a complex patient
Answer: B
Rationale: LPNs can perform focused assessments and care for stable patients. Initial
assessments and complex teaching are reserved for the RN.
8. Which of the ‘Five Rights of Delegation’ is being followed when the nurse
ensures the UAP has the necessary skills and training for a task?
A. Right Task
B. Right Circumstance
C. Right Direction
D. Right Person
Answer: D
Rationale: The Right Person ensures the delegatee possesses the appropriate skills and
knowledge to perform the task safely.
