LATEST NURS 4581 BSN EXAM 1 - BSN
CAPSTONE EXAM | COMPLETE EXAM
WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
1. A nurse manager is reviewing the principles of
quality improvement. Which statement about quality
improvement is correct?
A) Quality improvement focuses on individual
performance only
B) Quality improvement uses data to improve
processes and systems, not to assign blame
C) Quality improvement is a one-time event
D) Quality improvement is only for hospitals, not
community settings
Correct answer: B
Rationale: Quality improvement is data-driven,
process-focused, and aims to improve systems and
outcomes. It is continuous, not one-time, and applies
to all healthcare settings.
,2. A nurse is implementing evidence-based practice.
Which is the first step in the evidence-based practice
process?
A) Appraise the evidence
B) Ask a clinical question (PICOT)
C) Apply the evidence to practice
D) Assess the outcome
Correct answer: B
Rationale: The first step in evidence-based practice
is to formulate a clinical question using the PICOT
format (Population, Intervention, Comparison,
Outcome, Time). This guides the literature search
and evidence appraisal.
3. A nurse manager is addressing a conflict between
two staff nurses. Which conflict resolution strategy is
most effective for achieving a win-win outcome?
A) Competing (forcing one side to accept the other's
position)
B) Avoiding (ignoring the conflict)
C) Accommodating (giving in to the other side)
D) Collaborating (problem-solving to find a solution
acceptable to both parties)
Correct answer: D
,Rationale: Collaboration involves open
communication, mutual respect, and problem-solving
to find a solution that meets the needs of both parties
(win-win). Competing is win-lose. Avoiding is lose-
lose. Accommodating is lose-win.
4. A nurse is preparing to delegate tasks to an
unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A) Performing a head-to-toe assessment
B) Teaching a client how to monitor blood glucose
C) Measuring a client's blood pressure and reporting
the reading
D) Developing a plan of care for a client with
hypertension
Correct answer: C
Rationale: Measuring blood pressure is a standard
routine task that can be delegated to UAP.
Assessment, teaching, and care planning require
nursing judgment and cannot be delegated to UAP.
5. A nurse is caring for a client who has a living will.
Which statement about a living will is correct?
, A) A living will specifies the medical treatments the
client wants or does not want at the end of life
B) A living will is the same as a Do Not Resuscitate
(DNR) order
C) A living will only applies if the client is in a hospital
D) A living will cannot be changed once it is written
Correct answer: A
Rationale: A living will is a type of advance directive
that specifies preferences for life-sustaining
treatment at the end of life. It is not the same as a
DNR order. It can be changed or revoked at any time.
6. A nurse manager is reviewing the principles of just
culture. Which statement reflects a just culture
approach to a medication error?
A) The nurse who made the error should be fired
immediately
B) The error should be reported, and the system
should be examined for contributing factors while
holding the individual accountable for reckless
behavior but not for unintentional errors
C) All errors should be hidden to avoid punishment
D) The client should be told that no error occurred
Correct answer: B
CAPSTONE EXAM | COMPLETE EXAM
WITH CORRECT ANSWERS AND
RATIONALES. A+ GUARANTEED SUCCESS
1. A nurse manager is reviewing the principles of
quality improvement. Which statement about quality
improvement is correct?
A) Quality improvement focuses on individual
performance only
B) Quality improvement uses data to improve
processes and systems, not to assign blame
C) Quality improvement is a one-time event
D) Quality improvement is only for hospitals, not
community settings
Correct answer: B
Rationale: Quality improvement is data-driven,
process-focused, and aims to improve systems and
outcomes. It is continuous, not one-time, and applies
to all healthcare settings.
,2. A nurse is implementing evidence-based practice.
Which is the first step in the evidence-based practice
process?
A) Appraise the evidence
B) Ask a clinical question (PICOT)
C) Apply the evidence to practice
D) Assess the outcome
Correct answer: B
Rationale: The first step in evidence-based practice
is to formulate a clinical question using the PICOT
format (Population, Intervention, Comparison,
Outcome, Time). This guides the literature search
and evidence appraisal.
3. A nurse manager is addressing a conflict between
two staff nurses. Which conflict resolution strategy is
most effective for achieving a win-win outcome?
A) Competing (forcing one side to accept the other's
position)
B) Avoiding (ignoring the conflict)
C) Accommodating (giving in to the other side)
D) Collaborating (problem-solving to find a solution
acceptable to both parties)
Correct answer: D
,Rationale: Collaboration involves open
communication, mutual respect, and problem-solving
to find a solution that meets the needs of both parties
(win-win). Competing is win-lose. Avoiding is lose-
lose. Accommodating is lose-win.
4. A nurse is preparing to delegate tasks to an
unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A) Performing a head-to-toe assessment
B) Teaching a client how to monitor blood glucose
C) Measuring a client's blood pressure and reporting
the reading
D) Developing a plan of care for a client with
hypertension
Correct answer: C
Rationale: Measuring blood pressure is a standard
routine task that can be delegated to UAP.
Assessment, teaching, and care planning require
nursing judgment and cannot be delegated to UAP.
5. A nurse is caring for a client who has a living will.
Which statement about a living will is correct?
, A) A living will specifies the medical treatments the
client wants or does not want at the end of life
B) A living will is the same as a Do Not Resuscitate
(DNR) order
C) A living will only applies if the client is in a hospital
D) A living will cannot be changed once it is written
Correct answer: A
Rationale: A living will is a type of advance directive
that specifies preferences for life-sustaining
treatment at the end of life. It is not the same as a
DNR order. It can be changed or revoked at any time.
6. A nurse manager is reviewing the principles of just
culture. Which statement reflects a just culture
approach to a medication error?
A) The nurse who made the error should be fired
immediately
B) The error should be reported, and the system
should be examined for contributing factors while
holding the individual accountable for reckless
behavior but not for unintentional errors
C) All errors should be hidden to avoid punishment
D) The client should be told that no error occurred
Correct answer: B
