NR446 Exam 3 Actual Exam Style V2 | NR
446 Collaborative Healthcare |
Chamberlain
1. A nurse is planning care for four clients at the start of the shift. Which client should the
nurse assess first?
A. A client with diabetes who has a fasting blood glucose of 150 mg/dL.
B. A client who is 2 days postoperative and reporting pain at a level of 4 on a 0-10 scale.
C. A client who requires a dressing change for a stage 2 pressure injury on the coccyx.
D. A client with a history of heart failure who has developed new-onset shortness of breath
and crackles.
Answer: D
Rationale: The client with new-onset shortness of breath and crackles is the priority
because these symptoms indicate a potential decline in respiratory status or pulmonary
edema. This follows the ABC (Airway, Breathing, Circulation) framework where breathing
issues take precedence. The other clients are relatively stable and their needs can be
addressed after the acute respiratory issue is managed.
2. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. Which of the following conflict resolution strategies is the nurse manager using if
they ask both nurses to give up something of value?
A. Competing
,B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
solution. This strategy is often used when both sides have equal power or when a quick
solution is needed for a complex issue. It differs from collaboration because it does not
necessarily result in a win-win scenario, but rather a middle-ground agreement.
3. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Evaluating a client’s response to a new blood pressure medication.
B. Measuring and recording a client’s intake and output.
C. Performing a sterile dressing change on a central venous catheter.
D. Assisting a stable client with ambulation for the first time after surgery.
Answer: B
Rationale: Measuring and recording intake and output is a routine task that does not
require nursing judgment or clinical assessment, making it appropriate for an AP.
Evaluation of medication response and sterile dressing changes require advanced clinical
skills and judgment that are within the scope of a licensed nurse. Assisting with the first
, ambulation after surgery often requires a nurse to assess the client’s stability and
tolerance.
4. A nurse is leading a multidisciplinary team meeting to plan the discharge of a complex
patient. Which role is the nurse primarily performing in this scenario?
A. Case Manager
B. Advocate
C. Collaborator
D. Educator
Answer: C
Rationale: The nurse is acting as a collaborator by facilitating communication and
coordination among various healthcare disciplines to ensure a comprehensive discharge
plan. This role involves integrating the expertise of all team members to optimize patient
outcomes. Collaboration is essential in complex care to prevent gaps in service and ensure
patient safety during transitions.
5. Which of the following is a primary goal of a Root Cause Analysis (RCA) after a sentinel
event has occurred?
A. To assign blame to the individuals involved in the error.
B. To identify system-level failures that contributed to the event.
C. To satisfy legal requirements for reporting to the insurance company.
446 Collaborative Healthcare |
Chamberlain
1. A nurse is planning care for four clients at the start of the shift. Which client should the
nurse assess first?
A. A client with diabetes who has a fasting blood glucose of 150 mg/dL.
B. A client who is 2 days postoperative and reporting pain at a level of 4 on a 0-10 scale.
C. A client who requires a dressing change for a stage 2 pressure injury on the coccyx.
D. A client with a history of heart failure who has developed new-onset shortness of breath
and crackles.
Answer: D
Rationale: The client with new-onset shortness of breath and crackles is the priority
because these symptoms indicate a potential decline in respiratory status or pulmonary
edema. This follows the ABC (Airway, Breathing, Circulation) framework where breathing
issues take precedence. The other clients are relatively stable and their needs can be
addressed after the acute respiratory issue is managed.
2. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. Which of the following conflict resolution strategies is the nurse manager using if
they ask both nurses to give up something of value?
A. Competing
,B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
solution. This strategy is often used when both sides have equal power or when a quick
solution is needed for a complex issue. It differs from collaboration because it does not
necessarily result in a win-win scenario, but rather a middle-ground agreement.
3. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Evaluating a client’s response to a new blood pressure medication.
B. Measuring and recording a client’s intake and output.
C. Performing a sterile dressing change on a central venous catheter.
D. Assisting a stable client with ambulation for the first time after surgery.
Answer: B
Rationale: Measuring and recording intake and output is a routine task that does not
require nursing judgment or clinical assessment, making it appropriate for an AP.
Evaluation of medication response and sterile dressing changes require advanced clinical
skills and judgment that are within the scope of a licensed nurse. Assisting with the first
, ambulation after surgery often requires a nurse to assess the client’s stability and
tolerance.
4. A nurse is leading a multidisciplinary team meeting to plan the discharge of a complex
patient. Which role is the nurse primarily performing in this scenario?
A. Case Manager
B. Advocate
C. Collaborator
D. Educator
Answer: C
Rationale: The nurse is acting as a collaborator by facilitating communication and
coordination among various healthcare disciplines to ensure a comprehensive discharge
plan. This role involves integrating the expertise of all team members to optimize patient
outcomes. Collaboration is essential in complex care to prevent gaps in service and ensure
patient safety during transitions.
5. Which of the following is a primary goal of a Root Cause Analysis (RCA) after a sentinel
event has occurred?
A. To assign blame to the individuals involved in the error.
B. To identify system-level failures that contributed to the event.
C. To satisfy legal requirements for reporting to the insurance company.
