BSN 395 Final Exam V3 | BSN 395 Entry
into Professional Nursing Practice | Actual
Q&A with Rationale (BSN395 Final Exam) |
Nightingale College
1. A nurse manager is using transformational leadership. Which behavior is characteristic of
this leadership style?
A. Empowering staff to participate in the vision of the organization
B. Focusing on maintaining the status quo and following established rules
C. Rewarding staff for meeting specific performance targets
D. Making all decisions independently to ensure efficiency
Correct Answer: A
Rationale: Transformational leadership focuses on building relationships and motivating
staff through a shared vision. This style encourages innovation and empowers followers to
exceed their own self-interests for the good of the group. Unlike transactional leadership, it
does not rely solely on rewards and punishments.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a patient’s surgical incision site
B. Developing a plan of care for a new admission
,C. Assisting a stable patient with a bed bath
D. Administering an oral medication to a patient
Correct Answer: C
Rationale: Assisting with activities of daily living (ADLs) such as bathing is within the
scope of practice for a UAP. Assessment, planning, and medication administration are
professional nursing responsibilities that cannot be delegated. The nurse remains
accountable for the outcome of the delegated task.
3. The nurse is participating in a Quality Improvement (QI) project. Which of the following are
components of the PDSA cycle? Select all that apply.
A. Plan
B. Develop
C. Study
D. Act
E. Direct
F. Do
Correct Answer: A, C, D, F
Rationale: The PDSA cycle stands for Plan, Do, Study, and Act. It is a systematic process for
testing a change in a real-world setting. Each stage is essential to evaluate if an intervention
leads to improvement.
,4. Which ethical principle is the nurse practicing when they honor a patient’s refusal of a life-
saving blood transfusion?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Autonomy refers to the right of the individual to make their own decisions
regarding healthcare. Even if the nurse believes the decision is harmful, they must respect
the patient’s right to self-determination. This principle is foundational to informed consent
and the right to refuse treatment.
5. A nurse is caring for a client who has been diagnosed with a terminal illness. The client’s
family asks the nurse not to tell the client the diagnosis. Which action should the nurse take
first?
A. Comply with the family’s request to maintain harmony
B. Tell the client the diagnosis immediately to ensure veracity
C. Refer the matter to the hospital ethics committee for a final decision
D. Assess the client’s desire for information and their cultural preferences
Correct Answer: D
, Rationale: Assessment is the first step of the nursing process. The nurse must understand
the client’s perspective and cultural background before deciding how to proceed. Veracity
(truth-telling) is important, but it must be balanced with the client’s readiness to hear the
news.
6. A nurse manager is discussing the concept of ‘Just Culture’ during a staff meeting. Which
statements characterize this approach? Select all that apply.
A. Individuals are held accountable for reckless behavior
B. The focus is on identifying system failures rather than individual blame
C. All errors result in automatic disciplinary action to prevent recurrence
D. Near-misses are reported and analyzed to improve safety
E. Human error is managed through console and process changes
F. Reporting of errors is discouraged to protect the facility’s reputation
Correct Answer: A, B, D, E
Rationale: A Just Culture recognizes that individual practitioners should not be held
accountable for system failings over which they have no control. It distinguishes between
human error, at-risk behavior, and reckless behavior. By encouraging reporting, the
organization can learn from mistakes and improve patient safety.
7. A nurse is reviewing the state’s Nurse Practice Act. Which of the following information is
typically included in this document?
A. The definition of the legal scope of nursing practice
into Professional Nursing Practice | Actual
Q&A with Rationale (BSN395 Final Exam) |
Nightingale College
1. A nurse manager is using transformational leadership. Which behavior is characteristic of
this leadership style?
A. Empowering staff to participate in the vision of the organization
B. Focusing on maintaining the status quo and following established rules
C. Rewarding staff for meeting specific performance targets
D. Making all decisions independently to ensure efficiency
Correct Answer: A
Rationale: Transformational leadership focuses on building relationships and motivating
staff through a shared vision. This style encourages innovation and empowers followers to
exceed their own self-interests for the good of the group. Unlike transactional leadership, it
does not rely solely on rewards and punishments.
2. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a patient’s surgical incision site
B. Developing a plan of care for a new admission
,C. Assisting a stable patient with a bed bath
D. Administering an oral medication to a patient
Correct Answer: C
Rationale: Assisting with activities of daily living (ADLs) such as bathing is within the
scope of practice for a UAP. Assessment, planning, and medication administration are
professional nursing responsibilities that cannot be delegated. The nurse remains
accountable for the outcome of the delegated task.
3. The nurse is participating in a Quality Improvement (QI) project. Which of the following are
components of the PDSA cycle? Select all that apply.
A. Plan
B. Develop
C. Study
D. Act
E. Direct
F. Do
Correct Answer: A, C, D, F
Rationale: The PDSA cycle stands for Plan, Do, Study, and Act. It is a systematic process for
testing a change in a real-world setting. Each stage is essential to evaluate if an intervention
leads to improvement.
,4. Which ethical principle is the nurse practicing when they honor a patient’s refusal of a life-
saving blood transfusion?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Rationale: Autonomy refers to the right of the individual to make their own decisions
regarding healthcare. Even if the nurse believes the decision is harmful, they must respect
the patient’s right to self-determination. This principle is foundational to informed consent
and the right to refuse treatment.
5. A nurse is caring for a client who has been diagnosed with a terminal illness. The client’s
family asks the nurse not to tell the client the diagnosis. Which action should the nurse take
first?
A. Comply with the family’s request to maintain harmony
B. Tell the client the diagnosis immediately to ensure veracity
C. Refer the matter to the hospital ethics committee for a final decision
D. Assess the client’s desire for information and their cultural preferences
Correct Answer: D
, Rationale: Assessment is the first step of the nursing process. The nurse must understand
the client’s perspective and cultural background before deciding how to proceed. Veracity
(truth-telling) is important, but it must be balanced with the client’s readiness to hear the
news.
6. A nurse manager is discussing the concept of ‘Just Culture’ during a staff meeting. Which
statements characterize this approach? Select all that apply.
A. Individuals are held accountable for reckless behavior
B. The focus is on identifying system failures rather than individual blame
C. All errors result in automatic disciplinary action to prevent recurrence
D. Near-misses are reported and analyzed to improve safety
E. Human error is managed through console and process changes
F. Reporting of errors is discouraged to protect the facility’s reputation
Correct Answer: A, B, D, E
Rationale: A Just Culture recognizes that individual practitioners should not be held
accountable for system failings over which they have no control. It distinguishes between
human error, at-risk behavior, and reckless behavior. By encouraging reporting, the
organization can learn from mistakes and improve patient safety.
7. A nurse is reviewing the state’s Nurse Practice Act. Which of the following information is
typically included in this document?
A. The definition of the legal scope of nursing practice
