CNR N4000: DR. CHELLY TUFTS BEVEL
NURSING - ADVANCED PRACTICE AND
LEADERSHIP EXAM QUESTIONS AND
ANSWERS | 2026/2027 UPDATED | 100%
CORRECT
1. A nurse manager is utilizing transformational leadership. Which action best exemplifies this
leadership style?
A. Focusing on day-to-day operations and maintaining the status quo.
B. Maintaining a distance from staff to ensure professional boundaries are not crossed.
C. Using a reward-and-punishment system to ensure task completion.
D. Empowering staff to participate in decision-making and fostering a shared vision.
Answer: D
Conceptual Explanation: Transformational leadership involves motivating and inspiring
followers to achieve extraordinary outcomes and, in the process, develop their own
leadership capacity.
2. Which ethical principle is most directly involved when a nurse ensures a patient has all the
information needed to make an informed decision?
A. Beneficence
,B. Autonomy
C. Non-maleficence
D. Justice
Answer: B
Conceptual Explanation: Autonomy refers to the right of patients to make decisions about
their own medical care without their healthcare provider trying to influence the decision.
3. In a research study, which level of evidence is considered the highest in the hierarchy?
A. Case-control studies
B. Expert opinion and consensus reports
C. Systematic reviews and meta-analyses of randomized controlled trials
D. Single descriptive or qualitative studies
Answer: C
Conceptual Explanation: Systematic reviews and meta-analyses are at the top of the
evidence hierarchy because they synthesize the results of multiple high-quality studies.
4. A patient is experiencing respiratory acidosis. Which arterial blood gas (ABG) result is
consistent with this diagnosis?
A. pH 7.48, PaCO2 30 mmHg
B. pH 7.30, PaCO2 55 mmHg
, C. pH 7.32, HCO3 18 mEq/L
D. pH 7.50, HCO3 30 mEq/L
Answer: B
Conceptual Explanation: Respiratory acidosis is characterized by a low pH (less than
7.35) and an elevated PaCO2 (greater than 45 mmHg).
5. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to delegate?
A. Performing a physical assessment on a newly admitted patient.
B. Assisting a stable patient with activities of daily living (ADLs).
C. Developing a plan of care for a patient with complex needs.
D. Evaluating the effectiveness of a pain medication.
Answer: B
Conceptual Explanation: Tasks that are routine, non-invasive, and do not require clinical
judgment (like ADLs) can be delegated to UAPs.
6. What is the primary purpose of a ‘Root Cause Analysis’ (RCA) after a sentinel event?
A. To assign blame to the individual responsible for the error.
B. To meet legal requirements for insurance purposes.
C. To discipline the staff involved in the incident.
NURSING - ADVANCED PRACTICE AND
LEADERSHIP EXAM QUESTIONS AND
ANSWERS | 2026/2027 UPDATED | 100%
CORRECT
1. A nurse manager is utilizing transformational leadership. Which action best exemplifies this
leadership style?
A. Focusing on day-to-day operations and maintaining the status quo.
B. Maintaining a distance from staff to ensure professional boundaries are not crossed.
C. Using a reward-and-punishment system to ensure task completion.
D. Empowering staff to participate in decision-making and fostering a shared vision.
Answer: D
Conceptual Explanation: Transformational leadership involves motivating and inspiring
followers to achieve extraordinary outcomes and, in the process, develop their own
leadership capacity.
2. Which ethical principle is most directly involved when a nurse ensures a patient has all the
information needed to make an informed decision?
A. Beneficence
,B. Autonomy
C. Non-maleficence
D. Justice
Answer: B
Conceptual Explanation: Autonomy refers to the right of patients to make decisions about
their own medical care without their healthcare provider trying to influence the decision.
3. In a research study, which level of evidence is considered the highest in the hierarchy?
A. Case-control studies
B. Expert opinion and consensus reports
C. Systematic reviews and meta-analyses of randomized controlled trials
D. Single descriptive or qualitative studies
Answer: C
Conceptual Explanation: Systematic reviews and meta-analyses are at the top of the
evidence hierarchy because they synthesize the results of multiple high-quality studies.
4. A patient is experiencing respiratory acidosis. Which arterial blood gas (ABG) result is
consistent with this diagnosis?
A. pH 7.48, PaCO2 30 mmHg
B. pH 7.30, PaCO2 55 mmHg
, C. pH 7.32, HCO3 18 mEq/L
D. pH 7.50, HCO3 30 mEq/L
Answer: B
Conceptual Explanation: Respiratory acidosis is characterized by a low pH (less than
7.35) and an elevated PaCO2 (greater than 45 mmHg).
5. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to delegate?
A. Performing a physical assessment on a newly admitted patient.
B. Assisting a stable patient with activities of daily living (ADLs).
C. Developing a plan of care for a patient with complex needs.
D. Evaluating the effectiveness of a pain medication.
Answer: B
Conceptual Explanation: Tasks that are routine, non-invasive, and do not require clinical
judgment (like ADLs) can be delegated to UAPs.
6. What is the primary purpose of a ‘Root Cause Analysis’ (RCA) after a sentinel event?
A. To assign blame to the individual responsible for the error.
B. To meet legal requirements for insurance purposes.
C. To discipline the staff involved in the incident.
