NUR 2571 FINAL EXAM 2026/2027
Professional Nursing II – Leadership, Management,
Delegation, Prioritization, and Professional Practice –
Questions with Answers and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on
the NUR 2571 Final Exam at Rasmussen University. Topics include leadership and management
principles, delegation and prioritization, quality improvement, patient safety, ethical and legal issues,
and professional practice.
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client requesting pain medication for chronic back pain
B. A client who is 2 hours post-cardiac catheterization and reports feeling "funny"
C. A client needing discharge teaching
D. A client requesting a snack
Correct Answer: B — A client who is 2 hours post-cardiac
catheterization and reports feeling "funny"
Rationale: A client who is post-cardiac catheterization and reports feeling
"funny" may be experiencing a complication such as bleeding or dysrhythmia and
requires immediate assessment.
,2. Which task is appropriate for the RN to delegate to unlicensed
assistive personnel (UAP)?
A. Administering oral medications
B. Performing a sterile dressing change
C. Assisting a stable client with ambulation
D. Teaching a client about a new medication
Correct Answer: C — Assisting a stable client with ambulation
Rationale: Assisting a stable client with ambulation is within the scope of
practice for UAP. Medication administration, sterile dressing changes, and client
teaching require licensed nursing staff.
3. What is the primary purpose of an incident report?
A. To assign blame to the responsible party
B. To document an unexpected event for quality improvement purposes
C. To notify the board of nursing
D. To initiate legal action
Correct Answer: B — To document an unexpected event for quality
improvement purposes
,Rationale: The purpose of an incident report is to document an unexpected
event for quality improvement purposes, not to assign blame.
4. Which of the following best describes transformational leadership?
A. Focusing on maintaining the status quo
B. Inspiring and motivating staff toward a shared vision
C. Using authority to enforce compliance
D. Avoiding change
Correct Answer: B — Inspiring and motivating staff toward a shared
vision
Rationale: Transformational leadership inspires and motivates staff toward a
shared vision for the future.
5. A nurse manager is evaluating a staff member's performance. Which
approach is most appropriate?
A. Focusing only on negative behaviors
B. Providing specific, constructive feedback on both strengths and areas for
improvement
C. Comparing the staff member to other employees
D. Waiting until the annual review to provide feedback
, Correct Answer: B — Providing specific, constructive feedback on both
strengths and areas for improvement
Rationale: Performance evaluations should include specific, constructive
feedback on both strengths and areas for improvement.
6. What is the purpose of a root cause analysis?
A. To identify who is at fault
B. To determine what happened, why it happened, and how to prevent
recurrence
C. To punish staff involved in errors
D. To document the event for legal purposes
Correct Answer: B — To determine what happened, why it happened,
and how to prevent recurrence
Rationale: Root cause analysis answers three questions: What happened? Why?
What can be done to prevent recurrence?
7. Which of the following is a key element of a culture of safety?
A. Blaming individuals for errors
B. Encouraging reporting of errors and near misses
Professional Nursing II – Leadership, Management,
Delegation, Prioritization, and Professional Practice –
Questions with Answers and Rationales
Instructions: This exam contains multiple-choice questions covering the core content tested on
the NUR 2571 Final Exam at Rasmussen University. Topics include leadership and management
principles, delegation and prioritization, quality improvement, patient safety, ethical and legal issues,
and professional practice.
1. A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client requesting pain medication for chronic back pain
B. A client who is 2 hours post-cardiac catheterization and reports feeling "funny"
C. A client needing discharge teaching
D. A client requesting a snack
Correct Answer: B — A client who is 2 hours post-cardiac
catheterization and reports feeling "funny"
Rationale: A client who is post-cardiac catheterization and reports feeling
"funny" may be experiencing a complication such as bleeding or dysrhythmia and
requires immediate assessment.
,2. Which task is appropriate for the RN to delegate to unlicensed
assistive personnel (UAP)?
A. Administering oral medications
B. Performing a sterile dressing change
C. Assisting a stable client with ambulation
D. Teaching a client about a new medication
Correct Answer: C — Assisting a stable client with ambulation
Rationale: Assisting a stable client with ambulation is within the scope of
practice for UAP. Medication administration, sterile dressing changes, and client
teaching require licensed nursing staff.
3. What is the primary purpose of an incident report?
A. To assign blame to the responsible party
B. To document an unexpected event for quality improvement purposes
C. To notify the board of nursing
D. To initiate legal action
Correct Answer: B — To document an unexpected event for quality
improvement purposes
,Rationale: The purpose of an incident report is to document an unexpected
event for quality improvement purposes, not to assign blame.
4. Which of the following best describes transformational leadership?
A. Focusing on maintaining the status quo
B. Inspiring and motivating staff toward a shared vision
C. Using authority to enforce compliance
D. Avoiding change
Correct Answer: B — Inspiring and motivating staff toward a shared
vision
Rationale: Transformational leadership inspires and motivates staff toward a
shared vision for the future.
5. A nurse manager is evaluating a staff member's performance. Which
approach is most appropriate?
A. Focusing only on negative behaviors
B. Providing specific, constructive feedback on both strengths and areas for
improvement
C. Comparing the staff member to other employees
D. Waiting until the annual review to provide feedback
, Correct Answer: B — Providing specific, constructive feedback on both
strengths and areas for improvement
Rationale: Performance evaluations should include specific, constructive
feedback on both strengths and areas for improvement.
6. What is the purpose of a root cause analysis?
A. To identify who is at fault
B. To determine what happened, why it happened, and how to prevent
recurrence
C. To punish staff involved in errors
D. To document the event for legal purposes
Correct Answer: B — To determine what happened, why it happened,
and how to prevent recurrence
Rationale: Root cause analysis answers three questions: What happened? Why?
What can be done to prevent recurrence?
7. Which of the following is a key element of a culture of safety?
A. Blaming individuals for errors
B. Encouraging reporting of errors and near misses
