Exam 1: NR446 / NR-446 (Latest Update 2024 / 2025) Collaborative Healthcare | Review Questions with Verified Answers | 100% Correct | Grade A - Chamberlain

EXAM 1 NR446, NR 446 LEADERSHIP EXAM
1 STUDY QUESTIONS WITH CORRECT
ANSWERS 2025
plan priorites based on - CORRECT ANSWER -Purpose of care


Current clinical picture



Picture of the outcome or result



ABCDE principle:



used when?



define parts? - CORRECT ANSWER --used thisRwhen figuring out which patient goes first!



A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is suspected



B (Breathing): Assess for respirations & ventilatory effort



C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding too



D (Disability): Assess client's level of consciousness. Think neuro*



E (Exposure): Undress patient, assess client's body. Also could be under environment in the book. Assess
the whole body



Maslow's Hierarchy of Needs - CORRECT ANSWER -
(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (le
vel 4) Self Esteem, (level 5) Self Actualization

,levels of priority setting:
s s s




level 1?s




level 2?s




level 3? -RCORRECT ANSWER -level 1: ABCs
s s s s s s




level 2: mental status changes, acute pain, abnormal labs/tests
s s s s s s s s




level 3: risk categories, at risk groups- safety and infection along with chronic problems
s s s s s s s s s s s s s




prioritization of client care: s s s




just review - CORRECT ANSWER -UNSTABLE over STABLE
s s s s s s s




ACUTE over CHRONIC problems
s s s




SYSTEMIC over LOCAL problems s s s




compliation over expected findings what does this mean? - CORRECT ANSWER -
s s s s s s s s s s s




Complication: medical emergency Stroke patient, ICP is a complication. Expected findings would be unst
s s s s s s s s s s s s s




eady gait and numbness. We would pick ICP over numbness
s s s s s s s s s s




delegation - CORRECT ANSWER -The assignment of new or additional responsibilities to a subordinate
s s s s s s s s s s s s s




assignment nurse? - CORRECT ANSWER -distribution of work to each staff member
s s s s s s s s s s s

,RN can delegate what? - CORRECT ANSWER -what you can EAT:
s s s s s s s s s s




-evaluate

-assess

-teach



-nursing process s




-initial client education or assessment
s s s s




-tasks the required clinical judgement
s s s s




Five Right of Delegation - CORRECT ANSWER -1. Right task
s s s s s s s s s




2. Right circumstances s




3. Right person s




4. Right direction/communication s




5. Right supervision s




five right of delegation:
s s s




right direction and communication- Four C's of this - CORRECT ANSWER --clear
s s s s s s s s s s s




-concise

-correct

-complete



RN delegate to PN - CORRECT ANSWER --medication everything besides IV
s s s s s s s s s s




-Enteral feeding s




-all task excepts blood administion and IV push
s s s s s s s




-reassessment,reinforcement ofpatientteaching s s s s




RN delegate to AP - CORRECT ANSWER --ADLS
s s s s s s s




-ambulating

, -feeding patient without swallowing precautions
s s s s




-positioning

-vitals on stable
s s




-bed makings




speciment collection (not sterile) s s s




-I/O

-basic CPR s




ethics - CORRECT ANSWER -
s s s s




the principles of right and wrong that guide an individual in making decisions
s s s s s s s s s s s s




applied ethics - CORRECT ANSWER -
s s s s s




The manner in which principles of ethics are incorporated into professional conduct.
s s s s s s s s s s s




ethical theory - CORRECT ANSWER -
s s s s s




varies ideas and principles used to make judgement between right and wrong
s s s s s s s s s s s




morals - CORRECT ANSWER -values and ideas to make decision from right from wrong
s s s s s s s s s s s s s




Ethical Principles - CORRECT ANSWER -
s s s s s




standards of what is right/wrongRwith regard to important social values and norms
s s s s s s s s s s s




ethical principles that impact nurses - CORRECT ANSWER --moral indifference
s s s s s s s s s




-moral uncertainlty or conflict (unsure about morals for a situation)
s s s s s s s s s




-moral distress- knows the right thing but unable to do it
s s s s s s s s s s




-moral outrage s




-moral or ethical delium
s s s




autonomy - CORRECT ANSWER -patient has right for own body, freedom to pickRwhat they want
s s s s s s s s s s s s s s