NUR 2790 Exam 3: Professional Nursing III - Rasmussen
University Updated and Latest Questions and Correct
Answers with Rationale
1. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the following tasks is most
appropriate for the LPN to perform?
A. Administering a subcutaneous insulin injection to a stable client.
B. Providing initial discharge teaching for a client after a total hip replacement.
C. Developing a plan of care for a newly admitted client with heart failure.
D. Assessing the breath sounds of a client who just returned from surgery.
Correct Answer: A
Rationale: The LPN is qualified to administer medications to stable clients according to the scope of
practice. Developing a care plan and initial teaching are responsibilities reserved for the Registered
Nurse. Assessing a client who is unstable or fresh out of surgery requires the clinical judgment of an RN.
The LPN can provide care to clients with predictable outcomes. Therefore, insulin administration is the
safest and most appropriate delegation for the LPN.
2. A nurse is using the SBAR communication tool to report a change in a client’s condition to the provider.
Which information should the nurse include in the ‘B’ section?
A. The client’s current vital signs and blood oxygen saturation.
B. The client’s medical history and current medications.
C. A request for a specific diagnostic test or medication.
D. The primary reason the client is being seen today.
Correct Answer: B
,Rationale: The ‘B’ in SBAR stands for Background, which includes historical context relevant to the
current situation. This section typically covers admitting diagnosis, medical history, and current
treatment protocols. Vital signs belong in the ‘A’ or Assessment section of the tool. The ‘S’ or Situation
section covers the immediate reason for the call. Including medical history ensures the provider has all
necessary context for decision-making.
3. A nurse manager is discussing the Five Rights of Delegation with a new nurse. Which of the following is
one of the five rights?
A. Right Documentation
B. Right Environment
C. Right Compensation
D. Right Circumstance
Correct Answer: D
Rationale: The Five Rights of Delegation include Task, Circumstance, Person, Direction/Communication,
and Supervision/Evaluation. Right Circumstance involves ensuring the client’s condition is stable and the
setting is appropriate for delegation. Documentation is part of the nursing process but not officially one
of the five rights of delegation. Proper delegation helps maintain patient safety while optimizing staff
resources. Each right must be considered before a task is handed over to another staff member.
4. Which client should the nurse assess first after receiving the morning shift report?
A. A client with a blood glucose of 150 mg/dL awaiting breakfast.
B. A client who is 2 days postoperative and reporting pain as 6 out of 10.
C. A client with a tracheostomy who has a productive cough and thick secretions.
D. A client scheduled for an ultrasound at 10:00 AM.
,Correct Answer: C
Rationale: Using the Airway-Breathing-Circulation (ABC) framework, the client with a tracheostomy and
thick secretions is the priority. Thick secretions can lead to airway obstruction if the airway is not cleared
promptly. A blood glucose of 150 mg/dL is slightly elevated but not an immediate life threat.
Postoperative pain is significant but secondary to airway management concerns. The nurse must
prioritize clients with potential respiratory distress over those who are stable.
5. A nurse is floated to a unit where they have limited experience. Which action by the float nurse is most
appropriate?
A. Ask for a brief orientation to the unit and report limitations to the charge nurse.
B. Refuse the assignment entirely to protect the nursing license.
C. Accept the full assignment to demonstrate flexibility.
D. Delegate all complex assessments to the regular unit staff.
Correct Answer: A
Rationale: A float nurse should communicate their competency levels to the charge nurse to ensure safe
patient care. Asking for a brief orientation helps the nurse navigate the new environment efficiently.
Accepting a full assignment without proper skills could lead to medical errors and patient harm. Refusing
an assignment without a valid reason can be seen as abandonment or insubordination. Collaborating on
assignments ensures that the most qualified nurse cares for the most complex patients.
6. A nurse is planning to delegate a task to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Updating the care plan for a client with pneumonia.
B. Evaluating a client’s response to an antiemetic medication.
, C. Suctioning a client’s deep endotracheal tube.
D. Measuring and recording intake and output.
Correct Answer: D
Rationale: Measuring intake and output is a routine task that falls within the UAP’s scope of practice.
This task does not require clinical judgment or nursing assessment. Evaluation and care plan updates are
professional nursing responsibilities that cannot be delegated. Suctioning an endotracheal tube is a
complex procedure that requires specialized skills and assessment. Delegating routine data collection
allows the RN to focus on more complex nursing interventions.
7. A nurse manager uses a leadership style that encourages staff participation in decision-making. Which
style is this?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Democratic
Correct Answer: D
Rationale: Democratic leadership, also known as participative leadership, involves staff in the decision-
making process. This style fosters employee engagement and increases job satisfaction among the
nursing team. Autocratic leadership involves one person making all the decisions without consulting
others. Laissez-faire leadership is characterized by a hands-off approach with minimal guidance. The
democratic approach is often effective in healthcare settings to improve quality of care and morale.
8. When prioritizing care for a group of clients, which framework should the nurse use first?
A. Maslow’s Hierarchy of Needs
University Updated and Latest Questions and Correct
Answers with Rationale
1. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the following tasks is most
appropriate for the LPN to perform?
A. Administering a subcutaneous insulin injection to a stable client.
B. Providing initial discharge teaching for a client after a total hip replacement.
C. Developing a plan of care for a newly admitted client with heart failure.
D. Assessing the breath sounds of a client who just returned from surgery.
Correct Answer: A
Rationale: The LPN is qualified to administer medications to stable clients according to the scope of
practice. Developing a care plan and initial teaching are responsibilities reserved for the Registered
Nurse. Assessing a client who is unstable or fresh out of surgery requires the clinical judgment of an RN.
The LPN can provide care to clients with predictable outcomes. Therefore, insulin administration is the
safest and most appropriate delegation for the LPN.
2. A nurse is using the SBAR communication tool to report a change in a client’s condition to the provider.
Which information should the nurse include in the ‘B’ section?
A. The client’s current vital signs and blood oxygen saturation.
B. The client’s medical history and current medications.
C. A request for a specific diagnostic test or medication.
D. The primary reason the client is being seen today.
Correct Answer: B
,Rationale: The ‘B’ in SBAR stands for Background, which includes historical context relevant to the
current situation. This section typically covers admitting diagnosis, medical history, and current
treatment protocols. Vital signs belong in the ‘A’ or Assessment section of the tool. The ‘S’ or Situation
section covers the immediate reason for the call. Including medical history ensures the provider has all
necessary context for decision-making.
3. A nurse manager is discussing the Five Rights of Delegation with a new nurse. Which of the following is
one of the five rights?
A. Right Documentation
B. Right Environment
C. Right Compensation
D. Right Circumstance
Correct Answer: D
Rationale: The Five Rights of Delegation include Task, Circumstance, Person, Direction/Communication,
and Supervision/Evaluation. Right Circumstance involves ensuring the client’s condition is stable and the
setting is appropriate for delegation. Documentation is part of the nursing process but not officially one
of the five rights of delegation. Proper delegation helps maintain patient safety while optimizing staff
resources. Each right must be considered before a task is handed over to another staff member.
4. Which client should the nurse assess first after receiving the morning shift report?
A. A client with a blood glucose of 150 mg/dL awaiting breakfast.
B. A client who is 2 days postoperative and reporting pain as 6 out of 10.
C. A client with a tracheostomy who has a productive cough and thick secretions.
D. A client scheduled for an ultrasound at 10:00 AM.
,Correct Answer: C
Rationale: Using the Airway-Breathing-Circulation (ABC) framework, the client with a tracheostomy and
thick secretions is the priority. Thick secretions can lead to airway obstruction if the airway is not cleared
promptly. A blood glucose of 150 mg/dL is slightly elevated but not an immediate life threat.
Postoperative pain is significant but secondary to airway management concerns. The nurse must
prioritize clients with potential respiratory distress over those who are stable.
5. A nurse is floated to a unit where they have limited experience. Which action by the float nurse is most
appropriate?
A. Ask for a brief orientation to the unit and report limitations to the charge nurse.
B. Refuse the assignment entirely to protect the nursing license.
C. Accept the full assignment to demonstrate flexibility.
D. Delegate all complex assessments to the regular unit staff.
Correct Answer: A
Rationale: A float nurse should communicate their competency levels to the charge nurse to ensure safe
patient care. Asking for a brief orientation helps the nurse navigate the new environment efficiently.
Accepting a full assignment without proper skills could lead to medical errors and patient harm. Refusing
an assignment without a valid reason can be seen as abandonment or insubordination. Collaborating on
assignments ensures that the most qualified nurse cares for the most complex patients.
6. A nurse is planning to delegate a task to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Updating the care plan for a client with pneumonia.
B. Evaluating a client’s response to an antiemetic medication.
, C. Suctioning a client’s deep endotracheal tube.
D. Measuring and recording intake and output.
Correct Answer: D
Rationale: Measuring intake and output is a routine task that falls within the UAP’s scope of practice.
This task does not require clinical judgment or nursing assessment. Evaluation and care plan updates are
professional nursing responsibilities that cannot be delegated. Suctioning an endotracheal tube is a
complex procedure that requires specialized skills and assessment. Delegating routine data collection
allows the RN to focus on more complex nursing interventions.
7. A nurse manager uses a leadership style that encourages staff participation in decision-making. Which
style is this?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Democratic
Correct Answer: D
Rationale: Democratic leadership, also known as participative leadership, involves staff in the decision-
making process. This style fosters employee engagement and increases job satisfaction among the
nursing team. Autocratic leadership involves one person making all the decisions without consulting
others. Laissez-faire leadership is characterized by a hands-off approach with minimal guidance. The
democratic approach is often effective in healthcare settings to improve quality of care and morale.
8. When prioritizing care for a group of clients, which framework should the nurse use first?
A. Maslow’s Hierarchy of Needs
