NR 446 Collaborative Healthcare Week 4 Comprehensive Study Guide
2026 |Chamberlain College
1. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Evaluating the effectiveness of a pain medication.
B. Collecting a routine vital sign measurement on a stable patient.
C. Assisting a stable patient with ambulation for the first time post-surgery.
D. Teaching a patient how to use an incentive spirometer.
Answer: B
Rationale: Vital sign collection on a stable patient is a routine task within the UAP’s scope
of practice. Evaluation, teaching, and initial assessments require the judgment of an RN.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with a history of heart failure reporting 2+ pitting edema.
B. A patient reporting sudden shortness of breath and chest pain.
C. A patient who is 1 day post-appendectomy with a temperature of 100.2 F.
D. A patient requesting discharge instructions.
Answer: B
Rationale: Sudden shortness of breath and chest pain indicate a potential life-threatening
respiratory or cardiac event, following the ABC (Airway, Breathing, Circulation) priority
framework.
,3. Which ethical principle is demonstrated when a nurse ensures a patient has
all the information needed to make an informed decision about surgery?
A. Nonmaleficence
B. Fidelity
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care based on complete information.
4. In a conflict between two nurses regarding a shift schedule, one nurse decides
to give up their preferred day to end the argument. Which conflict resolution
strategy is being used?
A. Accommodating
B. Collaborating
C. Avoiding
D. Compromising
Answer: A
Rationale: Accommodating occurs when one party neglects their own concerns to satisfy
the concerns of the other party.
5. Which of the following describes the ‘Right Direction and Communication’ in
the five rights of delegation?
A. The task is within the UAP’s scope of practice.
B. The nurse ensures the patient’s condition is stable for the task.
C. The nurse provides clear, concise, and complete instructions for the task.
D. The nurse monitors the UAP’s performance of the task.
Answer: C
, Rationale: Right Direction and Communication means the nurse provides a clear
description of the task, including its objective, limits, and expectations.
6. A nurse manager is using a democratic leadership style. Which action by the
manager best illustrates this style?
A. Making all unit decisions independently to save time.
B. Following strict policies without exception for any staff member.
C. Giving no direction and letting staff do as they please.
D. Allowing staff nurses to vote on the new holiday schedule.
Answer: D
Rationale: Democratic leadership involves group members in the decision-making process
and values their input and votes.
7. Which principle of ethics is being followed when a nurse advocates for a
patient to receive the same quality of care regardless of their socioeconomic
status?
A. Justice
B. Beneficence
C. Veracity
D. Autonomy
Answer: A
Rationale: Justice refers to fairness in care delivery and the use of resources regardless of
personal characteristics.
8. What is the primary purpose of an incident report in a healthcare facility?
A. To provide evidence for disciplining the staff involved.
B. To identify system failures and improve quality of care.
C. To document nursing care in the patient’s permanent medical record.
D. To protect the hospital from any legal liability.
Answer: B
2026 |Chamberlain College
1. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Evaluating the effectiveness of a pain medication.
B. Collecting a routine vital sign measurement on a stable patient.
C. Assisting a stable patient with ambulation for the first time post-surgery.
D. Teaching a patient how to use an incentive spirometer.
Answer: B
Rationale: Vital sign collection on a stable patient is a routine task within the UAP’s scope
of practice. Evaluation, teaching, and initial assessments require the judgment of an RN.
2. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with a history of heart failure reporting 2+ pitting edema.
B. A patient reporting sudden shortness of breath and chest pain.
C. A patient who is 1 day post-appendectomy with a temperature of 100.2 F.
D. A patient requesting discharge instructions.
Answer: B
Rationale: Sudden shortness of breath and chest pain indicate a potential life-threatening
respiratory or cardiac event, following the ABC (Airway, Breathing, Circulation) priority
framework.
,3. Which ethical principle is demonstrated when a nurse ensures a patient has
all the information needed to make an informed decision about surgery?
A. Nonmaleficence
B. Fidelity
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care based on complete information.
4. In a conflict between two nurses regarding a shift schedule, one nurse decides
to give up their preferred day to end the argument. Which conflict resolution
strategy is being used?
A. Accommodating
B. Collaborating
C. Avoiding
D. Compromising
Answer: A
Rationale: Accommodating occurs when one party neglects their own concerns to satisfy
the concerns of the other party.
5. Which of the following describes the ‘Right Direction and Communication’ in
the five rights of delegation?
A. The task is within the UAP’s scope of practice.
B. The nurse ensures the patient’s condition is stable for the task.
C. The nurse provides clear, concise, and complete instructions for the task.
D. The nurse monitors the UAP’s performance of the task.
Answer: C
, Rationale: Right Direction and Communication means the nurse provides a clear
description of the task, including its objective, limits, and expectations.
6. A nurse manager is using a democratic leadership style. Which action by the
manager best illustrates this style?
A. Making all unit decisions independently to save time.
B. Following strict policies without exception for any staff member.
C. Giving no direction and letting staff do as they please.
D. Allowing staff nurses to vote on the new holiday schedule.
Answer: D
Rationale: Democratic leadership involves group members in the decision-making process
and values their input and votes.
7. Which principle of ethics is being followed when a nurse advocates for a
patient to receive the same quality of care regardless of their socioeconomic
status?
A. Justice
B. Beneficence
C. Veracity
D. Autonomy
Answer: A
Rationale: Justice refers to fairness in care delivery and the use of resources regardless of
personal characteristics.
8. What is the primary purpose of an incident report in a healthcare facility?
A. To provide evidence for disciplining the staff involved.
B. To identify system failures and improve quality of care.
C. To document nursing care in the patient’s permanent medical record.
D. To protect the hospital from any legal liability.
Answer: B
