NR 446 Collaborative Healthcare Week 5 Study Guide 2026/2027
Chamberlian College
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the AP?
A. Evaluating a patient’s response to pain medication
B. Performing a sterile dressing change on a post-operative wound
C. Assisting a stable patient with ambulation in the hallway
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Assisting with ADLs and ambulating stable patients are within the scope of
practice for an AP. Evaluation, sterile procedures, and teaching require the skills of a
licensed nurse.
2. Which leadership style is characterized by a leader who makes all decisions
without seeking input from staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership involves centralized decision-making with little to no
input from others, which is useful in emergency situations but can lower morale.
,3. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a blood pressure of 110/70 mmHg
B. A patient requesting a PRN stool softener
C. A patient reporting a new onset of sudden shortness of breath
D. A patient with a scheduled dressing change in 30 minutes
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness of
breath indicates a potential respiratory emergency and must be prioritized.
4. In Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. Identifying the need for change and preparing the team
B. Integrating the change into the permanent routine
C. Implementing the actual change process
D. Evaluating the outcomes of the change
Answer: A
Rationale: Unfreezing involves creating readiness for change by helping the team
understand why the current status quo is no longer effective.
5. A nurse manager is resolving a conflict where both parties agree to give up
something of value. Which conflict resolution strategy is being used?
A. Compromising
B. Avoiding
C. Competing
D. Collaborating
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘give-and-take’ strategy where both parties
sacrifice something to reach an agreement.
, 6. Which ethical principle is defined as the duty to do good for the patient?
A. Non-maleficence
B. Autonomy
C. Beneficence
D. Justice
Answer: C
Rationale: Beneficence refers to taking positive actions to help others and doing what is in
the best interest of the patient.
7. An LPN/LVN is assigned to provide care. Which of the following tasks is
generally within the LPN scope of practice?
A. Administering intravenous (IV) push medications
B. Performing an initial admission assessment on a complex patient
C. Administering routine oral and subcutaneous medications
D. Developing the primary plan of care for a new patient
Answer: C
Rationale: LPNs can typically administer non-high-risk medications and care for stable
patients. IV push and initial assessments are RN responsibilities.
8. Which component of the SBAR communication tool involves the nurse stating
the patient’s current vital signs and physical status?
A. Situation
B. Assessment
C. Background
D. Recommendation
Answer: B
Rationale: Assessment in SBAR is where the nurse provides subjective and objective data
regarding the patient’s current condition.
Chamberlian College
1. A nurse is delegating tasks to an assistive personnel (AP). Which of the
following tasks is appropriate for the AP?
A. Evaluating a patient’s response to pain medication
B. Performing a sterile dressing change on a post-operative wound
C. Assisting a stable patient with ambulation in the hallway
D. Teaching a patient how to use an incentive spirometer
Answer: C
Rationale: Assisting with ADLs and ambulating stable patients are within the scope of
practice for an AP. Evaluation, sterile procedures, and teaching require the skills of a
licensed nurse.
2. Which leadership style is characterized by a leader who makes all decisions
without seeking input from staff?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership involves centralized decision-making with little to no
input from others, which is useful in emergency situations but can lower morale.
,3. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a blood pressure of 110/70 mmHg
B. A patient requesting a PRN stool softener
C. A patient reporting a new onset of sudden shortness of breath
D. A patient with a scheduled dressing change in 30 minutes
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness of
breath indicates a potential respiratory emergency and must be prioritized.
4. In Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. Identifying the need for change and preparing the team
B. Integrating the change into the permanent routine
C. Implementing the actual change process
D. Evaluating the outcomes of the change
Answer: A
Rationale: Unfreezing involves creating readiness for change by helping the team
understand why the current status quo is no longer effective.
5. A nurse manager is resolving a conflict where both parties agree to give up
something of value. Which conflict resolution strategy is being used?
A. Compromising
B. Avoiding
C. Competing
D. Collaborating
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘give-and-take’ strategy where both parties
sacrifice something to reach an agreement.
, 6. Which ethical principle is defined as the duty to do good for the patient?
A. Non-maleficence
B. Autonomy
C. Beneficence
D. Justice
Answer: C
Rationale: Beneficence refers to taking positive actions to help others and doing what is in
the best interest of the patient.
7. An LPN/LVN is assigned to provide care. Which of the following tasks is
generally within the LPN scope of practice?
A. Administering intravenous (IV) push medications
B. Performing an initial admission assessment on a complex patient
C. Administering routine oral and subcutaneous medications
D. Developing the primary plan of care for a new patient
Answer: C
Rationale: LPNs can typically administer non-high-risk medications and care for stable
patients. IV push and initial assessments are RN responsibilities.
8. Which component of the SBAR communication tool involves the nurse stating
the patient’s current vital signs and physical status?
A. Situation
B. Assessment
C. Background
D. Recommendation
Answer: B
Rationale: Assessment in SBAR is where the nurse provides subjective and objective data
regarding the patient’s current condition.
