College
1. A nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Evaluating a client’s response to pain medication
B. Assessing the surgical site of a postoperative client
C. Teaching a client how to use a walker
D. Assisting a stable client with a bed bath
Answer: D
Rationale: UAPs can perform ADLs like bathing for stable clients. Evaluation, teaching, and
assessment are functions of the RN.
2. A nurse is prioritizing care for four clients. Which client should the nurse see
first?
A. A client with a history of hypertension requesting a PRN headache medication
B. A client who is 1 day postoperative and has not voided in 6 hours
C. A client receiving physical therapy for a fractured hip
D. A client with pneumonia who has a new onset of confusion
Answer: D
Rationale: New onset of confusion can indicate hypoxia or sepsis, representing an acute
change in status that requires immediate intervention.
,3. The nurse is discussing informed consent with a client scheduled for surgery.
What is the nurse’s primary responsibility in this process?
A. Explaining the risks and benefits of the procedure
B. Witnessing the client’s signature and ensuring understanding
C. Obtaining the client’s signature on the consent form
D. Describing alternative treatments to the client
Answer: B
Rationale: The provider is responsible for explaining the procedure. The nurse witnesses
the signature and ensures the client is competent and informed.
4. Which ethical principle is the nurse demonstrating when they uphold a
client’s right to refuse a scheduled treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the client’s right to make their own decisions about their
healthcare, including refusal of treatment.
5. A nurse manager is using transformational leadership. Which behavior is
characteristic of this style?
A. Focusing on day-to-day operations and task completion
B. Using rewards and punishments to motivate staff
C. Empowering staff to participate in decision-making and vision
D. Maintaining a hands-off approach and letting staff work independently
Answer: C
Rationale: Transformational leaders inspire and empower staff to contribute to a shared
vision and improve the organization.
, 6. During a disaster triage, which color tag should a nurse assign to a client with
a simple fracture and minor lacerations?
A. Green
B. Yellow
C. Red
D. Black
Answer: A
Rationale: Green tags are for ‘walking wounded’ clients who have minor injuries and can
delay treatment.
7. A nurse discovers a medication error. What is the first action the nurse should
take?
A. Complete an incident report
B. Notify the healthcare provider
C. Assess the client’s condition
D. Notify the nurse manager
Answer: C
Rationale: The nurse’s first priority is always client safety and assessment of any adverse
effects from the error.
8. A nurse is caring for a client who is terminally ill. The client’s family disagrees
with the client’s wish to stop treatment. Which resource should the nurse use?
A. The facility’s legal department
B. The ethics committee
C. The risk manager
D. The nursing supervisor
Answer: B
Rationale: The ethics committee provides guidance and a forum for resolving conflicts
regarding difficult clinical decisions.