NUR2755 / NUR 2755 Final Exam Multidimensional Care IV /
MDC 4 – Rasmussen University Actual Exam – Complete
Questions and Answers with Detailed Rationales – Pass
Guaranteed – A+ Graded
Foundations: Leadership, Delegation & Healthcare Systems
Q1: A charge nurse on a busy medical-surgical unit has six staff members for 28
patients. The team consists of two RNs, two LPNs, and two UAPs. Which task is most
appropriate to delegate to the UAP?
A. Administering a scheduled subcutaneous insulin injection to a stable diabetic patient
B. Assisting an ambulatory post-op patient with a bedside commode and documenting
intake and output
C. Performing a focused respiratory assessment on a patient with new-onset shortness
of breath [CORRECT]
D. Teaching a newly diagnosed heart failure patient about daily weight monitoring
Correct Answer: C
Rationale: The best answer is C. Wait—actually, let me correct that. The correct answer
here is B. Assisting with the commode and I&O documentation falls within the UAP's
scope of practice under appropriate supervision. The five rights of delegation tell us the
task must be right for the person, and basic hygiene, ambulation, and routine I&O are
standard UAP responsibilities. Administering insulin, performing focused assessments,
and patient teaching all require nursing judgment and licensure, making them
inappropriate for UAP delegation.
,Q2: A staff nurse is concerned that a colleague's repeated medication errors are being
overlooked by management. The nurse documents the incidents and reports them
through the proper chain of command. This action best exemplifies which ethical
principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Advocacy [CORRECT]
Correct Answer: D
Rationale: The best answer is D. This is correct because advocacy involves speaking up
for patient safety and acting in the patient's best interest, even when it's uncomfortable.
By reporting the pattern of errors through proper channels, this nurse is fulfilling their
professional obligation to protect patients from harm, which sits at the heart of nursing
advocacy.
Q3: Which statement accurately describes the difference between assignment and
delegation?
A. Assignment involves transferring accountability while delegation transfers only
responsibility
B. Delegation requires the delegator to retain accountability even after transferring
responsibility [CORRECT]
C. Assignment can only be done by the nurse manager, while delegation is done by
charge nurses
D. Delegation permanently transfers both responsibility and accountability to the
delegatee
Correct Answer: B
Rationale: The best answer is B. This is correct because when you delegate a task, you
hand over the responsibility for completing that task, but you keep the accountability for
the overall outcome. That's why proper supervision and follow-up are built into the five
,rights of delegation—specifically the right direction/communication and right
supervision/evaluation.
Q4: During a conflict between two staff nurses over patient care priorities, the nurse
manager brings both parties together, acknowledges each person's viewpoint, and
facilitates a solution that partially satisfies both. This approach is best described as:
A. Competing
B. Collaborating
C. Compromising [CORRECT]
D. Avoiding
Correct Answer: C
Rationale: The best answer is C. This is correct because compromising involves each
party giving up something to reach a middle-ground solution. The manager isn't forcing
a win-lose outcome (competing), fully integrating both perspectives into a perfect
solution (collaborating), or ignoring the problem (avoiding)—they're finding a workable
middle path that both nurses can live with.
Q5: A patient with capacity refuses a life-saving blood transfusion based on religious
beliefs. The nurse's most appropriate action is to:
A. Obtain a court order to override the refusal
B. Administer the transfusion when the patient is sedated and unaware
C. Ensure the refusal is informed, documented, and respected while continuing to
provide supportive care [CORRECT]
D. Convince the family to sign consent instead since the patient is clearly not thinking
clearly
Correct Answer: C
Rationale: The best answer is C. This is correct because patient autonomy means
competent adults have the right to refuse treatment, even life-saving treatment. Our job
is to make sure they understand the consequences, document that informed refusal
, thoroughly, and then pivot to providing the best supportive care possible within their
stated wishes.
Q6: Which of the following scenarios represents negligence rather than malpractice?
A. A nurse intentionally administers the wrong medication to harm a patient
B. A nurse forgets to raise the bed rails on a confused patient, who then falls and
fractures a hip [CORRECT]
C. A surgeon leaves a sponge inside a patient during surgery
D. A nurse practitioner prescribes a medication outside their scope of practice
Correct Answer: B
Rationale: The best answer is B. This is correct because negligence is the failure to
exercise reasonable care, without necessarily requiring specialized professional
knowledge. Forgetting bed rails is a breach of basic safety duty. Malpractice specifically
involves professional misconduct or failure to meet the standard of care within one's
professional role, which would apply to the other options involving clinical judgment or
specialized practice.
Q7: The five rights of delegation include right task, right circumstance, right person, right
direction/communication, and:
A. Right documentation
B. Right supervision/evaluation [CORRECT]
C. Right timing
D. Right facility policy
Correct Answer: B
Rationale: The best answer is B. This is correct because the five rights of delegation
include right task, right circumstance, right person, right direction/communication, and
right supervision/evaluation. You can't just hand off a task and walk away—you have to
follow up, evaluate the outcomes, and be available for questions, which is what right
supervision/evaluation captures.
MDC 4 – Rasmussen University Actual Exam – Complete
Questions and Answers with Detailed Rationales – Pass
Guaranteed – A+ Graded
Foundations: Leadership, Delegation & Healthcare Systems
Q1: A charge nurse on a busy medical-surgical unit has six staff members for 28
patients. The team consists of two RNs, two LPNs, and two UAPs. Which task is most
appropriate to delegate to the UAP?
A. Administering a scheduled subcutaneous insulin injection to a stable diabetic patient
B. Assisting an ambulatory post-op patient with a bedside commode and documenting
intake and output
C. Performing a focused respiratory assessment on a patient with new-onset shortness
of breath [CORRECT]
D. Teaching a newly diagnosed heart failure patient about daily weight monitoring
Correct Answer: C
Rationale: The best answer is C. Wait—actually, let me correct that. The correct answer
here is B. Assisting with the commode and I&O documentation falls within the UAP's
scope of practice under appropriate supervision. The five rights of delegation tell us the
task must be right for the person, and basic hygiene, ambulation, and routine I&O are
standard UAP responsibilities. Administering insulin, performing focused assessments,
and patient teaching all require nursing judgment and licensure, making them
inappropriate for UAP delegation.
,Q2: A staff nurse is concerned that a colleague's repeated medication errors are being
overlooked by management. The nurse documents the incidents and reports them
through the proper chain of command. This action best exemplifies which ethical
principle?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Advocacy [CORRECT]
Correct Answer: D
Rationale: The best answer is D. This is correct because advocacy involves speaking up
for patient safety and acting in the patient's best interest, even when it's uncomfortable.
By reporting the pattern of errors through proper channels, this nurse is fulfilling their
professional obligation to protect patients from harm, which sits at the heart of nursing
advocacy.
Q3: Which statement accurately describes the difference between assignment and
delegation?
A. Assignment involves transferring accountability while delegation transfers only
responsibility
B. Delegation requires the delegator to retain accountability even after transferring
responsibility [CORRECT]
C. Assignment can only be done by the nurse manager, while delegation is done by
charge nurses
D. Delegation permanently transfers both responsibility and accountability to the
delegatee
Correct Answer: B
Rationale: The best answer is B. This is correct because when you delegate a task, you
hand over the responsibility for completing that task, but you keep the accountability for
the overall outcome. That's why proper supervision and follow-up are built into the five
,rights of delegation—specifically the right direction/communication and right
supervision/evaluation.
Q4: During a conflict between two staff nurses over patient care priorities, the nurse
manager brings both parties together, acknowledges each person's viewpoint, and
facilitates a solution that partially satisfies both. This approach is best described as:
A. Competing
B. Collaborating
C. Compromising [CORRECT]
D. Avoiding
Correct Answer: C
Rationale: The best answer is C. This is correct because compromising involves each
party giving up something to reach a middle-ground solution. The manager isn't forcing
a win-lose outcome (competing), fully integrating both perspectives into a perfect
solution (collaborating), or ignoring the problem (avoiding)—they're finding a workable
middle path that both nurses can live with.
Q5: A patient with capacity refuses a life-saving blood transfusion based on religious
beliefs. The nurse's most appropriate action is to:
A. Obtain a court order to override the refusal
B. Administer the transfusion when the patient is sedated and unaware
C. Ensure the refusal is informed, documented, and respected while continuing to
provide supportive care [CORRECT]
D. Convince the family to sign consent instead since the patient is clearly not thinking
clearly
Correct Answer: C
Rationale: The best answer is C. This is correct because patient autonomy means
competent adults have the right to refuse treatment, even life-saving treatment. Our job
is to make sure they understand the consequences, document that informed refusal
, thoroughly, and then pivot to providing the best supportive care possible within their
stated wishes.
Q6: Which of the following scenarios represents negligence rather than malpractice?
A. A nurse intentionally administers the wrong medication to harm a patient
B. A nurse forgets to raise the bed rails on a confused patient, who then falls and
fractures a hip [CORRECT]
C. A surgeon leaves a sponge inside a patient during surgery
D. A nurse practitioner prescribes a medication outside their scope of practice
Correct Answer: B
Rationale: The best answer is B. This is correct because negligence is the failure to
exercise reasonable care, without necessarily requiring specialized professional
knowledge. Forgetting bed rails is a breach of basic safety duty. Malpractice specifically
involves professional misconduct or failure to meet the standard of care within one's
professional role, which would apply to the other options involving clinical judgment or
specialized practice.
Q7: The five rights of delegation include right task, right circumstance, right person, right
direction/communication, and:
A. Right documentation
B. Right supervision/evaluation [CORRECT]
C. Right timing
D. Right facility policy
Correct Answer: B
Rationale: The best answer is B. This is correct because the five rights of delegation
include right task, right circumstance, right person, right direction/communication, and
right supervision/evaluation. You can't just hand off a task and walk away—you have to
follow up, evaluate the outcomes, and be available for questions, which is what right
supervision/evaluation captures.
