NUR 2790 / NUR2790: Professional Nursing III / PN3 Final
Examination – Rasmussen University Actual Exam Complete
Questions & Rationales | Leadership & Management | Pass
Guaranteed - A+ Graded
Leadership, Management & Delegation
1. A charge nurse on a busy medical-surgical unit receives report that four patients need
attention at the start of the shift. Which task is most appropriate to delegate to the
LPN?
A. Developing the initial plan of care for a newly admitted patient with heart failure
B. Administering an oral antibiotic to a stable patient recovering from pneumonia
C. Performing the initial head-to-toe assessment on a patient transferred from the ICU
D. Teaching a newly diagnosed diabetic patient how to administer insulin injections
B. Administering an oral antibiotic to a stable patient recovering from pneumonia
[CORRECT]
The best answer is B because administering oral medications to stable patients falls
within the LPN scope of practice, while initial assessments, care planning, and complex
patient teaching remain the responsibility of the RN.
Correct Answer: B
,2. A nurse manager notices that staff morale has dropped significantly since the
implementation of a new electronic documentation system. Several nurses have
expressed frustration, and two experienced nurses have submitted transfer requests.
Using situational leadership theory, which approach should the manager use?
A. Telling the staff exactly how to use the system and enforcing strict compliance
deadlines
B. Selling the benefits of the system while providing hands-on coaching and support
during the transition
C. Allowing the staff to figure out the system independently with minimal guidance
D. Turning over all decision-making about the documentation system to the staff nurses
B. Selling the benefits of the system while providing hands-on coaching and support
during the transition [CORRECT]
The best answer is B because situational leadership recognizes that staff are currently
competent but lack confidence in the new system; a supportive, coaching approach
addresses both the skill gap and the morale issue.
Correct Answer: B
3. During a code blue on the unit, the charge nurse assigns tasks to available team
members. Which assignment demonstrates correct application of the Five Rights of
Delegation?
A. Asking the UAP to monitor the patient's cardiac rhythm and report any changes
immediately
,B. Delegating insertion of a urinary catheter to the LPN while the RN manages the crash
cart and medications
C. Assigning the new graduate RN to obtain consent for a blood transfusion from the
patient's family member
D. Instructing the respiratory therapist to administer IV push epinephrine per protocol
B. Delegating insertion of a urinary catheter to the LPN while the RN manages the crash
cart and medications [CORRECT]
The best answer is B because catheter insertion is an appropriate sterile procedure for
an LPN with verified competency, allowing the RN to focus on higher-acuity tasks that
require RN scope during the emergency.
Correct Answer: B
4. A nurse is working with a UAP who has been on the unit for six months. The UAP has
successfully performed blood glucose monitoring on stable patients multiple times.
Today, the UAP is asked to obtain a blood glucose reading on a patient who is alert and
stable. The nurse should provide which level of supervision?
A. Direct supervision — remain at the bedside throughout the entire procedure
B. Initial direction and periodic evaluation — verify understanding, then check results
and patient response
C. No supervision needed — the UAP has done this before and does not need oversight
D. Indirect supervision — ask another UAP to supervise and report back
, B. Initial direction and periodic evaluation — verify understanding, then check results
and patient response [CORRECT]
The best answer is B because even with a competent UAP, the RN retains accountability
for delegated tasks and must provide appropriate direction, ensure the task remains
within the patient's stable condition, and evaluate outcomes.
Correct Answer: B
5. A democratic nurse leader is implementing a new patient rounding protocol. Which
action best reflects this leadership style?
A. Announcing the new protocol at the next staff meeting and expecting immediate
compliance
B. Forming a committee of staff nurses to provide input on the protocol before
implementation
C. Waiting to see if the staff initiates rounding on their own without formal policy
D. Offering bonuses to nurses who complete the most rounds each shift
B. Forming a committee of staff nurses to provide input on the protocol before
implementation [CORRECT]
The best answer is B because democratic leadership emphasizes collaboration, shared
decision-making, and staff involvement in policy development, which increases buy-in
and sustainable practice changes.
Correct Answer: B
Examination – Rasmussen University Actual Exam Complete
Questions & Rationales | Leadership & Management | Pass
Guaranteed - A+ Graded
Leadership, Management & Delegation
1. A charge nurse on a busy medical-surgical unit receives report that four patients need
attention at the start of the shift. Which task is most appropriate to delegate to the
LPN?
A. Developing the initial plan of care for a newly admitted patient with heart failure
B. Administering an oral antibiotic to a stable patient recovering from pneumonia
C. Performing the initial head-to-toe assessment on a patient transferred from the ICU
D. Teaching a newly diagnosed diabetic patient how to administer insulin injections
B. Administering an oral antibiotic to a stable patient recovering from pneumonia
[CORRECT]
The best answer is B because administering oral medications to stable patients falls
within the LPN scope of practice, while initial assessments, care planning, and complex
patient teaching remain the responsibility of the RN.
Correct Answer: B
,2. A nurse manager notices that staff morale has dropped significantly since the
implementation of a new electronic documentation system. Several nurses have
expressed frustration, and two experienced nurses have submitted transfer requests.
Using situational leadership theory, which approach should the manager use?
A. Telling the staff exactly how to use the system and enforcing strict compliance
deadlines
B. Selling the benefits of the system while providing hands-on coaching and support
during the transition
C. Allowing the staff to figure out the system independently with minimal guidance
D. Turning over all decision-making about the documentation system to the staff nurses
B. Selling the benefits of the system while providing hands-on coaching and support
during the transition [CORRECT]
The best answer is B because situational leadership recognizes that staff are currently
competent but lack confidence in the new system; a supportive, coaching approach
addresses both the skill gap and the morale issue.
Correct Answer: B
3. During a code blue on the unit, the charge nurse assigns tasks to available team
members. Which assignment demonstrates correct application of the Five Rights of
Delegation?
A. Asking the UAP to monitor the patient's cardiac rhythm and report any changes
immediately
,B. Delegating insertion of a urinary catheter to the LPN while the RN manages the crash
cart and medications
C. Assigning the new graduate RN to obtain consent for a blood transfusion from the
patient's family member
D. Instructing the respiratory therapist to administer IV push epinephrine per protocol
B. Delegating insertion of a urinary catheter to the LPN while the RN manages the crash
cart and medications [CORRECT]
The best answer is B because catheter insertion is an appropriate sterile procedure for
an LPN with verified competency, allowing the RN to focus on higher-acuity tasks that
require RN scope during the emergency.
Correct Answer: B
4. A nurse is working with a UAP who has been on the unit for six months. The UAP has
successfully performed blood glucose monitoring on stable patients multiple times.
Today, the UAP is asked to obtain a blood glucose reading on a patient who is alert and
stable. The nurse should provide which level of supervision?
A. Direct supervision — remain at the bedside throughout the entire procedure
B. Initial direction and periodic evaluation — verify understanding, then check results
and patient response
C. No supervision needed — the UAP has done this before and does not need oversight
D. Indirect supervision — ask another UAP to supervise and report back
, B. Initial direction and periodic evaluation — verify understanding, then check results
and patient response [CORRECT]
The best answer is B because even with a competent UAP, the RN retains accountability
for delegated tasks and must provide appropriate direction, ensure the task remains
within the patient's stable condition, and evaluate outcomes.
Correct Answer: B
5. A democratic nurse leader is implementing a new patient rounding protocol. Which
action best reflects this leadership style?
A. Announcing the new protocol at the next staff meeting and expecting immediate
compliance
B. Forming a committee of staff nurses to provide input on the protocol before
implementation
C. Waiting to see if the staff initiates rounding on their own without formal policy
D. Offering bonuses to nurses who complete the most rounds each shift
B. Forming a committee of staff nurses to provide input on the protocol before
implementation [CORRECT]
The best answer is B because democratic leadership emphasizes collaboration, shared
decision-making, and staff involvement in policy development, which increases buy-in
and sustainable practice changes.
Correct Answer: B
