RNSG 2539 FINAL EXAM – QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
1. A charge nurse is delegating tasks to an LPN and an AP. Which task is most
appropriate for the LPN?
A. Ambulate a patient post-hip replacement
B. Administer a tube feeding via PEG tube
C. Bathe a patient with dementia
D. Empty a Foley catheter bag
Correct ,,,answer,,,: B
Rationale: LPNs can perform stable, predictable tasks such as tube feedings,
suctioning, and monitoring stable patients. Ambulation (A) and bathing (C) are
appropriate for APs. Emptying a Foley (D) is also AP-level. LPNs cannot do initial
assessments or IV push meds in most states.
2. A nurse manager notices increased medication errors on the night shift. Which
action best demonstrates a just culture?
A. Terminate the nurse who made the last error
B. Re-educate all night shift nurses without investigation
C. Analyze the system and individual behaviors fairly
D. Blame the staffing office for short staffing
Correct ,,,answer,,,: C
Rationale: Just culture distinguishes between human error, at-risk behavior, and
,reckless behavior. It focuses on system improvement while holding individuals
accountable when appropriate. Termination (A) is punitive; re-education alone (B)
ignores root causes; blaming staffing (D) avoids responsibility.
3. A patient with end-stage COPD refuses BiPAP and wants only comfort care. The
nurse disagrees. What should the nurse do?
A. Continue trying to convince the patient to use BiPAP
B. Contact the ethics committee to override the patient
C. Respect the patient’s decision and notify the provider
D. Ask the family to force the patient to accept BiPAP
Correct ,,,answer,,,: C
Rationale: Competent adults have the right to refuse treatment, even if it leads to
death. The nurse must respect autonomy and document the refusal. Coercion (A,
D) violates ethics; ethics committees don’t override refusal in competent patients
(B).
4. A nurse witnesses another nurse taking a photo of a patient’s wound on a
personal phone. What is the priority action?
A. Report the nurse to the nursing supervisor immediately
B. Ask the nurse to delete the photo and say nothing
C. Ignore it if the patient consented verbally
D. Take a photo yourself for comparison later
Correct ,,,answer,,,: A
Rationale: Taking patient photos on personal devices violates HIPAA regardless of
verbal consent. Reporting immediately is required. Deleting without reporting (B)
leaves policy violation unaddressed. Verbal consent is insufficient (C). Taking more
photos (D) compounds violation.
5. A charge nurse is making assignments. Which patient should be assigned to an
RN with 2 years of ICU experience?
A. Patient with stable angina on telemetry
,B. Patient 1-hour post-cardiac catheterization with sheath in place
C. Patient with UTI requesting discharge teaching
D. Patient with dementia needing assistance with feeding
Correct ,,,answer,,,: B
Rationale: Post-cardiac cath with sheath still in place requires frequent
neurovascular assessment and potential complication monitoring — RN-only task.
Stable angina (A) can be LPN; discharge teaching (C) can be LPN/RN; feeding (D) is
AP.
6. A unit has a sudden influx of stroke patients. The nurse manager uses situational
leadership. Which style is best for experienced, highly motivated staff?
A. Telling
B. Selling
C. Participating
D. Delegating
Correct ,,,answer,,,: D
Rationale: Situational leadership: Delegating (low support, low direction) works
best for high competence + high commitment. Telling (A) = low competence;
Selling (B) = some competence but low confidence; Participating (C) = high
competence but variable commitment.
7. A nurse notices a colleague diverting PRN opioids for personal use. What is the
legally correct first action?
A. Confront the colleague privately
B. Report to the nursing supervisor or compliance officer
C. Ignore it unless patient harm occurs
D. Call the Board of Nursing anonymously
Correct ,,,answer,,,: B
Rationale: Internal reporting first (supervisor/management) is standard.
, Confronting (A) may worsen situation; ignoring (C) violates duty; BON reporting (D)
usually comes after internal channels fail.
8. A patient has a DNR order. During a code blue, the nurse should:
A. Begin CPR and call the rapid response team
B. Provide comfort care only and do not call a code
C. Check the chart for DNR status before any action
D. Ask the family if they want to override the DNR
Correct ,,,answer,,,: B
Rationale: A valid DNR means no CPR, intubation, or code called. Comfort care
only. Starting CPR (A) violates DNR. Overriding DNR (C, D) is illegal without new
provider order.
9. A nurse manager uses shared governance. Which outcome is expected?
A. Nurses have input into unit policies and practice decisions
B. The manager makes all staffing decisions alone
C. Physicians approve all nursing procedures
D. Unlicensed staff vote on clinical protocols
Correct ,,,answer,,,: A
Rationale: Shared governance gives nurses control over practice, policy, and
quality. Manager-only decisions (B) is traditional; physician approval (C)
contradicts nursing autonomy; unlicensed staff voting (D) is not shared governance.
10. A nurse receives a verbal order for furosemide 40 mg IV push. What is the
safest action?
A. Give the medication and then write down the order
B. Ask the provider to enter a computerized order
C. Write the order in the chart and cosign later
D. Refuse to give it without a written order
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
1. A charge nurse is delegating tasks to an LPN and an AP. Which task is most
appropriate for the LPN?
A. Ambulate a patient post-hip replacement
B. Administer a tube feeding via PEG tube
C. Bathe a patient with dementia
D. Empty a Foley catheter bag
Correct ,,,answer,,,: B
Rationale: LPNs can perform stable, predictable tasks such as tube feedings,
suctioning, and monitoring stable patients. Ambulation (A) and bathing (C) are
appropriate for APs. Emptying a Foley (D) is also AP-level. LPNs cannot do initial
assessments or IV push meds in most states.
2. A nurse manager notices increased medication errors on the night shift. Which
action best demonstrates a just culture?
A. Terminate the nurse who made the last error
B. Re-educate all night shift nurses without investigation
C. Analyze the system and individual behaviors fairly
D. Blame the staffing office for short staffing
Correct ,,,answer,,,: C
Rationale: Just culture distinguishes between human error, at-risk behavior, and
,reckless behavior. It focuses on system improvement while holding individuals
accountable when appropriate. Termination (A) is punitive; re-education alone (B)
ignores root causes; blaming staffing (D) avoids responsibility.
3. A patient with end-stage COPD refuses BiPAP and wants only comfort care. The
nurse disagrees. What should the nurse do?
A. Continue trying to convince the patient to use BiPAP
B. Contact the ethics committee to override the patient
C. Respect the patient’s decision and notify the provider
D. Ask the family to force the patient to accept BiPAP
Correct ,,,answer,,,: C
Rationale: Competent adults have the right to refuse treatment, even if it leads to
death. The nurse must respect autonomy and document the refusal. Coercion (A,
D) violates ethics; ethics committees don’t override refusal in competent patients
(B).
4. A nurse witnesses another nurse taking a photo of a patient’s wound on a
personal phone. What is the priority action?
A. Report the nurse to the nursing supervisor immediately
B. Ask the nurse to delete the photo and say nothing
C. Ignore it if the patient consented verbally
D. Take a photo yourself for comparison later
Correct ,,,answer,,,: A
Rationale: Taking patient photos on personal devices violates HIPAA regardless of
verbal consent. Reporting immediately is required. Deleting without reporting (B)
leaves policy violation unaddressed. Verbal consent is insufficient (C). Taking more
photos (D) compounds violation.
5. A charge nurse is making assignments. Which patient should be assigned to an
RN with 2 years of ICU experience?
A. Patient with stable angina on telemetry
,B. Patient 1-hour post-cardiac catheterization with sheath in place
C. Patient with UTI requesting discharge teaching
D. Patient with dementia needing assistance with feeding
Correct ,,,answer,,,: B
Rationale: Post-cardiac cath with sheath still in place requires frequent
neurovascular assessment and potential complication monitoring — RN-only task.
Stable angina (A) can be LPN; discharge teaching (C) can be LPN/RN; feeding (D) is
AP.
6. A unit has a sudden influx of stroke patients. The nurse manager uses situational
leadership. Which style is best for experienced, highly motivated staff?
A. Telling
B. Selling
C. Participating
D. Delegating
Correct ,,,answer,,,: D
Rationale: Situational leadership: Delegating (low support, low direction) works
best for high competence + high commitment. Telling (A) = low competence;
Selling (B) = some competence but low confidence; Participating (C) = high
competence but variable commitment.
7. A nurse notices a colleague diverting PRN opioids for personal use. What is the
legally correct first action?
A. Confront the colleague privately
B. Report to the nursing supervisor or compliance officer
C. Ignore it unless patient harm occurs
D. Call the Board of Nursing anonymously
Correct ,,,answer,,,: B
Rationale: Internal reporting first (supervisor/management) is standard.
, Confronting (A) may worsen situation; ignoring (C) violates duty; BON reporting (D)
usually comes after internal channels fail.
8. A patient has a DNR order. During a code blue, the nurse should:
A. Begin CPR and call the rapid response team
B. Provide comfort care only and do not call a code
C. Check the chart for DNR status before any action
D. Ask the family if they want to override the DNR
Correct ,,,answer,,,: B
Rationale: A valid DNR means no CPR, intubation, or code called. Comfort care
only. Starting CPR (A) violates DNR. Overriding DNR (C, D) is illegal without new
provider order.
9. A nurse manager uses shared governance. Which outcome is expected?
A. Nurses have input into unit policies and practice decisions
B. The manager makes all staffing decisions alone
C. Physicians approve all nursing procedures
D. Unlicensed staff vote on clinical protocols
Correct ,,,answer,,,: A
Rationale: Shared governance gives nurses control over practice, policy, and
quality. Manager-only decisions (B) is traditional; physician approval (C)
contradicts nursing autonomy; unlicensed staff voting (D) is not shared governance.
10. A nurse receives a verbal order for furosemide 40 mg IV push. What is the
safest action?
A. Give the medication and then write down the order
B. Ask the provider to enter a computerized order
C. Write the order in the chart and cosign later
D. Refuse to give it without a written order
