UR4590 / NUR 4590 FINAL
N
EXAM QUIZ BANK 2026-2027 |
Professional Identity of the
Nurse Leader | Rasmussen | Pass
Guaranteed - A+ Graded
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PART A – MULTIPLE CHOICE (Q1‑60)
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* *Q1 (Professional Identity – Benner's Stages):** A new graduate nurse is able to recognize
patterns in patient care and is beginning to set priorities but still relies on rules and guidelines.
According to Benner's stages of clinical competence, this nurse is demonstrating which level?
A. Novice
B. Advanced beginner
C. Competent
D. Proficient
**[CORRECT]** B
*Rationale: Benner's "Advanced Beginner" stage is characterized by the ability to recognize
meaningful aspects of situations and begin setting priorities while still relying on rules and
guidelines (Benner, 1984). Novice nurses rely entirely on rules without pattern recognition.
Competent nurses can coordinate multiple care demands, and proficient nurses have a holistic
understanding of situations.*
,* *Q2 (Ethical – ANA Code of Ethics):** Which ANA Code of Ethics provision requires the nurse
to promote, advocate for, and protect the rights, health, and safety of the patient?
A. Provision 1
B. Provision 2
C. Provision 3
D. Provision 4
**[CORRECT]** C
*Rationale: ANA Code of Ethics Provision 3 states that "the nurse promotes, advocates for, and
protects the rights, health, and safety of the patient." Provision 1 focuses on respect for human
dignity, Provision 2 on the nurse's primary commitment to the patient, and Provision 4 on
authority, accountability, and responsibility.*
* *Q3 (Legal – Mandatory Reporting):** A nurse suspects that an elderly patient in the
emergency department has bruises in various stages of healing and the caregiver refuses to
leave the room during the examination. What is the nurse's priority action?
A. Confront the caregiver immediately about the suspected abuse
B. Document the findings and report to Adult Protective Services per state law
C. Wait for the physician to make the abuse determination first
D. Discharge the patient home with the caregiver and schedule a follow-up
**[CORRECT]** B
*Rationale: Nurses are mandatory reporters of suspected elder abuse in all 50 states; the nurse
must document objective findings and report to Adult Protective Services without waiting for
physician confirmation (Elder Justice Act). Confronting the caregiver may endanger the patient,
and delaying reporting violates legal obligations.*
* *Q4 (Quality & Safety – Just Culture):** In a just culture framework, which action by a nurse
would be classified as "at-risk behavior" rather than "reckless behavior"?
A. Administering a medication without checking the patient's allergy band
B. Working a double shift while impaired by alcohol
C. Taking a shortcut in the medication administration process due to time pressure
D. Intentionally diverting controlled substances for personal use
**[CORRECT]** C
*Rationale: At-risk behavior involves a behavioral choice that increases risk where risk is not
recognized or is mistakenly believed to be justified (e.g., taking shortcuts due to time pressure).
Reckless behavior involves conscious disregard of substantial risk (A, B, D); these would
warrant disciplinary action rather than coaching.*
* *Q5 (Leadership – Transformational Leadership):** A nurse manager empowers staff nurses to
participate in unit-based decision-making, mentors them to develop leadership skills, and
inspires them to achieve excellence in patient care. This manager is demonstrating which
leadership style?
A. Autocratic
B. Transformational
C. Laissez-faire
, . Transactional
D
**[CORRECT]** B
*Rationale: Transformational leadership (Bass) involves inspiring and motivating followers to
exceed expectations through intellectual stimulation, individualized consideration, and
inspirational motivation. Autocratic leaders make decisions unilaterally, laissez-faire leaders are
hands-off, and transactional leaders focus on exchanges and rewards.*
* *Q6 (Interprofessional – SBAR):** During a handoff report, the nurse states: "Mr. Jones is a
68-year-old admitted for chest pain. His vital signs are stable. He had a troponin of 0.8. I think
we should consider cardiology consult." Which component of SBAR is MISSING from this
report?
A. Situation
B. Background
C. Assessment
D. Recommendation
**[CORRECT]** B
*Rationale: The report includes Situation (chest pain admission), Assessment (stable vitals,
troponin 0.8), and Recommendation (cardiology consult) but lacks Background (relevant history,
medications, allergies, code status). Complete SBAR handoffs require all four components for
patient safety.*
* *Q7 (Delegation – Five Rights):** A nurse is delegating the task of ambulating a post-operative
patient to an unlicensed assistive personnel (UAP). Which of the following is NOT one of the
five rights of delegation?
A. Right task
B. Right circumstance
C. Right supervision
D. Right documentation
**[CORRECT]** D
*Rationale: The five rights of delegation are: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation (NCSBN, ANA). Documentation is an
essential nursing responsibility but is not one of the five rights of delegation.*
* *Q8 (Ethical – Informed Consent):** A patient with a history of schizophrenia is scheduled for
surgery. The patient is currently oriented, able to understand the risks and benefits of the
procedure, and can communicate a decision. The patient's adult child insists the patient cannot
give consent. What is the nurse's best action?
A. Accept the child's statement and seek a court-appointed guardian
B. Allow the patient to provide informed consent if they meet all legal criteria
C. Require the physician to obtain consent from the next of kin
D. Delay the procedure until a psychiatric evaluation is completed
**[CORRECT]** B
*Rationale: A diagnosis of mental illness does not automatically disqualify a patient from giving
informed consent; the patient must be assessed for decision-making capacity (understanding,
N
EXAM QUIZ BANK 2026-2027 |
Professional Identity of the
Nurse Leader | Rasmussen | Pass
Guaranteed - A+ Graded
=======================================================================
=
========
PART A – MULTIPLE CHOICE (Q1‑60)
========================================================================
========
* *Q1 (Professional Identity – Benner's Stages):** A new graduate nurse is able to recognize
patterns in patient care and is beginning to set priorities but still relies on rules and guidelines.
According to Benner's stages of clinical competence, this nurse is demonstrating which level?
A. Novice
B. Advanced beginner
C. Competent
D. Proficient
**[CORRECT]** B
*Rationale: Benner's "Advanced Beginner" stage is characterized by the ability to recognize
meaningful aspects of situations and begin setting priorities while still relying on rules and
guidelines (Benner, 1984). Novice nurses rely entirely on rules without pattern recognition.
Competent nurses can coordinate multiple care demands, and proficient nurses have a holistic
understanding of situations.*
,* *Q2 (Ethical – ANA Code of Ethics):** Which ANA Code of Ethics provision requires the nurse
to promote, advocate for, and protect the rights, health, and safety of the patient?
A. Provision 1
B. Provision 2
C. Provision 3
D. Provision 4
**[CORRECT]** C
*Rationale: ANA Code of Ethics Provision 3 states that "the nurse promotes, advocates for, and
protects the rights, health, and safety of the patient." Provision 1 focuses on respect for human
dignity, Provision 2 on the nurse's primary commitment to the patient, and Provision 4 on
authority, accountability, and responsibility.*
* *Q3 (Legal – Mandatory Reporting):** A nurse suspects that an elderly patient in the
emergency department has bruises in various stages of healing and the caregiver refuses to
leave the room during the examination. What is the nurse's priority action?
A. Confront the caregiver immediately about the suspected abuse
B. Document the findings and report to Adult Protective Services per state law
C. Wait for the physician to make the abuse determination first
D. Discharge the patient home with the caregiver and schedule a follow-up
**[CORRECT]** B
*Rationale: Nurses are mandatory reporters of suspected elder abuse in all 50 states; the nurse
must document objective findings and report to Adult Protective Services without waiting for
physician confirmation (Elder Justice Act). Confronting the caregiver may endanger the patient,
and delaying reporting violates legal obligations.*
* *Q4 (Quality & Safety – Just Culture):** In a just culture framework, which action by a nurse
would be classified as "at-risk behavior" rather than "reckless behavior"?
A. Administering a medication without checking the patient's allergy band
B. Working a double shift while impaired by alcohol
C. Taking a shortcut in the medication administration process due to time pressure
D. Intentionally diverting controlled substances for personal use
**[CORRECT]** C
*Rationale: At-risk behavior involves a behavioral choice that increases risk where risk is not
recognized or is mistakenly believed to be justified (e.g., taking shortcuts due to time pressure).
Reckless behavior involves conscious disregard of substantial risk (A, B, D); these would
warrant disciplinary action rather than coaching.*
* *Q5 (Leadership – Transformational Leadership):** A nurse manager empowers staff nurses to
participate in unit-based decision-making, mentors them to develop leadership skills, and
inspires them to achieve excellence in patient care. This manager is demonstrating which
leadership style?
A. Autocratic
B. Transformational
C. Laissez-faire
, . Transactional
D
**[CORRECT]** B
*Rationale: Transformational leadership (Bass) involves inspiring and motivating followers to
exceed expectations through intellectual stimulation, individualized consideration, and
inspirational motivation. Autocratic leaders make decisions unilaterally, laissez-faire leaders are
hands-off, and transactional leaders focus on exchanges and rewards.*
* *Q6 (Interprofessional – SBAR):** During a handoff report, the nurse states: "Mr. Jones is a
68-year-old admitted for chest pain. His vital signs are stable. He had a troponin of 0.8. I think
we should consider cardiology consult." Which component of SBAR is MISSING from this
report?
A. Situation
B. Background
C. Assessment
D. Recommendation
**[CORRECT]** B
*Rationale: The report includes Situation (chest pain admission), Assessment (stable vitals,
troponin 0.8), and Recommendation (cardiology consult) but lacks Background (relevant history,
medications, allergies, code status). Complete SBAR handoffs require all four components for
patient safety.*
* *Q7 (Delegation – Five Rights):** A nurse is delegating the task of ambulating a post-operative
patient to an unlicensed assistive personnel (UAP). Which of the following is NOT one of the
five rights of delegation?
A. Right task
B. Right circumstance
C. Right supervision
D. Right documentation
**[CORRECT]** D
*Rationale: The five rights of delegation are: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation (NCSBN, ANA). Documentation is an
essential nursing responsibility but is not one of the five rights of delegation.*
* *Q8 (Ethical – Informed Consent):** A patient with a history of schizophrenia is scheduled for
surgery. The patient is currently oriented, able to understand the risks and benefits of the
procedure, and can communicate a decision. The patient's adult child insists the patient cannot
give consent. What is the nurse's best action?
A. Accept the child's statement and seek a court-appointed guardian
B. Allow the patient to provide informed consent if they meet all legal criteria
C. Require the physician to obtain consent from the next of kin
D. Delay the procedure until a psychiatric evaluation is completed
**[CORRECT]** B
*Rationale: A diagnosis of mental illness does not automatically disqualify a patient from giving
informed consent; the patient must be assessed for decision-making capacity (understanding,
