NUR2790 Exam 4 V1 | NUR 2790 Professional
Nursing III / PN3 Exam Q&A | Rasmussen
University
────────────────────────────────────
This exam preparation resource focuses on advanced concepts related to professional nursing
leadership, community healthcare management, and evidence-based nursing practice
integration. The material is designed to strengthen understanding of leadership responsibilities
and healthcare system coordination.
The questions included in this version closely mirror the style and complexity of actual
professional nursing exams. Detailed expert explanations are included to improve analytical
reasoning, leadership development, and professional nursing care planning.
════════════════════════════════════
The Exam Covers:
• Nursing leadership principles
• Delegation and supervision
• Community health nursing concepts
• Quality improvement initiatives
• Healthcare ethics and law
• Patient advocacy strategies
• Healthcare policy and regulation
• Interdisciplinary team collaboration
════════════════════════════════════
1. A nurse manager is implementing a new evidence-based protocol for catheter-associated
urinary tract infection (CAUTI) prevention. Which leadership style is most effective for
fostering long-term commitment and ownership among the staff?
A. Transformational leadership
B. Laissez-faire leadership
,C. Autocratic leadership
D. Transactional leadership
Correct Answer: A
Expert Explanation: Transformational leadership focuses on inspiring and motivating
staff to achieve a shared vision and implement meaningful change. This style encourages
professional growth and empowers nurses to take ownership of clinical outcomes like
CAUTI rates. In contrast, autocratic or transactional styles rely more on control or rewards,
which may not sustain long-term engagement.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP) on a
busy medical-surgical unit. Which task is appropriate for the RN to delegate?
A. Assessing the lung sounds of a patient with pneumonia
B. Providing discharge instructions to a patient going home
C. Assisting a stable patient with ambulation in the hallway
D. Performing a sterile dressing change on a central line
Correct Answer: C
Expert Explanation: Assisting a stable patient with ambulation is a standard task that falls
within the scope of practice for a UAP. Tasks involving assessment, teaching, or complex
sterile procedures require the professional judgment and clinical reasoning of a licensed
nurse. The RN remains accountable for ensuring the task is performed safely and
documenting the outcome.
,3. A community health nurse is planning a health fair that focuses on primary prevention.
Which activity should the nurse include?
A. Assisting stroke survivors with physical therapy exercises
B. Screening elderly participants for high blood pressure
C. Leading a support group for individuals with type 2 diabetes
D. Providing influenza immunizations to local residents
Correct Answer: D
Expert Explanation: Primary prevention aims to prevent the onset of disease or injury
before it occurs, and immunizations are a classic example. Secondary prevention involves
screening and early detection, while tertiary prevention focuses on rehabilitation and
management of established diseases. By providing vaccines, the nurse helps build
community immunity and reduces the incidence of infectious diseases.
4. A nurse is faced with an ethical dilemma regarding a patient who refuses life-saving
treatment. Which ethical principle is the nurse primarily advocating for by supporting the
patient’s decision?
A. Beneficence
B. Autonomy
C. Non-maleficence
D. Justice
, Correct Answer: B
Expert Explanation: Autonomy refers to the right of an individual to make their own
choices regarding their healthcare and body. While the nurse may personally believe the
treatment is beneficial, they must respect the patient’s right to refuse care if the patient is
competent. This principle is fundamental to patient-centered care and the legal
requirement of informed consent.
5. During a quality improvement meeting, the team uses a ‘fishbone’ diagram (Ishikawa
diagram). What is the primary purpose of this tool in a healthcare setting?
A. To track the budget of a specific nursing department
B. To evaluate the performance of individual nurses
C. To schedule staff shifts for the upcoming month
D. To identify the root causes of a clinical problem
Correct Answer: D
Expert Explanation: The fishbone diagram is a quality improvement tool designed to
systematically identify and categorize the potential causes of a problem or event. It helps
the team move beyond symptoms to find the actual root causes, such as issues with
equipment, environment, or processes. Identifying these factors is essential for developing
effective interventions to prevent future errors.
Nursing III / PN3 Exam Q&A | Rasmussen
University
────────────────────────────────────
This exam preparation resource focuses on advanced concepts related to professional nursing
leadership, community healthcare management, and evidence-based nursing practice
integration. The material is designed to strengthen understanding of leadership responsibilities
and healthcare system coordination.
The questions included in this version closely mirror the style and complexity of actual
professional nursing exams. Detailed expert explanations are included to improve analytical
reasoning, leadership development, and professional nursing care planning.
════════════════════════════════════
The Exam Covers:
• Nursing leadership principles
• Delegation and supervision
• Community health nursing concepts
• Quality improvement initiatives
• Healthcare ethics and law
• Patient advocacy strategies
• Healthcare policy and regulation
• Interdisciplinary team collaboration
════════════════════════════════════
1. A nurse manager is implementing a new evidence-based protocol for catheter-associated
urinary tract infection (CAUTI) prevention. Which leadership style is most effective for
fostering long-term commitment and ownership among the staff?
A. Transformational leadership
B. Laissez-faire leadership
,C. Autocratic leadership
D. Transactional leadership
Correct Answer: A
Expert Explanation: Transformational leadership focuses on inspiring and motivating
staff to achieve a shared vision and implement meaningful change. This style encourages
professional growth and empowers nurses to take ownership of clinical outcomes like
CAUTI rates. In contrast, autocratic or transactional styles rely more on control or rewards,
which may not sustain long-term engagement.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP) on a
busy medical-surgical unit. Which task is appropriate for the RN to delegate?
A. Assessing the lung sounds of a patient with pneumonia
B. Providing discharge instructions to a patient going home
C. Assisting a stable patient with ambulation in the hallway
D. Performing a sterile dressing change on a central line
Correct Answer: C
Expert Explanation: Assisting a stable patient with ambulation is a standard task that falls
within the scope of practice for a UAP. Tasks involving assessment, teaching, or complex
sterile procedures require the professional judgment and clinical reasoning of a licensed
nurse. The RN remains accountable for ensuring the task is performed safely and
documenting the outcome.
,3. A community health nurse is planning a health fair that focuses on primary prevention.
Which activity should the nurse include?
A. Assisting stroke survivors with physical therapy exercises
B. Screening elderly participants for high blood pressure
C. Leading a support group for individuals with type 2 diabetes
D. Providing influenza immunizations to local residents
Correct Answer: D
Expert Explanation: Primary prevention aims to prevent the onset of disease or injury
before it occurs, and immunizations are a classic example. Secondary prevention involves
screening and early detection, while tertiary prevention focuses on rehabilitation and
management of established diseases. By providing vaccines, the nurse helps build
community immunity and reduces the incidence of infectious diseases.
4. A nurse is faced with an ethical dilemma regarding a patient who refuses life-saving
treatment. Which ethical principle is the nurse primarily advocating for by supporting the
patient’s decision?
A. Beneficence
B. Autonomy
C. Non-maleficence
D. Justice
, Correct Answer: B
Expert Explanation: Autonomy refers to the right of an individual to make their own
choices regarding their healthcare and body. While the nurse may personally believe the
treatment is beneficial, they must respect the patient’s right to refuse care if the patient is
competent. This principle is fundamental to patient-centered care and the legal
requirement of informed consent.
5. During a quality improvement meeting, the team uses a ‘fishbone’ diagram (Ishikawa
diagram). What is the primary purpose of this tool in a healthcare setting?
A. To track the budget of a specific nursing department
B. To evaluate the performance of individual nurses
C. To schedule staff shifts for the upcoming month
D. To identify the root causes of a clinical problem
Correct Answer: D
Expert Explanation: The fishbone diagram is a quality improvement tool designed to
systematically identify and categorize the potential causes of a problem or event. It helps
the team move beyond symptoms to find the actual root causes, such as issues with
equipment, environment, or processes. Identifying these factors is essential for developing
effective interventions to prevent future errors.
