NUR2790 Exam 4 V3 | NUR 2790 Professional
Nursing III / PN3 Exam Q&A | Rasmussen
University
────────────────────────────────────
This comprehensive exam-style preparation material is designed to support students preparing
for advanced professional nursing assessments involving healthcare leadership, community
nursing systems, and complex patient management strategies. The content focuses on
integrating professional nursing knowledge into real-world clinical decision-making scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe nursing interventions. Detailed expert explanations
are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Leadership and management in nursing
• Healthcare quality improvement
• Community-based nursing care
• Legal responsibilities in nursing
• Patient-centered care coordination
• Professional nursing advocacy
• Interdisciplinary healthcare planning
• Comprehensive nursing leadership review
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1. A nurse manager is using Lewin’s Change Theory to implement a new electronic health
record system. Which action represents the ‘Unfreezing’ stage?
A. Providing hands-on training for the new software system.
B. Updating the facility’s policy manual to reflect the new electronic process.
,C. Integrating the new system into the daily routine of the nursing unit.
D. Helping staff understand why the current paper-based system is no longer efficient.
Correct Answer: D
Expert Explanation: The unfreezing stage involves creating the motivation for change by
helping individuals realize that the current status quo is no longer effective. By identifying
the inefficiencies of the paper-based system, the manager prepares the staff for the coming
transition. This stage is critical for reducing resistance before moving to the actual
implementation of change.
2. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client with a history of heart failure reporting 2+ pitting edema in the lower
extremities.
B. A client who is 2 days postoperative from a hip replacement and reports pain as 7/10.
C. A client receiving IV antibiotics who has a small red rash on their forearm.
D. A client with type 1 diabetes mellitus who is feeling shaky and has a capillary glucose of
55 mg/dL.
Correct Answer: D
Expert Explanation: The client with a glucose level of 55 mg/dL is experiencing
hypoglycemia, which is an acute, life-threatening condition that requires immediate
intervention to prevent neurological damage or coma. According to the ABC (Airway,
Breathing, Circulation) and safety prioritization frameworks, metabolic stability is a high
,priority. The other clients, while requiring care, are currently more stable than the
hypoglycemic patient.
3. Which leadership style is characterized by the leader making all decisions without seeking
input from the staff?
A. Democratic leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Autocratic leadership
Correct Answer: D
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains full control and gives orders to subordinates. This style is often
effective in emergency situations where quick decisions are mandatory for safety.
However, it can lead to low staff morale if used exclusively in non-urgent clinical settings.
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Interpreting the vital signs of a patient who just returned from surgery.
B. Providing discharge instructions to a patient going home with a PICC line.
C. Assisting a stable client with a bed bath and oral hygiene.
D. Adjusting the rate of an IV infusion based on a provider’s order.
, Correct Answer: C
Expert Explanation: Assisting with activities of daily living (ADLs) like bathing and
hygiene is within the scope of practice for a UAP. Nurses cannot delegate tasks that require
clinical judgment, such as interpretation of data, patient education, or medication/IV
management. The nurse remains accountable for ensuring the task is completed correctly
and safely.
5. A nurse manager is reviewing quality improvement (QI) data regarding patient falls. What
is the first step in the QI process?
A. Implementing a new fall prevention protocol.
B. Evaluating the effectiveness of current interventions.
C. Training staff on how to use bed alarms correctly.
D. Identifying the problem and collecting baseline data.
Correct Answer: D
Expert Explanation: The first step in any quality improvement process is to identify the
specific problem and collect data to understand the current performance level. This
baseline data allows the team to set measurable goals for improvement. Once the problem
is clearly defined, the team can move forward with planning and implementing
interventions.
Nursing III / PN3 Exam Q&A | Rasmussen
University
────────────────────────────────────
This comprehensive exam-style preparation material is designed to support students preparing
for advanced professional nursing assessments involving healthcare leadership, community
nursing systems, and complex patient management strategies. The content focuses on
integrating professional nursing knowledge into real-world clinical decision-making scenarios.
The questions are structured to closely mirror actual course assessments while reinforcing
analytical reasoning, prioritization, and safe nursing interventions. Detailed expert explanations
are included to improve comprehension and academic performance.
════════════════════════════════════
The Exam Covers:
• Leadership and management in nursing
• Healthcare quality improvement
• Community-based nursing care
• Legal responsibilities in nursing
• Patient-centered care coordination
• Professional nursing advocacy
• Interdisciplinary healthcare planning
• Comprehensive nursing leadership review
════════════════════════════════════
1. A nurse manager is using Lewin’s Change Theory to implement a new electronic health
record system. Which action represents the ‘Unfreezing’ stage?
A. Providing hands-on training for the new software system.
B. Updating the facility’s policy manual to reflect the new electronic process.
,C. Integrating the new system into the daily routine of the nursing unit.
D. Helping staff understand why the current paper-based system is no longer efficient.
Correct Answer: D
Expert Explanation: The unfreezing stage involves creating the motivation for change by
helping individuals realize that the current status quo is no longer effective. By identifying
the inefficiencies of the paper-based system, the manager prepares the staff for the coming
transition. This stage is critical for reducing resistance before moving to the actual
implementation of change.
2. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client with a history of heart failure reporting 2+ pitting edema in the lower
extremities.
B. A client who is 2 days postoperative from a hip replacement and reports pain as 7/10.
C. A client receiving IV antibiotics who has a small red rash on their forearm.
D. A client with type 1 diabetes mellitus who is feeling shaky and has a capillary glucose of
55 mg/dL.
Correct Answer: D
Expert Explanation: The client with a glucose level of 55 mg/dL is experiencing
hypoglycemia, which is an acute, life-threatening condition that requires immediate
intervention to prevent neurological damage or coma. According to the ABC (Airway,
Breathing, Circulation) and safety prioritization frameworks, metabolic stability is a high
,priority. The other clients, while requiring care, are currently more stable than the
hypoglycemic patient.
3. Which leadership style is characterized by the leader making all decisions without seeking
input from the staff?
A. Democratic leadership
B. Laissez-faire leadership
C. Transformational leadership
D. Autocratic leadership
Correct Answer: D
Expert Explanation: Autocratic leadership involves centralized decision-making where
the leader maintains full control and gives orders to subordinates. This style is often
effective in emergency situations where quick decisions are mandatory for safety.
However, it can lead to low staff morale if used exclusively in non-urgent clinical settings.
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Interpreting the vital signs of a patient who just returned from surgery.
B. Providing discharge instructions to a patient going home with a PICC line.
C. Assisting a stable client with a bed bath and oral hygiene.
D. Adjusting the rate of an IV infusion based on a provider’s order.
, Correct Answer: C
Expert Explanation: Assisting with activities of daily living (ADLs) like bathing and
hygiene is within the scope of practice for a UAP. Nurses cannot delegate tasks that require
clinical judgment, such as interpretation of data, patient education, or medication/IV
management. The nurse remains accountable for ensuring the task is completed correctly
and safely.
5. A nurse manager is reviewing quality improvement (QI) data regarding patient falls. What
is the first step in the QI process?
A. Implementing a new fall prevention protocol.
B. Evaluating the effectiveness of current interventions.
C. Training staff on how to use bed alarms correctly.
D. Identifying the problem and collecting baseline data.
Correct Answer: D
Expert Explanation: The first step in any quality improvement process is to identify the
specific problem and collect data to understand the current performance level. This
baseline data allows the team to set measurable goals for improvement. Once the problem
is clearly defined, the team can move forward with planning and implementing
interventions.
