NR 446 EXAM 1 EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

NR 446 EXAM 1 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025

 Can an LPN hang electrolytes? - CORRECT-ANSWERSNO- requires assessment

 Can an LPN hang TPN? - CORRECT-ANSWERSNo

 Can an LPN hang NS with K? - CORRECT-ANSWERSYes - diluted

 Can an LPN hang blood? - CORRECT-ANSWERSNo

 Can an LPN hang a bolus? - CORRECT-ANSWERSNo

 Can an LPN do an IV push? - CORRECT-ANSWERSNo

 UAP assignments - CORRECT-ANSWERSstable patients with chronic conditions

 Who should UAP's not work with? - CORRECT-ANSWERS-no vitals on: acute cardiac,

new patient - depending on status, post-op (not stable patients), if RN is in room, UAP

can help but RN needs to be in room

 reactive planning - CORRECT-ANSWERSoccurs after a problem exists, goal is just to

get back to normal

 inactivism - CORRECT-ANSWERSanother type of conventional planning, seeks the

status quo, not going to do anything, prevent change from occurring, standing firm, slow

incremental change

, preactivism - CORRECT-ANSWERSutilize technology to accelerate change and are

future oriented. *Unsatisfied with the past or present, preactivists do not value experience

and believe that the future is always preferable to the present.*

 interactive or proactive planning - CORRECT-ANSWERSPlanners who fall into this

category consider the past, present, and future and attempt to plan the future of their

organization rather than react to it. Because the organizational setting changes often,

adaptability is a key requirement for proactive planning. Proactive planning occurs, then,

in anticipation of changing needs or to promote growth within an organization and is

required of all leader-managers so that personal as well as organizational needs and

objectives are met.

 Forecasting - CORRECT-ANSWERSinvolves trying to estimate how a condition will be

in the future.

 SWOT analysis - CORRECT-ANSWERSidentifying internal strengths (S) and

weaknesses (W) and also examining external opportunities (O) and threats (T)

 -need to have an objective first

 -subjective in nature

 Strengths - CORRECT-ANSWERSinternal attributes that help an organization achieve

its objectives

 Weaknesses - CORRECT-ANSWERSinternal attributes resources that work against a

successful outcome

 Opportuninities - CORRECT-ANSWERSexternal and positive, national focused,

evidence based practice

 Threats - CORRECT-ANSWERSexternal and negative

, Planning Hierarchy - CORRECT-ANSWERS1) Mission

 2) Philosophy

 3) Goals

 4) Objectives

 5) Policies

 6) Procedures

 7) Rules

 Vision statement - CORRECT-ANSWERSexpresses what the organization should

become, where it wants to go strategically, future oriented

 MIssion statement - CORRECT-ANSWERSa statement of the organization's purpose -

what it wants to accomplish in the larger environment, the reason why the organization

exists

 Philosophy - CORRECT-ANSWERScomes out of vision and mission, about values and

beliefs

 -organizational philosophy

 -nursing service philosophy

 Goal - CORRECT-ANSWERSa desired end toward which efforts are directed, the aim of

a philosophy

 -SMART

 Objectives - CORRECT-ANSWERS-more specific and measurable

 -gets you towards the goal

 process objectives - CORRECT-ANSWERSwritten in terms of the method to be used

,  ex: 100% of staff nurses will orient new patients to the call-light system, within 30

minutes of their admission, by first demonstrating its appropriate use and then asking the

patient to repeat said demonstration.

 results-focused objective - CORRECT-ANSWERSspecify the desired outcome

 ex: 95% postoperative patients will perceive a decrease in their pain levels following the

administration of parenteral pain medication.

 Policies - CORRECT-ANSWERSplans reduced to statements, direct organizations in

their decision making

 -limit setting, boundary setting

 Implied policies - CORRECT-ANSWERSneither written nor expressed verbally, have

usually developed over time and follow a precedent.

 Expressed policies - CORRECT-ANSWERSdelineated verbally or in writing

 Procedures - CORRECT-ANSWERShow to get things done within that policy, instruct

you how to do things

 Rules - CORRECT-ANSWERS-define actions

 -form policies and procedures

 -allow only once choice of action

 strategic planning - CORRECT-ANSWERSLong-term planning that provides broad

goals and directions for the entire business.

 Contemporary Adaptation of Lewins Model - Stages of Change MOdel - CORRECT-

ANSWERSStage 1: Pre-contemplation: no current intention to change

 Stage 2: Contemplation: individual considers making a change

 Stage 3: Preparation: there is intent to make a change in the near future