NU 131 Exam 2 2026/2027 Nursing and Healthcare I
Actual Exam Verified Answers with Detailed Rationales
Study Guide Grade A
1. A nurse is participating in an interdisciplinary team conference. Which outcomes
are benefits of collaborating in healthcare? Select all that apply.
A. Prevent fragmented care
B. Use critical thinking to anticipate issues
C. Solve problems collaboratively
D. Keep care client centered
E. Increase the length of hospital stays
Correct Answer: A, B, C, D
Rationale: Collaboration in healthcare prevents fragmented care, uses critical thinking
to anticipate issues, solves problems collaboratively, and keeps care client centered.
Increasing hospital stays (E) is not a benefit of collaboration; effective collaboration
typically promotes efficient, timely discharge.
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2. A nurse manager is reviewing the roles of the nursing team. Which member
functions as the leader of the nursing team and can supervise LPNs/LVNs?
A. Certified Nursing Assistant (CNA)
B. Licensed Vocational Nurse (LVN)
C. Registered Nurse (RN)
D. Unlicensed Assistive Personnel (UAP)
Correct Answer: C. Registered Nurse (RN)
Rationale: The RN functions as the leader of the nursing team and can supervise
LPNs/LVNs. The RN plans patient care, coordinates activities, and provides specialized
care requiring advanced knowledge and judgment.
3. A licensed practical/vocational nurse (LPN/LVN) is working in a long-term care
facility. Under which circumstances can an LPN/LVN serve as charge nurse?
A. In an acute care hospital setting
B. In a long-term care facility under an expanded role
C. When supervising RNs
D. Never; LPNs cannot serve as charge nurses
Correct Answer: B. In a long-term care facility under an expanded role
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Rationale: LPNs/LVNs can serve as charge nurses under an expanded role, particularly in
long-term care facilities. This is permitted based on the facility's policies and the nurse's
demonstrated competence.
4. A nursing student is preparing to provide patient care under supervision. To what
standard of care is the student nurse held?
A. A lower standard than LPNs since they are still learning
B. The same standard as licensed nurses
C. No standard until licensed
D. The standard determined by the clinical instructor only
Correct Answer: B. The same standard as licensed nurses
Rationale: Student nurses are held to the same standards as licensed nurses. They are
legally responsible for their actions and inactions and must perform tasks safely and
effectively under supervision.
5. A nurse is reviewing the Nurse Practice Act (NPA) of their state. What is the primary
purpose of the NPA?
A. To establish national certification requirements
B. To define nursing practice and outline what nurses are legally allowed to do
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C. To determine hospital staffing ratios
D. To provide continuing education requirements for all states
Correct Answer: B. To define nursing practice and outline what nurses are legally
allowed to do
Rationale: The Nurse Practice Act (NPA) is a state law that defines nursing practice,
outlines what nurses are legally allowed to do, protects the public by setting education
and licensing standards, and is enforced by the State Board of Nursing.
6. A nurse is collaborating with a physician, pharmacist, and physical therapist to
develop a patient's care plan. This type of role in which the RN collaborates with other
health professionals is best described as:
A. Independent role
B. Interdependent role
C. Dependent role
D. Autonomous role
Correct Answer: B. Interdependent role
Rationale: RNs play an interdependent role when they collaborate with other health
professionals. RNs also have an independent role in which they initiate nursing actions
without supervision.