NR446 Exam 3 Actual Exam Style V1 | NR
446 Collaborative Healthcare |
Chamberlain
1. Which task is most appropriate for a nurse to delegate to an unlicensed assistive personnel
(UAP)?
A. Evaluating a patient’s response to pain medication.
B. Teaching a patient how to use a glucose monitor.
C. Assisting a stable patient with ambulation for the first time after surgery.
D. Performing a sterile dressing change on a central line.
Correct Answer: C
Expert Explanation: Assisting with ambulation is within the scope of practice for a UAP as
long as the patient is stable. The nurse is responsible for assessment, teaching, and
evaluation, which cannot be delegated. This delegation ensures the nurse can focus on
higher-level clinical tasks while meeting basic patient needs.
2. A nurse is using the SBAR tool to communicate with a physician. Which component
includes the nurse’s suggestion for a specific intervention?
A. Situation
B. Recommendation
C. Assessment
,D. Background
Correct Answer: B
Expert Explanation: The Recommendation phase is where the nurse suggests what should
be done to resolve the current problem. This part of the communication helps provide a
clear path forward for patient care. It allows for a collaborative approach between the
nurse and the healthcare provider.
3. What is the primary goal of the Quality Improvement (QI) process in a healthcare setting?
A. To assign blame to specific staff members for errors.
B. To eliminate the need for documentation.
C. To decrease the number of nurses needed on a shift.
D. To improve patient outcomes through systematic changes.
Correct Answer: D
Expert Explanation: Quality Improvement focuses on systems and processes rather than
individual performance to enhance care delivery. By analyzing data and implementing
changes, the facility aims to achieve better health outcomes for all patients. It is a
continuous cycle of planning, doing, studying, and acting.
4. A nurse manager is resolving a conflict where both parties agree to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Avoiding
, B. Competing
C. Compromising
D. Collaborating
Correct Answer: C
Expert Explanation: Compromising involves a middle-ground approach where each party
yields some of their goals. This strategy is often used when a quick solution is needed for a
complex problem. While effective for temporary fixes, it may not address the underlying
issues as thoroughly as collaboration.
5. Which ethical principle refers to the nurse’s obligation to do no harm to the patient?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Correct Answer: B
Expert Explanation: Nonmaleficence is the fundamental duty to protect patients from
harm during care. It requires nurses to weigh the risks and benefits of interventions
carefully. Ensuring patient safety is the core application of this ethical principle.
446 Collaborative Healthcare |
Chamberlain
1. Which task is most appropriate for a nurse to delegate to an unlicensed assistive personnel
(UAP)?
A. Evaluating a patient’s response to pain medication.
B. Teaching a patient how to use a glucose monitor.
C. Assisting a stable patient with ambulation for the first time after surgery.
D. Performing a sterile dressing change on a central line.
Correct Answer: C
Expert Explanation: Assisting with ambulation is within the scope of practice for a UAP as
long as the patient is stable. The nurse is responsible for assessment, teaching, and
evaluation, which cannot be delegated. This delegation ensures the nurse can focus on
higher-level clinical tasks while meeting basic patient needs.
2. A nurse is using the SBAR tool to communicate with a physician. Which component
includes the nurse’s suggestion for a specific intervention?
A. Situation
B. Recommendation
C. Assessment
,D. Background
Correct Answer: B
Expert Explanation: The Recommendation phase is where the nurse suggests what should
be done to resolve the current problem. This part of the communication helps provide a
clear path forward for patient care. It allows for a collaborative approach between the
nurse and the healthcare provider.
3. What is the primary goal of the Quality Improvement (QI) process in a healthcare setting?
A. To assign blame to specific staff members for errors.
B. To eliminate the need for documentation.
C. To decrease the number of nurses needed on a shift.
D. To improve patient outcomes through systematic changes.
Correct Answer: D
Expert Explanation: Quality Improvement focuses on systems and processes rather than
individual performance to enhance care delivery. By analyzing data and implementing
changes, the facility aims to achieve better health outcomes for all patients. It is a
continuous cycle of planning, doing, studying, and acting.
4. A nurse manager is resolving a conflict where both parties agree to give up something to
reach a solution. Which conflict resolution strategy is being used?
A. Avoiding
, B. Competing
C. Compromising
D. Collaborating
Correct Answer: C
Expert Explanation: Compromising involves a middle-ground approach where each party
yields some of their goals. This strategy is often used when a quick solution is needed for a
complex problem. While effective for temporary fixes, it may not address the underlying
issues as thoroughly as collaboration.
5. Which ethical principle refers to the nurse’s obligation to do no harm to the patient?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Correct Answer: B
Expert Explanation: Nonmaleficence is the fundamental duty to protect patients from
harm during care. It requires nurses to weigh the risks and benefits of interventions
carefully. Ensuring patient safety is the core application of this ethical principle.
