RN Leadership 2023
70 Questions · With Rationales · 1 Question Per Page
Question: 7 of 70 RN Leadership 2023
A nurse manager is teaching a newly licensed nurse about leadership styles. Which of the
following information should the nurse include?
A. A laissez-faire leader motivates group members through criticism.
B. An authoritarian leader allows decisions to be made by the group.
✓ C. A transactional leader is results-oriented.
D. A transformational leader lacks long-term vision.
✓ Correct Answer: C
A transactional leader uses reward and punishment to motivate staff and is results-oriented, focusing on meeting
goals through exchange (transactions). A laissez-faire (permissive) leader provides minimal direction and allows
the group to make decisions — not motivation through criticism. An authoritarian (autocratic) leader makes
decisions alone, does not allow group input. A transformational leader inspires with vision and long-term goals —
they do NOT lack long-term vision.
,Question: 21 of 70 RN Leadership 2023
A nurse is assessing a client who had a recent stroke. Which of the following findings should
indicate to the nurse the need for referral to an occupational therapist?
A. Memory loss
B. Facial drooping
✓ C. Unilateral neglect
D. Receptive aphasia
✓ Correct Answer: C
Unilateral neglect (hemineglect) — failure to recognize or attend to one side of the body — is a direct indication
for occupational therapy (OT) referral. OT addresses ADL retraining, safety with unilateral neglect, adaptive
equipment, and sensory-perceptual deficits. Facial drooping and receptive aphasia (difficulty understanding
language) indicate speech-language pathology referral. Memory loss may require neuropsychology or cognitive
rehabilitation referral.
,Question: 22 of 70 RN Leadership 2023
A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of
the following pieces of equipment should the nurse ensure is available in the client's room?
A. Nasal cannula and oxygen
B. Large-handled utensils
✓ C. Yankauer suction device
D. Bite block
✓ Correct Answer: C
A Yankauer (rigid tonsil-tip) suction device must be immediately available at the bedside for a client with
dysphagia to manage aspiration of secretions or food. Dysphagia significantly increases the risk of aspiration
pneumonia — suction readiness is a safety priority. Large-handled utensils are adaptive equipment for motor
deficits, not dysphagia. A bite block is used during seizures or dental procedures. Nasal cannula/oxygen may be
ordered but is not the priority equipment specifically for dysphagia safety.
, Question: 25 of 70 RN Leadership 2023
A charge nurse is making staff assignments on a medical-surgical unit. Which of the following
tasks should the nurse plan to delegate to assistive personnel?
A. Inserting a rectal suppository for a client who is vomiting
B. Pouching a client's ostomy bag for a new colostomy
C. Measuring oxygen saturation for a client who has dyspnea
✓ D. Performing rectal hygiene for a client who has an NG tube
✓ Correct Answer: D
Rectal hygiene (perineal care) is a routine hygiene task within the scope of assistive personnel (AP/UAP). The
five rights of delegation: right task, right circumstance, right person, right direction, right supervision. Inserting a
rectal suppository requires nursing assessment and clinical judgment. Pouching a NEW colostomy requires
patient teaching and assessment — this is an RN responsibility. Measuring O2 saturation on a client with
dyspnea requires nursing assessment of the findings. Hygiene tasks are safely delegated to AP.
70 Questions · With Rationales · 1 Question Per Page
Question: 7 of 70 RN Leadership 2023
A nurse manager is teaching a newly licensed nurse about leadership styles. Which of the
following information should the nurse include?
A. A laissez-faire leader motivates group members through criticism.
B. An authoritarian leader allows decisions to be made by the group.
✓ C. A transactional leader is results-oriented.
D. A transformational leader lacks long-term vision.
✓ Correct Answer: C
A transactional leader uses reward and punishment to motivate staff and is results-oriented, focusing on meeting
goals through exchange (transactions). A laissez-faire (permissive) leader provides minimal direction and allows
the group to make decisions — not motivation through criticism. An authoritarian (autocratic) leader makes
decisions alone, does not allow group input. A transformational leader inspires with vision and long-term goals —
they do NOT lack long-term vision.
,Question: 21 of 70 RN Leadership 2023
A nurse is assessing a client who had a recent stroke. Which of the following findings should
indicate to the nurse the need for referral to an occupational therapist?
A. Memory loss
B. Facial drooping
✓ C. Unilateral neglect
D. Receptive aphasia
✓ Correct Answer: C
Unilateral neglect (hemineglect) — failure to recognize or attend to one side of the body — is a direct indication
for occupational therapy (OT) referral. OT addresses ADL retraining, safety with unilateral neglect, adaptive
equipment, and sensory-perceptual deficits. Facial drooping and receptive aphasia (difficulty understanding
language) indicate speech-language pathology referral. Memory loss may require neuropsychology or cognitive
rehabilitation referral.
,Question: 22 of 70 RN Leadership 2023
A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of
the following pieces of equipment should the nurse ensure is available in the client's room?
A. Nasal cannula and oxygen
B. Large-handled utensils
✓ C. Yankauer suction device
D. Bite block
✓ Correct Answer: C
A Yankauer (rigid tonsil-tip) suction device must be immediately available at the bedside for a client with
dysphagia to manage aspiration of secretions or food. Dysphagia significantly increases the risk of aspiration
pneumonia — suction readiness is a safety priority. Large-handled utensils are adaptive equipment for motor
deficits, not dysphagia. A bite block is used during seizures or dental procedures. Nasal cannula/oxygen may be
ordered but is not the priority equipment specifically for dysphagia safety.
, Question: 25 of 70 RN Leadership 2023
A charge nurse is making staff assignments on a medical-surgical unit. Which of the following
tasks should the nurse plan to delegate to assistive personnel?
A. Inserting a rectal suppository for a client who is vomiting
B. Pouching a client's ostomy bag for a new colostomy
C. Measuring oxygen saturation for a client who has dyspnea
✓ D. Performing rectal hygiene for a client who has an NG tube
✓ Correct Answer: D
Rectal hygiene (perineal care) is a routine hygiene task within the scope of assistive personnel (AP/UAP). The
five rights of delegation: right task, right circumstance, right person, right direction, right supervision. Inserting a
rectal suppository requires nursing assessment and clinical judgment. Pouching a NEW colostomy requires
patient teaching and assessment — this is an RN responsibility. Measuring O2 saturation on a client with
dyspnea requires nursing assessment of the findings. Hygiene tasks are safely delegated to AP.
