NSG 4700 Exam 1 V2 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 1) | Galen
1. A nurse manager uses a style of leadership where they make decisions independently
without seeking input from the staff. Which leadership style is this manager demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership involves centralized decision-making with the leader
maintaining full control. This style is often effective in emergency situations where quick
decisions are mandatory. However, it can lead to low staff satisfaction and high turnover in
routine environments.
2. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which of
the following tasks are appropriate for the nurse to delegate? (Select all that apply)
A. Ambulation of a stable patient
B. Assessment of a new admission
,C. Measuring and recording intake and output
D. Providing discharge teaching
E. Performing basic CPR
F. Feeding a patient with no swallowing precautions
Correct Answer: A, C, E, F
Explanation: The RN is responsible for assessment, planning, and teaching, which cannot
be delegated to UAPs. Routine tasks like ambulation, intake/output measurement, and
basic life support are within the UAP’s scope of practice. The nurse must always ensure the
patient is stable before delegating these tasks.
3. Which of the following describes a leader who motivates employees by offering rewards
for performance?
A. Transformational leader
B. Transactional leader
C. Servant leader
D. Situational leader
Correct Answer: B
Explanation: Transactional leadership is based on an exchange relationship where the
leader provides rewards for work performed. This style focuses on the day-to-day
, operations and task completion. It differs from transformational leadership, which focuses
on vision and long-term inspiration.
4. A nurse manager is evaluating the department budget and notices an increase in the cost
of supplies. Which management function is the manager performing?
A. Planning
B. Organizing
C. Controlling
D. Directing
Correct Answer: C
Explanation: The controlling function involves monitoring performance and ensuring that
goals are met. By evaluating the budget and supply costs, the manager is comparing actual
results to the plan. This process allows the manager to implement corrective actions if
necessary.
5. A nurse is assigned to four patients. Which patient should the nurse assess first?
A. A patient with a chronic cough and stable vitals
B. A patient who is 2 hours post-op with a new onset of confusion
C. A patient requesting pain medication for a 4/10 headache
D. A patient whose discharge papers are being processed
Correct Answer: B
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 1) | Galen
1. A nurse manager uses a style of leadership where they make decisions independently
without seeking input from the staff. Which leadership style is this manager demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership involves centralized decision-making with the leader
maintaining full control. This style is often effective in emergency situations where quick
decisions are mandatory. However, it can lead to low staff satisfaction and high turnover in
routine environments.
2. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which of
the following tasks are appropriate for the nurse to delegate? (Select all that apply)
A. Ambulation of a stable patient
B. Assessment of a new admission
,C. Measuring and recording intake and output
D. Providing discharge teaching
E. Performing basic CPR
F. Feeding a patient with no swallowing precautions
Correct Answer: A, C, E, F
Explanation: The RN is responsible for assessment, planning, and teaching, which cannot
be delegated to UAPs. Routine tasks like ambulation, intake/output measurement, and
basic life support are within the UAP’s scope of practice. The nurse must always ensure the
patient is stable before delegating these tasks.
3. Which of the following describes a leader who motivates employees by offering rewards
for performance?
A. Transformational leader
B. Transactional leader
C. Servant leader
D. Situational leader
Correct Answer: B
Explanation: Transactional leadership is based on an exchange relationship where the
leader provides rewards for work performed. This style focuses on the day-to-day
, operations and task completion. It differs from transformational leadership, which focuses
on vision and long-term inspiration.
4. A nurse manager is evaluating the department budget and notices an increase in the cost
of supplies. Which management function is the manager performing?
A. Planning
B. Organizing
C. Controlling
D. Directing
Correct Answer: C
Explanation: The controlling function involves monitoring performance and ensuring that
goals are met. By evaluating the budget and supply costs, the manager is comparing actual
results to the plan. This process allows the manager to implement corrective actions if
necessary.
5. A nurse is assigned to four patients. Which patient should the nurse assess first?
A. A patient with a chronic cough and stable vitals
B. A patient who is 2 hours post-op with a new onset of confusion
C. A patient requesting pain medication for a 4/10 headache
D. A patient whose discharge papers are being processed
Correct Answer: B
