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WEST COAST UNIVERSITY NURS 420 – LEADERSHIP
AND MANAGEMENT IN NURSING COMPREHENSIVE
PRACTICE EXAM 2 QUESTIONS WITH ANSWERS AND
RATIONALES |100% PASS |GRADED A+ 2026/27
1. The nurse manager is implementing a new evidence-based practice
protocol. Which step is the first in the evidence-based practice process?
a) Search for the best evidence
b) Ask a clinical question
c) Appraise the evidence
d) Evaluate the outcome
Verified Answer: b
Rationale: The first step in evidence-based practice is to ask a clinical
question (PICO format: Population, Intervention, Comparison,
Outcome). This guides the search for evidence.
2. A charge nurse is delegating tasks to nursing staff. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
a) Administering oral medications
b) Performing a sterile dressing change
c) Assisting a client with ambulation
d) Assessing a client's wound
Verified Answer: c
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Rationale: Assisting with ambulation is within the scope of practice for
UAPs. Medication administration, sterile dressing changes, and
assessments require licensed nursing staff.
3. The nurse manager is conducting a performance evaluation for a staff
nurse. Which approach is most effective?
a) Focus only on the nurse's weaknesses
b) Use objective data and specific examples of performance
c) Compare the nurse to other staff members
d) Conduct the evaluation without input from the nurse
Verified Answer: b
Rationale: Effective performance evaluations should be based on
objective data, specific examples, and measurable outcomes. They
should include both strengths and areas for improvement and involve the
employee's self-assessment.
4. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The nurse should:
a) Administer the transfusion because it is medically necessary
b) Respect the client's decision and notify the healthcare provider
c) Ask the client's family to convince them to accept the transfusion
d) Document the refusal and proceed with the transfusion
Verified Answer: b
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Rationale: Respect for patient autonomy is a core ethical principle. The
client has the right to refuse treatment, even if it is life-saving. The nurse
should respect the decision, notify the provider, and document the
refusal.
5. The nurse manager is planning a unit-wide change initiative. Which
leadership style is most effective for facilitating change?
a) Autocratic
b) Laissez-faire
c) Transformational
d) Transactional
Verified Answer: c
Rationale: Transformational leadership inspires and motivates staff to
embrace change by creating a shared vision, encouraging innovation,
and fostering collaboration. It is most effective for facilitating change.
6. A nurse is involved in a medication error. Which action should the
nurse take first?
a) Complete an incident report
b) Notify the nurse manager
c) Assess the client for adverse effects
d) Document the error in the client's medical record
Verified Answer: c
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Rationale: The priority is to assess the client for any adverse effects from
the medication error and take appropriate action to ensure client safety.
After ensuring client safety, the nurse should notify the provider and
manager, and complete an incident report.
7. The charge nurse is making patient assignments for the shift. Which
principle should guide delegation?
a) Delegate tasks that are complex and require nursing judgment
b) Delegate tasks based on the staff member's scope of practice and
competency
c) Delegate all tasks to the most experienced staff member
d) Delegate tasks without considering patient acuity
Verified Answer: b
Rationale: Delegation must be based on the right task, right
circumstance, right person, and right supervision. Tasks should be
delegated based on the staff member's scope of practice, competency,
and the patient's needs.
8. A nurse manager is addressing a conflict between two staff nurses.
Which conflict resolution strategy is most effective?
a) Avoid the conflict and hope it resolves itself
b) Use a collaborative approach to find a win-win solution
c) Side with one nurse to end the conflict quickly
d) Force the nurses to work it out without intervention
WEST COAST UNIVERSITY NURS 420 – LEADERSHIP
AND MANAGEMENT IN NURSING COMPREHENSIVE
PRACTICE EXAM 2 QUESTIONS WITH ANSWERS AND
RATIONALES |100% PASS |GRADED A+ 2026/27
1. The nurse manager is implementing a new evidence-based practice
protocol. Which step is the first in the evidence-based practice process?
a) Search for the best evidence
b) Ask a clinical question
c) Appraise the evidence
d) Evaluate the outcome
Verified Answer: b
Rationale: The first step in evidence-based practice is to ask a clinical
question (PICO format: Population, Intervention, Comparison,
Outcome). This guides the search for evidence.
2. A charge nurse is delegating tasks to nursing staff. Which task is
appropriate to delegate to an unlicensed assistive personnel (UAP)?
a) Administering oral medications
b) Performing a sterile dressing change
c) Assisting a client with ambulation
d) Assessing a client's wound
Verified Answer: c
,2 | Page
Rationale: Assisting with ambulation is within the scope of practice for
UAPs. Medication administration, sterile dressing changes, and
assessments require licensed nursing staff.
3. The nurse manager is conducting a performance evaluation for a staff
nurse. Which approach is most effective?
a) Focus only on the nurse's weaknesses
b) Use objective data and specific examples of performance
c) Compare the nurse to other staff members
d) Conduct the evaluation without input from the nurse
Verified Answer: b
Rationale: Effective performance evaluations should be based on
objective data, specific examples, and measurable outcomes. They
should include both strengths and areas for improvement and involve the
employee's self-assessment.
4. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The nurse should:
a) Administer the transfusion because it is medically necessary
b) Respect the client's decision and notify the healthcare provider
c) Ask the client's family to convince them to accept the transfusion
d) Document the refusal and proceed with the transfusion
Verified Answer: b
,3 | Page
Rationale: Respect for patient autonomy is a core ethical principle. The
client has the right to refuse treatment, even if it is life-saving. The nurse
should respect the decision, notify the provider, and document the
refusal.
5. The nurse manager is planning a unit-wide change initiative. Which
leadership style is most effective for facilitating change?
a) Autocratic
b) Laissez-faire
c) Transformational
d) Transactional
Verified Answer: c
Rationale: Transformational leadership inspires and motivates staff to
embrace change by creating a shared vision, encouraging innovation,
and fostering collaboration. It is most effective for facilitating change.
6. A nurse is involved in a medication error. Which action should the
nurse take first?
a) Complete an incident report
b) Notify the nurse manager
c) Assess the client for adverse effects
d) Document the error in the client's medical record
Verified Answer: c
, 4 | Page
Rationale: The priority is to assess the client for any adverse effects from
the medication error and take appropriate action to ensure client safety.
After ensuring client safety, the nurse should notify the provider and
manager, and complete an incident report.
7. The charge nurse is making patient assignments for the shift. Which
principle should guide delegation?
a) Delegate tasks that are complex and require nursing judgment
b) Delegate tasks based on the staff member's scope of practice and
competency
c) Delegate all tasks to the most experienced staff member
d) Delegate tasks without considering patient acuity
Verified Answer: b
Rationale: Delegation must be based on the right task, right
circumstance, right person, and right supervision. Tasks should be
delegated based on the staff member's scope of practice, competency,
and the patient's needs.
8. A nurse manager is addressing a conflict between two staff nurses.
Which conflict resolution strategy is most effective?
a) Avoid the conflict and hope it resolves itself
b) Use a collaborative approach to find a win-win solution
c) Side with one nurse to end the conflict quickly
d) Force the nurses to work it out without intervention
