NUR 204/NUR204 Exam 1 V2 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is using a transformational leadership style. Which action by the manager
best demonstrates this approach?
A. Offering financial bonuses to staff who pick up extra shifts during the holiday season.
B. Making all unit-level decisions independently to ensure efficiency and consistency.
C. Monitoring staff closely to ensure they are following the facility’s policy and procedure
manual.
D. Empowering staff to develop a new clinical pathway for postoperative patients.
Correct Answer: D
Explanation: Transformational leaders focus on empowering staff and fostering a
collaborative environment to achieve a shared vision. They encourage innovation and
professional growth among their subordinates by delegating authority and promoting
autonomy. In contrast, offering rewards for specific tasks is characteristic of transactional
leadership.
2. A nurse is planning to delegate tasks to an Assistive Personnel (AP). Which of the following
tasks is appropriate for the nurse to delegate?
A. Instructing a client on how to use a metered-dose inhaler.
B. Assessing a client’s surgical site for signs of infection.
,C. Adjusting the flow rate of an intravenous infusion based on provider orders.
D. Providing basic post-mortem care to a client who has just passed away.
Correct Answer: D
Explanation: Delegation to APs must involve tasks that do not require clinical judgment,
assessment, or teaching. Post-mortem care is a standardized procedure that falls within the
scope of an AP’s role in many facilities. Assessment, teaching, and medication
administration are responsibilities that must be performed by a licensed nurse.
3. According to Lewin’s Change Theory, which stage involves the nurse manager helping staff
members realize that a change is necessary because the current status quo is no longer
effective?
A. Moving stage
B. Refreezing stage
C. Restraining stage
D. Unfreezing stage
Correct Answer: D
Explanation: The unfreezing stage is the first step in Lewin’s theory, where the leader
creates awareness of the need for change. This involves breaking down the existing
mindset and showing staff that the current methods are inadequate. Once this realization
occurs, the staff is more likely to accept the moving and refreezing stages.
, 4. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client who is scheduled for a physical therapy session in 30 minutes.
B. A client with a history of heart failure who reports a 2-pound weight gain in 24 hours.
C. A client who is experiencing sudden shortness of breath and restlessness.
D. A client who is postoperative and reporting a pain level of 6 on a scale of 0 to 10.
Correct Answer: C
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness
of breath indicates a potential respiratory emergency. This client is the most unstable and
requires immediate assessment to prevent further deterioration. While the other clients
require care, their conditions are not as life-threatening as a breathing compromise.
5. A nurse tells a client, ‘If you don’t stay in bed, I will put you in restraints.’ Which of the
following legal torts has the nurse committed?
A. Battery
B. Negligence
C. Assault
D. False imprisonment
Correct Answer: C
Explanation: Assault is an intentional tort that involves a threat or an attempt to make
bodily contact with another person without their consent. In this scenario, the nurse’s
Management Q&A with Rationale | Fortis College
1. A nurse manager is using a transformational leadership style. Which action by the manager
best demonstrates this approach?
A. Offering financial bonuses to staff who pick up extra shifts during the holiday season.
B. Making all unit-level decisions independently to ensure efficiency and consistency.
C. Monitoring staff closely to ensure they are following the facility’s policy and procedure
manual.
D. Empowering staff to develop a new clinical pathway for postoperative patients.
Correct Answer: D
Explanation: Transformational leaders focus on empowering staff and fostering a
collaborative environment to achieve a shared vision. They encourage innovation and
professional growth among their subordinates by delegating authority and promoting
autonomy. In contrast, offering rewards for specific tasks is characteristic of transactional
leadership.
2. A nurse is planning to delegate tasks to an Assistive Personnel (AP). Which of the following
tasks is appropriate for the nurse to delegate?
A. Instructing a client on how to use a metered-dose inhaler.
B. Assessing a client’s surgical site for signs of infection.
,C. Adjusting the flow rate of an intravenous infusion based on provider orders.
D. Providing basic post-mortem care to a client who has just passed away.
Correct Answer: D
Explanation: Delegation to APs must involve tasks that do not require clinical judgment,
assessment, or teaching. Post-mortem care is a standardized procedure that falls within the
scope of an AP’s role in many facilities. Assessment, teaching, and medication
administration are responsibilities that must be performed by a licensed nurse.
3. According to Lewin’s Change Theory, which stage involves the nurse manager helping staff
members realize that a change is necessary because the current status quo is no longer
effective?
A. Moving stage
B. Refreezing stage
C. Restraining stage
D. Unfreezing stage
Correct Answer: D
Explanation: The unfreezing stage is the first step in Lewin’s theory, where the leader
creates awareness of the need for change. This involves breaking down the existing
mindset and showing staff that the current methods are inadequate. Once this realization
occurs, the staff is more likely to accept the moving and refreezing stages.
, 4. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client who is scheduled for a physical therapy session in 30 minutes.
B. A client with a history of heart failure who reports a 2-pound weight gain in 24 hours.
C. A client who is experiencing sudden shortness of breath and restlessness.
D. A client who is postoperative and reporting a pain level of 6 on a scale of 0 to 10.
Correct Answer: C
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness
of breath indicates a potential respiratory emergency. This client is the most unstable and
requires immediate assessment to prevent further deterioration. While the other clients
require care, their conditions are not as life-threatening as a breathing compromise.
5. A nurse tells a client, ‘If you don’t stay in bed, I will put you in restraints.’ Which of the
following legal torts has the nurse committed?
A. Battery
B. Negligence
C. Assault
D. False imprisonment
Correct Answer: C
Explanation: Assault is an intentional tort that involves a threat or an attempt to make
bodily contact with another person without their consent. In this scenario, the nurse’s
