NUR 204/NUR204 Exam 4 V2 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. Which action should the manager take during the ‘unfreezing’ stage?
A. Training staff on the specific use of the new software
B. Auditing the new system to ensure compliance after implementation
C. Gathering data to demonstrate the inadequacy of the current paper-based system
D. Providing incentives for nurses who master the system early
Correct Answer: C
Explanation: The unfreezing stage involves creating the motivation for change and helping
individuals let go of old patterns. By gathering data to prove the current system’s
deficiencies, the manager builds a sense of urgency and awareness. This stage is critical for
overcoming initial resistance before any actual moving or change takes place.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Assistive
Personnel (AP) for a client who had a total hip arthroplasty 24 hours ago?
A. Recording the client’s intake and output from a drain
B. Teaching the client how to use an incentive spirometer
C. Assessing the client’s surgical site for signs of infection
D. Evaluating the effectiveness of pain medication administered 30 minutes ago
,Correct Answer: A
Explanation: Recording intake and output is a routine, technical task that falls within the
scope of practice for an AP. Assessment, teaching, and evaluation are core nursing
functions that require clinical judgment and cannot be delegated. The RN remains
accountable for interpreting the data collected by the AP.
3. A charge nurse is reviewing the ‘Five Rights of Delegation.’ Which of the following is one of
these rights?
A. Right documentation
B. Right medication
C. Right supervision
D. Right time
Correct Answer: C
Explanation: The Five Rights of Delegation include the right task, right circumstance, right
person, right direction/communication, and right supervision/evaluation. Supervision
involves monitoring the performance, providing feedback, and intervening if necessary.
Incorrect options like right medication and right documentation are components of the
rights of medication administration, not delegation.
4. A nurse is practicing the ethical principle of fidelity when they perform which of the
following actions?
A. Returning to a client’s room at the exact time promised
, B. Allowing a client to refuse a life-saving blood transfusion
C. Telling a patient the truth about their terminal diagnosis
D. Allocating scarce resources equally among several patients
Correct Answer: A
Explanation: Fidelity refers to faithfulness and keeping one’s promises to the patient.
When a nurse promises to return or follow up and does so, they are upholding the trust
inherent in the nurse-patient relationship. This principle is distinct from veracity (truth-
telling) and autonomy (self-determination).
5. A nurse manager is dealing with a conflict between two staff nurses regarding scheduling.
The manager suggests that each nurse give up something to reach a middle ground. Which
conflict resolution strategy is this?
A. Collaboration
B. Compromise
C. Smoothing
D. Competition
Correct Answer: B
Explanation: Compromise involves each party making concessions to arrive at a solution.
Unlike collaboration, where a ‘win-win’ solution is sought, compromise often results in a
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. Which action should the manager take during the ‘unfreezing’ stage?
A. Training staff on the specific use of the new software
B. Auditing the new system to ensure compliance after implementation
C. Gathering data to demonstrate the inadequacy of the current paper-based system
D. Providing incentives for nurses who master the system early
Correct Answer: C
Explanation: The unfreezing stage involves creating the motivation for change and helping
individuals let go of old patterns. By gathering data to prove the current system’s
deficiencies, the manager builds a sense of urgency and awareness. This stage is critical for
overcoming initial resistance before any actual moving or change takes place.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Assistive
Personnel (AP) for a client who had a total hip arthroplasty 24 hours ago?
A. Recording the client’s intake and output from a drain
B. Teaching the client how to use an incentive spirometer
C. Assessing the client’s surgical site for signs of infection
D. Evaluating the effectiveness of pain medication administered 30 minutes ago
,Correct Answer: A
Explanation: Recording intake and output is a routine, technical task that falls within the
scope of practice for an AP. Assessment, teaching, and evaluation are core nursing
functions that require clinical judgment and cannot be delegated. The RN remains
accountable for interpreting the data collected by the AP.
3. A charge nurse is reviewing the ‘Five Rights of Delegation.’ Which of the following is one of
these rights?
A. Right documentation
B. Right medication
C. Right supervision
D. Right time
Correct Answer: C
Explanation: The Five Rights of Delegation include the right task, right circumstance, right
person, right direction/communication, and right supervision/evaluation. Supervision
involves monitoring the performance, providing feedback, and intervening if necessary.
Incorrect options like right medication and right documentation are components of the
rights of medication administration, not delegation.
4. A nurse is practicing the ethical principle of fidelity when they perform which of the
following actions?
A. Returning to a client’s room at the exact time promised
, B. Allowing a client to refuse a life-saving blood transfusion
C. Telling a patient the truth about their terminal diagnosis
D. Allocating scarce resources equally among several patients
Correct Answer: A
Explanation: Fidelity refers to faithfulness and keeping one’s promises to the patient.
When a nurse promises to return or follow up and does so, they are upholding the trust
inherent in the nurse-patient relationship. This principle is distinct from veracity (truth-
telling) and autonomy (self-determination).
5. A nurse manager is dealing with a conflict between two staff nurses regarding scheduling.
The manager suggests that each nurse give up something to reach a middle ground. Which
conflict resolution strategy is this?
A. Collaboration
B. Compromise
C. Smoothing
D. Competition
Correct Answer: B
Explanation: Compromise involves each party making concessions to arrive at a solution.
Unlike collaboration, where a ‘win-win’ solution is sought, compromise often results in a
