NUR 204/NUR204 Exam 4 V3 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing the democratic leadership style to implement a new scheduling
system. Which action is consistent with this style?
A. Allowing the staff to vote on the preferred scheduling options.
B. Making the decision independently and informing the staff.
C. Ignoring the need for a new system until a crisis occurs.
D. Providing minimal guidance and letting the staff do as they please.
Correct Answer: A
Explanation: The democratic leadership style encourages group discussion and decision-
making. This approach fosters a sense of ownership among staff members. It is effective in
environments where cooperation and coordination between multiple groups are
necessary.
2. A registered nurse (RN) is delegating tasks to an Assistive Personnel (AP). Which task is
most appropriate for the RN to delegate?
A. Performing an admission assessment on a new patient.
B. Evaluating the effectiveness of pain medication administered.
C. Teaching a patient how to use a glucose monitor.
D. Assisting a stable patient with morning hygiene care.
,Correct Answer: D
Explanation: Delegation to an AP must involve tasks that do not require clinical judgment
or nursing assessment. Assisting with activities of daily living for a stable patient falls
within the AP’s scope of practice. The RN remains responsible for assessment, teaching,
and evaluation tasks.
3. A nurse is caring for four patients on a medical-surgical unit. Which patient should the
nurse assess first?
A. A patient scheduled for discharge in two hours.
B. A patient requesting a PRN medication for mild nausea.
C. A patient who needs a dressing change for a surgical wound.
D. A patient with a pulse oximetry reading of 88% on room air.
Correct Answer: D
Explanation: The nurse should use the ABC (Airway, Breathing, Circulation) framework to
prioritize care. A pulse oximetry reading of 88% indicates potential respiratory distress
and requires immediate intervention. Other patients are stable and their needs can be
addressed after the high-priority patient is stabilized.
4. An RN is working with a Licensed Practical Nurse (LPN). Which task should the RN perform
rather than delegating it to the LPN?
A. Administering an oral antibiotic to a stable patient.
B. Monitoring a patient’s peripheral IV site for infiltration.
, C. Developing the initial plan of care for a patient with heart failure.
D. Reinforcing teaching about a low-sodium diet.
Correct Answer: C
Explanation: Developing the initial plan of care requires the advanced clinical judgment
and assessment skills of an RN. LPNs can contribute to the plan but cannot create the initial
assessment or plan. This standard ensures that complex patient needs are addressed by the
appropriately licensed professional.
5. A nurse manager is resolving a conflict between two nurses using the compromising
strategy. What does this involve?
A. Ignoring the conflict until it resolves on its own.
B. One party yields to the other to maintain harmony.
C. Both parties giving up something of equal value.
D. Working together to find a win-win solution.
Correct Answer: C
Explanation: Compromising involves a negotiation where each party gives up something
to reach a middle ground. While it resolves the conflict quickly, it may not address the
underlying issues. This strategy is often used when both sides have equal power and are
committed to mutually exclusive goals.
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing the democratic leadership style to implement a new scheduling
system. Which action is consistent with this style?
A. Allowing the staff to vote on the preferred scheduling options.
B. Making the decision independently and informing the staff.
C. Ignoring the need for a new system until a crisis occurs.
D. Providing minimal guidance and letting the staff do as they please.
Correct Answer: A
Explanation: The democratic leadership style encourages group discussion and decision-
making. This approach fosters a sense of ownership among staff members. It is effective in
environments where cooperation and coordination between multiple groups are
necessary.
2. A registered nurse (RN) is delegating tasks to an Assistive Personnel (AP). Which task is
most appropriate for the RN to delegate?
A. Performing an admission assessment on a new patient.
B. Evaluating the effectiveness of pain medication administered.
C. Teaching a patient how to use a glucose monitor.
D. Assisting a stable patient with morning hygiene care.
,Correct Answer: D
Explanation: Delegation to an AP must involve tasks that do not require clinical judgment
or nursing assessment. Assisting with activities of daily living for a stable patient falls
within the AP’s scope of practice. The RN remains responsible for assessment, teaching,
and evaluation tasks.
3. A nurse is caring for four patients on a medical-surgical unit. Which patient should the
nurse assess first?
A. A patient scheduled for discharge in two hours.
B. A patient requesting a PRN medication for mild nausea.
C. A patient who needs a dressing change for a surgical wound.
D. A patient with a pulse oximetry reading of 88% on room air.
Correct Answer: D
Explanation: The nurse should use the ABC (Airway, Breathing, Circulation) framework to
prioritize care. A pulse oximetry reading of 88% indicates potential respiratory distress
and requires immediate intervention. Other patients are stable and their needs can be
addressed after the high-priority patient is stabilized.
4. An RN is working with a Licensed Practical Nurse (LPN). Which task should the RN perform
rather than delegating it to the LPN?
A. Administering an oral antibiotic to a stable patient.
B. Monitoring a patient’s peripheral IV site for infiltration.
, C. Developing the initial plan of care for a patient with heart failure.
D. Reinforcing teaching about a low-sodium diet.
Correct Answer: C
Explanation: Developing the initial plan of care requires the advanced clinical judgment
and assessment skills of an RN. LPNs can contribute to the plan but cannot create the initial
assessment or plan. This standard ensures that complex patient needs are addressed by the
appropriately licensed professional.
5. A nurse manager is resolving a conflict between two nurses using the compromising
strategy. What does this involve?
A. Ignoring the conflict until it resolves on its own.
B. One party yields to the other to maintain harmony.
C. Both parties giving up something of equal value.
D. Working together to find a win-win solution.
Correct Answer: C
Explanation: Compromising involves a negotiation where each party gives up something
to reach a middle ground. While it resolves the conflict quickly, it may not address the
underlying issues. This strategy is often used when both sides have equal power and are
committed to mutually exclusive goals.
