NR446 EXAM 1: COLLABORATIVE
HEALTHCARE LEADERSHIP AND
MANAGEMENT QUESTIONS AND
ANSWERS
1. A nurse manager is encouraging staff to participate in the decision-making process
regarding the new scheduling policy. Which leadership style is this manager demonstrating?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Answer: D
Conceptual Explanation: Democratic leadership involves the team in decision-making and
values staff input, whereas Autocratic is top-down and Laissez-faire is hands-off.
2. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate for the LPN?
A. Developing a plan of care for a new admission
B. Providing discharge teaching for a patient with a new colostomy
,C. Administering an intramuscular injection to a stable patient
D. Performing the initial assessment of a post-operative patient
Answer: C
Conceptual Explanation: LPNs can perform technical skills like IM injections on stable
patients, but RNs must handle initial assessments, care planning, and complex teaching
(E.A.T: Evaluate, Assess, Teach).
3. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient with a pain level of 8 out of 10
B. A patient whose pulse oximetry reading just dropped to 84%
C. A patient requesting assistance to the bathroom
D. A patient scheduled for physical therapy in 30 minutes
Answer: B
Conceptual Explanation: Based on the ABCs (Airway, Breathing, Circulation), the patient
with a significant drop in oxygen saturation (Breathing) requires immediate intervention.
4. A nurse manager is reviewing the five rights of delegation. Which of the following is one of
these rights?
A. Right Cost
B. Right Supervision and Evaluation
C. Right Charting
, D. Right Patient Ratio
Answer: B
Conceptual Explanation: The five rights of delegation are Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation.
5. In the process of conflict resolution, the nurse manager uses a ‘win-win’ approach where
both parties work together to reach a common goal. This is known as:
A. Compromising
B. Avoiding
C. Smoothing
D. Collaborating
Answer: D
Conceptual Explanation: Collaboration is a win-win strategy where both parties set aside
their original goals to achieve a priority common goal.
6. A nurse is using the SBAR tool to communicate with a physician. Which statement belongs
in the ‘B’ (Background) section?
A. ‘I am calling because the patient is experiencing shortness of breath.’
B. ‘I suggest we increase the Lasix dosage.’
C. ‘The patient’s blood pressure is 160/95 mmHg.’
D. ‘The patient was admitted two days ago with heart failure.’
HEALTHCARE LEADERSHIP AND
MANAGEMENT QUESTIONS AND
ANSWERS
1. A nurse manager is encouraging staff to participate in the decision-making process
regarding the new scheduling policy. Which leadership style is this manager demonstrating?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Answer: D
Conceptual Explanation: Democratic leadership involves the team in decision-making and
values staff input, whereas Autocratic is top-down and Laissez-faire is hands-off.
2. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate for the LPN?
A. Developing a plan of care for a new admission
B. Providing discharge teaching for a patient with a new colostomy
,C. Administering an intramuscular injection to a stable patient
D. Performing the initial assessment of a post-operative patient
Answer: C
Conceptual Explanation: LPNs can perform technical skills like IM injections on stable
patients, but RNs must handle initial assessments, care planning, and complex teaching
(E.A.T: Evaluate, Assess, Teach).
3. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient with a pain level of 8 out of 10
B. A patient whose pulse oximetry reading just dropped to 84%
C. A patient requesting assistance to the bathroom
D. A patient scheduled for physical therapy in 30 minutes
Answer: B
Conceptual Explanation: Based on the ABCs (Airway, Breathing, Circulation), the patient
with a significant drop in oxygen saturation (Breathing) requires immediate intervention.
4. A nurse manager is reviewing the five rights of delegation. Which of the following is one of
these rights?
A. Right Cost
B. Right Supervision and Evaluation
C. Right Charting
, D. Right Patient Ratio
Answer: B
Conceptual Explanation: The five rights of delegation are Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation.
5. In the process of conflict resolution, the nurse manager uses a ‘win-win’ approach where
both parties work together to reach a common goal. This is known as:
A. Compromising
B. Avoiding
C. Smoothing
D. Collaborating
Answer: D
Conceptual Explanation: Collaboration is a win-win strategy where both parties set aside
their original goals to achieve a priority common goal.
6. A nurse is using the SBAR tool to communicate with a physician. Which statement belongs
in the ‘B’ (Background) section?
A. ‘I am calling because the patient is experiencing shortness of breath.’
B. ‘I suggest we increase the Lasix dosage.’
C. ‘The patient’s blood pressure is 160/95 mmHg.’
D. ‘The patient was admitted two days ago with heart failure.’
