ADN Week 12 Quiz: Leadership, Delegation & End-of-Life
Care 2026/2027 UPDATE |Galen College UPDATED ACTUAL
Exam Questions and CORRECT Answers
1. Which leadership style focuses on inspiring and motivating followers to
achieve a common vision?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Transformational
Answer: D
Rationale: Transformational leadership focuses on building relationships and motivating
staff through a shared vision and inspiration.
2. An RN is delegating tasks to an LPN. Which task is most appropriate for the
LPN?
A. Developing the initial plan of care for a new admission
B. Evaluating the effectiveness of a new pain management protocol
C. Administering an oral antibiotic to a stable patient
D. Performing a comprehensive discharge assessment
Answer: C
Rationale: LPNs can perform routine tasks and administer medications to stable patients,
but initial assessments, care planning, and evaluations are the responsibility of the RN.
,3. Which of the following tasks should an RN delegate to a Unlicensed Assistive
Personnel (UAP)?
A. Assisting a stable patient with a bed bath
B. Interpreting vital signs for a post-operative patient
C. Feeding a patient at risk for aspiration
D. Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs can assist with activities of daily living (ADLs) such as bathing for stable
patients. Teaching, interpretation, and high-risk feeding require nursing judgment.
4. What is the primary goal of palliative care?
A. To improve quality of life by managing symptoms
B. To accelerate the dying process for comfort
C. To provide a cure for a terminal illness
D. To restrict medical interventions to only pain meds
Answer: A
Rationale: Palliative care focuses on symptom management and improving the quality of
life for patients with serious illnesses, regardless of prognosis.
5. A nurse manager makes all decisions for the unit without consulting the staff.
This is an example of which leadership style?
A. Democratic
B. Situational
C. Autocratic
D. Laissez-faire
Answer: C
Rationale: Autocratic leaders maintain total control and make decisions independently
without staff input.
, 6. Which ethical principle is defined as the right of a patient to make their own
decisions about their care?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Answer: A
Rationale: Autonomy refers to the patient’s right to self-determination and making
independent choices about their healthcare.
7. Which patient should the nurse assess first after receiving the morning shift
report?
A. A patient with a scheduled physical therapy session in 30 minutes
B. A patient reporting a pain level of 6 out of 10
C. A patient with a respiratory rate of 28 and oxygen saturation of 88%
D. A patient who needs a dressing change for a stage 2 pressure injury
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with respiratory distress is the highest priority.
8. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Direction and Communication
B. Right Medication
C. Right Patient Room
D. Right Physician
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
Care 2026/2027 UPDATE |Galen College UPDATED ACTUAL
Exam Questions and CORRECT Answers
1. Which leadership style focuses on inspiring and motivating followers to
achieve a common vision?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Transformational
Answer: D
Rationale: Transformational leadership focuses on building relationships and motivating
staff through a shared vision and inspiration.
2. An RN is delegating tasks to an LPN. Which task is most appropriate for the
LPN?
A. Developing the initial plan of care for a new admission
B. Evaluating the effectiveness of a new pain management protocol
C. Administering an oral antibiotic to a stable patient
D. Performing a comprehensive discharge assessment
Answer: C
Rationale: LPNs can perform routine tasks and administer medications to stable patients,
but initial assessments, care planning, and evaluations are the responsibility of the RN.
,3. Which of the following tasks should an RN delegate to a Unlicensed Assistive
Personnel (UAP)?
A. Assisting a stable patient with a bed bath
B. Interpreting vital signs for a post-operative patient
C. Feeding a patient at risk for aspiration
D. Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs can assist with activities of daily living (ADLs) such as bathing for stable
patients. Teaching, interpretation, and high-risk feeding require nursing judgment.
4. What is the primary goal of palliative care?
A. To improve quality of life by managing symptoms
B. To accelerate the dying process for comfort
C. To provide a cure for a terminal illness
D. To restrict medical interventions to only pain meds
Answer: A
Rationale: Palliative care focuses on symptom management and improving the quality of
life for patients with serious illnesses, regardless of prognosis.
5. A nurse manager makes all decisions for the unit without consulting the staff.
This is an example of which leadership style?
A. Democratic
B. Situational
C. Autocratic
D. Laissez-faire
Answer: C
Rationale: Autocratic leaders maintain total control and make decisions independently
without staff input.
, 6. Which ethical principle is defined as the right of a patient to make their own
decisions about their care?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Answer: A
Rationale: Autonomy refers to the patient’s right to self-determination and making
independent choices about their healthcare.
7. Which patient should the nurse assess first after receiving the morning shift
report?
A. A patient with a scheduled physical therapy session in 30 minutes
B. A patient reporting a pain level of 6 out of 10
C. A patient with a respiratory rate of 28 and oxygen saturation of 88%
D. A patient who needs a dressing change for a stage 2 pressure injury
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the patient
with respiratory distress is the highest priority.
8. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Direction and Communication
B. Right Medication
C. Right Patient Room
D. Right Physician
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
