NURS 4581 EXAM 2 - NURSING
LEADERSHIP AND MANAGEMENT
1. A nurse manager is implementing a new EHR system and holds meetings to discuss the
benefits and address staff concerns. Which stage of Lewin’s Change Theory is this?
A. Unfreezing
B. Moving
C. Refreezing
D. Evaluation
Answer: A
Conceptual Explanation: Unfreezing is the process of creating readiness for change by
overcoming resistance and dismantling the existing mindset.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN?
A. Administering an intramuscular injection to a stable patient
B. Developing a plan of care for a patient with complex diabetes
C. Assessing a newly admitted patient with chest pain
,D. Providing discharge teaching for a patient after a stroke
Answer: A
Conceptual Explanation: LPNs can perform routine tasks for stable patients, such as
administering medications via IM, but assessment and teaching remain RN responsibilities.
3. Which leadership style is characterized by the leader making all decisions without
consulting staff, often used in crisis situations?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Conceptual Explanation: Autocratic leadership is centralized decision-making where the
leader maintains control and makes choices without input from the group.
4. A nurse forgets to administer a dose of an anticoagulant, and the patient later develops a
DVT. Which element of malpractice is represented by the nurse’s failure to give the med?
A. Breach of duty
B. Duty to use due care
C. Injury or damages
D. Causation
, Answer: A
Conceptual Explanation: Breach of duty occurs when the professional fails to meet the
standard of care, such as failing to administer a prescribed medication.
5. An RN is floating to a unit where they are unfamiliar with the specialized equipment. What
is the most appropriate action?
A. Refuse the assignment entirely
B. Ask the charge nurse for an orientation to the equipment
C. Operate the equipment by following the manual instructions
D. Delegate the equipment usage to a UAP
Answer: B
Conceptual Explanation: The nurse is responsible for maintaining competence.
Requesting orientation ensures patient safety and professional accountability.
6. Which ethical principle is defined as the duty to do good and maximize benefits for the
patient?
A. Justice
B. Beneficence
C. Fidelity
D. Veracity
Answer: B
LEADERSHIP AND MANAGEMENT
1. A nurse manager is implementing a new EHR system and holds meetings to discuss the
benefits and address staff concerns. Which stage of Lewin’s Change Theory is this?
A. Unfreezing
B. Moving
C. Refreezing
D. Evaluation
Answer: A
Conceptual Explanation: Unfreezing is the process of creating readiness for change by
overcoming resistance and dismantling the existing mindset.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN?
A. Administering an intramuscular injection to a stable patient
B. Developing a plan of care for a patient with complex diabetes
C. Assessing a newly admitted patient with chest pain
,D. Providing discharge teaching for a patient after a stroke
Answer: A
Conceptual Explanation: LPNs can perform routine tasks for stable patients, such as
administering medications via IM, but assessment and teaching remain RN responsibilities.
3. Which leadership style is characterized by the leader making all decisions without
consulting staff, often used in crisis situations?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Conceptual Explanation: Autocratic leadership is centralized decision-making where the
leader maintains control and makes choices without input from the group.
4. A nurse forgets to administer a dose of an anticoagulant, and the patient later develops a
DVT. Which element of malpractice is represented by the nurse’s failure to give the med?
A. Breach of duty
B. Duty to use due care
C. Injury or damages
D. Causation
, Answer: A
Conceptual Explanation: Breach of duty occurs when the professional fails to meet the
standard of care, such as failing to administer a prescribed medication.
5. An RN is floating to a unit where they are unfamiliar with the specialized equipment. What
is the most appropriate action?
A. Refuse the assignment entirely
B. Ask the charge nurse for an orientation to the equipment
C. Operate the equipment by following the manual instructions
D. Delegate the equipment usage to a UAP
Answer: B
Conceptual Explanation: The nurse is responsible for maintaining competence.
Requesting orientation ensures patient safety and professional accountability.
6. Which ethical principle is defined as the duty to do good and maximize benefits for the
patient?
A. Justice
B. Beneficence
C. Fidelity
D. Veracity
Answer: B
