EXAM 1: NUR 204/ NUR204
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: The charge nurse on a busy medical-surgical unit identifies that staffing is below established
benchmarks for the upcoming shift. She delegates tasks, adjusts break schedules, and reassigns a
float nurse to cover the highest-acuity patients. Which step of the management process is the
charge nurse primarily executing?
A. Planning
B. Organizing
C. Directing
D. Controlling
Correct Answer: B
Rationale: Correct because organizing involves allocating resources, assigning tasks, and
structuring workflow to meet the planned objectives, which matches adjusting assignments and
deploying staff.
Q2: A nurse manager notices that postoperative infection rates have increased over the last
quarter. She gathers data, compares current rates to national benchmarks, and implements a new
sterile technique checklist. After 30 days, she reviews the updated infection data to evaluate
effectiveness. This sequence most directly reflects which management function?
A. Planning, Organizing, Staffing
B. Directing, Controlling, Planning
C. Planning, Directing, Controlling
D. Organizing, Staffing, Directing
Correct Answer: C
Rationale: Correct because planning sets the goal (reduce infections), directing implements the
checklist, and controlling evaluates the outcome against the benchmark.
,Q3: Which statement best differentiates a leadership competency from a management
competency?
A. Leaders enforce policies; managers inspire shared vision.
B. Leaders adapt to change; managers maintain stability through structure. [CORRECT]
C. Leaders focus on budgets; managers focus on patient care.
D. Leaders delegate tasks; managers coach team members.
Correct Answer: B
Rationale: Correct because leadership emphasizes adaptive, forward-thinking behaviors, while
management typically emphasizes maintaining order and enforcing established policies.
Q4: Select All That Apply: A nurse manager is demonstrating management competencies rather
than leadership competencies. Which of the following actions are consistent with
management? (Select all that apply.)
A. Developing a new staffing grid based on acuities
B. Articulating a compelling vision for patient-centered care
C. Auditing charting compliance against hospital policy
D. Resolving a scheduling conflict by applying the union contract
E. Encouraging staff to question outdated isolation protocols
Correct Answer: A, C, D
Rationale: Correct because developing grids, auditing compliance, and applying contractual
rules are managerial functions (structure/control), whereas articulating vision and encouraging
innovation are leadership behaviors.
Q5: A code blue is called on the unit, and the team is in chaos. The most experienced nurse
immediately takes charge, gives direct orders to each team member, and does not pause for group
input during the resuscitation. This leadership style is best described as:
A. Democratic
B. Laissez-faire
C. Autocratic [CORRECT]
D. Transformational
Correct Answer: C
Rationale: Correct because autocratic leadership is centralized and directive, appropriate for
emergency or crisis situations where rapid, decisive action is required.
Q6: A unit council is formed to revise the fall prevention policy. The council leader facilitates
open discussion, gathers votes from all members, and implements the intervention that receives
, majority support. This approach exemplifies which leadership style?
A. Autocratic
B. Laissez-faire
C. Democratic [CORRECT]
D. Bureaucratic
Correct Answer: C
Rationale: Correct because democratic leadership involves participative decision-making and
consensus-building, which matches the voting and open discussion described.
Q7: A new graduate nurse is assigned to a preceptor who allows the graduate complete
autonomy in making care decisions, only stepping in when directly asked. The graduate feels
unsupported and confused about expectations. This preceptor is primarily using which leadership
style?
A. Democratic
B. Laissez-faire [CORRECT]
C. Autocratic
D. Situational
Correct Answer: B
Rationale: Correct because laissez-faire leadership provides minimal direction and maximal
autonomy, which can leave inexperienced team members feeling disoriented.
Q8: The unit director holds formal hiring and firing authority, assigns patient assignments, and
approves all overtime requests. This director is exercising which type of power according to
French and Raven?
A. Expert power
B. Referent power
C. Coercive power
D. Legitimate power [CORRECT]
Correct Answer: D
Rationale: Correct because legitimate power derives from formal position and organizational
authority, which includes hiring, assignment, and approval responsibilities.
Q9: Select All That Apply: A clinical nurse specialist with decades of wound care experience is
frequently consulted by staff for complex pressure injuries. Which sources of power does this
nurse likely possess? (Select all that apply.)
A. Legitimate
B. Expert [CORRECT]
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: The charge nurse on a busy medical-surgical unit identifies that staffing is below established
benchmarks for the upcoming shift. She delegates tasks, adjusts break schedules, and reassigns a
float nurse to cover the highest-acuity patients. Which step of the management process is the
charge nurse primarily executing?
A. Planning
B. Organizing
C. Directing
D. Controlling
Correct Answer: B
Rationale: Correct because organizing involves allocating resources, assigning tasks, and
structuring workflow to meet the planned objectives, which matches adjusting assignments and
deploying staff.
Q2: A nurse manager notices that postoperative infection rates have increased over the last
quarter. She gathers data, compares current rates to national benchmarks, and implements a new
sterile technique checklist. After 30 days, she reviews the updated infection data to evaluate
effectiveness. This sequence most directly reflects which management function?
A. Planning, Organizing, Staffing
B. Directing, Controlling, Planning
C. Planning, Directing, Controlling
D. Organizing, Staffing, Directing
Correct Answer: C
Rationale: Correct because planning sets the goal (reduce infections), directing implements the
checklist, and controlling evaluates the outcome against the benchmark.
,Q3: Which statement best differentiates a leadership competency from a management
competency?
A. Leaders enforce policies; managers inspire shared vision.
B. Leaders adapt to change; managers maintain stability through structure. [CORRECT]
C. Leaders focus on budgets; managers focus on patient care.
D. Leaders delegate tasks; managers coach team members.
Correct Answer: B
Rationale: Correct because leadership emphasizes adaptive, forward-thinking behaviors, while
management typically emphasizes maintaining order and enforcing established policies.
Q4: Select All That Apply: A nurse manager is demonstrating management competencies rather
than leadership competencies. Which of the following actions are consistent with
management? (Select all that apply.)
A. Developing a new staffing grid based on acuities
B. Articulating a compelling vision for patient-centered care
C. Auditing charting compliance against hospital policy
D. Resolving a scheduling conflict by applying the union contract
E. Encouraging staff to question outdated isolation protocols
Correct Answer: A, C, D
Rationale: Correct because developing grids, auditing compliance, and applying contractual
rules are managerial functions (structure/control), whereas articulating vision and encouraging
innovation are leadership behaviors.
Q5: A code blue is called on the unit, and the team is in chaos. The most experienced nurse
immediately takes charge, gives direct orders to each team member, and does not pause for group
input during the resuscitation. This leadership style is best described as:
A. Democratic
B. Laissez-faire
C. Autocratic [CORRECT]
D. Transformational
Correct Answer: C
Rationale: Correct because autocratic leadership is centralized and directive, appropriate for
emergency or crisis situations where rapid, decisive action is required.
Q6: A unit council is formed to revise the fall prevention policy. The council leader facilitates
open discussion, gathers votes from all members, and implements the intervention that receives
, majority support. This approach exemplifies which leadership style?
A. Autocratic
B. Laissez-faire
C. Democratic [CORRECT]
D. Bureaucratic
Correct Answer: C
Rationale: Correct because democratic leadership involves participative decision-making and
consensus-building, which matches the voting and open discussion described.
Q7: A new graduate nurse is assigned to a preceptor who allows the graduate complete
autonomy in making care decisions, only stepping in when directly asked. The graduate feels
unsupported and confused about expectations. This preceptor is primarily using which leadership
style?
A. Democratic
B. Laissez-faire [CORRECT]
C. Autocratic
D. Situational
Correct Answer: B
Rationale: Correct because laissez-faire leadership provides minimal direction and maximal
autonomy, which can leave inexperienced team members feeling disoriented.
Q8: The unit director holds formal hiring and firing authority, assigns patient assignments, and
approves all overtime requests. This director is exercising which type of power according to
French and Raven?
A. Expert power
B. Referent power
C. Coercive power
D. Legitimate power [CORRECT]
Correct Answer: D
Rationale: Correct because legitimate power derives from formal position and organizational
authority, which includes hiring, assignment, and approval responsibilities.
Q9: Select All That Apply: A clinical nurse specialist with decades of wound care experience is
frequently consulted by staff for complex pressure injuries. Which sources of power does this
nurse likely possess? (Select all that apply.)
A. Legitimate
B. Expert [CORRECT]
