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 chief nursing officer establishes a new policy that all unit managers must submit weekly
staffing variance reports. This requirement is primarily an example of which management
function?
A. Planning
B. Organizing
C. Controlling [CORRECT]
D. Directing
Correct Answer: C
Rationale: Correct because controlling involves monitoring performance through regular
reporting and comparing actual staffing to established standards.
Q2: Which of the following best describes the primary focus of a nurse manager compared to a
nurse leader?
A. Inspiring innovation and long-term vision
B. Maintaining day-to-day operational stability [CORRECT]
C. Empowering staff to challenge outdated practices
D. Developing strategic organizational goals
Correct Answer: B
Rationale: Correct because management emphasizes maintaining order, structure, and
operational stability, while leadership focuses on vision and change.
Q3: Select All That Apply: A nurse leader is implementing a new pain assessment tool. Which
actions represent the "unfreezing" stage of Lewin's Change Theory? (Select all that apply.)
A. Distributing the new tool to all units
,B. Presenting evidence that the current tool is outdated [CORRECT]
C. Holding staff meetings to discuss the need for change [CORRECT]
D. Updating the electronic health record with the new tool
E. Celebrating staff adoption after 3 months
Correct Answer: B, C
Rationale: Correct because unfreezing involves creating awareness of the problem and building
readiness through evidence sharing and open discussion before implementation.
Q4: The night shift charge nurse assigns patient rooms based on acuity and staff experience. This
action falls under which management function?
A. Organizing [CORRECT]
B. Planning
C. Directing
D. Controlling
Correct Answer: A
Rationale: Correct because organizing involves allocating resources, assigning tasks, and
structuring work to meet objectives, which matches acuity-based room assignments.
Q5: A staff nurse is frequently sought out by colleagues for advice on wound care protocols.
This nurse holds influence primarily through which source of power?
A. Legitimate
B. Reward
C. Coercive
D. Expert [CORRECT]
Correct Answer: D
Rationale: Correct because expert power is derived from specialized knowledge and clinical
competence, making colleagues seek out that nurse's advice.
Q6: The nurse manager conducts a root-cause analysis after a medication error and identifies that
similar packaging contributed to the mistake. The manager then requests a pharmacy change to
different packaging. This approach reflects:
A. Coercive power
B. Just culture and systems thinking [CORRECT]
C. Laissez-faire leadership
D. Reward power
Correct Answer: B
, Rationale: Correct because just culture focuses on system improvements rather than individual
blame, which aligns with changing packaging to prevent future errors.
Q7: Select All That Apply: Which of the following are characteristics of democratic leadership in
nursing? (Select all that apply.)
A. Centralized decision-making by one individual
B. Active participation of team members in goal-setting [CORRECT]
C. Encouragement of open dialogue and feedback [CORRECT]
D. Rapid decision-making without consultation
E. Delegation of authority to the group
Correct Answer: B, C, E
Rationale: Correct because democratic leadership emphasizes participation, dialogue, and
shared decision-making, while centralized/rapid decisions without consultation are autocratic.
Q8: A manager informs staff that anyone who fails to complete mandatory training by the
deadline will be placed on a performance improvement plan. This manager is exercising which
type of power?
A. Reward
B. Legitimate
C. Coercive [CORRECT]
D. Referent
Correct Answer: C
Rationale: Correct because coercive power relies on the threat of negative consequences
(performance improvement plan) to enforce compliance.
Q9: The nurse executive creates a 5-year plan to expand the hospital's outpatient services and
hires additional advanced practice nurses. This activity represents which management function?
A. Planning [CORRECT]
B. Organizing
C. Directing
D. Controlling
Correct Answer: A
Rationale: Correct because planning involves setting long-term goals and determining resource
needs to achieve strategic expansion.
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: The chief nursing officer establishes a new policy that all unit managers must submit weekly
staffing variance reports. This requirement is primarily an example of which management
function?
A. Planning
B. Organizing
C. Controlling [CORRECT]
D. Directing
Correct Answer: C
Rationale: Correct because controlling involves monitoring performance through regular
reporting and comparing actual staffing to established standards.
Q2: Which of the following best describes the primary focus of a nurse manager compared to a
nurse leader?
A. Inspiring innovation and long-term vision
B. Maintaining day-to-day operational stability [CORRECT]
C. Empowering staff to challenge outdated practices
D. Developing strategic organizational goals
Correct Answer: B
Rationale: Correct because management emphasizes maintaining order, structure, and
operational stability, while leadership focuses on vision and change.
Q3: Select All That Apply: A nurse leader is implementing a new pain assessment tool. Which
actions represent the "unfreezing" stage of Lewin's Change Theory? (Select all that apply.)
A. Distributing the new tool to all units
,B. Presenting evidence that the current tool is outdated [CORRECT]
C. Holding staff meetings to discuss the need for change [CORRECT]
D. Updating the electronic health record with the new tool
E. Celebrating staff adoption after 3 months
Correct Answer: B, C
Rationale: Correct because unfreezing involves creating awareness of the problem and building
readiness through evidence sharing and open discussion before implementation.
Q4: The night shift charge nurse assigns patient rooms based on acuity and staff experience. This
action falls under which management function?
A. Organizing [CORRECT]
B. Planning
C. Directing
D. Controlling
Correct Answer: A
Rationale: Correct because organizing involves allocating resources, assigning tasks, and
structuring work to meet objectives, which matches acuity-based room assignments.
Q5: A staff nurse is frequently sought out by colleagues for advice on wound care protocols.
This nurse holds influence primarily through which source of power?
A. Legitimate
B. Reward
C. Coercive
D. Expert [CORRECT]
Correct Answer: D
Rationale: Correct because expert power is derived from specialized knowledge and clinical
competence, making colleagues seek out that nurse's advice.
Q6: The nurse manager conducts a root-cause analysis after a medication error and identifies that
similar packaging contributed to the mistake. The manager then requests a pharmacy change to
different packaging. This approach reflects:
A. Coercive power
B. Just culture and systems thinking [CORRECT]
C. Laissez-faire leadership
D. Reward power
Correct Answer: B
, Rationale: Correct because just culture focuses on system improvements rather than individual
blame, which aligns with changing packaging to prevent future errors.
Q7: Select All That Apply: Which of the following are characteristics of democratic leadership in
nursing? (Select all that apply.)
A. Centralized decision-making by one individual
B. Active participation of team members in goal-setting [CORRECT]
C. Encouragement of open dialogue and feedback [CORRECT]
D. Rapid decision-making without consultation
E. Delegation of authority to the group
Correct Answer: B, C, E
Rationale: Correct because democratic leadership emphasizes participation, dialogue, and
shared decision-making, while centralized/rapid decisions without consultation are autocratic.
Q8: A manager informs staff that anyone who fails to complete mandatory training by the
deadline will be placed on a performance improvement plan. This manager is exercising which
type of power?
A. Reward
B. Legitimate
C. Coercive [CORRECT]
D. Referent
Correct Answer: C
Rationale: Correct because coercive power relies on the threat of negative consequences
(performance improvement plan) to enforce compliance.
Q9: The nurse executive creates a 5-year plan to expand the hospital's outpatient services and
hires additional advanced practice nurses. This activity represents which management function?
A. Planning [CORRECT]
B. Organizing
C. Directing
D. Controlling
Correct Answer: A
Rationale: Correct because planning involves setting long-term goals and determining resource
needs to achieve strategic expansion.
