WGU Leadership and Management in Nursing
Assessment ACTUAL | EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
,WGU Leadership and Management in Nursing Practice Exam
1. A nurse manager is implementing a new evidence-based practice (EBP) protocol for central line dressing changes.
Which action should the manager take first?
A. Purchase the new dressing kits.
B. Educate the staff on the new protocol.
C. Form a committee to review the current literature.
D. Post the new protocol on the unit's bulletin board.
Answer: C
Rationale: The first step in the EBP process is to formulate a clinical question and search for the best available evidence.
Forming a committee to review literature ensures the practice change is based on solid evidence before resources are
committed and education is planned.
2. A staff nurse consistently arrives late for shifts, affecting the handoff report. As a transformational leader, what is the
nurse manager's best initial approach?
A. Issue a written warning for tardiness.
B. Discuss the issue privately with the nurse to understand the underlying cause.
C. Reassign the nurse to a less critical shift.
D. Ignore the behavior as it is not a patient safety issue.
,Answer: B
Rationale: Transformational leaders focus on individualized consideration. The best initial approach is to have a private,
non-confrontational conversation to understand the root cause of the behavior before taking disciplinary action.
3. Which of the following is the most important factor in ensuring a safe handoff of care between nurses?
A. Using a standardized communication tool like SBAR.
B. Completing the handoff in a quiet, private area.
C. Ensuring the handoff is completed within 10 minutes.
D. Including the patient in the handoff process.
Answer: A
Rationale: While all options are good practices, using a standardized communication tool like SBAR (Situation,
Background, Assessment, Recommendation) is critical for ensuring that all vital information is communicated accurately
and consistently, reducing the risk of error.
4. A nurse is delegating tasks to a Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to
delegate?
A. Administering oral pain medication.
B. Assessing a patient's surgical incision.
C. Ambulating a stable post-operative patient.
D. Teaching a new diabetic patient how to check their blood sugar.
, Answer: C
Rationale: Delegation to a UAP must involve tasks that are routine, stable, and do not require the nursing process
(assessment, evaluation, or teaching). Ambulating a stable patient is an appropriate task to delegate. Medication
administration, assessment, and teaching are all RN-level responsibilities.
5. A nurse manager is creating a budget for the upcoming fiscal year. Which of the following is an example of a variable
cost?
A. The lease for the unit's new IV pumps.
B. The salary for the unit's full-time nurse manager.
C. The cost of supplemental "travel" nurses.
D. The monthly cost of the electronic health record system.
Answer: C
Rationale: Variable costs fluctuate based on patient volume and unit activity. The use of supplemental or agency nurses is
a variable cost because it changes depending on the census and acuity of patients. Fixed costs (like leases and salaried
positions) remain relatively constant.
6. A nurse witnesses a colleague diverting narcotics. What is the nurse's priority action?
A. Confront the colleague directly.
B. Report the suspicion to the nurse manager or supervisor immediately.
Assessment ACTUAL | EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
,WGU Leadership and Management in Nursing Practice Exam
1. A nurse manager is implementing a new evidence-based practice (EBP) protocol for central line dressing changes.
Which action should the manager take first?
A. Purchase the new dressing kits.
B. Educate the staff on the new protocol.
C. Form a committee to review the current literature.
D. Post the new protocol on the unit's bulletin board.
Answer: C
Rationale: The first step in the EBP process is to formulate a clinical question and search for the best available evidence.
Forming a committee to review literature ensures the practice change is based on solid evidence before resources are
committed and education is planned.
2. A staff nurse consistently arrives late for shifts, affecting the handoff report. As a transformational leader, what is the
nurse manager's best initial approach?
A. Issue a written warning for tardiness.
B. Discuss the issue privately with the nurse to understand the underlying cause.
C. Reassign the nurse to a less critical shift.
D. Ignore the behavior as it is not a patient safety issue.
,Answer: B
Rationale: Transformational leaders focus on individualized consideration. The best initial approach is to have a private,
non-confrontational conversation to understand the root cause of the behavior before taking disciplinary action.
3. Which of the following is the most important factor in ensuring a safe handoff of care between nurses?
A. Using a standardized communication tool like SBAR.
B. Completing the handoff in a quiet, private area.
C. Ensuring the handoff is completed within 10 minutes.
D. Including the patient in the handoff process.
Answer: A
Rationale: While all options are good practices, using a standardized communication tool like SBAR (Situation,
Background, Assessment, Recommendation) is critical for ensuring that all vital information is communicated accurately
and consistently, reducing the risk of error.
4. A nurse is delegating tasks to a Unlicensed Assistive Personnel (UAP). Which task is appropriate for the nurse to
delegate?
A. Administering oral pain medication.
B. Assessing a patient's surgical incision.
C. Ambulating a stable post-operative patient.
D. Teaching a new diabetic patient how to check their blood sugar.
, Answer: C
Rationale: Delegation to a UAP must involve tasks that are routine, stable, and do not require the nursing process
(assessment, evaluation, or teaching). Ambulating a stable patient is an appropriate task to delegate. Medication
administration, assessment, and teaching are all RN-level responsibilities.
5. A nurse manager is creating a budget for the upcoming fiscal year. Which of the following is an example of a variable
cost?
A. The lease for the unit's new IV pumps.
B. The salary for the unit's full-time nurse manager.
C. The cost of supplemental "travel" nurses.
D. The monthly cost of the electronic health record system.
Answer: C
Rationale: Variable costs fluctuate based on patient volume and unit activity. The use of supplemental or agency nurses is
a variable cost because it changes depending on the census and acuity of patients. Fixed costs (like leases and salaried
positions) remain relatively constant.
6. A nurse witnesses a colleague diverting narcotics. What is the nurse's priority action?
A. Confront the colleague directly.
B. Report the suspicion to the nurse manager or supervisor immediately.
