1
NUR 4590 / NUR4590 Exam 1:
Professional Identity of the Nurse
Leader (Latest 2025/2026 Update) –
Rasmussen
Question 1
Which leadership theory emphasizes inspiring followers to achieve
extraordinary outcomes by appealing to higher ideals and values?
• A. Transactional leadership
• B. Transformational leadership
• C. Situational leadership
• D. Servant leadership
B Rationale: Transformational leadership focuses on motivating and
inspiring followers through vision and charisma, fostering innovation
and commitment beyond basic exchanges, unlike transactional
(rewards/punishments), situational (adapting to context), or servant
(prioritizing others' needs) approaches.
Question 2
In ethical decision-making, which principle requires treating all
individuals with equal respect and dignity, regardless of background?
• A. Beneficence
• B. Justice
• C. Nonmaleficence
• D. Autonomy
B Rationale: Justice ensures fair distribution of benefits and burdens,
promoting equity in healthcare decisions, whereas beneficence (doing
, 2
good), nonmaleficence (avoiding harm), and autonomy (self-
determination) address other ethical facets.
Question 3
What is the primary purpose of using the SBAR communication tool in
nursing leadership?
• A. To delegate tasks to unlicensed personnel
• B. To standardize handoff reports between shifts
• C. To resolve interpersonal conflicts
• D. To assess emotional intelligence
B Rationale: SBAR (Situation, Background, Assessment,
Recommendation) structures concise, effective communication during
transitions, reducing errors, unlike delegation (task assignment), conflict
resolution (negotiation), or EI assessment (self-awareness).
Question 4
According to the Five Rights of Delegation, which right ensures the
delegatee has the necessary knowledge and skills for the task?
• A. Right task
• B. Right circumstance
• C. Right person
• D. Right supervision
C Rationale: The Right Person verifies the delegatee's competence and
scope, preventing harm, while right task (appropriateness), circumstance
(context), and supervision (oversight) address other delegation
safeguards.
Question 5
, 3
Which component of emotional intelligence involves recognizing one's
own emotions and their impact on others?
• A. Social skill
• B. Self-regulation
• C. Self-awareness
• D. Motivation
C Rationale: Self-awareness, the foundation of EI per Goleman, enables
leaders to understand personal triggers and biases, differing from self-
regulation (managing impulses), motivation (drive), and social skill
(relationship management).
Question 6
In conflict management, the collaborating style is most appropriate
when:
• A. Time is limited and quick resolution is needed
• B. Maintaining harmony is prioritized over outcomes
• C. Both parties seek a win-win solution with high stakes
• D. One party has clear authority to decide
C Rationale: Collaborating integrates diverse ideas for mutual gains in
complex issues, unlike compromising (partial wins), accommodating
(yielding), or competing (asserting power), which suit different
scenarios.
Question 7
What type of organizational culture emphasizes flexibility, discretion,
and external focus to adapt to market changes?
• A. Clan culture
• B. Adhocracy culture
• C. Hierarchy culture
NUR 4590 / NUR4590 Exam 1:
Professional Identity of the Nurse
Leader (Latest 2025/2026 Update) –
Rasmussen
Question 1
Which leadership theory emphasizes inspiring followers to achieve
extraordinary outcomes by appealing to higher ideals and values?
• A. Transactional leadership
• B. Transformational leadership
• C. Situational leadership
• D. Servant leadership
B Rationale: Transformational leadership focuses on motivating and
inspiring followers through vision and charisma, fostering innovation
and commitment beyond basic exchanges, unlike transactional
(rewards/punishments), situational (adapting to context), or servant
(prioritizing others' needs) approaches.
Question 2
In ethical decision-making, which principle requires treating all
individuals with equal respect and dignity, regardless of background?
• A. Beneficence
• B. Justice
• C. Nonmaleficence
• D. Autonomy
B Rationale: Justice ensures fair distribution of benefits and burdens,
promoting equity in healthcare decisions, whereas beneficence (doing
, 2
good), nonmaleficence (avoiding harm), and autonomy (self-
determination) address other ethical facets.
Question 3
What is the primary purpose of using the SBAR communication tool in
nursing leadership?
• A. To delegate tasks to unlicensed personnel
• B. To standardize handoff reports between shifts
• C. To resolve interpersonal conflicts
• D. To assess emotional intelligence
B Rationale: SBAR (Situation, Background, Assessment,
Recommendation) structures concise, effective communication during
transitions, reducing errors, unlike delegation (task assignment), conflict
resolution (negotiation), or EI assessment (self-awareness).
Question 4
According to the Five Rights of Delegation, which right ensures the
delegatee has the necessary knowledge and skills for the task?
• A. Right task
• B. Right circumstance
• C. Right person
• D. Right supervision
C Rationale: The Right Person verifies the delegatee's competence and
scope, preventing harm, while right task (appropriateness), circumstance
(context), and supervision (oversight) address other delegation
safeguards.
Question 5
, 3
Which component of emotional intelligence involves recognizing one's
own emotions and their impact on others?
• A. Social skill
• B. Self-regulation
• C. Self-awareness
• D. Motivation
C Rationale: Self-awareness, the foundation of EI per Goleman, enables
leaders to understand personal triggers and biases, differing from self-
regulation (managing impulses), motivation (drive), and social skill
(relationship management).
Question 6
In conflict management, the collaborating style is most appropriate
when:
• A. Time is limited and quick resolution is needed
• B. Maintaining harmony is prioritized over outcomes
• C. Both parties seek a win-win solution with high stakes
• D. One party has clear authority to decide
C Rationale: Collaborating integrates diverse ideas for mutual gains in
complex issues, unlike compromising (partial wins), accommodating
(yielding), or competing (asserting power), which suit different
scenarios.
Question 7
What type of organizational culture emphasizes flexibility, discretion,
and external focus to adapt to market changes?
• A. Clan culture
• B. Adhocracy culture
• C. Hierarchy culture
