WGU D 235 Leadership Exam 1 | 50 questions and answers_ Latest 2026.

WGU D 235 Leadership Exam 1 | 50 questions and answers_ Latest 2026. LEADERSHIP 1. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict? A. “I need to talk to you about unit expectations regarding delegating and completing tasks.” B. “Several staff members have commented that you don’t do your fair share of the work.” C. “If you don’t do your share of the work, I will have to inform the nurse manager.” D. “You have been very inconsiderate of others by not completing your share of the work.” 2. When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation? A. The AP’s ability to prioritize. B. The AP has the knowledge and skill to perform the task. C. The AP’s rapport with clients. D. The AP’s ability to complete the task without assistance. 3. A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer? A. Delivering meal trays to clients in their rooms. B. Assisting a client who has difficulty seeing the food on the tray while eating. C. Delivering a routine urine specimen to the laboratory. D. Observing a post-operative client who is confused. 4. A nurse on a medical-surgical unit is assigning tasks to an AP. Which of the following tasks should the nurse delegate to the AP? (Select all that apply) A. Demonstrate the technique to instill eye drops B. Ambulate a client who has a cane. C. Irrigate a wound. D. Transfer a client to a stretcher. E. Record urinary output. 5. A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN? A. The state Nurse Practice ActB. The National Association for Practical Nurse Education and Services C. The National Council of State Board of Nursing Decision Tree D. The Omnibus Budget Reconciliation Act of 1987. 6. A nurse is serving on a continuous quality improvement committee (CQI) that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the following facility. Which of the following strategies should the committee plan to initiate first? A. Provide an in-service on medication administration to all the nurses. B. Require staff nurses to demonstrate competency by passing a medication administration examination. C. Review the events leading up to each medication administration error. D. Develop a quality improvement program for nurses involved in medication administration errors. 7. A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes? A. Establish a benchmark to identify a standard of performance. B. Compare the number of medication errors before and after the action was implemented. C. Provide the staff with a questionnaire to qualify staff satisfaction with the changes. D. Conduct a study about the time and money costs of implementing the change. 8. A nurse is discussing the normal stage of the group development process with a student nurse. Which of the following statements by the student indicates understanding of the discussion? A. “This stage involves constructive efforts on the part of the group members.” B. “This stage is when testing occurs to identify boundaries of interpersonal behaviors.” C. “Consensus evolves in this stage.” D. “Resistance is evident as subgroups form in this stage.” 9. A nurse is caring for a client who has Rheumatoid Arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional healthcare team? A. Occupational therapist B. Social worker C. Registered dietitian D. Speech pathologist 10. A nurse on a medical unit is planning care for several clients. Which of the following clients should benefit most from the nurse acting as an advocate?A. A client who has previously undergone a procedure that is to be performed for a second time. B. A client who has been educated on treatment options and chooses alternative treatments. C. A client who makes an informed decision not to participate in chemotherapy treatment. D. An older adult client who has no family and is uncertain about moving to assisted living. 11. A nurse is working with an assistive personnel (AP), to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first? A. Collect a stool sample for ova and parasites from a school-aged child. B. Engage a toddler in play. C. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin Lymphoma. D. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate. 12.A charge nurse is working with an AP who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP’s contributions to client care? A. Give positive feedback directly to the AP. B. Tell other nurses what an effective team member the AP is. C. Nominate the AP for the Employee of the Month award. D. Detail the AP’s contributions to the nurse manager. 13. Which of the following is true of management activities? A. Inspiring a vision is a management function. B. Management is focused on task accomplishment. C. Management is more focused on human relationships. D. Management is more important than leadership. 14. Leadership is best defined as: A. An interpersonal process of participating by encouraging fellowship. B. Delegation of authority and responsibility and the coordination of activities. C. Inspiring people to accomplish goals through support and confidence building. D. The integration of resources through planning, organizing and directing. 15.The personal leadership skill for nurses that consists of self-awareness, discipline, motivation, social awareness, and relationship management is known as what? A. Leadership B. Management C. Emotional intelligence D. Vision16. _____________ are vital to good leaders because they are able to take the vision of the leader and achieve the determined goals. A. Managers B. Motivators C. Visionaries D. Followers 17. A nursing unit has demonstrated lower patient satisfaction scores during the last quarter. The manager of the unit has formed a small team to set long and shortterm goals for the unit with action plans to increase patient satisfaction. This is an example of which management process? A. Planning B. Organizing C. Coordinating D. Controlling 18. The post-operative patient with anterior cervical laminectomy is complaining of tightness in his throat. His voice is raspy. The staff nurse asks the unit secretary to page Dr. Julio stat. This is an example of ______ leadership. A. Authoritarian B. Democratic C. Laissez-faire D. Servant 19. A nursing executive is leading a multi-disciplinary team of professionals who have worked well on prior initiatives. Which of the following leadership styles might work best in this situation? A. Authoritarian B. Democratic C. Transformational D. Transactional 20. The chief nursing officer (CNO) of a hospital system works with senior leadership for approval to initiate an electronic health system. He recruits a nursing informaticist and a chief medical informatics officer to begin the process of planning the education and rollout of the new electronic system. The CNO could be viewed as the: A. Resister B. Innovator C. Change agent. D. Strategist 21.The difference between the focus of managers and leaders is best described by which one of the following statements. A. The processes and strategies look similar and are employed for different goals. B. The manager focuses on people, and the leader focuses on systems and structures.C. The manager focuses on systems and structure and the leader focuses on people and innovation. D. Management and leadership are not equally important processes to accomplish outcomes. 22. A situational leader can best be described by which of the following statements? A. This leader tailors his or her leadership style based on the employee, experience, and circumstances. B. This leader requires minimal participation and directing, resulting in high productivity. C. This leader is one who motivates employees to their full potential. D. This leader advances innovative changes and sustains good care delivery processes. 23. The use of a new idea or method is the definition of: A. Change B. Innovation C. Resistance D. Stereotyping 24. The nurse manager on a medical-surgical unit wants to change to “making rounds” in the patients’ rooms for change of shift report. In the past it has been “face to face” at the nurses’ station. The nurse manager is meeting resistance from the staff, because they think that it will take longer, and the nurses will not finish their shift on time. What could the manager do to increase the nurses’ acceptance of this change? A. Inform all shifts that there have been some lapses in communication regarding patient needs and that involving the patient in the report will help alleviate this. B. Inform all nurses that to reach Magnet status, this type of change of shift report is required. C. Ask the nurses to participate in the planning and implementation of the change. D. Ask the nurses to try this type of change of shift report for 1 week and then have them evaluate it. 25. A nurse manager has ordered equipment for a new unit. The company has sent two notices that the equipment is on back order. The nurse manager is debating whether to wait for the equipment on back order or to cancel the order and go with another company. She discusses this issue with another nurse manager, and they determine that the equipment is urgent for patient safety in the new unit. The manager orders the necessary equipment from another company even though it is slightly more expensive. This is an example of: A. Clinical decision making B. Prioritization C. Triage decision D. Clinical reasoning26. The nurse in a medical-surgical unit is working short-staffed due to a sick call. Which of these is an example of prioritization? A. Charting by exception B. Omitting personal hygiene in favor of timely medication administration. C. Timely medication administration without scanning the patient armband. D. Deploying a rapid response team when a patient’s condition changes. 27. __________ is defined as the accomplishment of specified activities during the time available. A. Stress B. Mismanagement of resources C. Time management D. Self-management 28. How is SBAR used in decision making? A. Prevents cognitive errors B. Data management tool C. Financial tool D. Effective communication technique. 29. Which of these clinical decisions poses the greatest risk for committing an error? A. Verifying medication dose prior to administration B. Charting by exception C. Prioritizing patient care activities D. Independent interpretation of a medication order. 30. Nurses who are successful at time management: A. Display an ability to set measurable goals and objectives. B. Frequently volunteer for new and creative projects. C. Hesitate to delegate because of perfectionist characteristics. D. Tend to accomplish specific activities within a time frame. 31. A new nurse manager is provided with a smart phone in order to efficiently manage her time. What is the most effective method of managing stress related to email? A. Create an auditory cue that alerts the manager to incoming messages so they can be processed immediately. B. Set aside time during meetings to read and respond to messages. C. Schedule blocks of time to tackle email. D. Delete emails that require a lengthier response. 32.There is evidence of a link between _______ employees with higher productivity and more satisfied customers. A. Stressed B. Empowered C. Financially focused D. Creative 33. A new nursing manager is falling behind on the staffing schedule, the monthly budget, and employee evaluations. She says to her director, “I’m working 60hours per week and I still don’t have enough time to do it all.” The nursing director suggests which of the following to her? A. Setting priorities B. Obtaining additional preceptoring C. Scheduling blocks of time for each activity to be accomplished. D. Giving up management and returning as a regular staff nurse. 34. A nurse manager has several complaints from her staff that she is inaccessible during the day. What is the best strategy the nurse manager takes to improve her staff satisfaction? A. Notify staff when she will be out of the office. B. Block time for daily rounds with staff. C. Set realistic follow-up deadlines for staff issues, questions and concerns. D. Ask the staff to communicate with her through their supervisors. 35. A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? A. Frequency with which the procedure is performed. B. Client satisfaction with performance of the procedure. C. Incidence of complications related to procedure. D. Accurate documentation of how procedure was performed. 36.An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LVN? A. Obtain vital signs for a client who is 2 hours post-procedure following a cardiac catheterization. B. Administer a unit of packed red blood cells to a client who has cancer. C. Instruct a client who is scheduled for discharge in the performance of wound care. D. Develop a plan of care for a newly admitted client who has pneumonia. 37. A nurse participates in quality improvement to decrease hospital readmission for clients who have heart failure. Which of the following actions should the nurse expect to perform? A. Discuss staff performance appraisals with the team. B. Compare performance to current practice standard. C. Reinforce evidence-based practice guidelines to staff. D. Interview all nurses caring for clients who are re-admitted. 38. A nurse assigns care for a client who has diabetes mellitus to the LVN and AP. Which of the following tasks should be delegated to the LVN? A. Measure urinary output. B. Apply antiembolic stockings. C. Assist with bedside commode. D. Obtain capillary blood glucose.39. A charge nurse is providing an in-service for staff nurses on the use of new IV pumps. Which of the following actions should the charge nurse take to best evaluate staff competency with the new equipment? A. Ask each nurse to read the procedure and sign a form acknowledging competency. B. Allow time during the workday when each nurse can demonstrate proficiency. C. Require each nurse to take a written examination about the new equipment. D. Verbally question the staff about the new equipment. 40. A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? A. A negative-pressure isolation room. B. A semi-private room with a client who has pediculosis capitis. C. A positive-pressure isolation room. D. A private room. 41. A charge nurse has access to the facility’s electronic client records. It is appropriate for the charge nurse to share her personal password with whom? A. The nurse manager B. No one C. A nursing student who is completing a preceptorship on the unit. D. The unit clerk. 42. A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action? A. Quietly tell the AP’s that this is not appropriate. B. Ask the nurse manager to provide an in-service program about confidentiality to the staff on the unit. C. Complete an incident report. D. Document the occurrence in a personal log. 43. A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is appropriate? A. “Let’s talk about your concerns about the new policy.” B. “Why didn’t you voice your concerns before the new policy was implemented?” C. “Being open to change is an expectation of the nurses who work on this unit.” D. “You should support this policy change because it was based on evidence-based practice.” 44. A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does notintervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? A. Avoidance B. Smoothing C. Cooperating D. Negotiating 45. A nurse is reinforcing teaching with a newly licensed nurse about barriers with interprofessional collaboration among members of the health care team. Which of the following information should the nurse include? A. Lack of communication among team members. B. Resolved conflict among team members. 46. A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make? A. “I can arrange for a female assistive personnel to do your personal hygiene care.” B. “The nurse assigned to care for you is very capable and cares for other women in this situation.” C. “Your doctor is a man, so it seems like this should not be a problem.” D. “I can review the assignments and arrange for a female nurse to care for you.” 47. A nurse manager is providing an in-service program about delegation to AP with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching? A. “The nurse relinquishes accountability for client outcomes when care is delegated to an AP.” B. “The AP can provide client education about how to perform basic self-care to the client.” C. “The nurse should consider the AP’s level of experience when making delegation decisions.” D. “The AP can re-delegate a task to another AP who has similar work experience.” 48. A nurse manager is preparing an in-service program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict? A. Nurses on the unit disagree about what time of day client weights should be obtained. B. A nurse is uncertain about joining a professional nursing organization. C. A nurse who just lost his spouse does not want to be assigned to care for a terminally ill client. D. An experienced nurse is uncivil to a newly licensed nurse.49. A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict? A. Implement a resolution. B. Brainstorm solutions. C. Identify the problem. D. Evaluate the results. 50. A nurse manager is talking with a staff nurse who was unable to sleep the night after experiencing unsuccessful client resuscitation. Which of the following responses should the nurse manager make? A. “Tell me what your concerns are.” B. “You should schedule an appointment with a psychiatrist.”