LPN to ADN Bridge Week 10: Leadership, Delegation & Supervision
2026/2027 UPDATE
1. Which leadership style is most effective in an emergency situation where
rapid decision-making is critical?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by centralized decision-making and is
most effective in crisis or emergency situations where quick actions are necessary.
2. A nurse is delegating a task to a Unlicensed Assistive Personnel (UAP). Which
of the ‘Five Rights of Delegation’ is being followed when the nurse checks if the
UAP has the skills to perform the task?
A. Right Direction
B. Right Task
C. Right Circumstance
D. Right Person
Answer: D
Rationale: The Right Person ensures that the person delegating the task is doing so to
someone who has the required competency and training.
,3. Which task is most appropriate for a Registered Nurse (RN) to delegate to a
Licensed Practical Nurse (LPN)?
A. Completing an admission assessment on a new patient
B. Administering a routine subcutaneous insulin injection
C. Developing a plan of care for a client with complex needs
D. Evaluating the effectiveness of a new pain management protocol
Answer: B
Rationale: LPNs can perform routine tasks like administering scheduled medications,
whereas assessment, planning, and evaluation are RN responsibilities.
4. A nurse manager encourages staff to participate in decision-making and
values group consensus. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in the decision-making process and
promotes autonomy and collaboration.
5. Which ethical principle is demonstrated when a nurse keeps a promise to
return to a patient’s room in 10 minutes?
A. Fidelity
B. Beneficence
C. Autonomy
D. Justice
Answer: A
Rationale: Fidelity refers to being faithful to agreements and promises made to patients
and colleagues.
, 6. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with chronic bronchitis and an O2 saturation of 91%
B. A patient with a new onset of confusion and slurred speech
C. A patient who is two days post-op and requesting oral pain medication
D. A patient with a fractured hip who needs to be repositioned
Answer: B
Rationale: New onset of confusion and slurred speech suggests an acute neurological
event (like a stroke), which is a priority over stable or chronic conditions.
7. Which leadership theory focuses on the relationship between leaders and
followers, emphasizing inspiration and shared vision?
A. Transactional
B. Bureaucratic
C. Situational
D. Transformational
Answer: D
Rationale: Transformational leaders inspire followers to work toward a common goal and
focus on personal and professional growth.
8. When delegating to a UAP, which of the following is an example of ‘Right
Direction/Communication’?
A. ‘Take all the vitals on this floor.’
B. ‘Check the blood pressure of the patient in room 302 and report back if it is above 140/90.’
C. ‘Help the patients who need it most first.’
D. ‘Do the morning baths whenever you get a chance.’
Answer: B
Rationale: Right Direction/Communication must be specific, including the task, the time
frame, and the specific parameters for reporting.
2026/2027 UPDATE
1. Which leadership style is most effective in an emergency situation where
rapid decision-making is critical?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by centralized decision-making and is
most effective in crisis or emergency situations where quick actions are necessary.
2. A nurse is delegating a task to a Unlicensed Assistive Personnel (UAP). Which
of the ‘Five Rights of Delegation’ is being followed when the nurse checks if the
UAP has the skills to perform the task?
A. Right Direction
B. Right Task
C. Right Circumstance
D. Right Person
Answer: D
Rationale: The Right Person ensures that the person delegating the task is doing so to
someone who has the required competency and training.
,3. Which task is most appropriate for a Registered Nurse (RN) to delegate to a
Licensed Practical Nurse (LPN)?
A. Completing an admission assessment on a new patient
B. Administering a routine subcutaneous insulin injection
C. Developing a plan of care for a client with complex needs
D. Evaluating the effectiveness of a new pain management protocol
Answer: B
Rationale: LPNs can perform routine tasks like administering scheduled medications,
whereas assessment, planning, and evaluation are RN responsibilities.
4. A nurse manager encourages staff to participate in decision-making and
values group consensus. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in the decision-making process and
promotes autonomy and collaboration.
5. Which ethical principle is demonstrated when a nurse keeps a promise to
return to a patient’s room in 10 minutes?
A. Fidelity
B. Beneficence
C. Autonomy
D. Justice
Answer: A
Rationale: Fidelity refers to being faithful to agreements and promises made to patients
and colleagues.
, 6. A nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with chronic bronchitis and an O2 saturation of 91%
B. A patient with a new onset of confusion and slurred speech
C. A patient who is two days post-op and requesting oral pain medication
D. A patient with a fractured hip who needs to be repositioned
Answer: B
Rationale: New onset of confusion and slurred speech suggests an acute neurological
event (like a stroke), which is a priority over stable or chronic conditions.
7. Which leadership theory focuses on the relationship between leaders and
followers, emphasizing inspiration and shared vision?
A. Transactional
B. Bureaucratic
C. Situational
D. Transformational
Answer: D
Rationale: Transformational leaders inspire followers to work toward a common goal and
focus on personal and professional growth.
8. When delegating to a UAP, which of the following is an example of ‘Right
Direction/Communication’?
A. ‘Take all the vitals on this floor.’
B. ‘Check the blood pressure of the patient in room 302 and report back if it is above 140/90.’
C. ‘Help the patients who need it most first.’
D. ‘Do the morning baths whenever you get a chance.’
Answer: B
Rationale: Right Direction/Communication must be specific, including the task, the time
frame, and the specific parameters for reporting.
