BSN 485 Exam 1 V2 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 1) | Nightingale College
1. A nurse manager is utilizing transformational leadership. Which action best demonstrates
this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Offering a monetary bonus for staff who work overtime.
C. Allowing staff to work with minimal supervision or guidance.
D. Inspiring staff to follow a shared vision for the unit’s future.
Correct Answer: D
Rationale: Transformational leadership is characterized by the ability to inspire and
motivate followers to achieve extraordinary outcomes. This style focuses on building
relationships and creating a vision that aligns staff goals with the organization’s goals. It
differs from transactional leadership, which focuses primarily on exchanges and rewards
for performance.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN?
A. Completing the initial admission assessment on a new patient.
B. Developing a plan of care for a patient with complex needs.
,C. Administering oral medications to a stable patient.
D. Providing discharge teaching to a patient going home.
Correct Answer: C
Rationale: LPNs are trained to provide care for stable patients and can perform tasks such
as medication administration. Initial assessments and the development of the nursing care
plan are the responsibility of the RN. Teaching, especially discharge teaching, requires the
clinical judgment and evaluation skills of an RN.
3. Which ethical principle is violated if a nurse fails to provide a patient with the information
needed to make an informed decision?
A. Non-maleficence
B. Beneficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy refers to the patient’s right to make their own decisions regarding
their healthcare. To exercise autonomy, patients must be fully informed about their
options, risks, and benefits. Providing insufficient information interferes with the patient’s
ability to provide true informed consent.
, 4. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient scheduled for surgery in two hours.
B. A patient reporting a pain level of 6 out of 10.
C. A patient with a history of hypertension needing a BP check.
D. A patient with a respiratory rate of 28 and oxygen saturation of 88%.
Correct Answer: D
Rationale: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The patient with a high respiratory rate and low oxygen saturation is
experiencing a respiratory compromise, which is an immediate threat to life. Other
patients, while requiring care, do not present with acute physiological instability requiring
immediate intervention.
5. A nurse manager is using the PDSA cycle to improve patient safety. What does ‘PDSA’
stand for?
A. Perform-Design-Solve-Analyze
B. Prioritize-Deliver-Standardize-Assess
C. Plan-Do-Study-Act
D. Prepare-Direct-Select-Audit
Correct Answer: C
Leadership | Q&A with Rationale (BSN485
Exam 1) | Nightingale College
1. A nurse manager is utilizing transformational leadership. Which action best demonstrates
this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Offering a monetary bonus for staff who work overtime.
C. Allowing staff to work with minimal supervision or guidance.
D. Inspiring staff to follow a shared vision for the unit’s future.
Correct Answer: D
Rationale: Transformational leadership is characterized by the ability to inspire and
motivate followers to achieve extraordinary outcomes. This style focuses on building
relationships and creating a vision that aligns staff goals with the organization’s goals. It
differs from transactional leadership, which focuses primarily on exchanges and rewards
for performance.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate for the LPN?
A. Completing the initial admission assessment on a new patient.
B. Developing a plan of care for a patient with complex needs.
,C. Administering oral medications to a stable patient.
D. Providing discharge teaching to a patient going home.
Correct Answer: C
Rationale: LPNs are trained to provide care for stable patients and can perform tasks such
as medication administration. Initial assessments and the development of the nursing care
plan are the responsibility of the RN. Teaching, especially discharge teaching, requires the
clinical judgment and evaluation skills of an RN.
3. Which ethical principle is violated if a nurse fails to provide a patient with the information
needed to make an informed decision?
A. Non-maleficence
B. Beneficence
C. Autonomy
D. Justice
Correct Answer: C
Rationale: Autonomy refers to the patient’s right to make their own decisions regarding
their healthcare. To exercise autonomy, patients must be fully informed about their
options, risks, and benefits. Providing insufficient information interferes with the patient’s
ability to provide true informed consent.
, 4. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient scheduled for surgery in two hours.
B. A patient reporting a pain level of 6 out of 10.
C. A patient with a history of hypertension needing a BP check.
D. A patient with a respiratory rate of 28 and oxygen saturation of 88%.
Correct Answer: D
Rationale: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The patient with a high respiratory rate and low oxygen saturation is
experiencing a respiratory compromise, which is an immediate threat to life. Other
patients, while requiring care, do not present with acute physiological instability requiring
immediate intervention.
5. A nurse manager is using the PDSA cycle to improve patient safety. What does ‘PDSA’
stand for?
A. Perform-Design-Solve-Analyze
B. Prioritize-Deliver-Standardize-Assess
C. Plan-Do-Study-Act
D. Prepare-Direct-Select-Audit
Correct Answer: C
