BSN 485 Exam 2 V3 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 2) | Nightingale College
1. A nurse manager is implementing a new EHR system and notices several staff members are
resistant to the change. According to Lewin’s Change Theory, which action should the
manager take during the ‘unfreezing’ stage?
A. Provide technical training sessions for all staff members.
B. Establish a timeline for full implementation of the electronic records.
C. Reinforce the new behavior through rewards and recognition.
D. Create a sense of urgency by explaining the benefits of the new system.
Correct Answer: D
Rationale: The unfreezing stage focuses on preparing the organization for change by
identifying the need and reducing resistance. By explaining the benefits and creating a
sense of urgency, the manager helps staff understand why the status quo is no longer
viable. This stage is essential for moving participants out of their comfort zones before new
processes are introduced.
,2. A nurse manager is reviewing the unit budget and notices that the cost of medical supplies
has exceeded the projected amount for the quarter. Which type of budget variance is this
considered?
A. Favorable variance
B. Unfavorable variance
C. Capital expenditure
D. Operating revenue deficit
Correct Answer: B
Rationale: An unfavorable variance occurs when the actual costs exceed the budgeted or
projected costs. In this scenario, spending more than planned for medical supplies directly
impacts the unit’s financial performance. Managers must analyze these variances to
identify waste or necessary adjustments in procurement strategies.
3. Which leadership style is characterized by a leader who inspires followers through a shared
vision and encourages personal growth among staff?
A. Transactional Leadership
B. Transformational Leadership
C. Autocratic Leadership
D. Laissez-faire Leadership
Correct Answer: B
, Rationale: Transformational leaders focus on building relationships and motivating staff
to achieve a higher potential. They use inspiration and vision rather than simple reward-
and-punishment systems to drive organizational change. This style is highly effective in
nursing for improving patient outcomes and staff retention.
4. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate to delegate to the UAP?
A. Updating the care plan for a patient with new-onset confusion.
B. Administering oral medications to a stable patient.
C. Assisting a post-operative patient with ambulation for the first time.
D. Measuring and recording intake and output for a group of patients.
Correct Answer: D
Rationale: Measuring and recording intake and output is a routine, non-invasive task that
does not require clinical judgment, making it suitable for UAPs. Oral medication
administration usually falls under the LPN or RN scope of practice depending on state laws.
First-time ambulation after surgery requires professional assessment by an RN to ensure
safety.
5. A hospital committee is performing a Root Cause Analysis (RCA) following a sentinel event
involving a medication error. What is the primary goal of an RCA?
A. To identify systemic flaws and prevent future occurrences of the same error.
B. To assign blame to the individuals directly involved in the error.
Leadership | Q&A with Rationale (BSN485
Exam 2) | Nightingale College
1. A nurse manager is implementing a new EHR system and notices several staff members are
resistant to the change. According to Lewin’s Change Theory, which action should the
manager take during the ‘unfreezing’ stage?
A. Provide technical training sessions for all staff members.
B. Establish a timeline for full implementation of the electronic records.
C. Reinforce the new behavior through rewards and recognition.
D. Create a sense of urgency by explaining the benefits of the new system.
Correct Answer: D
Rationale: The unfreezing stage focuses on preparing the organization for change by
identifying the need and reducing resistance. By explaining the benefits and creating a
sense of urgency, the manager helps staff understand why the status quo is no longer
viable. This stage is essential for moving participants out of their comfort zones before new
processes are introduced.
,2. A nurse manager is reviewing the unit budget and notices that the cost of medical supplies
has exceeded the projected amount for the quarter. Which type of budget variance is this
considered?
A. Favorable variance
B. Unfavorable variance
C. Capital expenditure
D. Operating revenue deficit
Correct Answer: B
Rationale: An unfavorable variance occurs when the actual costs exceed the budgeted or
projected costs. In this scenario, spending more than planned for medical supplies directly
impacts the unit’s financial performance. Managers must analyze these variances to
identify waste or necessary adjustments in procurement strategies.
3. Which leadership style is characterized by a leader who inspires followers through a shared
vision and encourages personal growth among staff?
A. Transactional Leadership
B. Transformational Leadership
C. Autocratic Leadership
D. Laissez-faire Leadership
Correct Answer: B
, Rationale: Transformational leaders focus on building relationships and motivating staff
to achieve a higher potential. They use inspiration and vision rather than simple reward-
and-punishment systems to drive organizational change. This style is highly effective in
nursing for improving patient outcomes and staff retention.
4. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate to delegate to the UAP?
A. Updating the care plan for a patient with new-onset confusion.
B. Administering oral medications to a stable patient.
C. Assisting a post-operative patient with ambulation for the first time.
D. Measuring and recording intake and output for a group of patients.
Correct Answer: D
Rationale: Measuring and recording intake and output is a routine, non-invasive task that
does not require clinical judgment, making it suitable for UAPs. Oral medication
administration usually falls under the LPN or RN scope of practice depending on state laws.
First-time ambulation after surgery requires professional assessment by an RN to ensure
safety.
5. A hospital committee is performing a Root Cause Analysis (RCA) following a sentinel event
involving a medication error. What is the primary goal of an RCA?
A. To identify systemic flaws and prevent future occurrences of the same error.
B. To assign blame to the individuals directly involved in the error.
