BSN 485 Final Exam V2 | BSN 485
Capstone Leadership | Q&A with Rationale
(BSN485 Final Exam) | Nightingale College
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which leadership style is most effective for inspiring the staff to embrace this long-term
change and share the vision?
A. Transactional leadership
B. Transformational leadership
C. Autocratic leadership
D. Laissez-faire leadership
Correct Answer: B
Rationale: Transformational leadership focuses on building relationships and motivating
staff through a shared vision and inspiration. It is highly effective in healthcare settings for
implementing change because it empowers followers to participate in the process. This
style differs from transactional leadership, which relies on rewards and punishments to
achieve compliance.
2. Which of the following tasks is most appropriate for a registered nurse (RN) to delegate to
an unlicensed assistive personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
,B. Providing discharge instructions to a stable patient
C. Assisting a stable patient with ambulation for the first time post-surgery
D. Performing routine vital signs on a patient who is four hours post-operative
D. Performing routine vital signs on a patient who is four hours post-operative
Correct Answer: D
Rationale: Delegation to UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Performing vital signs on a stable post-operative patient is
within the UAP’s scope if the patient is no longer in the immediate recovery phase. Tasks
involving assessment, teaching, and clinical evaluation must remain with the licensed
nurse.
3. A nurse is experiencing conflict with a colleague regarding the division of labor. The nurse
decides to use collaboration to resolve the issue. Which action best illustrates this approach?
A. Agreeing to the colleague’s demands to maintain peace
B. Ignoring the issue until the shift is over
C. Reporting the colleague to the nurse manager immediately
D. Proposing a meeting to identify common goals and a mutually beneficial solution
Correct Answer: D
Rationale: Collaboration is a ‘win-win’ strategy where both parties work together to find a
solution that satisfies all concerns. It requires open communication and a focus on shared
, goals rather than individual power. This approach is considered the most effective conflict
resolution strategy for long-term team harmony.
4. The hospital administration is planning to purchase a new robotic surgical system. Which
type of budget covers this large, one-time expenditure for equipment?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: C
Rationale: A capital budget is used for high-cost items that have a long useful life, such as
major medical equipment or building renovations. The operating budget, by contrast,
covers day-to-day expenses like supplies and minor repairs. Personnel budgets specifically
address salary and benefit costs for the workforce.
5. According to Lewin’s Change Theory, which stage involves creating awareness of the need
for change and preparing the staff to move away from current practices?
A. Moving
B. Unfreezing
C. Refreezing
D. Restraining
Capstone Leadership | Q&A with Rationale
(BSN485 Final Exam) | Nightingale College
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which leadership style is most effective for inspiring the staff to embrace this long-term
change and share the vision?
A. Transactional leadership
B. Transformational leadership
C. Autocratic leadership
D. Laissez-faire leadership
Correct Answer: B
Rationale: Transformational leadership focuses on building relationships and motivating
staff through a shared vision and inspiration. It is highly effective in healthcare settings for
implementing change because it empowers followers to participate in the process. This
style differs from transactional leadership, which relies on rewards and punishments to
achieve compliance.
2. Which of the following tasks is most appropriate for a registered nurse (RN) to delegate to
an unlicensed assistive personnel (UAP)?
A. Assessing a patient’s pain level after medication administration
,B. Providing discharge instructions to a stable patient
C. Assisting a stable patient with ambulation for the first time post-surgery
D. Performing routine vital signs on a patient who is four hours post-operative
D. Performing routine vital signs on a patient who is four hours post-operative
Correct Answer: D
Rationale: Delegation to UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Performing vital signs on a stable post-operative patient is
within the UAP’s scope if the patient is no longer in the immediate recovery phase. Tasks
involving assessment, teaching, and clinical evaluation must remain with the licensed
nurse.
3. A nurse is experiencing conflict with a colleague regarding the division of labor. The nurse
decides to use collaboration to resolve the issue. Which action best illustrates this approach?
A. Agreeing to the colleague’s demands to maintain peace
B. Ignoring the issue until the shift is over
C. Reporting the colleague to the nurse manager immediately
D. Proposing a meeting to identify common goals and a mutually beneficial solution
Correct Answer: D
Rationale: Collaboration is a ‘win-win’ strategy where both parties work together to find a
solution that satisfies all concerns. It requires open communication and a focus on shared
, goals rather than individual power. This approach is considered the most effective conflict
resolution strategy for long-term team harmony.
4. The hospital administration is planning to purchase a new robotic surgical system. Which
type of budget covers this large, one-time expenditure for equipment?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: C
Rationale: A capital budget is used for high-cost items that have a long useful life, such as
major medical equipment or building renovations. The operating budget, by contrast,
covers day-to-day expenses like supplies and minor repairs. Personnel budgets specifically
address salary and benefit costs for the workforce.
5. According to Lewin’s Change Theory, which stage involves creating awareness of the need
for change and preparing the staff to move away from current practices?
A. Moving
B. Unfreezing
C. Refreezing
D. Restraining
