BSN 485 Exam 4 V2 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 4) | Nightingale College
1. A nurse manager is evaluating the unit’s performance based on the Plan-Do-Study-Act
(PDSA) cycle. Which action should the manager take during the ‘Study’ phase?
A. Implement the small-scale change on the unit.
B. Analyze the data collected to see if the change made an improvement.
C. Define the objectives and predict the outcomes of the change.
D. Standardize the change into the daily workflow of the department.
Correct Answer: B
Rationale: The ‘Study’ phase involves analyzing the results of the test and comparing the
data against the predictions made earlier. It is a critical step to determine whether the
change resulted in the desired improvement. This analysis informs whether the team
should adopt, adapt, or abandon the change.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Updating a patient’s care plan after a procedure.
B. Assessing the breath sounds of a patient with pneumonia.
C. Assisting a stable patient with ambulation in the hallway.
,D. Teaching a patient how to use an incentive spirometer.
Correct Answer: C
Rationale: Assisting a stable patient with ambulation is a routine task that falls within the
scope of practice for a UAP. Tasks involving assessment, planning, or teaching require the
clinical judgment of a licensed nurse. The RN remains accountable for ensuring the task is
completed safely and correctly.
3. Which leadership style is characterized by a leader who inspires and motivates followers to
achieve more than they originally intended?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Transformational leadership
Correct Answer: D
Rationale: Transformational leaders focus on building relationships and motivating staff
through a shared vision. They encourage creativity and personal growth among their team
members to improve organizational outcomes. This style is often linked to higher levels of
job satisfaction and better patient safety.
4. A nurse is facing an ethical dilemma where a terminal patient’s family refuses to tell the
patient their prognosis. Which ethical principle is primarily at risk?
A. Veracity
, B. Nonmaleficence
C. Justice
D. Fidelity
Correct Answer: A
Rationale: Veracity refers to the duty to tell the truth and not deceive patients. In this
scenario, withholding the prognosis prevents the patient from making informed decisions
about their own care. Honesty is fundamental to the nurse-patient relationship and
respects the individual’s right to information.
5. A nurse manager is utilizing Lewin’s Change Theory to introduce a new bedside reporting
protocol. During the ‘Unfreezing’ stage, which action is most appropriate?
A. Rewarding staff who consistently use the new protocol.
B. Communicating the reasons why the current reporting method is inefficient.
C. Providing training sessions on how to perform bedside reports.
D. Evaluating the impact of the new protocol on patient satisfaction.
Correct Answer: B
Rationale: The unfreezing stage is about preparing the group for change by creating an
awareness of the need for it. By highlighting the inefficiencies of the old system, the
manager helps the staff move away from the status quo. This stage is vital for reducing
resistance before implementing any actual changes.
Leadership | Q&A with Rationale (BSN485
Exam 4) | Nightingale College
1. A nurse manager is evaluating the unit’s performance based on the Plan-Do-Study-Act
(PDSA) cycle. Which action should the manager take during the ‘Study’ phase?
A. Implement the small-scale change on the unit.
B. Analyze the data collected to see if the change made an improvement.
C. Define the objectives and predict the outcomes of the change.
D. Standardize the change into the daily workflow of the department.
Correct Answer: B
Rationale: The ‘Study’ phase involves analyzing the results of the test and comparing the
data against the predictions made earlier. It is a critical step to determine whether the
change resulted in the desired improvement. This analysis informs whether the team
should adopt, adapt, or abandon the change.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate for the RN to delegate?
A. Updating a patient’s care plan after a procedure.
B. Assessing the breath sounds of a patient with pneumonia.
C. Assisting a stable patient with ambulation in the hallway.
,D. Teaching a patient how to use an incentive spirometer.
Correct Answer: C
Rationale: Assisting a stable patient with ambulation is a routine task that falls within the
scope of practice for a UAP. Tasks involving assessment, planning, or teaching require the
clinical judgment of a licensed nurse. The RN remains accountable for ensuring the task is
completed safely and correctly.
3. Which leadership style is characterized by a leader who inspires and motivates followers to
achieve more than they originally intended?
A. Autocratic leadership
B. Laissez-faire leadership
C. Transactional leadership
D. Transformational leadership
Correct Answer: D
Rationale: Transformational leaders focus on building relationships and motivating staff
through a shared vision. They encourage creativity and personal growth among their team
members to improve organizational outcomes. This style is often linked to higher levels of
job satisfaction and better patient safety.
4. A nurse is facing an ethical dilemma where a terminal patient’s family refuses to tell the
patient their prognosis. Which ethical principle is primarily at risk?
A. Veracity
, B. Nonmaleficence
C. Justice
D. Fidelity
Correct Answer: A
Rationale: Veracity refers to the duty to tell the truth and not deceive patients. In this
scenario, withholding the prognosis prevents the patient from making informed decisions
about their own care. Honesty is fundamental to the nurse-patient relationship and
respects the individual’s right to information.
5. A nurse manager is utilizing Lewin’s Change Theory to introduce a new bedside reporting
protocol. During the ‘Unfreezing’ stage, which action is most appropriate?
A. Rewarding staff who consistently use the new protocol.
B. Communicating the reasons why the current reporting method is inefficient.
C. Providing training sessions on how to perform bedside reports.
D. Evaluating the impact of the new protocol on patient satisfaction.
Correct Answer: B
Rationale: The unfreezing stage is about preparing the group for change by creating an
awareness of the need for it. By highlighting the inefficiencies of the old system, the
manager helps the staff move away from the status quo. This stage is vital for reducing
resistance before implementing any actual changes.
