BSN 485 Exam 4 V3 | BSN 485 Capstone
Leadership | Q&A with Rationale (BSN485
Exam 4) | Nightingale College
1. A nurse manager is implementing a new electronic health record system. Which stage of
Lewin’s Change Theory is characterized by the manager providing education and support to
overcome resistance?
A. Moving
B. Unfreezing
C. Refreezing
D. Assessment
Correct Answer: A
Rationale: The Moving stage involves the actual implementation of the change where the
manager facilitates the transition through education and support. During this phase,
individuals begin to adopt the new behaviors and processes required for the shift. It is
critical for the leader to remain present and provide resources to mitigate lingering
resistance among the staff.
2. Which leadership style is most effective when a rapid decision is required during a code
blue situation?
A. Democratic
,B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. In high-stress, emergency situations like a cardiac
arrest, this style ensures quick action and clear direction. Other styles, such as democratic
leadership, involve time-consuming collaboration that is inappropriate for life-threatening
crises.
3. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate for the LPN to perform?
A. Developing a plan of care for a new admission
B. Interpreting lab values for a patient with sepsis
C. Providing initial education on a new diagnosis
D. Administering oral medications to a stable patient
Correct Answer: D
Rationale: Administering oral medications to a stable patient falls within the scope of
practice for an LPN. The RN is responsible for tasks involving nursing judgment, such as
, assessment, planning, and evaluation. Initial education and the development of the plan of
care are strictly RN duties according to standard nursing practice acts.
4. A nurse leader is conducting a Root Cause Analysis (RCA) after a medication error. What is
the primary focus of an RCA?
A. Identifying systemic factors that contributed to the error
B. Assigning blame to the nurse involved
C. Reporting the incident to the Board of Nursing
D. Punishing the pharmacy department
Correct Answer: A
Rationale: The primary goal of a Root Cause Analysis is to move away from individual
blame and identify flaws in the healthcare system. By analyzing the process, the
organization can implement safeguards to prevent future occurrences. This proactive
approach is a cornerstone of quality improvement and patient safety culture.
5. Which ethical principle is violated when a nurse manager favors one staff member over
others when creating the holiday schedule?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Leadership | Q&A with Rationale (BSN485
Exam 4) | Nightingale College
1. A nurse manager is implementing a new electronic health record system. Which stage of
Lewin’s Change Theory is characterized by the manager providing education and support to
overcome resistance?
A. Moving
B. Unfreezing
C. Refreezing
D. Assessment
Correct Answer: A
Rationale: The Moving stage involves the actual implementation of the change where the
manager facilitates the transition through education and support. During this phase,
individuals begin to adopt the new behaviors and processes required for the shift. It is
critical for the leader to remain present and provide resources to mitigate lingering
resistance among the staff.
2. Which leadership style is most effective when a rapid decision is required during a code
blue situation?
A. Democratic
,B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. In high-stress, emergency situations like a cardiac
arrest, this style ensures quick action and clear direction. Other styles, such as democratic
leadership, involve time-consuming collaboration that is inappropriate for life-threatening
crises.
3. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate for the LPN to perform?
A. Developing a plan of care for a new admission
B. Interpreting lab values for a patient with sepsis
C. Providing initial education on a new diagnosis
D. Administering oral medications to a stable patient
Correct Answer: D
Rationale: Administering oral medications to a stable patient falls within the scope of
practice for an LPN. The RN is responsible for tasks involving nursing judgment, such as
, assessment, planning, and evaluation. Initial education and the development of the plan of
care are strictly RN duties according to standard nursing practice acts.
4. A nurse leader is conducting a Root Cause Analysis (RCA) after a medication error. What is
the primary focus of an RCA?
A. Identifying systemic factors that contributed to the error
B. Assigning blame to the nurse involved
C. Reporting the incident to the Board of Nursing
D. Punishing the pharmacy department
Correct Answer: A
Rationale: The primary goal of a Root Cause Analysis is to move away from individual
blame and identify flaws in the healthcare system. By analyzing the process, the
organization can implement safeguards to prevent future occurrences. This proactive
approach is a cornerstone of quality improvement and patient safety culture.
5. Which ethical principle is violated when a nurse manager favors one staff member over
others when creating the holiday schedule?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
