PNR 205/PNR205 Exam 2 V3 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. Which leadership style is most appropriate for a nurse manager to use during a code blue
emergency?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Explanation: The autocratic leadership style involves the leader making all decisions with
little input from others, which is essential during emergency situations. In a code blue,
quick and decisive action is required to ensure patient safety and effective intervention.
This style provides the necessary structure and clear direction needed when every second
counts.
2. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8/10 after surgery
B. A patient who needs discharge instructions
C. A patient with a new onset of shortness of breath
,D. A patient whose IV pump is alarming for occlusion
Correct Answer: C
Explanation: According to the ABC (Airway, Breathing, Circulation) framework, the patient
with shortness of breath represents a potential airway or breathing crisis. This is a higher
priority than pain management, equipment maintenance, or administrative tasks like
discharge. Assessing this patient immediately prevents further respiratory decline.
3. The nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Assisting a stable patient with ambulation
B. Evaluating the effectiveness of pain medication
C. Assessing a new admission’s skin integrity
D. Teaching a patient how to use a glucometer
Correct Answer: A
Explanation: Delegation to UAPs is limited to non-invasive tasks and activities of daily
living for stable patients. Assessment, evaluation, and teaching are professional nursing
responsibilities that cannot be delegated to unlicensed staff. Assisting with ambulation is a
standard task within the UAP’s scope of practice.
4. A nurse manager is resolving a conflict between two staff members using a ‘win-win’
approach. Which strategy is being used?
A. Competing
, B. Avoiding
C. Collaborating
D. Accommodating
Correct Answer: C
Explanation: Collaboration is the only conflict resolution strategy that aims for a win-win
outcome where both parties’ needs are met. This process requires open communication
and a shared goal to solve the underlying problem. It is considered the most effective long-
term strategy for professional nursing environments.
5. A nurse is performing a root cause analysis after a medication error. What is the primary
goal of this process?
A. To determine the underlying system failures
B. To identify which individual is at fault
C. To discipline the staff member involved
D. To report the error to the state board of nursing
Correct Answer: A
Explanation: Root cause analysis (RCA) focuses on identifying systemic issues rather than
individual blame. The goal is to understand how the environment or processes allowed the
error to happen so that future occurrences can be prevented. This promotes a culture of
safety and continuous quality improvement within the healthcare facility.
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. Which leadership style is most appropriate for a nurse manager to use during a code blue
emergency?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: C
Explanation: The autocratic leadership style involves the leader making all decisions with
little input from others, which is essential during emergency situations. In a code blue,
quick and decisive action is required to ensure patient safety and effective intervention.
This style provides the necessary structure and clear direction needed when every second
counts.
2. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8/10 after surgery
B. A patient who needs discharge instructions
C. A patient with a new onset of shortness of breath
,D. A patient whose IV pump is alarming for occlusion
Correct Answer: C
Explanation: According to the ABC (Airway, Breathing, Circulation) framework, the patient
with shortness of breath represents a potential airway or breathing crisis. This is a higher
priority than pain management, equipment maintenance, or administrative tasks like
discharge. Assessing this patient immediately prevents further respiratory decline.
3. The nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate to delegate?
A. Assisting a stable patient with ambulation
B. Evaluating the effectiveness of pain medication
C. Assessing a new admission’s skin integrity
D. Teaching a patient how to use a glucometer
Correct Answer: A
Explanation: Delegation to UAPs is limited to non-invasive tasks and activities of daily
living for stable patients. Assessment, evaluation, and teaching are professional nursing
responsibilities that cannot be delegated to unlicensed staff. Assisting with ambulation is a
standard task within the UAP’s scope of practice.
4. A nurse manager is resolving a conflict between two staff members using a ‘win-win’
approach. Which strategy is being used?
A. Competing
, B. Avoiding
C. Collaborating
D. Accommodating
Correct Answer: C
Explanation: Collaboration is the only conflict resolution strategy that aims for a win-win
outcome where both parties’ needs are met. This process requires open communication
and a shared goal to solve the underlying problem. It is considered the most effective long-
term strategy for professional nursing environments.
5. A nurse is performing a root cause analysis after a medication error. What is the primary
goal of this process?
A. To determine the underlying system failures
B. To identify which individual is at fault
C. To discipline the staff member involved
D. To report the error to the state board of nursing
Correct Answer: A
Explanation: Root cause analysis (RCA) focuses on identifying systemic issues rather than
individual blame. The goal is to understand how the environment or processes allowed the
error to happen so that future occurrences can be prevented. This promotes a culture of
safety and continuous quality improvement within the healthcare facility.
