PNR 205/PNR205 Final Exam V1 | Concepts of
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is utilizing an autocratic leadership style during a cardiac arrest code.
Which action by the manager best demonstrates this style?
A. Asking the team for input on which medication to give next.
B. Giving clear, concise orders to specific team members without seeking feedback.
C. Allowing team members to choose their own roles based on their comfort level.
D. Scheduling a debriefing meeting to discuss the team’s performance after the code.
Correct Answer: B
Explanation: Autocratic leadership is characterized by the leader making decisions
independently and issuing commands to the group. This style is highly effective in
emergency situations, such as a cardiac arrest, where immediate action is required. The
manager focuses on efficiency and task completion rather than group consensus or
individual growth during the crisis.
2. Which of the following tasks is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating a patient’s response to a new blood pressure medication.
B. Teaching a patient how to use an incentive spirometer.
,C. Administering oral pain medication to a postoperative patient.
D. Assisting a stable patient with a bed bath.
Correct Answer: D
Explanation: The LPN can delegate routine, non-invasive tasks such as hygiene care to a
UAP as long as the patient is stable. Teaching, medication administration, and evaluation
are core nursing functions that require clinical judgment and cannot be delegated to
unlicensed staff. The nurse remains responsible for ensuring the delegated task is
completed correctly and safely.
3. A nurse is using the SBAR tool to communicate with a physician. Which statement
represents the ‘Background’ component?
A. I am calling about Mr. Smith in room 402 who is experiencing shortness of breath.
B. The patient has a history of congestive heart failure and was admitted two days ago.
C. The patient’s current oxygen saturation is 88% on room air.
D. I suggest we start the patient on 2 liters of oxygen via nasal cannula.
Correct Answer: B
Explanation: The Background component of SBAR provides the clinical context or history
related to the current situation. This includes the patient’s diagnosis, admission date, and
relevant medical history that informs the current problem. Clear background information
helps the provider understand the trajectory of the patient’s condition.
, 4. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Providing hands-on training sessions for all staff members.
B. Identifying that the current paper charting system is inefficient and leads to errors.
C. Developing a policy manual for the new system.
D. Rewarding staff members who consistently use the new system correctly.
Correct Answer: B
Explanation: Unfreezing is the first stage of Lewin’s Change Theory, where the need for
change is recognized and the status quo is challenged. By identifying inefficiencies in the
current system, the manager creates the motivation for staff to accept the upcoming
transition. This stage involves breaking down existing habits and mindsets to prepare for
something new.
5. A nurse is caring for four patients and must prioritize their care. Which patient should the
nurse assess first?
A. A patient with a pain level of 6 out of 10 who requested medication 15 minutes ago.
B. A patient who is experiencing new-onset confusion and restlessness.
C. A patient with a scheduled dressing change due in 30 minutes.
D. A patient who needs discharge instructions before going home.
Correct Answer: B
Leadership and Collaboration Q&A with Rationale
| Fortis College
1. A nurse manager is utilizing an autocratic leadership style during a cardiac arrest code.
Which action by the manager best demonstrates this style?
A. Asking the team for input on which medication to give next.
B. Giving clear, concise orders to specific team members without seeking feedback.
C. Allowing team members to choose their own roles based on their comfort level.
D. Scheduling a debriefing meeting to discuss the team’s performance after the code.
Correct Answer: B
Explanation: Autocratic leadership is characterized by the leader making decisions
independently and issuing commands to the group. This style is highly effective in
emergency situations, such as a cardiac arrest, where immediate action is required. The
manager focuses on efficiency and task completion rather than group consensus or
individual growth during the crisis.
2. Which of the following tasks is most appropriate for a Licensed Practical Nurse (LPN) to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating a patient’s response to a new blood pressure medication.
B. Teaching a patient how to use an incentive spirometer.
,C. Administering oral pain medication to a postoperative patient.
D. Assisting a stable patient with a bed bath.
Correct Answer: D
Explanation: The LPN can delegate routine, non-invasive tasks such as hygiene care to a
UAP as long as the patient is stable. Teaching, medication administration, and evaluation
are core nursing functions that require clinical judgment and cannot be delegated to
unlicensed staff. The nurse remains responsible for ensuring the delegated task is
completed correctly and safely.
3. A nurse is using the SBAR tool to communicate with a physician. Which statement
represents the ‘Background’ component?
A. I am calling about Mr. Smith in room 402 who is experiencing shortness of breath.
B. The patient has a history of congestive heart failure and was admitted two days ago.
C. The patient’s current oxygen saturation is 88% on room air.
D. I suggest we start the patient on 2 liters of oxygen via nasal cannula.
Correct Answer: B
Explanation: The Background component of SBAR provides the clinical context or history
related to the current situation. This includes the patient’s diagnosis, admission date, and
relevant medical history that informs the current problem. Clear background information
helps the provider understand the trajectory of the patient’s condition.
, 4. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Providing hands-on training sessions for all staff members.
B. Identifying that the current paper charting system is inefficient and leads to errors.
C. Developing a policy manual for the new system.
D. Rewarding staff members who consistently use the new system correctly.
Correct Answer: B
Explanation: Unfreezing is the first stage of Lewin’s Change Theory, where the need for
change is recognized and the status quo is challenged. By identifying inefficiencies in the
current system, the manager creates the motivation for staff to accept the upcoming
transition. This stage involves breaking down existing habits and mindsets to prepare for
something new.
5. A nurse is caring for four patients and must prioritize their care. Which patient should the
nurse assess first?
A. A patient with a pain level of 6 out of 10 who requested medication 15 minutes ago.
B. A patient who is experiencing new-onset confusion and restlessness.
C. A patient with a scheduled dressing change due in 30 minutes.
D. A patient who needs discharge instructions before going home.
Correct Answer: B
