NUR 204/NUR204 Exam 3 V2 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is evaluating the unit’s budget and notices a significant increase in the
cost of medical supplies. Which action should the manager take first?
A. Identify and analyze the causes of the supply variance.
B. Request an increase in the annual operating budget.
C. Mandate that nurses reuse single-use supplies if they appear clean.
D. Reduce the number of staff members on the night shift to save money.
Correct Answer: A
Explanation: Variance analysis is the first step in the budget control process to determine
why actual costs differ from budgeted amounts. The manager must investigate whether the
increase is due to waste, price changes, or higher patient acuity. Jumping to budget
increases or staff cuts without data is inappropriate and potentially dangerous.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is most appropriate to delegate?
A. Feeding a patient who has a high risk for aspiration.
B. Performing an initial skin assessment on a new admission.
C. Evaluating the effectiveness of a patient’s pain medication.
D. Assisting a stable patient with a bed bath.
,Correct Answer: D
Explanation: Assisting a stable patient with ADLs like a bed bath is within the scope of
practice for a UAP. Evaluation, assessment, and care for unstable patients require the
clinical judgment of an RN. Delegating these higher-level tasks would violate the principles
of safe delegation and professional nursing standards.
3. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership involves centralized decision-making with little or no
input from subordinates. This style can be efficient in emergency situations where quick
decisions are mandatory. However, it often leads to low staff morale and stifles creativity in
a routine clinical environment.
4. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. Which action represents the ‘unfreezing’ stage?
A. Rewarding staff members who use the system correctly.
B. Standardizing the new procedures into daily practice.
, C. Identifying the need for change and building awareness among staff.
D. Conducting hands-on training sessions for all nursing staff.
Correct Answer: C
Explanation: The unfreezing stage focuses on preparing the organization for change by
creating dissatisfaction with the status quo. It involves identifying the problem and
convincing others that the current way of doing things is no longer effective. This stage is
crucial for overcoming initial resistance to the new electronic system.
5. During a conflict between two nurses, the manager suggests that they both give up
something to reach a common goal. This strategy is known as:
A. Compromising
B. Competing
C. Avoiding
D. Collaborating
Correct Answer: A
Explanation: Compromising is a conflict resolution strategy where each party gives up
something of value to reach a middle ground. It is often described as a ‘lose-lose’ or ‘win-
lose’ situation depending on the outcome’s equity. While it resolves conflict quickly, it may
not address the root cause of the disagreement.
Management Q&A with Rationale | Fortis College
1. A nurse manager is evaluating the unit’s budget and notices a significant increase in the
cost of medical supplies. Which action should the manager take first?
A. Identify and analyze the causes of the supply variance.
B. Request an increase in the annual operating budget.
C. Mandate that nurses reuse single-use supplies if they appear clean.
D. Reduce the number of staff members on the night shift to save money.
Correct Answer: A
Explanation: Variance analysis is the first step in the budget control process to determine
why actual costs differ from budgeted amounts. The manager must investigate whether the
increase is due to waste, price changes, or higher patient acuity. Jumping to budget
increases or staff cuts without data is inappropriate and potentially dangerous.
2. A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is most appropriate to delegate?
A. Feeding a patient who has a high risk for aspiration.
B. Performing an initial skin assessment on a new admission.
C. Evaluating the effectiveness of a patient’s pain medication.
D. Assisting a stable patient with a bed bath.
,Correct Answer: D
Explanation: Assisting a stable patient with ADLs like a bed bath is within the scope of
practice for a UAP. Evaluation, assessment, and care for unstable patients require the
clinical judgment of an RN. Delegating these higher-level tasks would violate the principles
of safe delegation and professional nursing standards.
3. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Correct Answer: A
Explanation: Autocratic leadership involves centralized decision-making with little or no
input from subordinates. This style can be efficient in emergency situations where quick
decisions are mandatory. However, it often leads to low staff morale and stifles creativity in
a routine clinical environment.
4. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. Which action represents the ‘unfreezing’ stage?
A. Rewarding staff members who use the system correctly.
B. Standardizing the new procedures into daily practice.
, C. Identifying the need for change and building awareness among staff.
D. Conducting hands-on training sessions for all nursing staff.
Correct Answer: C
Explanation: The unfreezing stage focuses on preparing the organization for change by
creating dissatisfaction with the status quo. It involves identifying the problem and
convincing others that the current way of doing things is no longer effective. This stage is
crucial for overcoming initial resistance to the new electronic system.
5. During a conflict between two nurses, the manager suggests that they both give up
something to reach a common goal. This strategy is known as:
A. Compromising
B. Competing
C. Avoiding
D. Collaborating
Correct Answer: A
Explanation: Compromising is a conflict resolution strategy where each party gives up
something of value to reach a middle ground. It is often described as a ‘lose-lose’ or ‘win-
lose’ situation depending on the outcome’s equity. While it resolves conflict quickly, it may
not address the root cause of the disagreement.
