NUR 204/NUR204 Exam 3 V3 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is evaluating a newly licensed nurse’s understanding of delegation. Which
statement by the new nurse indicates an understanding of the ‘Five Rights of Delegation’?
A. I should delegate tasks that require clinical judgment to experienced UAPs.
B. I am no longer responsible for the task once I delegate it.
C. I must ensure the person has the skills to perform the task safely.
D. I should provide the same instructions for every patient to maintain consistency.
Correct Answer: C
Explanation: The ‘Right Person’ is one of the five rights, requiring the nurse to verify the
competency of the delegatee. Delegation does not transfer the nurse’s ultimate
accountability for patient outcomes. Instructions must be individualized to the specific
patient and situation to ensure safety.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. The charge nurse asks both nurses to identify what is most important to them and
seeks a solution where both feel they have gained something. Which conflict resolution
strategy is being used?
A. Compromising
B. Competing
,C. Avoiding
D. Smoothing
Correct Answer: A
Explanation: Compromising involves each party giving up something of value to reach a
middle ground. This strategy is effective when both sides have equal power and goals are
moderately important. It helps maintain relationships by ensuring that no one feels like a
complete ‘loser’ in the negotiation.
3. A nurse manager is preparing the annual unit budget and identifies the need for two new
high-tech telemetry monitors. In which part of the budget should these items be included?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Revenue budget
Correct Answer: C
Explanation: The capital budget includes expensive equipment that has a long useful life,
typically exceeding one year. This is distinct from the operating budget, which covers day-
to-day expenses like medical supplies and electricity. The personnel budget is a subset of
operating costs specifically allocated for staff salaries and benefits.
, 4. A nurse is caring for a group of patients and receives four simultaneous requests. Which
patient should the nurse assess first?
A. A patient who is scheduled for discharge in one hour.
B. A patient requesting scheduled pain medication for chronic back pain.
C. A patient who needs assistance ambulating to the bathroom.
D. A patient with a pulse oximetry reading of 88% on room air.
Correct Answer: D
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
low oxygen saturation represents a breathing priority. This patient is at immediate risk for
physiological instability and requires rapid intervention. The other tasks, while important,
do not take precedence over an acute respiratory concern.
5. Which leadership style is most appropriate for a nurse manager to use during a code blue
emergency?
A. Democratic
B. Laissez-faire
C. Transactional
D. Authoritarian
Correct Answer: D
Management Q&A with Rationale | Fortis College
1. A nurse manager is evaluating a newly licensed nurse’s understanding of delegation. Which
statement by the new nurse indicates an understanding of the ‘Five Rights of Delegation’?
A. I should delegate tasks that require clinical judgment to experienced UAPs.
B. I am no longer responsible for the task once I delegate it.
C. I must ensure the person has the skills to perform the task safely.
D. I should provide the same instructions for every patient to maintain consistency.
Correct Answer: C
Explanation: The ‘Right Person’ is one of the five rights, requiring the nurse to verify the
competency of the delegatee. Delegation does not transfer the nurse’s ultimate
accountability for patient outcomes. Instructions must be individualized to the specific
patient and situation to ensure safety.
2. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. The charge nurse asks both nurses to identify what is most important to them and
seeks a solution where both feel they have gained something. Which conflict resolution
strategy is being used?
A. Compromising
B. Competing
,C. Avoiding
D. Smoothing
Correct Answer: A
Explanation: Compromising involves each party giving up something of value to reach a
middle ground. This strategy is effective when both sides have equal power and goals are
moderately important. It helps maintain relationships by ensuring that no one feels like a
complete ‘loser’ in the negotiation.
3. A nurse manager is preparing the annual unit budget and identifies the need for two new
high-tech telemetry monitors. In which part of the budget should these items be included?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Revenue budget
Correct Answer: C
Explanation: The capital budget includes expensive equipment that has a long useful life,
typically exceeding one year. This is distinct from the operating budget, which covers day-
to-day expenses like medical supplies and electricity. The personnel budget is a subset of
operating costs specifically allocated for staff salaries and benefits.
, 4. A nurse is caring for a group of patients and receives four simultaneous requests. Which
patient should the nurse assess first?
A. A patient who is scheduled for discharge in one hour.
B. A patient requesting scheduled pain medication for chronic back pain.
C. A patient who needs assistance ambulating to the bathroom.
D. A patient with a pulse oximetry reading of 88% on room air.
Correct Answer: D
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
low oxygen saturation represents a breathing priority. This patient is at immediate risk for
physiological instability and requires rapid intervention. The other tasks, while important,
do not take precedence over an acute respiratory concern.
5. Which leadership style is most appropriate for a nurse manager to use during a code blue
emergency?
A. Democratic
B. Laissez-faire
C. Transactional
D. Authoritarian
Correct Answer: D
