NUR 204/NUR204 Exam 1 V1 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing an autocratic leadership style during a code blue situation.
Which characteristic best describes this leadership style?
A. Decision-making is shared among the entire multidisciplinary team.
B. The leader provides minimal direction and allows the group to set goals.
C. The leader maintains maximum control and makes decisions independently.
D. The leader focuses on the growth and well-being of the team members.
Correct Answer: C
Explanation: The autocratic leadership style is characterized by the leader maintaining
high control and making decisions without input from the group. This style is particularly
effective in emergency or crisis situations where rapid, decisive action is necessary for
patient safety. While it ensures tasks are completed quickly, it may limit the personal
growth of staff members over time.
2. Which task is most appropriate for the Registered Nurse (RN) to delegate to an unlicensed
assistive personnel (UAP)?
A. Assisting a stable patient with ambulation to the bathroom.
B. Evaluating the effectiveness of a patient’s pain medication.
C. Providing discharge instructions to a patient going home.
,D. Performing an initial admission assessment on a new patient.
Correct Answer: A
Explanation: Assisting a stable patient with activities of daily living, such as ambulation,
falls within the scope of practice for a UAP. The RN remains responsible for tasks involving
clinical judgment, such as assessment, teaching, and evaluation. Delegating routine tasks to
the UAP allows the RN to focus on more complex nursing interventions that require
specialized knowledge.
3. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8 out of 10 following abdominal surgery.
B. A patient with a history of asthma reporting new onset of wheezing.
C. A patient who needs a dressing change for a stage III pressure ulcer.
D. A patient who is scheduled for physical therapy in thirty minutes.
Correct Answer: B
Explanation: Using the ABC (Airway, Breathing, Circulation) priority framework, the
patient with new onset wheezing represents a potential breathing compromise and must
be assessed immediately. Pain management and wound care are important but follow
respiratory stability in order of priority. Addressing the respiratory issue first prevents
further physiological deterioration.
, 4. A nurse respects a patient’s decision to refuse a recommended chemotherapy treatment.
Which ethical principle is the nurse demonstrating?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Explanation: Autonomy is the ethical principle that recognizes the patient’s right to make
their own healthcare decisions. The nurse’s role is to ensure the patient has sufficient
information to make an informed choice without coercion. Honoring a patient’s refusal of
treatment, even if the nurse disagrees, is a core application of this principle.
5. A nurse fails to raise the side rails for an elderly patient who is at high risk for falls,
resulting in the patient falling and breaking a hip. This is an example of which legal concept?
A. Assault
B. Battery
C. Negligence
D. False imprisonment
Correct Answer: C
Management Q&A with Rationale | Fortis College
1. A nurse manager is utilizing an autocratic leadership style during a code blue situation.
Which characteristic best describes this leadership style?
A. Decision-making is shared among the entire multidisciplinary team.
B. The leader provides minimal direction and allows the group to set goals.
C. The leader maintains maximum control and makes decisions independently.
D. The leader focuses on the growth and well-being of the team members.
Correct Answer: C
Explanation: The autocratic leadership style is characterized by the leader maintaining
high control and making decisions without input from the group. This style is particularly
effective in emergency or crisis situations where rapid, decisive action is necessary for
patient safety. While it ensures tasks are completed quickly, it may limit the personal
growth of staff members over time.
2. Which task is most appropriate for the Registered Nurse (RN) to delegate to an unlicensed
assistive personnel (UAP)?
A. Assisting a stable patient with ambulation to the bathroom.
B. Evaluating the effectiveness of a patient’s pain medication.
C. Providing discharge instructions to a patient going home.
,D. Performing an initial admission assessment on a new patient.
Correct Answer: A
Explanation: Assisting a stable patient with activities of daily living, such as ambulation,
falls within the scope of practice for a UAP. The RN remains responsible for tasks involving
clinical judgment, such as assessment, teaching, and evaluation. Delegating routine tasks to
the UAP allows the RN to focus on more complex nursing interventions that require
specialized knowledge.
3. The nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8 out of 10 following abdominal surgery.
B. A patient with a history of asthma reporting new onset of wheezing.
C. A patient who needs a dressing change for a stage III pressure ulcer.
D. A patient who is scheduled for physical therapy in thirty minutes.
Correct Answer: B
Explanation: Using the ABC (Airway, Breathing, Circulation) priority framework, the
patient with new onset wheezing represents a potential breathing compromise and must
be assessed immediately. Pain management and wound care are important but follow
respiratory stability in order of priority. Addressing the respiratory issue first prevents
further physiological deterioration.
, 4. A nurse respects a patient’s decision to refuse a recommended chemotherapy treatment.
Which ethical principle is the nurse demonstrating?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Correct Answer: C
Explanation: Autonomy is the ethical principle that recognizes the patient’s right to make
their own healthcare decisions. The nurse’s role is to ensure the patient has sufficient
information to make an informed choice without coercion. Honoring a patient’s refusal of
treatment, even if the nurse disagrees, is a core application of this principle.
5. A nurse fails to raise the side rails for an elderly patient who is at high risk for falls,
resulting in the patient falling and breaking a hip. This is an example of which legal concept?
A. Assault
B. Battery
C. Negligence
D. False imprisonment
Correct Answer: C
