NUR 204/NUR204 Exam 1 V3 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is implementing a new electronic health record system and is currently
identifying staff who are resistant to the change. According to Lewin’s Change Theory, which
stage is the manager currently in?
A. Refreezing
B. Moving
C. Unfreezing
D. Evaluating
Correct Answer: C
Explanation: The unfreezing stage involves creating the motivation or readiness for
change by identifying the need for change and addressing resistance. It is the initial phase
where the status quo is challenged. This allows the team to become aware of the necessity
for improvement or transition before the actual movement occurs.
2. Which leadership style is most appropriate for a nurse leader to use during a code blue
emergency?
A. Democratic
B. Laissez-faire
C. Transformational
,D. Autocratic
Correct Answer: D
Explanation: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. In emergency situations like a code blue, rapid
decision-making and clear, direct orders are essential for patient safety. This style ensures
that tasks are delegated quickly and efficiently without the delay of group discussion.
3. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate to delegate to the LPN?
A. Performing an initial admission assessment on a new patient
B. Developing the plan of care for a patient with complex needs
C. Teaching a patient how to manage a new diagnosis of diabetes
D. Administering a scheduled intramuscular injection to a stable patient
Correct Answer: D
Explanation: LPNs can perform routine tasks and provide care for stable patients,
including the administration of medications via most routes. Assessment, care planning,
and initial patient teaching are the responsibility of the RN and cannot be delegated.
Delegating an IM injection to a stable patient falls within the LPN’s scope of practice under
the supervision of an RN.
4. 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 after surgery
, B. A patient who is experiencing new-onset shortness of breath
C. A patient with a blood pressure of 110/70 mmHg
D. A patient who needs to be discharged within the next hour
Correct Answer: B
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, shortness of
breath indicates a potential respiratory issue that takes priority over pain or
administrative tasks. Assessing the patient’s oxygenation and breathing status is critical to
prevent further deterioration. Once the airway and breathing are stabilized, the nurse can
address other patient needs such as pain management.
5. A nurse is practicing the ethical principle of fidelity. Which action by the nurse best
demonstrates this principle?
A. Keeping a promise to return to a patient’s room at a specific time
B. Allowing a patient to make their own decisions about treatment
C. Providing the same quality of care to all patients regardless of status
D. Performing an action that results in the most good for the patient
Correct Answer: A
Explanation: Fidelity refers to the obligation of an individual to be faithful to commitments
and promises made to others. In nursing, this means being reliable and following through
Management Q&A with Rationale | Fortis College
1. A nurse manager is implementing a new electronic health record system and is currently
identifying staff who are resistant to the change. According to Lewin’s Change Theory, which
stage is the manager currently in?
A. Refreezing
B. Moving
C. Unfreezing
D. Evaluating
Correct Answer: C
Explanation: The unfreezing stage involves creating the motivation or readiness for
change by identifying the need for change and addressing resistance. It is the initial phase
where the status quo is challenged. This allows the team to become aware of the necessity
for improvement or transition before the actual movement occurs.
2. Which leadership style is most appropriate for a nurse leader to use during a code blue
emergency?
A. Democratic
B. Laissez-faire
C. Transformational
,D. Autocratic
Correct Answer: D
Explanation: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. In emergency situations like a code blue, rapid
decision-making and clear, direct orders are essential for patient safety. This style ensures
that tasks are delegated quickly and efficiently without the delay of group discussion.
3. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate to delegate to the LPN?
A. Performing an initial admission assessment on a new patient
B. Developing the plan of care for a patient with complex needs
C. Teaching a patient how to manage a new diagnosis of diabetes
D. Administering a scheduled intramuscular injection to a stable patient
Correct Answer: D
Explanation: LPNs can perform routine tasks and provide care for stable patients,
including the administration of medications via most routes. Assessment, care planning,
and initial patient teaching are the responsibility of the RN and cannot be delegated.
Delegating an IM injection to a stable patient falls within the LPN’s scope of practice under
the supervision of an RN.
4. 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 after surgery
, B. A patient who is experiencing new-onset shortness of breath
C. A patient with a blood pressure of 110/70 mmHg
D. A patient who needs to be discharged within the next hour
Correct Answer: B
Explanation: Using the ABC (Airway, Breathing, Circulation) framework, shortness of
breath indicates a potential respiratory issue that takes priority over pain or
administrative tasks. Assessing the patient’s oxygenation and breathing status is critical to
prevent further deterioration. Once the airway and breathing are stabilized, the nurse can
address other patient needs such as pain management.
5. A nurse is practicing the ethical principle of fidelity. Which action by the nurse best
demonstrates this principle?
A. Keeping a promise to return to a patient’s room at a specific time
B. Allowing a patient to make their own decisions about treatment
C. Providing the same quality of care to all patients regardless of status
D. Performing an action that results in the most good for the patient
Correct Answer: A
Explanation: Fidelity refers to the obligation of an individual to be faithful to commitments
and promises made to others. In nursing, this means being reliable and following through
