NUR 204/NUR204 Exam 2 V2 | Leadership and
Management Q&A with Rationale | Fortis College
1. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is most appropriate to delegate to the UAP?
A. Performing a sterile dressing change on a post-operative patient.
B. Updating the nursing care plan for a patient with new-onset hypertension.
C. Evaluating the effectiveness of pain medication administered to a patient.
D. Assisting a stable patient with ambulation in the hallway.
Correct Answer: D
Explanation: Assisting a stable patient with ambulation is a task within the scope of
practice for a UAP because it is routine and does not require clinical judgment. Clinical
assessments, care plan updates, and sterile procedures require the specialized training of a
licensed nurse. The RN remains responsible for the outcome of the task even after
delegation.
2. A nurse manager is utilizing Lewin’s Change Theory to implement a new bedside reporting
policy. The manager is currently identifying barriers to the change. Which stage is the
manager in?
A. Moving
B. Refreezing
,C. Evaluation
D. Unfreezing
Correct Answer: D
Explanation: The unfreezing stage is the first phase where the manager creates awareness
of the need for change and identifies potential obstacles. During this phase, it is essential to
prepare the staff for the transition by addressing resistance and gathering data. This
proactive approach ensures that the environment is ready for the moving phase.
3. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with asthma who has a respiratory rate of 28/min and is using accessory
muscles.
B. A patient with diabetes whose blood glucose level is 150 mg/dL.
C. A patient with a fractured hip reporting pain as 6 out of 10.
D. A patient who is two days post-operative and requesting a discharge summary.
Correct Answer: A
Explanation: Using the Airway, Breathing, and Circulation (ABC) priority framework, the
patient with respiratory distress must be assessed first. Accessory muscle use and
tachypnea are indicators of potential respiratory failure that require immediate
intervention. Other patients are currently stable and do not pose an immediate threat to
life.
, 4. Which of the following leadership styles is characterized by the leader providing minimal
direction and allowing the group to make all decisions?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Correct Answer: B
Explanation: Laissez-faire leadership is a hands-off approach where the leader grants
autonomy to the staff for decision-making. While this can foster creativity in highly
motivated and experienced teams, it may lead to a lack of productivity if the group lacks
direction. The leader remains accountable for the group’s overall performance despite the
lack of direct supervision.
5. A nurse manager is addressing a conflict between two staff nurses regarding the holiday
schedule. The manager tells the nurses to ‘work it out themselves.’ Which conflict
management strategy is being used?
A. Accommodating
B. Collaborating
C. Compromising
D. Avoiding
Management Q&A with Rationale | Fortis College
1. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is most appropriate to delegate to the UAP?
A. Performing a sterile dressing change on a post-operative patient.
B. Updating the nursing care plan for a patient with new-onset hypertension.
C. Evaluating the effectiveness of pain medication administered to a patient.
D. Assisting a stable patient with ambulation in the hallway.
Correct Answer: D
Explanation: Assisting a stable patient with ambulation is a task within the scope of
practice for a UAP because it is routine and does not require clinical judgment. Clinical
assessments, care plan updates, and sterile procedures require the specialized training of a
licensed nurse. The RN remains responsible for the outcome of the task even after
delegation.
2. A nurse manager is utilizing Lewin’s Change Theory to implement a new bedside reporting
policy. The manager is currently identifying barriers to the change. Which stage is the
manager in?
A. Moving
B. Refreezing
,C. Evaluation
D. Unfreezing
Correct Answer: D
Explanation: The unfreezing stage is the first phase where the manager creates awareness
of the need for change and identifies potential obstacles. During this phase, it is essential to
prepare the staff for the transition by addressing resistance and gathering data. This
proactive approach ensures that the environment is ready for the moving phase.
3. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with asthma who has a respiratory rate of 28/min and is using accessory
muscles.
B. A patient with diabetes whose blood glucose level is 150 mg/dL.
C. A patient with a fractured hip reporting pain as 6 out of 10.
D. A patient who is two days post-operative and requesting a discharge summary.
Correct Answer: A
Explanation: Using the Airway, Breathing, and Circulation (ABC) priority framework, the
patient with respiratory distress must be assessed first. Accessory muscle use and
tachypnea are indicators of potential respiratory failure that require immediate
intervention. Other patients are currently stable and do not pose an immediate threat to
life.
, 4. Which of the following leadership styles is characterized by the leader providing minimal
direction and allowing the group to make all decisions?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Correct Answer: B
Explanation: Laissez-faire leadership is a hands-off approach where the leader grants
autonomy to the staff for decision-making. While this can foster creativity in highly
motivated and experienced teams, it may lead to a lack of productivity if the group lacks
direction. The leader remains accountable for the group’s overall performance despite the
lack of direct supervision.
5. A nurse manager is addressing a conflict between two staff nurses regarding the holiday
schedule. The manager tells the nurses to ‘work it out themselves.’ Which conflict
management strategy is being used?
A. Accommodating
B. Collaborating
C. Compromising
D. Avoiding
