NUR 204/NUR204 Exam 2 V3 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Training staff on how to use the new software components.
B. Monitoring compliance with the new documentation standards.
C. Integrating the new system into the daily unit workflow.
D. Holding a meeting to discuss the limitations of the current paper-based system.
Correct Answer: D
Explanation: The unfreezing stage involves creating readiness for change by helping
others realize that a change is necessary. Discussing the limitations of the current system
helps staff identify the need for improvement and reduces resistance. This stage is critical
for moving the group away from the status quo before the actual transition occurs.
2. A charge nurse is delegating tasks for the shift. Which task should be assigned to an
experienced Licensed Practical Nurse (LPN)?
A. Developing a plan of care for a client newly diagnosed with Type 1 diabetes.
B. Conducting the initial discharge teaching for a patient after surgery.
C. Assessing a client’s neurological status immediately following a stroke.
D. Administering a scheduled dose of subcutaneous insulin to a stable client.
,Correct Answer: D
Explanation: LPNs are permitted to administer medications and provide care for stable
patients with predictable outcomes. Tasks such as initial assessments, developing care
plans, and initial teaching require the clinical judgment of a Registered Nurse (RN).
Delegating medication administration to an LPN allows the RN to focus on more complex
nursing duties.
3. Which ethical principle is a nurse manager demonstrating when they ensure that holiday
shifts are distributed equally among all staff members?
A. Autonomy
B. Beneficence
C. Fidelity
D. Justice
Correct Answer: D
Explanation: Justice refers to the principle of fairness and the equitable distribution of
resources or burdens. In this scenario, the manager is ensuring that the ‘burden’ of working
holidays is shared equally among the team. This prevents favoritism and promotes a sense
of fairness within the professional environment.
4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client who had an abdominal surgery 24 hours ago and reports pain as 6/10.
B. A client with a pressure ulcer that requires a scheduled dressing change.
, C. A client scheduled for discharge who is waiting for their final prescriptions.
D. A client with a history of heart failure who has developed new-onset shortness of breath.
Correct Answer: D
Explanation: Using the Airway-Breathing-Circulation (ABC) framework, the client with
new-onset shortness of breath is the highest priority. Breathing difficulties represent an
immediate threat to stability compared to post-operative pain or routine care. The nurse
must intervene quickly to prevent respiratory failure or further cardiac complications.
5. A nurse manager is preparing a budget and needs to purchase three new infusion pumps
for the unit. In which part of the budget should this expense be categorized?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: C
Explanation: The capital budget is used for the purchase of major equipment that has a
long life expectancy and costs above a certain threshold. Infusion pumps are considered
durable medical equipment and fall under this category. Operating budgets, conversely,
cover day-to-day expenses like supplies and minor repairs.
Management Q&A with Rationale | Fortis College
1. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Training staff on how to use the new software components.
B. Monitoring compliance with the new documentation standards.
C. Integrating the new system into the daily unit workflow.
D. Holding a meeting to discuss the limitations of the current paper-based system.
Correct Answer: D
Explanation: The unfreezing stage involves creating readiness for change by helping
others realize that a change is necessary. Discussing the limitations of the current system
helps staff identify the need for improvement and reduces resistance. This stage is critical
for moving the group away from the status quo before the actual transition occurs.
2. A charge nurse is delegating tasks for the shift. Which task should be assigned to an
experienced Licensed Practical Nurse (LPN)?
A. Developing a plan of care for a client newly diagnosed with Type 1 diabetes.
B. Conducting the initial discharge teaching for a patient after surgery.
C. Assessing a client’s neurological status immediately following a stroke.
D. Administering a scheduled dose of subcutaneous insulin to a stable client.
,Correct Answer: D
Explanation: LPNs are permitted to administer medications and provide care for stable
patients with predictable outcomes. Tasks such as initial assessments, developing care
plans, and initial teaching require the clinical judgment of a Registered Nurse (RN).
Delegating medication administration to an LPN allows the RN to focus on more complex
nursing duties.
3. Which ethical principle is a nurse manager demonstrating when they ensure that holiday
shifts are distributed equally among all staff members?
A. Autonomy
B. Beneficence
C. Fidelity
D. Justice
Correct Answer: D
Explanation: Justice refers to the principle of fairness and the equitable distribution of
resources or burdens. In this scenario, the manager is ensuring that the ‘burden’ of working
holidays is shared equally among the team. This prevents favoritism and promotes a sense
of fairness within the professional environment.
4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client who had an abdominal surgery 24 hours ago and reports pain as 6/10.
B. A client with a pressure ulcer that requires a scheduled dressing change.
, C. A client scheduled for discharge who is waiting for their final prescriptions.
D. A client with a history of heart failure who has developed new-onset shortness of breath.
Correct Answer: D
Explanation: Using the Airway-Breathing-Circulation (ABC) framework, the client with
new-onset shortness of breath is the highest priority. Breathing difficulties represent an
immediate threat to stability compared to post-operative pain or routine care. The nurse
must intervene quickly to prevent respiratory failure or further cardiac complications.
5. A nurse manager is preparing a budget and needs to purchase three new infusion pumps
for the unit. In which part of the budget should this expense be categorized?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Correct Answer: C
Explanation: The capital budget is used for the purchase of major equipment that has a
long life expectancy and costs above a certain threshold. Infusion pumps are considered
durable medical equipment and fall under this category. Operating budgets, conversely,
cover day-to-day expenses like supplies and minor repairs.
