NUR 204/NUR204 Final Exam V1 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is planning to introduce a new electronic health record system. According
to Lewin’s Change Theory, which action should the nurse take during the ‘unfreezing’ stage?
A. Assist staff in integrating the new system into daily practice.
B. Identify the pros and cons of the current charting method.
C. Support the staff as they experience the new change.
D. Conduct training sessions on how to use the new software.
Correct Answer: B
Explanation: The unfreezing stage involves creating awareness of the need for change and
identifying the status quo’s limitations. By identifying the pros and cons of current
methods, the manager helps staff recognize why a transition is necessary. This stage is
crucial for reducing resistance before the actual change is implemented.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Feeding a client who has a high risk for aspiration.
B. Assessing a client’s skin integrity after a fall.
C. Re-applying a condom catheter for a stable client.
D. Teaching a client how to use an incentive spirometer.
,Correct Answer: C
Explanation: Applying a condom catheter is a non-invasive, routine task that falls within
the scope of practice for a UAP. Tasks involving clinical judgment, such as assessment,
teaching, or managing high-risk feeding, must be performed by the RN. Delegating routine
care to UAPs allows the RN to focus on more complex nursing interventions.
3. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
B. A client who is requesting pain medication for a chronic back injury.
C. A client with chronic obstructive pulmonary disease (COPD) and an SpO2 of 90%.
D. A client who is 2 hours postoperative and has a blood pressure of 88/50 mmHg.
Correct Answer: D
Explanation: The client with a blood pressure of 88/50 mmHg postoperatively is showing
signs of hypotension and potential shock, requiring immediate intervention. Utilizing the
ABC (Airway, Breathing, Circulation) framework, circulation issues take priority over
stable chronic conditions. Prompt assessment is vital to prevent further clinical
deterioration in this high-risk patient.
4. A nurse manager is using transformational leadership. Which behavior is characteristic of
this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Empowering staff to participate in the vision of the organization.
, C. Offering financial rewards for meeting productivity quotas.
D. Maintaining a distance from staff to preserve authority.
Correct Answer: B
Explanation: Transformational leaders inspire and motivate their followers to achieve
extraordinary outcomes and develop their own leadership capacity. They focus on the ‘big
picture’ and encourage staff to share in the long-term vision. This style fosters commitment
and professional growth among team members rather than just rewarding specific tasks.
5. A nurse is performing triage at the scene of a mass casualty event. Which client should be
assigned a ‘red’ tag?
A. A client with a fractured tibia and a pedal pulse.
B. A client with an open pneumothorax and a respiratory rate of 34/min.
C. A client with agonal respirations and fixed, dilated pupils.
D. A client with minor abrasions and a small laceration on the arm.
Correct Answer: B
Explanation: Red tags are assigned to clients who have life-threatening injuries but high
chances of survival if treated immediately, such as an open pneumothorax. Agonal
respirations represent a ‘black’ tag (expectant), while fractures and abrasions represent
‘yellow’ or ‘green’ tags. Effective triage ensures that resources are directed to those who
will benefit most from immediate care.
Management Q&A with Rationale | Fortis College
1. A nurse manager is planning to introduce a new electronic health record system. According
to Lewin’s Change Theory, which action should the nurse take during the ‘unfreezing’ stage?
A. Assist staff in integrating the new system into daily practice.
B. Identify the pros and cons of the current charting method.
C. Support the staff as they experience the new change.
D. Conduct training sessions on how to use the new software.
Correct Answer: B
Explanation: The unfreezing stage involves creating awareness of the need for change and
identifying the status quo’s limitations. By identifying the pros and cons of current
methods, the manager helps staff recognize why a transition is necessary. This stage is
crucial for reducing resistance before the actual change is implemented.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Feeding a client who has a high risk for aspiration.
B. Assessing a client’s skin integrity after a fall.
C. Re-applying a condom catheter for a stable client.
D. Teaching a client how to use an incentive spirometer.
,Correct Answer: C
Explanation: Applying a condom catheter is a non-invasive, routine task that falls within
the scope of practice for a UAP. Tasks involving clinical judgment, such as assessment,
teaching, or managing high-risk feeding, must be performed by the RN. Delegating routine
care to UAPs allows the RN to focus on more complex nursing interventions.
3. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a history of heart failure who has 2+ pitting edema in the lower extremities.
B. A client who is requesting pain medication for a chronic back injury.
C. A client with chronic obstructive pulmonary disease (COPD) and an SpO2 of 90%.
D. A client who is 2 hours postoperative and has a blood pressure of 88/50 mmHg.
Correct Answer: D
Explanation: The client with a blood pressure of 88/50 mmHg postoperatively is showing
signs of hypotension and potential shock, requiring immediate intervention. Utilizing the
ABC (Airway, Breathing, Circulation) framework, circulation issues take priority over
stable chronic conditions. Prompt assessment is vital to prevent further clinical
deterioration in this high-risk patient.
4. A nurse manager is using transformational leadership. Which behavior is characteristic of
this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Empowering staff to participate in the vision of the organization.
, C. Offering financial rewards for meeting productivity quotas.
D. Maintaining a distance from staff to preserve authority.
Correct Answer: B
Explanation: Transformational leaders inspire and motivate their followers to achieve
extraordinary outcomes and develop their own leadership capacity. They focus on the ‘big
picture’ and encourage staff to share in the long-term vision. This style fosters commitment
and professional growth among team members rather than just rewarding specific tasks.
5. A nurse is performing triage at the scene of a mass casualty event. Which client should be
assigned a ‘red’ tag?
A. A client with a fractured tibia and a pedal pulse.
B. A client with an open pneumothorax and a respiratory rate of 34/min.
C. A client with agonal respirations and fixed, dilated pupils.
D. A client with minor abrasions and a small laceration on the arm.
Correct Answer: B
Explanation: Red tags are assigned to clients who have life-threatening injuries but high
chances of survival if treated immediately, such as an open pneumothorax. Agonal
respirations represent a ‘black’ tag (expectant), while fractures and abrasions represent
‘yellow’ or ‘green’ tags. Effective triage ensures that resources are directed to those who
will benefit most from immediate care.
