NUR 204/NUR204 Final Exam V2 | Leadership and
Management Q&A with Rationale | Fortis College
1. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. The charge nurse decides to use an ‘avoiding’ conflict resolution strategy. Which
action by the charge nurse reflects this strategy?
A. The charge nurse tells the nurses that they must find their own coverage for the
holidays.
B. The charge nurse postpones the meeting to discuss the schedule until a later date.
C. The charge nurse asks both nurses to sacrifice one holiday each to reach an agreement.
D. The charge nurse makes the final decision based on seniority alone.
Correct Answer: B
Explanation: Avoiding is a conflict resolution strategy where the party chooses not to
address the conflict immediately. By postponing the meeting, the charge nurse is
temporarily sidestepping the issue. This strategy is often used when the issue is minor or
when emotions are too high for a productive discussion.
2. A nurse manager is explaining the concept of ‘beneficence’ to a group of newly hired
nurses. Which of the following examples best illustrates this ethical principle?
A. Providing the patient with the information needed to make an informed choice.
B. Ensuring that the patient’s privacy is protected at all times.
,C. Telling the truth to a patient about their terminal diagnosis.
D. Administering pain medication to a client who is in post-operative distress.
Correct Answer: D
Explanation: Beneficence is the ethical principle of doing good and acting in the best
interest of the patient. Administering pain medication directly aims to alleviate suffering
and promote well-being. It is a core duty of the nurse to provide care that benefits the
patient’s physical and emotional health.
3. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Checking the gastric residual volume of a patient with a feeding tube.
B. Measuring and recording intake and output for a client with heart failure.
C. Performing a sterile dressing change for a central venous catheter.
D. Assisting a stable patient with ambulation for the first time after surgery.
Correct Answer: B
Explanation: Measuring intake and output is a routine, non-invasive task that falls within
the scope of practice for a UAP. It does not require clinical judgment or specialized
assessment skills. The nurse is responsible for interpreting the data collected by the UAP to
determine if further intervention is needed.
, 4. A nurse is preparing to administer an incorrect dose of medication because the physician’s
order was written incorrectly. If the nurse administers the dose and the patient is harmed,
which legal concept applies to the nurse’s liability?
A. Assault
B. Defamation
C. False Imprisonment
D. Malpractice
Correct Answer: D
Explanation: Malpractice is a type of negligence that occurs when a professional fails to
meet the standard of care, resulting in injury to a patient. Even if a physician’s order is
wrong, a nurse has a legal and professional duty to verify the order before administration.
Failure to do so constitutes a breach of duty that leads directly to patient harm.
5. A nurse manager is evaluating a staff nurse’s leadership style. The nurse manager observes
that the staff nurse encourages group discussion and includes team members in decision-
making. Which leadership style is being demonstrated?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Democratic
Management Q&A with Rationale | Fortis College
1. A charge nurse is managing a conflict between two staff nurses regarding the holiday
schedule. The charge nurse decides to use an ‘avoiding’ conflict resolution strategy. Which
action by the charge nurse reflects this strategy?
A. The charge nurse tells the nurses that they must find their own coverage for the
holidays.
B. The charge nurse postpones the meeting to discuss the schedule until a later date.
C. The charge nurse asks both nurses to sacrifice one holiday each to reach an agreement.
D. The charge nurse makes the final decision based on seniority alone.
Correct Answer: B
Explanation: Avoiding is a conflict resolution strategy where the party chooses not to
address the conflict immediately. By postponing the meeting, the charge nurse is
temporarily sidestepping the issue. This strategy is often used when the issue is minor or
when emotions are too high for a productive discussion.
2. A nurse manager is explaining the concept of ‘beneficence’ to a group of newly hired
nurses. Which of the following examples best illustrates this ethical principle?
A. Providing the patient with the information needed to make an informed choice.
B. Ensuring that the patient’s privacy is protected at all times.
,C. Telling the truth to a patient about their terminal diagnosis.
D. Administering pain medication to a client who is in post-operative distress.
Correct Answer: D
Explanation: Beneficence is the ethical principle of doing good and acting in the best
interest of the patient. Administering pain medication directly aims to alleviate suffering
and promote well-being. It is a core duty of the nurse to provide care that benefits the
patient’s physical and emotional health.
3. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task is most
appropriate for the nurse to assign?
A. Checking the gastric residual volume of a patient with a feeding tube.
B. Measuring and recording intake and output for a client with heart failure.
C. Performing a sterile dressing change for a central venous catheter.
D. Assisting a stable patient with ambulation for the first time after surgery.
Correct Answer: B
Explanation: Measuring intake and output is a routine, non-invasive task that falls within
the scope of practice for a UAP. It does not require clinical judgment or specialized
assessment skills. The nurse is responsible for interpreting the data collected by the UAP to
determine if further intervention is needed.
, 4. A nurse is preparing to administer an incorrect dose of medication because the physician’s
order was written incorrectly. If the nurse administers the dose and the patient is harmed,
which legal concept applies to the nurse’s liability?
A. Assault
B. Defamation
C. False Imprisonment
D. Malpractice
Correct Answer: D
Explanation: Malpractice is a type of negligence that occurs when a professional fails to
meet the standard of care, resulting in injury to a patient. Even if a physician’s order is
wrong, a nurse has a legal and professional duty to verify the order before administration.
Failure to do so constitutes a breach of duty that leads directly to patient harm.
5. A nurse manager is evaluating a staff nurse’s leadership style. The nurse manager observes
that the staff nurse encourages group discussion and includes team members in decision-
making. Which leadership style is being demonstrated?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Democratic
