NUR 204/NUR204 Final Exam V3 | Leadership and
Management Q&A with Rationale | Fortis College
1. A nurse manager is observing a newly licensed nurse who is caring for a group of clients.
Which of the following actions by the newly licensed nurse indicates a need for further
instruction regarding prioritization?
A. The nurse documents the client’s output before administering a scheduled analgesic to a
client in pain.
B. The nurse assesses a client who reported shortness of breath before checking a stable
client’s surgical dressing.
C. The nurse completes a dressing change for a stable client before attending a
multidisciplinary meeting.
D. The nurse administers insulin to a client before the breakfast trays arrive on the unit.
Correct Answer: A
Explanation: Pain management is a high priority, and the nurse should prioritize relief for
the client before completing routine documentation of output. Documentation is important
but should not delay the administration of pain medication to a client in distress. This
action demonstrates a failure to prioritize immediate clinical needs over administrative
tasks.
,2. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which of the following
tasks is appropriate to delegate?
A. Evaluating a client’s response to an anti-anxiety medication.
B. Providing initial tracheostomy care for a client who is 24 hours postoperative.
C. Assisting a client with a stable gait to ambulate in the hallway.
D. Teaching a client how to use an incentive spirometer.
Correct Answer: C
Explanation: Assisting a client with a stable gait to ambulate is a routine task that falls
within the scope of practice for an AP. Evaluation, complex wound care, and teaching are
tasks that require nursing judgment and must be performed by a licensed nurse. The nurse
retains accountability for ensuring the AP performs the task safely.
3. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘unfreezing’ stage, which of the following actions should the nurse take?
A. Develop a plan for training staff on the new system.
B. Gather data to demonstrate why the current system is ineffective.
C. Provide ongoing support and feedback to staff during the transition.
D. Incorporate the new system into the hospital’s formal policies.
Correct Answer: B
, Explanation: The unfreezing stage involves creating awareness of the need for change and
breaking down existing status quo habits. By gathering data to show the inefficiencies of
the current system, the nurse helps staff recognize the necessity for a new system. This
stage is critical for overcoming resistance before the actual change is implemented.
4. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. The manager tells the nurses, ‘You both have valid points. Let’s find a way for both
of you to get some of the time off you requested.’ Which conflict resolution strategy is the
manager using?
A. Compromising
B. Competing
C. Avoiding
D. Smoothing
Correct Answer: A
Explanation: Compromising involves each party giving up something of value to reach a
mutually acceptable solution. The manager is acknowledging both sides and seeking a
middle ground where both parties are partially satisfied. This strategy is often used when
both sides have equal power or when a quick solution is needed.
5. Which of the following is an example of a nurse acting as a client advocate?
A. Administering a PRN medication to a client who is reporting moderate pain.
Management Q&A with Rationale | Fortis College
1. A nurse manager is observing a newly licensed nurse who is caring for a group of clients.
Which of the following actions by the newly licensed nurse indicates a need for further
instruction regarding prioritization?
A. The nurse documents the client’s output before administering a scheduled analgesic to a
client in pain.
B. The nurse assesses a client who reported shortness of breath before checking a stable
client’s surgical dressing.
C. The nurse completes a dressing change for a stable client before attending a
multidisciplinary meeting.
D. The nurse administers insulin to a client before the breakfast trays arrive on the unit.
Correct Answer: A
Explanation: Pain management is a high priority, and the nurse should prioritize relief for
the client before completing routine documentation of output. Documentation is important
but should not delay the administration of pain medication to a client in distress. This
action demonstrates a failure to prioritize immediate clinical needs over administrative
tasks.
,2. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which of the following
tasks is appropriate to delegate?
A. Evaluating a client’s response to an anti-anxiety medication.
B. Providing initial tracheostomy care for a client who is 24 hours postoperative.
C. Assisting a client with a stable gait to ambulate in the hallway.
D. Teaching a client how to use an incentive spirometer.
Correct Answer: C
Explanation: Assisting a client with a stable gait to ambulate is a routine task that falls
within the scope of practice for an AP. Evaluation, complex wound care, and teaching are
tasks that require nursing judgment and must be performed by a licensed nurse. The nurse
retains accountability for ensuring the AP performs the task safely.
3. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘unfreezing’ stage, which of the following actions should the nurse take?
A. Develop a plan for training staff on the new system.
B. Gather data to demonstrate why the current system is ineffective.
C. Provide ongoing support and feedback to staff during the transition.
D. Incorporate the new system into the hospital’s formal policies.
Correct Answer: B
, Explanation: The unfreezing stage involves creating awareness of the need for change and
breaking down existing status quo habits. By gathering data to show the inefficiencies of
the current system, the nurse helps staff recognize the necessity for a new system. This
stage is critical for overcoming resistance before the actual change is implemented.
4. A nurse manager is resolving a conflict between two staff nurses regarding the holiday
schedule. The manager tells the nurses, ‘You both have valid points. Let’s find a way for both
of you to get some of the time off you requested.’ Which conflict resolution strategy is the
manager using?
A. Compromising
B. Competing
C. Avoiding
D. Smoothing
Correct Answer: A
Explanation: Compromising involves each party giving up something of value to reach a
mutually acceptable solution. The manager is acknowledging both sides and seeking a
middle ground where both parties are partially satisfied. This strategy is often used when
both sides have equal power or when a quick solution is needed.
5. Which of the following is an example of a nurse acting as a client advocate?
A. Administering a PRN medication to a client who is reporting moderate pain.
