LEADERSHIP DYNAMIC QUIZ| FROM QUESTION TO
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but
tells the nurse that she does not remember what the doctor will do during the procedure. Which
of the following actions should the nurse take? Answer: Remind the client that the doctor will
insert a needle to get a sample of fluid from her spine.
A signed consent form indicates that the provider informed the client about the procedure and
that at the time the client understood what to expect. If the client states she does not remember
what to expect, the nurse should clarify any details the provider previously gave the client.
However, if the client expresses a further lack of understanding or states that the provider did
not inform her, the nurse should either notify the charge nurse or call the provider directly.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical
nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions
should the nurse manager take to facilitate acceptance of this change? Answer: Introduce the
new approach and facilitate the development of a task force to plan implementation.
This appropriate approach involves the staff in the planning and will give them a feeling of
control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest.
Which of the following types of leadership is required for this group to function most
efficiently? Answer: Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic leader will
direct and issues commands that are necessary for successful cardiopulmonary resuscitation.
A nurse is having difficulty completing care and documentation without staying past the end of
the shift. The nurse manager suggests focusing on time-management skills. Which of the
following strategies should the nurse plan to use? Answer: Identify tasks in order of their
priority.
Prioritizing is an important time-management strategy. The nurse should prioritize each client's
needs and tasks and attend to the highest priority client first.
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is
pregnant and reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP? Answer: A 2-year-old child who has impetigo
contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk of
contracting impetigo. Impetigo is a superficial skin infection caused by either Staphylococcus or
Streptococcus.
A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the
following is the priority nursing assessment following the procedure? Answer: Fetal heart rate.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, The greatest risk to this client is an injury from umbilical cord prolapse following artificial
rupture of the membranes; therefore, the nurse should monitor the fetal heart rate for
bradycardia, which can indicate an increased risk of umbilical cord prolapse.
A nurse is preparing to transfer an older adult client to a long-term care facility. To promote
continuity of care, which of the following actions should the nurse plan to take? Answer: Give
a written summary of the client's nursing plan of care to the long-term care facility.
A written summary of the client's nursing plan of care will convey his needs to the nurses who
will be working with him in the long-term care facility.
A nurse in the emergency department is preparing to obtain informed consent for surgery from a
client who received a meperidine hydrochloride IV during transport from a rural hospital. Which
of the following actions should the nurse take to obtain consent for surgery? Answer: Obtain
consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication can alter the
ability to understand the consent process. The nurse should obtain consent from a relative of the
client. If a relative is unavailable and the surgery is determined to be critical, the surgery can
proceed without client consent.
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a
client who had a left hemispheric stroke. Which of the following members of the
interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
Answer: Nurse
Occupational therapist
Speech therapist
Physical therapist
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following
situations should the nurse complete a variance report? Answer: The discovery that a
preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the client's plan of
care is necessary because the surgical procedure will need to be delayed. The nurse should
complete a variance report for this situation.
A nurse is selecting clients for discharge following an environmental disaster. Which of the
following clients should the nurse select? Answer: A client who is 1 day postoperative
following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge because this
client is stable.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027.
Duration: 2 Hours.
Total Marks: 70%.
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but
tells the nurse that she does not remember what the doctor will do during the procedure. Which
of the following actions should the nurse take? Answer: Remind the client that the doctor will
insert a needle to get a sample of fluid from her spine.
A signed consent form indicates that the provider informed the client about the procedure and
that at the time the client understood what to expect. If the client states she does not remember
what to expect, the nurse should clarify any details the provider previously gave the client.
However, if the client expresses a further lack of understanding or states that the provider did
not inform her, the nurse should either notify the charge nurse or call the provider directly.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical
nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions
should the nurse manager take to facilitate acceptance of this change? Answer: Introduce the
new approach and facilitate the development of a task force to plan implementation.
This appropriate approach involves the staff in the planning and will give them a feeling of
control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest.
Which of the following types of leadership is required for this group to function most
efficiently? Answer: Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic leader will
direct and issues commands that are necessary for successful cardiopulmonary resuscitation.
A nurse is having difficulty completing care and documentation without staying past the end of
the shift. The nurse manager suggests focusing on time-management skills. Which of the
following strategies should the nurse plan to use? Answer: Identify tasks in order of their
priority.
Prioritizing is an important time-management strategy. The nurse should prioritize each client's
needs and tasks and attend to the highest priority client first.
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is
pregnant and reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP? Answer: A 2-year-old child who has impetigo
contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk of
contracting impetigo. Impetigo is a superficial skin infection caused by either Staphylococcus or
Streptococcus.
A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the
following is the priority nursing assessment following the procedure? Answer: Fetal heart rate.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, The greatest risk to this client is an injury from umbilical cord prolapse following artificial
rupture of the membranes; therefore, the nurse should monitor the fetal heart rate for
bradycardia, which can indicate an increased risk of umbilical cord prolapse.
A nurse is preparing to transfer an older adult client to a long-term care facility. To promote
continuity of care, which of the following actions should the nurse plan to take? Answer: Give
a written summary of the client's nursing plan of care to the long-term care facility.
A written summary of the client's nursing plan of care will convey his needs to the nurses who
will be working with him in the long-term care facility.
A nurse in the emergency department is preparing to obtain informed consent for surgery from a
client who received a meperidine hydrochloride IV during transport from a rural hospital. Which
of the following actions should the nurse take to obtain consent for surgery? Answer: Obtain
consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication can alter the
ability to understand the consent process. The nurse should obtain consent from a relative of the
client. If a relative is unavailable and the surgery is determined to be critical, the surgery can
proceed without client consent.
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a
client who had a left hemispheric stroke. Which of the following members of the
interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
Answer: Nurse
Occupational therapist
Speech therapist
Physical therapist
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following
situations should the nurse complete a variance report? Answer: The discovery that a
preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the client's plan of
care is necessary because the surgical procedure will need to be delayed. The nurse should
complete a variance report for this situation.
A nurse is selecting clients for discharge following an environmental disaster. Which of the
following clients should the nurse select? Answer: A client who is 1 day postoperative
following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge because this
client is stable.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
