BSN Module 14: Leadership, Management & Delegation
Exam 2026/2027 UPDATE UPDATED ACTUAL Questions
and CORRECT Answers
1. A nurse manager is encouraging staff members to participate in the decision-
making process regarding the new unit schedule. Which leadership style is being
utilized?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
Rationale: Democratic leadership involves staff in decision-making and encourages
communication, promoting autonomy and job satisfaction.
2. Which task is most appropriate for an RN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication
B. Measuring and recording intake and output for a patient with heart failure
C. Assisting a stable patient with ambulation for the first time since surgery
D. Performing a sterile dressing change on a post-operative wound
Answer: B
Rationale: Measuring and recording I&O is a routine, non-invasive task that falls within
the scope of practice for a UAP.
,3. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which patient
should be assigned to the LPN?
A. A patient who is clinically stable and requires a routine dressing change
B. A patient requiring a complex initial assessment after admission
C. A patient who just returned from surgery and is hemodynamically unstable
D. A patient scheduled for discharge who needs education on a new medication
Answer: A
Rationale: LPNs can perform routine procedures and care for stable patients. Initial
assessments and complex education are the responsibility of the RN.
4. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Circumstance
B. Right Physician
C. Right Hospital
D. Right Payment
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
5. A nurse manager is dealing with a conflict between two staff members who
cannot agree on lunch breaks. The manager tells them to ‘work it out
themselves’ and does not intervene. This is an example of which conflict
resolution strategy?
A. Collaboration
B. Avoiding
C. Compromising
D. Competing
Answer: B
, Rationale: Avoiding is a passive strategy where the manager chooses not to acknowledge
or address the conflict.
6. In an emergency situation where rapid decisions are required to save a
patient’s life, which leadership style is most effective?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Situational
Answer: B
Rationale: Autocratic leadership is effective in crises because it allows for quick decision-
making and clear direction.
7. Which action by the RN demonstrates the ‘Right Supervision’ phase of
delegation?
A. Determining if the UAP is competent to perform the task
B. Providing clear instructions on how to perform the task
C. Ensuring the patient’s condition is stable enough for delegation
D. Checking in with the UAP periodically to see if the task was completed
Answer: D
Rationale: Right Supervision involves monitoring the performance of the task, providing
feedback, and evaluating the outcome.
8. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient who needs a PRN medication for mild nausea
B. A patient complaining of sudden shortness of breath and chest pain
C. A patient with a scheduled physical therapy session in 30 minutes
D. A patient whose IV pump is alarming due to an empty bag
Answer: B
Exam 2026/2027 UPDATE UPDATED ACTUAL Questions
and CORRECT Answers
1. A nurse manager is encouraging staff members to participate in the decision-
making process regarding the new unit schedule. Which leadership style is being
utilized?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
Rationale: Democratic leadership involves staff in decision-making and encourages
communication, promoting autonomy and job satisfaction.
2. Which task is most appropriate for an RN to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication
B. Measuring and recording intake and output for a patient with heart failure
C. Assisting a stable patient with ambulation for the first time since surgery
D. Performing a sterile dressing change on a post-operative wound
Answer: B
Rationale: Measuring and recording I&O is a routine, non-invasive task that falls within
the scope of practice for a UAP.
,3. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which patient
should be assigned to the LPN?
A. A patient who is clinically stable and requires a routine dressing change
B. A patient requiring a complex initial assessment after admission
C. A patient who just returned from surgery and is hemodynamically unstable
D. A patient scheduled for discharge who needs education on a new medication
Answer: A
Rationale: LPNs can perform routine procedures and care for stable patients. Initial
assessments and complex education are the responsibility of the RN.
4. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Circumstance
B. Right Physician
C. Right Hospital
D. Right Payment
Answer: A
Rationale: The Five Rights of Delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
5. A nurse manager is dealing with a conflict between two staff members who
cannot agree on lunch breaks. The manager tells them to ‘work it out
themselves’ and does not intervene. This is an example of which conflict
resolution strategy?
A. Collaboration
B. Avoiding
C. Compromising
D. Competing
Answer: B
, Rationale: Avoiding is a passive strategy where the manager chooses not to acknowledge
or address the conflict.
6. In an emergency situation where rapid decisions are required to save a
patient’s life, which leadership style is most effective?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Situational
Answer: B
Rationale: Autocratic leadership is effective in crises because it allows for quick decision-
making and clear direction.
7. Which action by the RN demonstrates the ‘Right Supervision’ phase of
delegation?
A. Determining if the UAP is competent to perform the task
B. Providing clear instructions on how to perform the task
C. Ensuring the patient’s condition is stable enough for delegation
D. Checking in with the UAP periodically to see if the task was completed
Answer: D
Rationale: Right Supervision involves monitoring the performance of the task, providing
feedback, and evaluating the outcome.
8. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient who needs a PRN medication for mild nausea
B. A patient complaining of sudden shortness of breath and chest pain
C. A patient with a scheduled physical therapy session in 30 minutes
D. A patient whose IV pump is alarming due to an empty bag
Answer: B
