Exam 2 - NSG 3800: Leadership and Management
with questions and verified answers with
rationale graded A+ updated 2026
Instructions: The correct answer is marked with .
1. A nurse manager is implementing a new evidence-based protocol for fall prevention. The team is
resistant to the change. Which leadership style would be MOST effective for the manager to use
during this initial phase?
A. Laissez-faire
B. Bureaucratic
C. Transformational
D. Autocratic
Rationale: Transformational leadership involves inspiring and motivating followers to embrace
change by creating a vision and fostering commitment. It is most effective when overcoming
resistance to change.
2. A charge nurse is delegating the task of ambulating a stable post-operative patient to a nursing
assistant. This is an example of which element of delegation?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
Rationale: The "Right Task" refers to delegating a task that is within the scope of practice of the
delegatee (the nursing assistant). Ambulation of a stable patient is a routine, non-complex task.
3. Which of the following represents a violation of the "Right Circumstance" in delegation?
A. Delegating a task to a nurse who has not been trained on the specific equipment.
B. Delegating a task to an unlicensed assistive personnel (UAP) when the patient is unstable.
C. Delegating a task when the patient's condition requires the clinical judgment of an RN.
D. Delegating a task without providing clear instructions.
,Rationale: The "Right Circumstance" requires that the patient's condition be stable and predictable.
If the patient is unstable or requires complex assessment, the task cannot be delegated.
4. A staff nurse reports to the nurse manager that she feels overwhelmed and is considering leaving
the unit. The manager says, "I understand you are stressed. Let's look at your schedule and see if we
can adjust your patient assignment to better support you." This is an example of which conflict
resolution style?
A. Competing
B. Avoiding
C. Collaborating
D. Accommodating
Rationale: Collaborating involves working with the other party to find a solution that fully satisfies
both concerns—the nurse's need for less stress and the unit's need for staffing.
5. A hospital is experiencing a high rate of catheter-associated urinary tract infections (CAUTIs).
Which quality improvement model would be BEST to use for this project?
A. Root Cause Analysis (RCA)
B. Plan-Do-Study-Act (PDSA) Cycle
C. Failure Mode and Effects Analysis (FMEA)
D. Swot Analysis
Rationale: The PDSA cycle is a systematic process for testing changes and implementing
improvements on a small scale before wider implementation. It is ideal for a unit-based QI project
like reducing CAUTIs.
6. A nurse documents a patient's pain as "9/10" but does not administer the prescribed pain
medication. The patient later falls while trying to get out of bed. This demonstrates a failure in which
aspect of the nursing process?
A. Assessment
B. Diagnosis
C. Implementation
D. Planning
Rationale: The nurse assessed the pain (9/10) and had a plan (PRN pain medication), but failed to
implement the intervention (administer the medication), which led to a negative outcome (the fall).
, 7. Which of the following legal concepts protects a nurse from personal liability when providing care
in good faith during an emergency at the scene of an accident?
A. Good Samaritan Law
B. Standard of Care
C. Informed Consent
D. Respondeat Superior
Rationale: Good Samaritan laws are designed to encourage healthcare professionals (and
bystanders) to assist in emergencies by protecting them from liability for ordinary negligence,
provided they act in good faith and within their scope of training.
8. A newly licensed nurse is assigned a patient with a complex wound. The nurse has never
performed this type of dressing change. What is the nurse's BEST action?
A. Watch a YouTube video on the dressing change.
B. Inform the charge nurse and request supervision.
C. Attempt the dressing change based on textbook knowledge.
D. Ask the patient if he can show the nurse how it was done before.
Rationale: The nurse must practice within their scope of competence. Asking for supervision or
assistance from a more experienced nurse is the safe and professional action to ensure patient
safety and proper skill acquisition.
9. A manager is creating the schedule for the next month. Which scheduling strategy is MOST likely
to improve staff satisfaction and retention?
A. Block scheduling
B. Rotating shifts
C. Self-scheduling
D. Mandatory overtime
Rationale: Self-scheduling gives nurses more control over their work-life balance, which is a
significant factor in job satisfaction and retention.
10. A sentinel event (wrong-site surgery) occurs in the OR. The hospital initiates an investigation.
What is the primary purpose of this investigation?
A. To assign blame to the surgeon.
B. To discipline the surgical team.
C. To determine the cause and prevent recurrence.
with questions and verified answers with
rationale graded A+ updated 2026
Instructions: The correct answer is marked with .
1. A nurse manager is implementing a new evidence-based protocol for fall prevention. The team is
resistant to the change. Which leadership style would be MOST effective for the manager to use
during this initial phase?
A. Laissez-faire
B. Bureaucratic
C. Transformational
D. Autocratic
Rationale: Transformational leadership involves inspiring and motivating followers to embrace
change by creating a vision and fostering commitment. It is most effective when overcoming
resistance to change.
2. A charge nurse is delegating the task of ambulating a stable post-operative patient to a nursing
assistant. This is an example of which element of delegation?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
Rationale: The "Right Task" refers to delegating a task that is within the scope of practice of the
delegatee (the nursing assistant). Ambulation of a stable patient is a routine, non-complex task.
3. Which of the following represents a violation of the "Right Circumstance" in delegation?
A. Delegating a task to a nurse who has not been trained on the specific equipment.
B. Delegating a task to an unlicensed assistive personnel (UAP) when the patient is unstable.
C. Delegating a task when the patient's condition requires the clinical judgment of an RN.
D. Delegating a task without providing clear instructions.
,Rationale: The "Right Circumstance" requires that the patient's condition be stable and predictable.
If the patient is unstable or requires complex assessment, the task cannot be delegated.
4. A staff nurse reports to the nurse manager that she feels overwhelmed and is considering leaving
the unit. The manager says, "I understand you are stressed. Let's look at your schedule and see if we
can adjust your patient assignment to better support you." This is an example of which conflict
resolution style?
A. Competing
B. Avoiding
C. Collaborating
D. Accommodating
Rationale: Collaborating involves working with the other party to find a solution that fully satisfies
both concerns—the nurse's need for less stress and the unit's need for staffing.
5. A hospital is experiencing a high rate of catheter-associated urinary tract infections (CAUTIs).
Which quality improvement model would be BEST to use for this project?
A. Root Cause Analysis (RCA)
B. Plan-Do-Study-Act (PDSA) Cycle
C. Failure Mode and Effects Analysis (FMEA)
D. Swot Analysis
Rationale: The PDSA cycle is a systematic process for testing changes and implementing
improvements on a small scale before wider implementation. It is ideal for a unit-based QI project
like reducing CAUTIs.
6. A nurse documents a patient's pain as "9/10" but does not administer the prescribed pain
medication. The patient later falls while trying to get out of bed. This demonstrates a failure in which
aspect of the nursing process?
A. Assessment
B. Diagnosis
C. Implementation
D. Planning
Rationale: The nurse assessed the pain (9/10) and had a plan (PRN pain medication), but failed to
implement the intervention (administer the medication), which led to a negative outcome (the fall).
, 7. Which of the following legal concepts protects a nurse from personal liability when providing care
in good faith during an emergency at the scene of an accident?
A. Good Samaritan Law
B. Standard of Care
C. Informed Consent
D. Respondeat Superior
Rationale: Good Samaritan laws are designed to encourage healthcare professionals (and
bystanders) to assist in emergencies by protecting them from liability for ordinary negligence,
provided they act in good faith and within their scope of training.
8. A newly licensed nurse is assigned a patient with a complex wound. The nurse has never
performed this type of dressing change. What is the nurse's BEST action?
A. Watch a YouTube video on the dressing change.
B. Inform the charge nurse and request supervision.
C. Attempt the dressing change based on textbook knowledge.
D. Ask the patient if he can show the nurse how it was done before.
Rationale: The nurse must practice within their scope of competence. Asking for supervision or
assistance from a more experienced nurse is the safe and professional action to ensure patient
safety and proper skill acquisition.
9. A manager is creating the schedule for the next month. Which scheduling strategy is MOST likely
to improve staff satisfaction and retention?
A. Block scheduling
B. Rotating shifts
C. Self-scheduling
D. Mandatory overtime
Rationale: Self-scheduling gives nurses more control over their work-life balance, which is a
significant factor in job satisfaction and retention.
10. A sentinel event (wrong-site surgery) occurs in the OR. The hospital initiates an investigation.
What is the primary purpose of this investigation?
A. To assign blame to the surgeon.
B. To discipline the surgical team.
C. To determine the cause and prevent recurrence.
