HESI PNR 205 CONCEPTS OF LEADERSHIP
AND COLLABORATION | FORTIS COLLEGE |
ACADEMIC YEAR 2026/2027 | FINAL EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains
• Leadership Styles and Theories
• Delegation and the Five Rights
• Prioritization and Time Management
• Communication and SBAR
• Conflict Resolution and Team Dynamics
• Legal and Ethical Responsibilities
• Scope of Practice and Nurse Practice Act
• Quality Improvement and Patient Safety
Introduction
The PNR 205 Concepts of Leadership and Collaboration examination
assesses the practical nursing student's ability to apply leadership
principles, delegation strategies, and collaborative communication in
clinical settings. This assessment evaluates understanding of leadership
styles, the Five Rights of Delegation, prioritization frameworks, conflict
resolution, and legal-ethical responsibilities. The multiple-choice and
scenario-based structure emphasizes real-world decision-making and
,professional accountability in practical nursing practice. Candidates must
demonstrate readiness for the charge nurse role through sound clinical
judgment and effective team coordination.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse manager encourages staff participation in decision-making and
values input from each team member. Which leadership style is being
demonstrated?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Correct answer: C
RATIONALE: Democratic (participative) leadership involves shared
decision-making and open communication. This style promotes high
group morale and increases the quality of outcomes because of team
buy-in .
Question 2
A nurse manager provides very little guidance and allows staff to
function independently. Which leadership style is this?
A. Transformational
B. Laissez-faire
C. Autocratic
D. Bureaucratic
Correct answer: B
, RATIONALE: Laissez-faire leadership is a hands-off approach with
minimal direction. It can be effective with highly motivated teams but
may lead to lack of coordination without structure .
Question 3
Which task is appropriate for the nurse to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Providing discharge instructions
B. Assessing a surgical incision
C. Assisting a stable patient with ambulation
D. Administering oral medications
Correct answer: C
RATIONALE: Assisting with ADLs such as ambulation is within the
UAP scope. Assessment, teaching, and medication administration
require licensed nurse judgment .
Question 4
A nurse is prioritizing care for four patients. Which patient should be
assessed first?
A. Patient requesting PRN pain medication
B. Patient experiencing new-onset shortness of breath
C. Patient with scheduled dressing change
D. Patient needing assistance with breakfast
Correct answer: B
RATIONALE: The ABC framework prioritizes airway and breathing.
New-onset shortness of breath indicates potential life-threatening
compromise requiring immediate intervention .
Question 5
Which "Right" of Delegation is practiced when the nurse verifies the UAP
has the necessary skills and training?
, A. Right Direction
B. Right Task
C. Right Person
D. Right Supervision
Correct answer: C
RATIONALE: Right Person ensures the task is delegated to someone
with the appropriate job description, competency, and training for that
specific patient .
Question 6
When using SBAR communication, in which section does the nurse
describe current clinical findings and vital signs?
A. Assessment
B. Background
C. Situation
D. Recommendation
Correct answer: A
RATIONALE: The Assessment portion reports what the nurse thinks is
the problem based on current data, including vital signs, exam findings,
and labs .
Question 7
An LPN asks a UAP to "keep an eye" on a patient without specific
instructions. Which right of delegation was violated?
A. Right Task
B. Right Communication
C. Right Person
D. Right Supervision
Correct answer: B
AND COLLABORATION | FORTIS COLLEGE |
ACADEMIC YEAR 2026/2027 | FINAL EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
Core Domains
• Leadership Styles and Theories
• Delegation and the Five Rights
• Prioritization and Time Management
• Communication and SBAR
• Conflict Resolution and Team Dynamics
• Legal and Ethical Responsibilities
• Scope of Practice and Nurse Practice Act
• Quality Improvement and Patient Safety
Introduction
The PNR 205 Concepts of Leadership and Collaboration examination
assesses the practical nursing student's ability to apply leadership
principles, delegation strategies, and collaborative communication in
clinical settings. This assessment evaluates understanding of leadership
styles, the Five Rights of Delegation, prioritization frameworks, conflict
resolution, and legal-ethical responsibilities. The multiple-choice and
scenario-based structure emphasizes real-world decision-making and
,professional accountability in practical nursing practice. Candidates must
demonstrate readiness for the charge nurse role through sound clinical
judgment and effective team coordination.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse manager encourages staff participation in decision-making and
values input from each team member. Which leadership style is being
demonstrated?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Correct answer: C
RATIONALE: Democratic (participative) leadership involves shared
decision-making and open communication. This style promotes high
group morale and increases the quality of outcomes because of team
buy-in .
Question 2
A nurse manager provides very little guidance and allows staff to
function independently. Which leadership style is this?
A. Transformational
B. Laissez-faire
C. Autocratic
D. Bureaucratic
Correct answer: B
, RATIONALE: Laissez-faire leadership is a hands-off approach with
minimal direction. It can be effective with highly motivated teams but
may lead to lack of coordination without structure .
Question 3
Which task is appropriate for the nurse to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Providing discharge instructions
B. Assessing a surgical incision
C. Assisting a stable patient with ambulation
D. Administering oral medications
Correct answer: C
RATIONALE: Assisting with ADLs such as ambulation is within the
UAP scope. Assessment, teaching, and medication administration
require licensed nurse judgment .
Question 4
A nurse is prioritizing care for four patients. Which patient should be
assessed first?
A. Patient requesting PRN pain medication
B. Patient experiencing new-onset shortness of breath
C. Patient with scheduled dressing change
D. Patient needing assistance with breakfast
Correct answer: B
RATIONALE: The ABC framework prioritizes airway and breathing.
New-onset shortness of breath indicates potential life-threatening
compromise requiring immediate intervention .
Question 5
Which "Right" of Delegation is practiced when the nurse verifies the UAP
has the necessary skills and training?
, A. Right Direction
B. Right Task
C. Right Person
D. Right Supervision
Correct answer: C
RATIONALE: Right Person ensures the task is delegated to someone
with the appropriate job description, competency, and training for that
specific patient .
Question 6
When using SBAR communication, in which section does the nurse
describe current clinical findings and vital signs?
A. Assessment
B. Background
C. Situation
D. Recommendation
Correct answer: A
RATIONALE: The Assessment portion reports what the nurse thinks is
the problem based on current data, including vital signs, exam findings,
and labs .
Question 7
An LPN asks a UAP to "keep an eye" on a patient without specific
instructions. Which right of delegation was violated?
A. Right Task
B. Right Communication
C. Right Person
D. Right Supervision
Correct answer: B
