NUR 282 Exam 2 (Leadership and Nursing
Management) Questions and Correct Answers plus
Rationales | Latest Update 2026-2027 | Graded A+
1. Which of the following best describes the primary purpose of the state
Nurse Practice Act?
A) To establish the scope of practice for nurses
B) To determine hospital staffing ratios
C) To set guidelines for medication administration
D) To regulate continuing education requirements
Correct Answer: To establish the scope of practice for nurses
Rationale: The Nurse Practice Act is a state law that defines the legal scope of
practice for nurses, including standards for licensure, delegation, and disciplinary
action. It is the primary legal framework governing nursing practice. While it may
touch on other areas, its core purpose is to define and regulate nursing scope of
practice.
2. What is the primary function of a sentinel event reporting system in a
healthcare organization?
A) To document minor patient complaints
B) To identify unexpected occurrences involving death or serious injury
C) To track employee attendance
D) To schedule routine maintenance
Correct Answer: To identify unexpected occurrences involving death or serious
injury
Rationale: A sentinel event is an unexpected occurrence involving death or
serious physical or psychological injury, or the risk thereof. Wrong-site surgery is a
classic sentinel event requiring immediate reporting and root cause analysis.
These events signal the need for immediate investigation and response.
, 3. According to the exam blueprint, which leadership style involves the leader
making decisions independently without consulting the team?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Correct Answer: Autocratic
Rationale: Autocratic leadership involves centralized decision-making with the
leader maintaining full control and giving orders to subordinates. Democratic
leaders involve the team, laissez-faire leaders provide minimal direction, and
transformational leaders inspire change. Autocratic leadership can be effective in
emergencies.
4. Which term refers to the process of transferring a task to a competent
individual while retaining accountability for the outcome?
A) Assignment
B) Delegation
C) Supervision
D) Collaboration
Correct Answer: Delegation
Rationale: Delegation is the process of transferring a task to a competent
individual while the delegator retains accountability for the outcome. Assignment
refers to designating who will perform a task. Supervision involves overseeing the
performance of a task, and collaboration involves working jointly with others.
5. What is the most likely outcome if a nurse manager consistently uses a
laissez-faire approach with inexperienced staff?
A) Improved staff autonomy and decision-making
B) Increased chaos and lack of direction
C) Enhanced team collaboration
D) Decreased need for supervision
Correct Answer: Increased chaos and lack of direction
,Rationale: Laissez-faire leadership provides minimal direction and allows staff
complete autonomy. This style can be effective with highly skilled and self-
motivated staff but may lead to chaos, confusion, and lack of direction with
inexperienced teams. Democratic leaders involve the team, and autocratic leaders
maintain full control.
6. Which principle explains the priority of establishing a patient's airway
before addressing other needs?
A) Maslow's hierarchy of needs
B) The ABC framework
C) Lewin's change theory
D) Tuckman's stages of group development
Correct Answer: The ABC framework
Rationale: The ABC framework prioritizes airway, breathing, and circulation as the
first priorities in patient assessment and intervention. Compromise in any of these
areas can rapidly lead to patient deterioration. Maslow's hierarchy places
physiological needs at the base but does not specifically prioritize airway.
7. A nurse is preparing to delegate tasks to unlicensed assistive personnel
(UAP) on a medical-surgical unit. Which task is appropriate to delegate?
A) Assessing a patient's pain level
B) Teaching a patient about new medications
C) Bathing a stable postoperative patient
D) Developing a care plan for a newly admitted patient
Correct Answer: Bathing a stable postoperative patient
Rationale: Bathing a stable patient is a routine, non-invasive task within the UAP's
scope of practice. Assessment, teaching, and care plan development require
professional nursing judgment and cannot be delegated. The nurse retains
accountability for determining which tasks are appropriate for delegation.
8. What is the primary purpose of using the SBAR communication tool during
handoff?
, A) To document patient vital signs
B) To provide a structured framework for conveying critical information
C) To order medications
D) To schedule appointments
Correct Answer: To provide a structured framework for conveying critical
information
Rationale: SBAR stands for Situation, Background, Assessment, and
Recommendation. It is a standardized communication tool used to convey critical
information during handoffs, especially in urgent situations. It improves patient
safety and reduces communication errors.
9. Which conflict resolution strategy involves both parties giving up something
to reach an agreement?
A) Avoiding
B) Compromising
C) Collaborating
D) Competing
Correct Answer: Compromising
Rationale: Compromise involves mutual concessions where each party gives up
something to reach a middle ground. Avoiding ignores the conflict, collaborating
seeks win-win solutions, and competing pursues one's own goals at the expense
of others. Compromising is effective when time is limited and both parties have
equal power.
10.What is the primary goal of a performance improvement plan for a nurse
with practice deficiencies?
A) To list the nurse's strengths
B) To describe the expected performance and areas for improvement
C) To document the consequences of not meeting goals
D) To transfer the nurse to another unit
Correct Answer: To describe the expected performance and areas for
improvement
Management) Questions and Correct Answers plus
Rationales | Latest Update 2026-2027 | Graded A+
1. Which of the following best describes the primary purpose of the state
Nurse Practice Act?
A) To establish the scope of practice for nurses
B) To determine hospital staffing ratios
C) To set guidelines for medication administration
D) To regulate continuing education requirements
Correct Answer: To establish the scope of practice for nurses
Rationale: The Nurse Practice Act is a state law that defines the legal scope of
practice for nurses, including standards for licensure, delegation, and disciplinary
action. It is the primary legal framework governing nursing practice. While it may
touch on other areas, its core purpose is to define and regulate nursing scope of
practice.
2. What is the primary function of a sentinel event reporting system in a
healthcare organization?
A) To document minor patient complaints
B) To identify unexpected occurrences involving death or serious injury
C) To track employee attendance
D) To schedule routine maintenance
Correct Answer: To identify unexpected occurrences involving death or serious
injury
Rationale: A sentinel event is an unexpected occurrence involving death or
serious physical or psychological injury, or the risk thereof. Wrong-site surgery is a
classic sentinel event requiring immediate reporting and root cause analysis.
These events signal the need for immediate investigation and response.
, 3. According to the exam blueprint, which leadership style involves the leader
making decisions independently without consulting the team?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Correct Answer: Autocratic
Rationale: Autocratic leadership involves centralized decision-making with the
leader maintaining full control and giving orders to subordinates. Democratic
leaders involve the team, laissez-faire leaders provide minimal direction, and
transformational leaders inspire change. Autocratic leadership can be effective in
emergencies.
4. Which term refers to the process of transferring a task to a competent
individual while retaining accountability for the outcome?
A) Assignment
B) Delegation
C) Supervision
D) Collaboration
Correct Answer: Delegation
Rationale: Delegation is the process of transferring a task to a competent
individual while the delegator retains accountability for the outcome. Assignment
refers to designating who will perform a task. Supervision involves overseeing the
performance of a task, and collaboration involves working jointly with others.
5. What is the most likely outcome if a nurse manager consistently uses a
laissez-faire approach with inexperienced staff?
A) Improved staff autonomy and decision-making
B) Increased chaos and lack of direction
C) Enhanced team collaboration
D) Decreased need for supervision
Correct Answer: Increased chaos and lack of direction
,Rationale: Laissez-faire leadership provides minimal direction and allows staff
complete autonomy. This style can be effective with highly skilled and self-
motivated staff but may lead to chaos, confusion, and lack of direction with
inexperienced teams. Democratic leaders involve the team, and autocratic leaders
maintain full control.
6. Which principle explains the priority of establishing a patient's airway
before addressing other needs?
A) Maslow's hierarchy of needs
B) The ABC framework
C) Lewin's change theory
D) Tuckman's stages of group development
Correct Answer: The ABC framework
Rationale: The ABC framework prioritizes airway, breathing, and circulation as the
first priorities in patient assessment and intervention. Compromise in any of these
areas can rapidly lead to patient deterioration. Maslow's hierarchy places
physiological needs at the base but does not specifically prioritize airway.
7. A nurse is preparing to delegate tasks to unlicensed assistive personnel
(UAP) on a medical-surgical unit. Which task is appropriate to delegate?
A) Assessing a patient's pain level
B) Teaching a patient about new medications
C) Bathing a stable postoperative patient
D) Developing a care plan for a newly admitted patient
Correct Answer: Bathing a stable postoperative patient
Rationale: Bathing a stable patient is a routine, non-invasive task within the UAP's
scope of practice. Assessment, teaching, and care plan development require
professional nursing judgment and cannot be delegated. The nurse retains
accountability for determining which tasks are appropriate for delegation.
8. What is the primary purpose of using the SBAR communication tool during
handoff?
, A) To document patient vital signs
B) To provide a structured framework for conveying critical information
C) To order medications
D) To schedule appointments
Correct Answer: To provide a structured framework for conveying critical
information
Rationale: SBAR stands for Situation, Background, Assessment, and
Recommendation. It is a standardized communication tool used to convey critical
information during handoffs, especially in urgent situations. It improves patient
safety and reduces communication errors.
9. Which conflict resolution strategy involves both parties giving up something
to reach an agreement?
A) Avoiding
B) Compromising
C) Collaborating
D) Competing
Correct Answer: Compromising
Rationale: Compromise involves mutual concessions where each party gives up
something to reach a middle ground. Avoiding ignores the conflict, collaborating
seeks win-win solutions, and competing pursues one's own goals at the expense
of others. Compromising is effective when time is limited and both parties have
equal power.
10.What is the primary goal of a performance improvement plan for a nurse
with practice deficiencies?
A) To list the nurse's strengths
B) To describe the expected performance and areas for improvement
C) To document the consequences of not meeting goals
D) To transfer the nurse to another unit
Correct Answer: To describe the expected performance and areas for
improvement
