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Leadership And Management in Nursing Final Exam
2025 | Actual Exam Questions And Correct Detailed
Answers With Rationales (100% Verified Answers) |
Already Graded A+.
An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task
would be appropriate for this person to delegate?
1. Taking and recording vital signs
2. Assisting with bathing
3. Making a bed
4. An unlicensed assistive person may not delegate tasks.
Correct Answer: 4
Rationale 1: Taking and recording vital signs is an appropriate task for the registered nurse to
delegate to the UAP.
Rationale 2: Assisting with bathing is an appropriate task for the registered nurse to delegate
to the UAP.
Rationale 3: Making a bed is an appropriate task for the registered nurse to delegate to the
UAP.
Rationale 4: The unlicensed person may not delegate t
An RN delegates the task of taking a newly admitted clients vital signs to a nurses aide.
The clients blood pressure was 182/98, but did not get reported to the physician for
several hours. Who is responsible for the lapse in time between discovery and action?
1. Nurse manager
2. Aide
3. Client
4. RN
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Correct Answer: 4
Rationale 1: The nurse manager did not delegate the task of vital signs so therefore is not
responsible for the time lapse between discovery and action.
Rationale 2: The aide did not delegate the task of vital signs so therefore is not responsible
for the time lapse between discovery and action.
Rationale 3: The client did not delegate the task of vital signs so therefore is not responsible
for the time lapse between discovery and action.
Rationale 4: The RN is ultimately responsible for the action, reporting it, and following
through on any action. Part of delegation is supervision and evaluation-ultimate
responsibilities that belong to the RN.
A nurse manager has the reputation of being an autocratic leader. Which of the
following statements by this manager would support that reputation?
1. Id like to hear from you (addressing the staff) what your ideas are for promoting better
morale in this unit.
2. Im putting a suggestion box in the break room if anyone has ideas that would be helpful to
the unit.
3. The new work schedule is posted for the next 6 weeks.
4. I put the new procedure manual out. Please add your comments to the blank sheet of paper
attached to the front.
Correct Answer: 3
Rationale 1: This option is more reflective of a democratic style leader.
Rationale 2: This option is more reflective of a democratic style leader.
Rationale 3: An autocratic leader makes decisions for the group. This style is likened to a
dictator in that the autocratic leader gives orders and directions to the group, determines
policies, and solves problems without input from the group.
Rationale 4: This option is more reflective of a democratic style leader.
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During a particularly heated staff meeting regarding staff assignments, the nurse
manager makes this comment: When you all can come to a decision, let me know and
well move on from there. This leader is best identified as which of the following?
1. Democratic leader
2. Permissive leader
3. Bureaucratic leader
4. Situational leader
Correct Answer: 2
Rationale 1: The democratic leader encourages group discussion and decision making,
provides constructive criticism, offers information, makes suggestions, and asks questions.
Rationale 2: The permissive leader recognizes the groups need for autonomy and self-
regulation by assuming a hands-off approach. Allowing the group to come to their own
decision, then accepting that would be the case in this situation.
Rationale 3: The bureaucratic leader relies on the organizations rules, policies, and
procedures to direct the groups work efforts.
Rationale 4: A situational leader is one who adapts his or her leadership style to the situation.
A nurse manager allows the staff to make their own schedules and do their own client
assignments on their shifts. However, during a code situation, the nurse manager will
make decisions for the staff by instructing which nurse to assume which responsibility
in the code situation. This manager is exemplifying which style of leadership?
1. Permissive
2. Democratic
3. Situational
4. Bureaucratic
Correct Answer: 3
Rationale 1: Permissive leaders assume a hands-off approach.
Leadership And Management in Nursing Final Exam
2025 | Actual Exam Questions And Correct Detailed
Answers With Rationales (100% Verified Answers) |
Already Graded A+.
An unlicensed assistive person (UAP) is working on a rehabilitation unit. Which task
would be appropriate for this person to delegate?
1. Taking and recording vital signs
2. Assisting with bathing
3. Making a bed
4. An unlicensed assistive person may not delegate tasks.
Correct Answer: 4
Rationale 1: Taking and recording vital signs is an appropriate task for the registered nurse to
delegate to the UAP.
Rationale 2: Assisting with bathing is an appropriate task for the registered nurse to delegate
to the UAP.
Rationale 3: Making a bed is an appropriate task for the registered nurse to delegate to the
UAP.
Rationale 4: The unlicensed person may not delegate t
An RN delegates the task of taking a newly admitted clients vital signs to a nurses aide.
The clients blood pressure was 182/98, but did not get reported to the physician for
several hours. Who is responsible for the lapse in time between discovery and action?
1. Nurse manager
2. Aide
3. Client
4. RN
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Correct Answer: 4
Rationale 1: The nurse manager did not delegate the task of vital signs so therefore is not
responsible for the time lapse between discovery and action.
Rationale 2: The aide did not delegate the task of vital signs so therefore is not responsible
for the time lapse between discovery and action.
Rationale 3: The client did not delegate the task of vital signs so therefore is not responsible
for the time lapse between discovery and action.
Rationale 4: The RN is ultimately responsible for the action, reporting it, and following
through on any action. Part of delegation is supervision and evaluation-ultimate
responsibilities that belong to the RN.
A nurse manager has the reputation of being an autocratic leader. Which of the
following statements by this manager would support that reputation?
1. Id like to hear from you (addressing the staff) what your ideas are for promoting better
morale in this unit.
2. Im putting a suggestion box in the break room if anyone has ideas that would be helpful to
the unit.
3. The new work schedule is posted for the next 6 weeks.
4. I put the new procedure manual out. Please add your comments to the blank sheet of paper
attached to the front.
Correct Answer: 3
Rationale 1: This option is more reflective of a democratic style leader.
Rationale 2: This option is more reflective of a democratic style leader.
Rationale 3: An autocratic leader makes decisions for the group. This style is likened to a
dictator in that the autocratic leader gives orders and directions to the group, determines
policies, and solves problems without input from the group.
Rationale 4: This option is more reflective of a democratic style leader.
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During a particularly heated staff meeting regarding staff assignments, the nurse
manager makes this comment: When you all can come to a decision, let me know and
well move on from there. This leader is best identified as which of the following?
1. Democratic leader
2. Permissive leader
3. Bureaucratic leader
4. Situational leader
Correct Answer: 2
Rationale 1: The democratic leader encourages group discussion and decision making,
provides constructive criticism, offers information, makes suggestions, and asks questions.
Rationale 2: The permissive leader recognizes the groups need for autonomy and self-
regulation by assuming a hands-off approach. Allowing the group to come to their own
decision, then accepting that would be the case in this situation.
Rationale 3: The bureaucratic leader relies on the organizations rules, policies, and
procedures to direct the groups work efforts.
Rationale 4: A situational leader is one who adapts his or her leadership style to the situation.
A nurse manager allows the staff to make their own schedules and do their own client
assignments on their shifts. However, during a code situation, the nurse manager will
make decisions for the staff by instructing which nurse to assume which responsibility
in the code situation. This manager is exemplifying which style of leadership?
1. Permissive
2. Democratic
3. Situational
4. Bureaucratic
Correct Answer: 3
Rationale 1: Permissive leaders assume a hands-off approach.
