RN Professionalism & Leadership Assessment Test
Questions Correctly Solved to Score A+
A nurse is planning a presentation about shared governance. Which of the following examples should
the nurse plan to include? - Answer A group of staff nurses in a clinic work together to recommend new
equipment purchases for the unit. (Shared governance is a leadership structure that encourages group
collaboration to make shared decisions. Being a contributing partner in decisions promotes
interprofessional collaboration, professional development and accountability, and improves client
outcomes.)
A nurse is exploring leadership styles of nurse managers as a part of a quality improvement project.
Which of the following statements by a nurse manager should the nurse identify as an example of
transactional leadership? - Answer The staff members who complete their online learning courses
before the deadline will receive a gift card. (Transactional leaders use rewards or punishments to
encourage compliance for an established goal. They communicate specific expectations, focusing on
tasks and completion of short-term goals.)
A nurse is discussing shared governance with a newly licensed nurse. Which of the following
components should the nurse include in the discussion? (Select all) - Answer 1. Guides decisions toward
accountability is correct. Guiding decisions toward accountability is a function of shared governance.
2. Improves client outcomes is correct. Improving client outcomes is a function of shared governance.
3. Promotes professional development is correct. Promoting professional development is a function of
shared governance.
A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I don't understand
what my treatment options are." Which of the following statements by the nurse demonstrates
advocacy? - Answer I will contact your provider to review your treatment options. (The nurse is
demonstrating advocacy by contacting the provider to communicate the client's concerns so that the
client can make an informed decision regarding their health care.)
A nurse is caring for a client who is postoperative and has sanguineous drainage on their dressing. The
nurse is unable to reach the client's provider. Which of the following members of the chain of command
should the nurse contact next? - Answer The charge nurse (According to evidence-based practice, the
first person in the chain of command that the nurse should contact is the charge nurse. The nurse
should initiate the chain of command to make the charge nurse aware of the situation and to ensure the
client receives safe and effective care.)
, A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements
by the newly licensed nurse indicates an understanding of the discussion? - Answer "The chain of
command clarifies the steps I need to take when I have a concern about a client's care." (The chain of
command is the process of making an immediate supervisor aware of a client concern or situation. The
nurse should report concerns to the charge nurse on the unit initially and move up the chain of
command only if the charge nurse does not address the concern.)
A nurse is preparing a poster about professional accountability for an in-service. Which of the following
examples should the nurse include? (Select all) - Answer 1. Lowers a client's bed to the lowest position
after assisting the client to lie down is correct. A nurse is accountable to the client as well as the facility
to take actions to ensure a client's safety. This includes lowering the client's bed to reduce the risk of
falls if the client tries to get out of bed.
2. Administers pain medication to a client 30 min before the client is scheduled for physical therapy is
correct. Planning actions, such as providing pain medication to a client prior to physical therapy,
demonstrates planning and accountability for ensuring the client receives quality care. This action allows
the medication time to take effect prior to the client having to perform physical activities, allowing for a
more effective physical therapy session and decreasing the risk of client injury and discomfort.
3. Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a
client is correct. Professional accountability involves not only ensuring the safety and quality of nursing
care, but also delivering it in a culturally competent manner.
A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which
of the following is a characteristic of situational leadership. - Answer Adjusts quickly to different
circumstances. (A situational leader looks at each situation quickly and adjusts strategies based on the
circumstances. The situational leader aligns their style to assist in the development and growth of others
and the overall effectiveness of the organization. This leader communicates, problem-solves, organizes,
and prepares with their employees to accomplish tasks and improve overall efficiencies.)
A charge nurse is overseeing an AP who has been assigned care for a group of clients. Which of the
following actions by the charge nurse demonstrates accountability? - Answer Files an incident report
when the AP performs a task that is outside their scope of practice. (An incident report is a risk
assessment tool that identifies an unusual occurrence. By filing the report, the charge nurse is
demonstrating accountability and ensuring safety standards are met, thus protecting the client from
potential harm.)
A nurse is advocating for a client who is seeking treatment for an eating disorder. In which order should
the nurse take the following steps? - Answer 1. Determine the client's level of understanding regarding
their eating disorder. The nurse should collect data regarding the client's level of understanding,
interests, personal values, mental function, and awareness of rights in order to advocate for the client.
Questions Correctly Solved to Score A+
A nurse is planning a presentation about shared governance. Which of the following examples should
the nurse plan to include? - Answer A group of staff nurses in a clinic work together to recommend new
equipment purchases for the unit. (Shared governance is a leadership structure that encourages group
collaboration to make shared decisions. Being a contributing partner in decisions promotes
interprofessional collaboration, professional development and accountability, and improves client
outcomes.)
A nurse is exploring leadership styles of nurse managers as a part of a quality improvement project.
Which of the following statements by a nurse manager should the nurse identify as an example of
transactional leadership? - Answer The staff members who complete their online learning courses
before the deadline will receive a gift card. (Transactional leaders use rewards or punishments to
encourage compliance for an established goal. They communicate specific expectations, focusing on
tasks and completion of short-term goals.)
A nurse is discussing shared governance with a newly licensed nurse. Which of the following
components should the nurse include in the discussion? (Select all) - Answer 1. Guides decisions toward
accountability is correct. Guiding decisions toward accountability is a function of shared governance.
2. Improves client outcomes is correct. Improving client outcomes is a function of shared governance.
3. Promotes professional development is correct. Promoting professional development is a function of
shared governance.
A nurse is caring for a client who has a new diagnosis of cancer. The client states, "I don't understand
what my treatment options are." Which of the following statements by the nurse demonstrates
advocacy? - Answer I will contact your provider to review your treatment options. (The nurse is
demonstrating advocacy by contacting the provider to communicate the client's concerns so that the
client can make an informed decision regarding their health care.)
A nurse is caring for a client who is postoperative and has sanguineous drainage on their dressing. The
nurse is unable to reach the client's provider. Which of the following members of the chain of command
should the nurse contact next? - Answer The charge nurse (According to evidence-based practice, the
first person in the chain of command that the nurse should contact is the charge nurse. The nurse
should initiate the chain of command to make the charge nurse aware of the situation and to ensure the
client receives safe and effective care.)
, A nurse is discussing chain of command with a newly licensed nurse. Which of the following statements
by the newly licensed nurse indicates an understanding of the discussion? - Answer "The chain of
command clarifies the steps I need to take when I have a concern about a client's care." (The chain of
command is the process of making an immediate supervisor aware of a client concern or situation. The
nurse should report concerns to the charge nurse on the unit initially and move up the chain of
command only if the charge nurse does not address the concern.)
A nurse is preparing a poster about professional accountability for an in-service. Which of the following
examples should the nurse include? (Select all) - Answer 1. Lowers a client's bed to the lowest position
after assisting the client to lie down is correct. A nurse is accountable to the client as well as the facility
to take actions to ensure a client's safety. This includes lowering the client's bed to reduce the risk of
falls if the client tries to get out of bed.
2. Administers pain medication to a client 30 min before the client is scheduled for physical therapy is
correct. Planning actions, such as providing pain medication to a client prior to physical therapy,
demonstrates planning and accountability for ensuring the client receives quality care. This action allows
the medication time to take effect prior to the client having to perform physical activities, allowing for a
more effective physical therapy session and decreasing the risk of client injury and discomfort.
3. Provides instructions to assistive personnel (AP) on how to provide culturally competent care to a
client is correct. Professional accountability involves not only ensuring the safety and quality of nursing
care, but also delivering it in a culturally competent manner.
A nurse is discussing leadership styles with a newly licensed nurse. The nurse should include that which
of the following is a characteristic of situational leadership. - Answer Adjusts quickly to different
circumstances. (A situational leader looks at each situation quickly and adjusts strategies based on the
circumstances. The situational leader aligns their style to assist in the development and growth of others
and the overall effectiveness of the organization. This leader communicates, problem-solves, organizes,
and prepares with their employees to accomplish tasks and improve overall efficiencies.)
A charge nurse is overseeing an AP who has been assigned care for a group of clients. Which of the
following actions by the charge nurse demonstrates accountability? - Answer Files an incident report
when the AP performs a task that is outside their scope of practice. (An incident report is a risk
assessment tool that identifies an unusual occurrence. By filing the report, the charge nurse is
demonstrating accountability and ensuring safety standards are met, thus protecting the client from
potential harm.)
A nurse is advocating for a client who is seeking treatment for an eating disorder. In which order should
the nurse take the following steps? - Answer 1. Determine the client's level of understanding regarding
their eating disorder. The nurse should collect data regarding the client's level of understanding,
interests, personal values, mental function, and awareness of rights in order to advocate for the client.
