NR 447 LEADERSHIP AND
MANAGEMENT IN NURSING ACTUAL
EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026/2027
A nurse manager notices increased staff turnover and low
morale on the unit. Which action should the nurse manager
prioritize first?
A. Implement a strict performance evaluation system
B. Conduct staff meetings to identify concerns
C. Increase patient assignments to improve productivity
D. Delegate conflict resolution to senior nurses
Correct Answer: B
,Rationale:
The priority in addressing turnover and low morale is to identify
the root cause, which requires open communication with staff.
Conducting meetings allows the manager to gather direct
feedback, understand underlying issues such as burnout, poor
communication, or leadership gaps, and engage staff in problem-
solving. Options A and C may worsen dissatisfaction by increasing
pressure without addressing concerns. Delegating conflict
resolution (D) avoids leadership accountability. Effective
leadership emphasizes communication, trust-building, and staff
involvement before implementing systemic changes.
Which statement best describes transformational leadership in
nursing?
A. Focuses on task completion and strict supervision
B. Inspires and motivates staff toward a shared vision
C. Relies on rewards and punishments to influence behavior
D. Delegates all responsibilities to team members
Correct Answer: B
Rationale:
Transformational leadership centers on inspiring and motivating
,followers to achieve a shared vision while fostering professional
growth. It involves intellectual stimulation, individualized
consideration, and idealized influence. Option A reflects
transactional or authoritarian leadership. Option C describes
transactional leadership based on rewards and penalties. Option D
reflects laissez-faire leadership, which lacks direction.
Transformational leaders drive innovation and commitment by
aligning individual goals with organizational vision.
The nurse is assigned four clients. Which client should be
assessed first?
A. A client with postoperative pain rated 7/10
B. A client with a new onset of confusion
C. A client requesting discharge instructions
D. A client scheduled for routine medication
Correct Answer: B
Rationale:
A new onset of confusion indicates an acute neurological or
systemic change that may signal hypoxia, infection, or metabolic
imbalance, requiring immediate assessment. This aligns with
prioritization principles of acute vs. chronic and unexpected vs.
, expected findings. Pain (A) is important but not immediately life-
threatening. Discharge teaching (C) and routine medication (D)
can be delayed. Early recognition of neurological deterioration is
critical for patient safety.
Which tasks are appropriate for the nurse to delegate to an
unlicensed assistive personnel (UAP)? (Select all that apply)
A. Measuring vital signs on a stable client
B. Assessing pain level in a postoperative client
C. Assisting with ambulation of a stable client
D. Administering oral medications
E. Reporting abnormal findings to the nurse
Correct Answers: A, C, E
Rationale:
Delegation to UAP includes tasks that are routine, non-invasive,
and do not require nursing judgment. Measuring vital signs (A)
and assisting with ambulation (C) are appropriate if the client is
stable. Reporting findings (E) is also appropriate, but
interpretation remains the nurse’s responsibility. Assessing pain
(B) requires clinical judgment and cannot be delegated.
Administering medications (D) is outside UAP scope. Safe
MANAGEMENT IN NURSING ACTUAL
EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY
GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||2026/2027
A nurse manager notices increased staff turnover and low
morale on the unit. Which action should the nurse manager
prioritize first?
A. Implement a strict performance evaluation system
B. Conduct staff meetings to identify concerns
C. Increase patient assignments to improve productivity
D. Delegate conflict resolution to senior nurses
Correct Answer: B
,Rationale:
The priority in addressing turnover and low morale is to identify
the root cause, which requires open communication with staff.
Conducting meetings allows the manager to gather direct
feedback, understand underlying issues such as burnout, poor
communication, or leadership gaps, and engage staff in problem-
solving. Options A and C may worsen dissatisfaction by increasing
pressure without addressing concerns. Delegating conflict
resolution (D) avoids leadership accountability. Effective
leadership emphasizes communication, trust-building, and staff
involvement before implementing systemic changes.
Which statement best describes transformational leadership in
nursing?
A. Focuses on task completion and strict supervision
B. Inspires and motivates staff toward a shared vision
C. Relies on rewards and punishments to influence behavior
D. Delegates all responsibilities to team members
Correct Answer: B
Rationale:
Transformational leadership centers on inspiring and motivating
,followers to achieve a shared vision while fostering professional
growth. It involves intellectual stimulation, individualized
consideration, and idealized influence. Option A reflects
transactional or authoritarian leadership. Option C describes
transactional leadership based on rewards and penalties. Option D
reflects laissez-faire leadership, which lacks direction.
Transformational leaders drive innovation and commitment by
aligning individual goals with organizational vision.
The nurse is assigned four clients. Which client should be
assessed first?
A. A client with postoperative pain rated 7/10
B. A client with a new onset of confusion
C. A client requesting discharge instructions
D. A client scheduled for routine medication
Correct Answer: B
Rationale:
A new onset of confusion indicates an acute neurological or
systemic change that may signal hypoxia, infection, or metabolic
imbalance, requiring immediate assessment. This aligns with
prioritization principles of acute vs. chronic and unexpected vs.
, expected findings. Pain (A) is important but not immediately life-
threatening. Discharge teaching (C) and routine medication (D)
can be delayed. Early recognition of neurological deterioration is
critical for patient safety.
Which tasks are appropriate for the nurse to delegate to an
unlicensed assistive personnel (UAP)? (Select all that apply)
A. Measuring vital signs on a stable client
B. Assessing pain level in a postoperative client
C. Assisting with ambulation of a stable client
D. Administering oral medications
E. Reporting abnormal findings to the nurse
Correct Answers: A, C, E
Rationale:
Delegation to UAP includes tasks that are routine, non-invasive,
and do not require nursing judgment. Measuring vital signs (A)
and assisting with ambulation (C) are appropriate if the client is
stable. Reporting findings (E) is also appropriate, but
interpretation remains the nurse’s responsibility. Assessing pain
(B) requires clinical judgment and cannot be delegated.
Administering medications (D) is outside UAP scope. Safe
