Nursing Leadership, Patient Safety & Quality Improvement Practice
Pack 2026 |Chamberlain College
1. A nurse manager encourages staff to participate in decision-making and
values the input of the team. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves sharing the decision-making process with the
group, encouraging participation, and fostering a sense of ownership among staff.
2. Which of the following tasks is most appropriate for a registered nurse (RN)
to delegate to an unlicensed assistive personnel (UAP)?
A. Assisting a stable patient with ambulation in the hallway
B. Providing discharge instructions to a patient with diabetes
C. Assessing a patient’s pain level after medication administration
D. Adjusting the rate of an intravenous infusion
Answer: A
Rationale: UAPs can perform routine tasks for stable patients, such as ambulation.
Assessment, teaching, and medication management are the responsibility of the RN.
,3. The nurse is using the SBAR tool to communicate with a physician. Which
information belongs in the ‘Assessment’ portion of the tool?
A. The patient’s current vital signs and physical findings
B. The nurse’s recommendation for a change in treatment
C. The reason the patient was admitted to the hospital
D. The patient’s name and room number
Answer: A
Rationale: The Assessment component of SBAR includes the nurse’s analysis of the
situation, including vital signs and current clinical findings.
4. What is the primary goal of a Root Cause Analysis (RCA) after a sentinel event
occurs in a hospital?
A. To assign blame to the individual responsible for the error
B. To determine the systemic factors that led to the event
C. To provide a basis for terminating employment of staff
D. To minimize the hospital’s legal liability
Answer: B
Rationale: An RCA is a process for identifying the factors that underlie variation in
performance, focusing on systems and processes rather than individual blame.
5. A nurse allows a patient to decide whether to undergo a proposed medical
procedure. Which ethical principle is being upheld?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy is the right of the patient to make their own decisions about their
medical care.
, 6. Which of the ‘Five Rights of Delegation’ involves determining if the person
has the necessary skills and experience?
A. Right Person
B. Right Task
C. Right Direction
D. Right Circumstance
Answer: A
Rationale: The Right Person involves ensuring that the person to whom the task is
delegated has the appropriate competence and training.
7. A nurse leader is focusing on long-term goals and inspiring the staff to achieve
a shared vision. This is characteristic of which leadership style?
A. Bureaucratic
B. Transactional
C. Situational
D. Transformational
Answer: D
Rationale: Transformational leaders inspire and motivate followers to achieve
extraordinary outcomes and develop their own leadership capacity.
8. A patient falls and sustains a hip fracture after the nurse forgot to raise the
side rails. This is an example of:
A. Battery
B. Assault
C. Libel
D. Negligence
Answer: D
Rationale: Negligence is the failure to provide the standard of care that a reasonably
prudent person would have provided in a similar situation.
Pack 2026 |Chamberlain College
1. A nurse manager encourages staff to participate in decision-making and
values the input of the team. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves sharing the decision-making process with the
group, encouraging participation, and fostering a sense of ownership among staff.
2. Which of the following tasks is most appropriate for a registered nurse (RN)
to delegate to an unlicensed assistive personnel (UAP)?
A. Assisting a stable patient with ambulation in the hallway
B. Providing discharge instructions to a patient with diabetes
C. Assessing a patient’s pain level after medication administration
D. Adjusting the rate of an intravenous infusion
Answer: A
Rationale: UAPs can perform routine tasks for stable patients, such as ambulation.
Assessment, teaching, and medication management are the responsibility of the RN.
,3. The nurse is using the SBAR tool to communicate with a physician. Which
information belongs in the ‘Assessment’ portion of the tool?
A. The patient’s current vital signs and physical findings
B. The nurse’s recommendation for a change in treatment
C. The reason the patient was admitted to the hospital
D. The patient’s name and room number
Answer: A
Rationale: The Assessment component of SBAR includes the nurse’s analysis of the
situation, including vital signs and current clinical findings.
4. What is the primary goal of a Root Cause Analysis (RCA) after a sentinel event
occurs in a hospital?
A. To assign blame to the individual responsible for the error
B. To determine the systemic factors that led to the event
C. To provide a basis for terminating employment of staff
D. To minimize the hospital’s legal liability
Answer: B
Rationale: An RCA is a process for identifying the factors that underlie variation in
performance, focusing on systems and processes rather than individual blame.
5. A nurse allows a patient to decide whether to undergo a proposed medical
procedure. Which ethical principle is being upheld?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy is the right of the patient to make their own decisions about their
medical care.
, 6. Which of the ‘Five Rights of Delegation’ involves determining if the person
has the necessary skills and experience?
A. Right Person
B. Right Task
C. Right Direction
D. Right Circumstance
Answer: A
Rationale: The Right Person involves ensuring that the person to whom the task is
delegated has the appropriate competence and training.
7. A nurse leader is focusing on long-term goals and inspiring the staff to achieve
a shared vision. This is characteristic of which leadership style?
A. Bureaucratic
B. Transactional
C. Situational
D. Transformational
Answer: D
Rationale: Transformational leaders inspire and motivate followers to achieve
extraordinary outcomes and develop their own leadership capacity.
8. A patient falls and sustains a hip fracture after the nurse forgot to raise the
side rails. This is an example of:
A. Battery
B. Assault
C. Libel
D. Negligence
Answer: D
Rationale: Negligence is the failure to provide the standard of care that a reasonably
prudent person would have provided in a similar situation.
