NUR 2755: Multidimensional Care IV / MDC 4 –
Exam 1 Actual Exam – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed – A+ Graded
Foundations: Leadership, Management & Delegation
Q1: Which leadership style emphasizes collaboration, shared decision-making, and
valuing input from all team members when developing unit policies?
A. Autocratic
B. Democratic [CORRECT]
C. Laissez-faire
D. Transactional
Correct Answer: B
Rationale: The best answer is B. Democratic leadership is defined by participation and
shared decision-making; the leader guides the process but genuinely seeks and values
team input, which builds morale and engagement.
Q2: Which management function involves determining staffing needs, creating the
budget, and establishing goals for the upcoming fiscal year?
A. Directing
B. Organizing
C. Planning [CORRECT]
D. Controlling
Correct Answer: C
Rationale: The best answer is C. Planning is the forward-looking management function
where you map out goals, figure out what resources you need, and set the budget before
anything else happens on the unit.
,Q3: During a high-stress code blue, the charge nurse notices a new graduate becoming
overwhelmed and gently redirects them to a task within their ability while maintaining
calm communication. Which component of emotional intelligence is the charge nurse
demonstrating?
A. Self-awareness
B. Self-regulation
C. Empathy [CORRECT]
D. Motivation
Correct Answer: C
Rationale: The best answer is C. Empathy in emotional intelligence means recognizing
and responding to others' emotional states; the charge nurse saw the new grad
struggling and adjusted the situation with understanding rather than criticism.
Q4: A nurse preceptor is consistently sought out by new graduates for advice on
complex wound care because of their certification and clinical expertise. When the
preceptor makes a recommendation, staff follow it willingly. Which type of power does
this represent?
A. Legitimate power
B. Coercive power
C. Expert power [CORRECT]
D. Referent power
Correct Answer: C
Rationale: The best answer is C. Expert power comes from specialized knowledge,
skills, and credentials; people follow your lead because you clearly know what you're
doing clinically.
Q5: A nurse manager is responsible for annual performance evaluations, disciplinary
action, and strategic budget planning for the entire unit. Which role distinction separates
this from a charge nurse?
A. The charge nurse handles all patient care assignments while the manager handles
none.
B. The nurse manager has 24/7 administrative and fiscal accountability for the unit
[CORRECT]
C. The charge nurse is responsible for hiring and firing decisions.
D. The nurse manager only works day shift and does not attend meetings.
Correct Answer: B
, Rationale: The best answer is B. The nurse manager carries the big-picture
accountability for staffing budgets, outcomes, and personnel management around the
clock, while the charge nurse typically handles the shift-by-shift operations.
Q6: A charge nurse has five patients who need morning medications. Three are stable
with routine oral meds, one needs an initial post-op assessment, and one needs
discharge teaching about a new anticoagulant. Which task is appropriate to delegate to
the LPN/LVN?
A. The initial post-op assessment
B. The discharge teaching about anticoagulants
C. Administration of routine oral medications to stable patients [CORRECT]
D. Developing the plan of care for all five patients
Correct Answer: C
Rationale: The best answer is C. The LPN/LVN scope includes giving routine
medications to stable patients; initial assessments, complex patient education, and
care planning require nursing judgment and stay with the RN.
Q7: A UAP asks if they can take the vital signs on a patient who was just transferred
from the ICU two hours ago and is still on a cardiac monitor. What is the charge nurse's
best response?
A. "Yes, the UAP can take vital signs on any patient."
B. "No, this patient is not stable enough for UAP vital signs." [CORRECT]
C. "Yes, but only if the LPN supervises."
D. "No, only the nurse manager can take vital signs."
Correct Answer: B
Rationale: The best answer is B. UAPs can take vital signs on stable patients, but a
patient just out of the ICU needs ongoing assessment by an RN because their condition
could change quickly.
Q8: Which task is within the scope of a UAP on a medical-surgical unit?
A. Assessing a patient's pain level after surgery
B. Documenting intake and output for a stable patient [CORRECT]
C. Administering a PRN medication for nausea
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
Exam 1 Actual Exam – Complete Questions and
Answers with Detailed Rationales – Pass
Guaranteed – A+ Graded
Foundations: Leadership, Management & Delegation
Q1: Which leadership style emphasizes collaboration, shared decision-making, and
valuing input from all team members when developing unit policies?
A. Autocratic
B. Democratic [CORRECT]
C. Laissez-faire
D. Transactional
Correct Answer: B
Rationale: The best answer is B. Democratic leadership is defined by participation and
shared decision-making; the leader guides the process but genuinely seeks and values
team input, which builds morale and engagement.
Q2: Which management function involves determining staffing needs, creating the
budget, and establishing goals for the upcoming fiscal year?
A. Directing
B. Organizing
C. Planning [CORRECT]
D. Controlling
Correct Answer: C
Rationale: The best answer is C. Planning is the forward-looking management function
where you map out goals, figure out what resources you need, and set the budget before
anything else happens on the unit.
,Q3: During a high-stress code blue, the charge nurse notices a new graduate becoming
overwhelmed and gently redirects them to a task within their ability while maintaining
calm communication. Which component of emotional intelligence is the charge nurse
demonstrating?
A. Self-awareness
B. Self-regulation
C. Empathy [CORRECT]
D. Motivation
Correct Answer: C
Rationale: The best answer is C. Empathy in emotional intelligence means recognizing
and responding to others' emotional states; the charge nurse saw the new grad
struggling and adjusted the situation with understanding rather than criticism.
Q4: A nurse preceptor is consistently sought out by new graduates for advice on
complex wound care because of their certification and clinical expertise. When the
preceptor makes a recommendation, staff follow it willingly. Which type of power does
this represent?
A. Legitimate power
B. Coercive power
C. Expert power [CORRECT]
D. Referent power
Correct Answer: C
Rationale: The best answer is C. Expert power comes from specialized knowledge,
skills, and credentials; people follow your lead because you clearly know what you're
doing clinically.
Q5: A nurse manager is responsible for annual performance evaluations, disciplinary
action, and strategic budget planning for the entire unit. Which role distinction separates
this from a charge nurse?
A. The charge nurse handles all patient care assignments while the manager handles
none.
B. The nurse manager has 24/7 administrative and fiscal accountability for the unit
[CORRECT]
C. The charge nurse is responsible for hiring and firing decisions.
D. The nurse manager only works day shift and does not attend meetings.
Correct Answer: B
, Rationale: The best answer is B. The nurse manager carries the big-picture
accountability for staffing budgets, outcomes, and personnel management around the
clock, while the charge nurse typically handles the shift-by-shift operations.
Q6: A charge nurse has five patients who need morning medications. Three are stable
with routine oral meds, one needs an initial post-op assessment, and one needs
discharge teaching about a new anticoagulant. Which task is appropriate to delegate to
the LPN/LVN?
A. The initial post-op assessment
B. The discharge teaching about anticoagulants
C. Administration of routine oral medications to stable patients [CORRECT]
D. Developing the plan of care for all five patients
Correct Answer: C
Rationale: The best answer is C. The LPN/LVN scope includes giving routine
medications to stable patients; initial assessments, complex patient education, and
care planning require nursing judgment and stay with the RN.
Q7: A UAP asks if they can take the vital signs on a patient who was just transferred
from the ICU two hours ago and is still on a cardiac monitor. What is the charge nurse's
best response?
A. "Yes, the UAP can take vital signs on any patient."
B. "No, this patient is not stable enough for UAP vital signs." [CORRECT]
C. "Yes, but only if the LPN supervises."
D. "No, only the nurse manager can take vital signs."
Correct Answer: B
Rationale: The best answer is B. UAPs can take vital signs on stable patients, but a
patient just out of the ICU needs ongoing assessment by an RN because their condition
could change quickly.
Q8: Which task is within the scope of a UAP on a medical-surgical unit?
A. Assessing a patient's pain level after surgery
B. Documenting intake and output for a stable patient [CORRECT]
C. Administering a PRN medication for nausea
D. Teaching a patient how to use an incentive spirometer
Correct Answer: B
