|Chamberlain College
1. Which leadership style is most effective in an emergency situation where
rapid decisions are required?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members. It is most efficient in emergency or crisis situations.
2. When a nurse delegates a task to an Unlicensed Assistive Personnel (UAP),
who retains the ultimate accountability for the outcome?
A. The UAP performing the task
B. The healthcare facility
C. The unit manager
D. The nurse who delegated the task
Answer: D
Rationale: While the task is delegated to the UAP, the licensed nurse retains professional
accountability for the patient’s care and the outcome of the delegated task.
,3. Which component of the SBAR communication tool involves the nurse stating
the immediate problem and why they are calling?
A. Situation
B. Background
C. Assessment
D. Recommendation
Answer: A
Rationale: ‘Situation’ is the first step of SBAR, where the nurse provides a concise
statement of the problem and the current status of the patient.
4. According to the ANA Code of Ethics, what is the nurse’s primary
commitment?
A. The patient, whether an individual, family, group, or community
B. The physician in charge
C. The employing institution
D. The nursing profession itself
Answer: A
Rationale: Provision 2 of the ANA Code of Ethics states that the nurse’s primary
commitment is to the patient.
5. What is the primary purpose of the Nurse Practice Act?
A. To protect the nurse from malpractice lawsuits
B. To determine the salary scales for registered nurses
C. To define the scope of practice and protect the public
D. To mandate membership in professional organizations
Answer: C
Rationale: Nurse Practice Acts are laws in each state that define nursing practice and are
designed to protect the health and safety of the public.
, 6. Which QSEN competency focuses on using data to monitor the outcomes of
care processes?
A. Patient-Centered Care
B. Evidence-Based Practice
C. Informatics
D. Quality Improvement
Answer: D
Rationale: Quality Improvement involves using data to monitor outcomes and using
improvement methods to design and test changes to improve the system of care.
7. A nurse is experiencing burnout and feeling detached from patients. This
phenomenon is often referred to as:
A. Beneficence
B. Moral distress
C. Compassion fatigue
D. Reality shock
Answer: C
Rationale: Compassion fatigue is a state of physical and mental exhaustion and emotional
withdrawal experienced by those who care for sick or traumatized people.
8. Which of the following is a hallmark of a transformational leader?
A. Motivating others through a shared vision and inspiration
B. Focusing on tasks and rewards for performance
C. Avoiding decision-making as much as possible
D. Maintaining the status quo to ensure stability
Answer: A
Rationale: Transformational leaders inspire and motivate followers to achieve
extraordinary outcomes by creating a shared vision.