PNR 205/PNR205 Exam 3 V2 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is known for maintaining strict control over the unit, making all decisions
without consulting the staff. Which leadership style is this manager demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Expert Explanation: Autocratic leadership is characterized by individual control over all
decisions and little input from group members. This style is often effective in emergency
situations where quick decisions are required. However, it can lead to low staff morale if
used exclusively in non-urgent clinical settings.
2. When an LPN delegates a task to an Unlicensed Assistive Personnel (UAP), who retains the
ultimate accountability for the task’s completion and outcome?
A. The UAP
B. The Nurse Manager
C. The LPN
,D. The Physician
Correct Answer: C
Expert Explanation: Accountability remains with the licensed nurse who delegated the
task to the UAP. While the UAP is responsible for performing the task correctly, the nurse
must ensure it is done according to standards. This is a fundamental principle of nursing
delegation and professional practice.
3. A nurse is caring for four clients. Which client should the nurse assess first based on the
ABC (Airway, Breathing, Circulation) prioritization framework?
A. A client with a new onset of shortness of breath and wheezing
B. A client requesting pain medication for chronic back pain
C. A client whose surgical dressing is saturated with serosanguinous drainage
D. A client who needs education on insulin administration before discharge
Correct Answer: A
Expert Explanation: Shortness of breath and wheezing indicate a potential compromise in
the airway or breathing, which is the highest priority. Chronic pain and discharge
education are lower priorities compared to acute respiratory distress. Applying the ABC
framework ensures that life-threatening conditions are addressed immediately.
, 4. An LPN is assisting with the development of a plan of care for a client with a history of falls.
Which ethical principle is the nurse practicing by implementing bed alarms and non-skid
socks?
A. Autonomy
B. Veracity
C. Beneficence
D. Nonmaleficence
Correct Answer: D
Expert Explanation: Nonmaleficence is the ethical obligation to ‘do no harm’ and protect
the client from injury. By implementing safety measures like bed alarms, the nurse is
actively working to prevent a fall-related injury. This differs from beneficence, which
focuses on doing good for the client’s overall well-being.
5. Which of the following tasks is appropriate for an LPN to delegate to a UAP?
A. Assisting a stable client with ambulation in the hallway
B. Evaluating the effectiveness of a pain medication
C. Performing an initial admission assessment
D. Providing teaching on a low-sodium diet
Correct Answer: A
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is known for maintaining strict control over the unit, making all decisions
without consulting the staff. Which leadership style is this manager demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Expert Explanation: Autocratic leadership is characterized by individual control over all
decisions and little input from group members. This style is often effective in emergency
situations where quick decisions are required. However, it can lead to low staff morale if
used exclusively in non-urgent clinical settings.
2. When an LPN delegates a task to an Unlicensed Assistive Personnel (UAP), who retains the
ultimate accountability for the task’s completion and outcome?
A. The UAP
B. The Nurse Manager
C. The LPN
,D. The Physician
Correct Answer: C
Expert Explanation: Accountability remains with the licensed nurse who delegated the
task to the UAP. While the UAP is responsible for performing the task correctly, the nurse
must ensure it is done according to standards. This is a fundamental principle of nursing
delegation and professional practice.
3. A nurse is caring for four clients. Which client should the nurse assess first based on the
ABC (Airway, Breathing, Circulation) prioritization framework?
A. A client with a new onset of shortness of breath and wheezing
B. A client requesting pain medication for chronic back pain
C. A client whose surgical dressing is saturated with serosanguinous drainage
D. A client who needs education on insulin administration before discharge
Correct Answer: A
Expert Explanation: Shortness of breath and wheezing indicate a potential compromise in
the airway or breathing, which is the highest priority. Chronic pain and discharge
education are lower priorities compared to acute respiratory distress. Applying the ABC
framework ensures that life-threatening conditions are addressed immediately.
, 4. An LPN is assisting with the development of a plan of care for a client with a history of falls.
Which ethical principle is the nurse practicing by implementing bed alarms and non-skid
socks?
A. Autonomy
B. Veracity
C. Beneficence
D. Nonmaleficence
Correct Answer: D
Expert Explanation: Nonmaleficence is the ethical obligation to ‘do no harm’ and protect
the client from injury. By implementing safety measures like bed alarms, the nurse is
actively working to prevent a fall-related injury. This differs from beneficence, which
focuses on doing good for the client’s overall well-being.
5. Which of the following tasks is appropriate for an LPN to delegate to a UAP?
A. Assisting a stable client with ambulation in the hallway
B. Evaluating the effectiveness of a pain medication
C. Performing an initial admission assessment
D. Providing teaching on a low-sodium diet
Correct Answer: A
