PNR 205/PNR205 Final Exam V3 |
Concepts of Leadership and Collaboration
Q&A with Rationale | Fortis College
1. A nurse manager is using a leadership style that involves making all decisions for the unit
without seeking input from the staff. Which leadership style does this represent?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership is characterized by individual control over all
decisions and little input from group members. This style is efficient in emergency
situations where quick decisions are mandatory. However, it often leads to low staff morale
because nurses feel their expertise is not valued.
2. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Physician
B. Right Time
C. Right Supervision
D. Right Cost
,Correct Answer: C
Expert Explanation: The Five Rights of Delegation include Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Right
Supervision ensures that the delegator monitors the delegatee and provides feedback.
Failure to provide proper supervision can lead to patient safety issues and legal liability for
the nurse.
3. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assessing a new admission’s skin integrity
B. Administering oral medications
C. Assisting a stable patient with ambulation
D. Developing a plan of care for a diabetic patient
Correct Answer: C
Expert Explanation: UAPs are trained to perform non-invasive, routine tasks that do not
require clinical judgment or assessment. Assisting a stable patient with walking is a
standard task within their scope of practice. Tasks like medication administration,
assessment, and care planning are strictly reserved for licensed nursing personnel.
4. When using the SBAR communication tool, which information belongs in the ‘Background’
section?
A. The patient’s current vital signs
, B. The reason the nurse is calling
C. The patient’s medical history and allergies
D. The nurse’s suggestion for a change in treatment
Correct Answer: C
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The Background section includes relevant clinical history, such as
diagnosis, date of admission, and prior treatments. This provides the provider with context
so they can understand the current clinical situation more effectively.
5. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 89%
B. A patient requesting a PRN pain medication for chronic back pain
C. A patient who needs to be discharged in two hours
D. A patient with a fever of 101.2 F
Correct Answer: A
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework,
respiratory distress is the highest priority. An oxygen saturation of 89% and tachypnea
indicate a potential life-threatening breathing issue. The other patients are stable or have
needs that are not immediately life-threatening.
Concepts of Leadership and Collaboration
Q&A with Rationale | Fortis College
1. A nurse manager is using a leadership style that involves making all decisions for the unit
without seeking input from the staff. Which leadership style does this represent?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
Correct Answer: D
Expert Explanation: Autocratic leadership is characterized by individual control over all
decisions and little input from group members. This style is efficient in emergency
situations where quick decisions are mandatory. However, it often leads to low staff morale
because nurses feel their expertise is not valued.
2. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Physician
B. Right Time
C. Right Supervision
D. Right Cost
,Correct Answer: C
Expert Explanation: The Five Rights of Delegation include Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Right
Supervision ensures that the delegator monitors the delegatee and provides feedback.
Failure to provide proper supervision can lead to patient safety issues and legal liability for
the nurse.
3. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assessing a new admission’s skin integrity
B. Administering oral medications
C. Assisting a stable patient with ambulation
D. Developing a plan of care for a diabetic patient
Correct Answer: C
Expert Explanation: UAPs are trained to perform non-invasive, routine tasks that do not
require clinical judgment or assessment. Assisting a stable patient with walking is a
standard task within their scope of practice. Tasks like medication administration,
assessment, and care planning are strictly reserved for licensed nursing personnel.
4. When using the SBAR communication tool, which information belongs in the ‘Background’
section?
A. The patient’s current vital signs
, B. The reason the nurse is calling
C. The patient’s medical history and allergies
D. The nurse’s suggestion for a change in treatment
Correct Answer: C
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The Background section includes relevant clinical history, such as
diagnosis, date of admission, and prior treatments. This provides the provider with context
so they can understand the current clinical situation more effectively.
5. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 89%
B. A patient requesting a PRN pain medication for chronic back pain
C. A patient who needs to be discharged in two hours
D. A patient with a fever of 101.2 F
Correct Answer: A
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) framework,
respiratory distress is the highest priority. An oxygen saturation of 89% and tachypnea
indicate a potential life-threatening breathing issue. The other patients are stable or have
needs that are not immediately life-threatening.
