PNR 205/PNR205 Final Exam V2 |
Concepts of Leadership and Collaboration
Q&A with Rationale | Fortis College
1. A nurse manager is observed making all decisions for the unit without seeking input from
the staff. Which leadership style is this manager demonstrating?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Situational
Correct Answer: A
Expert Explanation: The autocratic leadership style 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 mandatory. However, it can lead to low
staff morale and high turnover if used exclusively in a clinical environment.
2. Which task is most appropriate for a Licensed Practical Nurse (LPN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assisting a stable client with ambulation
B. Assessing a client’s surgical wound
C. Teaching a client how to use an incentive spirometer
,D. Administering oral medications
Correct Answer: A
Expert Explanation: Assisting a stable client with activities of daily living, such as
ambulation, falls within the scope of practice for a UAP. Tasks involving assessment,
teaching, and medication administration require clinical judgment and are reserved for
licensed personnel. The LPN must ensure the client is stable before delegating this mobility
task.
3. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client who had a hip replacement 2 days ago and needs a dressing change
B. A client reporting sudden onset of chest pain and shortness of breath
C. A client with chronic obstructive pulmonary disease (COPD) with an SpO2 of 91%
D. A client who is scheduled for discharge and needs education
Correct Answer: B
Expert Explanation: The client with sudden chest pain and shortness of breath takes
priority according to the ABC (Airway, Breathing, Circulation) framework. This
presentation could indicate a life-threatening event such as a myocardial infarction or
pulmonary embolism. The other clients are relatively stable and their needs can be
addressed after the emergency is managed.
, 4. A nurse is participating in a Continuous Quality Improvement (CQI) program. What is the
primary focus of CQI in a healthcare setting?
A. Identifying which staff member made an error
B. Ensuring the facility passes accreditation
C. Reducing the cost of medical supplies
D. Improving processes to enhance client outcomes
Correct Answer: D
Expert Explanation: The core purpose of CQI is to systematically evaluate and improve
the processes of care to achieve better patient outcomes. Unlike traditional quality
assurance, CQI focuses on system improvements rather than blaming individuals for errors.
This approach fosters a culture of safety and excellence within the nursing team.
5. A nurse respects a client’s decision to refuse a recommended blood transfusion based on
religious beliefs. Which ethical principle is the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Concepts of Leadership and Collaboration
Q&A with Rationale | Fortis College
1. A nurse manager is observed making all decisions for the unit without seeking input from
the staff. Which leadership style is this manager demonstrating?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Situational
Correct Answer: A
Expert Explanation: The autocratic leadership style 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 mandatory. However, it can lead to low
staff morale and high turnover if used exclusively in a clinical environment.
2. Which task is most appropriate for a Licensed Practical Nurse (LPN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assisting a stable client with ambulation
B. Assessing a client’s surgical wound
C. Teaching a client how to use an incentive spirometer
,D. Administering oral medications
Correct Answer: A
Expert Explanation: Assisting a stable client with activities of daily living, such as
ambulation, falls within the scope of practice for a UAP. Tasks involving assessment,
teaching, and medication administration require clinical judgment and are reserved for
licensed personnel. The LPN must ensure the client is stable before delegating this mobility
task.
3. A nurse is prioritizing care for four clients. Which client should the nurse assess first?
A. A client who had a hip replacement 2 days ago and needs a dressing change
B. A client reporting sudden onset of chest pain and shortness of breath
C. A client with chronic obstructive pulmonary disease (COPD) with an SpO2 of 91%
D. A client who is scheduled for discharge and needs education
Correct Answer: B
Expert Explanation: The client with sudden chest pain and shortness of breath takes
priority according to the ABC (Airway, Breathing, Circulation) framework. This
presentation could indicate a life-threatening event such as a myocardial infarction or
pulmonary embolism. The other clients are relatively stable and their needs can be
addressed after the emergency is managed.
, 4. A nurse is participating in a Continuous Quality Improvement (CQI) program. What is the
primary focus of CQI in a healthcare setting?
A. Identifying which staff member made an error
B. Ensuring the facility passes accreditation
C. Reducing the cost of medical supplies
D. Improving processes to enhance client outcomes
Correct Answer: D
Expert Explanation: The core purpose of CQI is to systematically evaluate and improve
the processes of care to achieve better patient outcomes. Unlike traditional quality
assurance, CQI focuses on system improvements rather than blaming individuals for errors.
This approach fosters a culture of safety and excellence within the nursing team.
5. A nurse respects a client’s decision to refuse a recommended blood transfusion based on
religious beliefs. Which ethical principle is the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
