PNR 205/PNR205 Exam 3 V3 | Concepts of
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is resolving a conflict between two staff nurses regarding holiday
scheduling. Which conflict resolution strategy is used when both nurses give up something of
value to reach a solution?
A. Competing
B. Avoiding
C. Compromising
D. Accommodating
Correct Answer: C
Expert Explanation: Compromising involves each party giving up something to reach a
middle ground. This strategy is often used when both sides have equal power or when a
quick solution is needed. It promotes a sense of fairness even though neither party gets
exactly what they originally wanted.
2. Which leadership style is most appropriate for a nurse to utilize during a code blue
emergency on a medical-surgical unit?
A. Autocratic
B. Laissez-faire
,C. Democratic
D. Situational
Correct Answer: A
Expert Explanation: Autocratic leadership is characterized by individual control over all
decisions and little input from group members. In a life-threatening emergency like a code
blue, clear and immediate directives are necessary for patient safety. This style ensures
that tasks are delegated quickly and efficiently without the delay of group discussion.
3. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate to the UAP?
A. Assessing a client’s surgical incision
B. Providing discharge instructions to a client
C. Assisting a stable client with ambulation
D. Administering oral medications
Correct Answer: C
Expert Explanation: Assisting a stable client with ambulation is within the scope of
practice for a UAP. Tasks delegated to UAPs should be routine, non-invasive, and require no
clinical judgment. Assessments, teaching, and medication administration are
responsibilities that remain with the licensed nurse.
, 4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client who had a hip replacement 2 days ago and reports pain of 6/10
B. A client with diabetes whose morning blood glucose was 150 mg/dL
C. A client with pneumonia who has a new onset of confusion
D. A client scheduled for discharge who needs a final dressing change
Correct Answer: C
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) and safety framework,
a new onset of confusion can indicate hypoxia or sepsis. This represents a physiological
change that requires immediate assessment to prevent further deterioration. The other
clients are stable or have expected findings that can be addressed after the priority
assessment.
5. A nurse respects a client’s decision to refuse chemotherapy despite the family’s wishes.
This action demonstrates which ethical principle?
A. Beneficence
B. Justice
C. Veracity
D. Autonomy
Correct Answer: D
Leadership and Collaboration Q&A with
Rationale | Fortis College
1. A nurse manager is resolving a conflict between two staff nurses regarding holiday
scheduling. Which conflict resolution strategy is used when both nurses give up something of
value to reach a solution?
A. Competing
B. Avoiding
C. Compromising
D. Accommodating
Correct Answer: C
Expert Explanation: Compromising involves each party giving up something to reach a
middle ground. This strategy is often used when both sides have equal power or when a
quick solution is needed. It promotes a sense of fairness even though neither party gets
exactly what they originally wanted.
2. Which leadership style is most appropriate for a nurse to utilize during a code blue
emergency on a medical-surgical unit?
A. Autocratic
B. Laissez-faire
,C. Democratic
D. Situational
Correct Answer: A
Expert Explanation: Autocratic leadership is characterized by individual control over all
decisions and little input from group members. In a life-threatening emergency like a code
blue, clear and immediate directives are necessary for patient safety. This style ensures
that tasks are delegated quickly and efficiently without the delay of group discussion.
3. An LPN is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate to the UAP?
A. Assessing a client’s surgical incision
B. Providing discharge instructions to a client
C. Assisting a stable client with ambulation
D. Administering oral medications
Correct Answer: C
Expert Explanation: Assisting a stable client with ambulation is within the scope of
practice for a UAP. Tasks delegated to UAPs should be routine, non-invasive, and require no
clinical judgment. Assessments, teaching, and medication administration are
responsibilities that remain with the licensed nurse.
, 4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client who had a hip replacement 2 days ago and reports pain of 6/10
B. A client with diabetes whose morning blood glucose was 150 mg/dL
C. A client with pneumonia who has a new onset of confusion
D. A client scheduled for discharge who needs a final dressing change
Correct Answer: C
Expert Explanation: Using the ABC (Airway, Breathing, Circulation) and safety framework,
a new onset of confusion can indicate hypoxia or sepsis. This represents a physiological
change that requires immediate assessment to prevent further deterioration. The other
clients are stable or have expected findings that can be addressed after the priority
assessment.
5. A nurse respects a client’s decision to refuse chemotherapy despite the family’s wishes.
This action demonstrates which ethical principle?
A. Beneficence
B. Justice
C. Veracity
D. Autonomy
Correct Answer: D
