NUR 204 Leadership Exam 1 (Ch.1,2,4,5,8,20,21)
Latest Update 2025-2026 Actual Exam 135
Questions with 100% Verified Correct Answers
Guaranteed A+ Verified by Professor
17. In which situation would the nurse be justified in overriding a client's right to
confidentiality?
a. An older adult client discloses to the nurse that her son occasionally hits her.
b. A client states that he does not want to know the results of his recent diagnostic test.
c. A client does not want her husband to know that she is a client on the unit.
d. A teenage client asks the nurse not to tell her parents that she is pregnant. -
CORRECT ANSWER: a. An older adult client discloses to the nurse that her son
occasionally hits her.
26. A nurse has been hired to oversee the operations of a series of ambulatory clinics.
The nurse can best promote the success of the organization by:
a. promoting management skills among all employees.
b. integrating leadership skills and management skills.
c. clearly communicating to employees that they will be required to follow.
d. advocating for the organization to hire a leader for each site. - CORRECT ANSWER:
b. integrating leadership skills and management skills.
29. The nurse-manager is addressing a nurse's suspected breach of client
confidentiality in a social media posting. What function of the management process is
this nurse-manager demonstrating?
a. Organizing
b. Staffing
c. Directing
,d. Controlling - CORRECT ANSWER: d. Controlling
4. The only treatment alternative left for a client diagnosed with advanced cancer is a
rare, highly experimental bone marrow transfusion with a 10% success rate. Some
individuals are arguing that the high cost of the procedure could be better spent
providing well-baby screening for 2,000 residents in the service area. What ethical
principle is most directly involved in this situation?
a. Unethical conduct
b. Maleficence
c. Paternalism
d. Utility - CORRECT ANSWER: d. Utility
A charge nurse has discovered that a medication error was made on the previous shift.
What is the nurse's best action?
a. Share that information with the charge nurse on the previous shift.
b. Document the incident and follow it up as per hospital policy.
c. Write a memo to the nurse who made the error requesting an incident report be
written.
d. Document in the client's chart that an incident report will be completed. - CORRECT
ANSWER: b. Document the incident and follow it up as per hospital policy.
A client has provided informed consent for surgery and is being assessed by the nurse.
What statement by the client should prompt the nurse to contact the surgeon?
a. "Why am I not allowed to eat and drink before the surgery?"
b. "How long do you think I'll stay in the recovery room?"
c. "Do you think this surgery is actually safe and necessary?"
d. "What is the difference between the surgeon and the anesthesiologist?" - CORRECT
ANSWER: c. "Do you think this surgery is actually safe and necessary?"
,A client is preparing to be discharged from the health-care facility and has told the nurse
that he would like to read his medical record. What is the nurse's best initial action?
a. Arrange for the medical record to be provided to the client.
b. Inform the client that this request will be communicated to the facility's ethics
committee.
c. Confirm the facility's policy around providing medical records to clients.
d. Check whether this provision is included in the jurisdiction's Nurse Practice Act. -
CORRECT ANSWER: c. Confirm the facility's policy around providing medical records
to clients.
A health-care provider prescribes a medical procedure that the staff nurse has reason to
believe will harm the client. Which principle should guide the nurse's choice of action?
a. The staff nurse cannot be held legally liable for any harm to the client if the procedure
is carried out with due care.
b. The nurse may lose his or her license by refusing to carry out the procedure.
c. The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
d. Liability rests with the health-care provider, not the nurse. - CORRECT ANSWER: c.
The nurse can be held legally liable for any harm if the procedure is carried out without
questioning it.
A manager demonstrates one of the four principles of scientific management when he or
she:
a. shows an interest in employees' personal lives and emotional health.
b. engages in lifelong learning and expects employees to do the same.
c. allows employees to do their jobs independently, with minimal oversight.
, d. hires and promotes employees on the basis of their competence and skills. -
CORRECT ANSWER: d. hires and promotes employees on the basis of their
competence and skills.
A novice nurse has been trying to apply the nursing process to each client interaction.
What should the nurse do to enhance the effectiveness of this process for making
decisions and solving problems?
a. Ensure that specific goals are identified during the planning process.
b. Conduct assessment and diagnosis simultaneously whenever possible.
c. Prioritize ethics during each phase of the nursing process.
d. Avoid evaluating the process until every outcome has been met. - CORRECT
ANSWER: a. Ensure that specific goals are identified during the planning process.
A nurse failed to supervise a confused client, and the client fell while transferring to the
bathroom. The client was unharmed, but the client's family has launched a malpractice
suit, citing the nurse's breach of duty. What is the most likely outcome of this case?
a. The outcome will depend on the extent to which the client was responsible for the
incident.
b. It will likely be successful, provided the family can prove the event was reasonably
foreseeable.
c. It will likely be unsuccessful because the client was not injured.
d. The outcome will depend on how the nurse's actions compare to the established
standard of care. - CORRECT ANSWER: c. It will likely be unsuccessful because the
client was not injured.
A nurse has accepted a management position in a busy ambulatory clinic and
recognizes that the day-to-day operations of the clinic will require many decisions. What
is the nurse's best initial action when preparing for this new role?
Latest Update 2025-2026 Actual Exam 135
Questions with 100% Verified Correct Answers
Guaranteed A+ Verified by Professor
17. In which situation would the nurse be justified in overriding a client's right to
confidentiality?
a. An older adult client discloses to the nurse that her son occasionally hits her.
b. A client states that he does not want to know the results of his recent diagnostic test.
c. A client does not want her husband to know that she is a client on the unit.
d. A teenage client asks the nurse not to tell her parents that she is pregnant. -
CORRECT ANSWER: a. An older adult client discloses to the nurse that her son
occasionally hits her.
26. A nurse has been hired to oversee the operations of a series of ambulatory clinics.
The nurse can best promote the success of the organization by:
a. promoting management skills among all employees.
b. integrating leadership skills and management skills.
c. clearly communicating to employees that they will be required to follow.
d. advocating for the organization to hire a leader for each site. - CORRECT ANSWER:
b. integrating leadership skills and management skills.
29. The nurse-manager is addressing a nurse's suspected breach of client
confidentiality in a social media posting. What function of the management process is
this nurse-manager demonstrating?
a. Organizing
b. Staffing
c. Directing
,d. Controlling - CORRECT ANSWER: d. Controlling
4. The only treatment alternative left for a client diagnosed with advanced cancer is a
rare, highly experimental bone marrow transfusion with a 10% success rate. Some
individuals are arguing that the high cost of the procedure could be better spent
providing well-baby screening for 2,000 residents in the service area. What ethical
principle is most directly involved in this situation?
a. Unethical conduct
b. Maleficence
c. Paternalism
d. Utility - CORRECT ANSWER: d. Utility
A charge nurse has discovered that a medication error was made on the previous shift.
What is the nurse's best action?
a. Share that information with the charge nurse on the previous shift.
b. Document the incident and follow it up as per hospital policy.
c. Write a memo to the nurse who made the error requesting an incident report be
written.
d. Document in the client's chart that an incident report will be completed. - CORRECT
ANSWER: b. Document the incident and follow it up as per hospital policy.
A client has provided informed consent for surgery and is being assessed by the nurse.
What statement by the client should prompt the nurse to contact the surgeon?
a. "Why am I not allowed to eat and drink before the surgery?"
b. "How long do you think I'll stay in the recovery room?"
c. "Do you think this surgery is actually safe and necessary?"
d. "What is the difference between the surgeon and the anesthesiologist?" - CORRECT
ANSWER: c. "Do you think this surgery is actually safe and necessary?"
,A client is preparing to be discharged from the health-care facility and has told the nurse
that he would like to read his medical record. What is the nurse's best initial action?
a. Arrange for the medical record to be provided to the client.
b. Inform the client that this request will be communicated to the facility's ethics
committee.
c. Confirm the facility's policy around providing medical records to clients.
d. Check whether this provision is included in the jurisdiction's Nurse Practice Act. -
CORRECT ANSWER: c. Confirm the facility's policy around providing medical records
to clients.
A health-care provider prescribes a medical procedure that the staff nurse has reason to
believe will harm the client. Which principle should guide the nurse's choice of action?
a. The staff nurse cannot be held legally liable for any harm to the client if the procedure
is carried out with due care.
b. The nurse may lose his or her license by refusing to carry out the procedure.
c. The nurse can be held legally liable for any harm if the procedure is carried out
without questioning it.
d. Liability rests with the health-care provider, not the nurse. - CORRECT ANSWER: c.
The nurse can be held legally liable for any harm if the procedure is carried out without
questioning it.
A manager demonstrates one of the four principles of scientific management when he or
she:
a. shows an interest in employees' personal lives and emotional health.
b. engages in lifelong learning and expects employees to do the same.
c. allows employees to do their jobs independently, with minimal oversight.
, d. hires and promotes employees on the basis of their competence and skills. -
CORRECT ANSWER: d. hires and promotes employees on the basis of their
competence and skills.
A novice nurse has been trying to apply the nursing process to each client interaction.
What should the nurse do to enhance the effectiveness of this process for making
decisions and solving problems?
a. Ensure that specific goals are identified during the planning process.
b. Conduct assessment and diagnosis simultaneously whenever possible.
c. Prioritize ethics during each phase of the nursing process.
d. Avoid evaluating the process until every outcome has been met. - CORRECT
ANSWER: a. Ensure that specific goals are identified during the planning process.
A nurse failed to supervise a confused client, and the client fell while transferring to the
bathroom. The client was unharmed, but the client's family has launched a malpractice
suit, citing the nurse's breach of duty. What is the most likely outcome of this case?
a. The outcome will depend on the extent to which the client was responsible for the
incident.
b. It will likely be successful, provided the family can prove the event was reasonably
foreseeable.
c. It will likely be unsuccessful because the client was not injured.
d. The outcome will depend on how the nurse's actions compare to the established
standard of care. - CORRECT ANSWER: c. It will likely be unsuccessful because the
client was not injured.
A nurse has accepted a management position in a busy ambulatory clinic and
recognizes that the day-to-day operations of the clinic will require many decisions. What
is the nurse's best initial action when preparing for this new role?
