NUR 420 | NUR420 Exam 2: Leadership - WCU
Updated and Latest Questions and Correct
Answers with Rationale
1. A nurse manager is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP).
Which task is appropriate for the nurse to delegate?
A. Performing an initial head-to-toe assessment
B. Administering oral medications to a stable patient
C. Developing a care plan for a newly admitted client
D. Assisting a stable patient with ambulation in the hallway
Correct Answer: D
Rationale: Delegation requires the nurse to evaluate the complexity of the task before
assigning it. The UAP is suitable for tasks that have predictable outcomes and do not
require clinical judgment. The RN remains responsible for the outcome of the delegated
task. Assisting with ambulation is within the UAP’s scope for a stable patient. The nurse
must still provide clear instructions and follow up on the completion of the task.
2. Two nurses on a unit have a disagreement regarding the holiday schedule. They decide to
use a strategy where each party gives up something to reach a solution. Which conflict
resolution strategy is being used?
A. Avoiding
B. Collaborating
C. Competing
D. Compromising
Correct Answer: D
Rationale: Compromising involves a give-and-take approach where both parties surrender
part of their needs. This strategy is effective when a quick solution is needed for a complex
problem. It promotes a sense of fairness by ensuring neither party wins or loses entirely.
While it may not satisfy everyone completely, it facilitates movement toward a resolution.
Leadership should monitor if this approach leaves underlying issues unaddressed over
time.
3. A nurse manager encourages staff to participate in decision-making and values their input
regarding unit policies. Which leadership style is this manager demonstrating?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Rationale: The democratic leadership style focuses on group participation and open
communication between staff and management. This approach often leads to higher
employee satisfaction and increased buy-in for changes. The manager acts as a facilitator
rather than a sole decision-maker in this model. It is particularly effective in professional
settings where staff expertise is highly valued. However, the decision-making process can
be slower than in other leadership styles.
4. When delegating a task to a Licensed Practical Nurse (LPN), which of the following is one of
the ‘Five Rights of Delegation’?
A. Right Compensation
B. Right Hospital Policy
C. Right Direction and Communication
D. Right Seniority
Correct Answer: C
Rationale: The Five Rights of Delegation include task, circumstance, person,
direction/communication, and supervision/evaluation. Right direction means providing a
clear, concise description of the task and its objectives. The nurse must communicate any
specific limits or expectations for the delegated activity. Clear communication prevents
errors and ensures patient safety during care delivery. Assessing the receiver’s
understanding of the instructions is a vital part of this right.
5. A nurse leader is managing a crisis situation where immediate, decisive action is required
to ensure patient safety. Which leadership style is most appropriate in this specific context?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: A
Rationale: Autocratic leadership involves centralized decision-making with little input
from others. This style is highly effective during emergency situations where there is no
time for discussion. The leader takes full responsibility for the decisions and directs the
team members precisely. While it can stifle creativity, it ensures that urgent tasks are
completed efficiently. Once the crisis is over, the leader may transition back to a more
participative style.
, 6. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient who was admitted yesterday for elective surgery
B. A patient requesting a PRN medication for mild back pain
C. A patient who needs discharge instructions for a home medication
D. A patient reporting a new onset of chest pain and shortness of breath
Correct Answer: D
Rationale: Prioritization is based on the ABCs: airway, breathing, and circulation. A patient
with chest pain and shortness of breath represents a potential life-threatening emergency.
The nurse must immediately assess these symptoms to prevent further cardiac or
respiratory compromise. Stable patients or routine tasks like discharge education can be
delayed for urgent clinical needs. This critical thinking process ensures that the most
vulnerable patients receive care first.
7. A nurse manager observes a staff nurse performing a procedure incorrectly. What is the
most appropriate initial action by the manager?
A. Report the nurse to the state board of nursing immediately
B. Provide immediate corrective feedback in a private setting
C. Wait until the yearly performance review to mention the error
D. Assign a different nurse to perform all future procedures
Correct Answer: B
Rationale: Supervision involves the provision of guidance and direction for tasks
performed by others. Immediate feedback is necessary to correct errors and ensure patient
safety is maintained. Corrective action should always be handled privately to maintain the
professional dignity of the staff member. This approach fosters a culture of learning rather
than a culture of blame. Regular supervision helps identify areas where additional training
or support may be required.
8. In conflict resolution, which strategy aims for a ‘win-win’ situation where both parties’
goals are met?
A. Smoothing
B. Collaborating
C. Competing
D. Accommodating
Correct Answer: B
Updated and Latest Questions and Correct
Answers with Rationale
1. A nurse manager is planning to delegate tasks to an Unlicensed Assistive Personnel (UAP).
Which task is appropriate for the nurse to delegate?
A. Performing an initial head-to-toe assessment
B. Administering oral medications to a stable patient
C. Developing a care plan for a newly admitted client
D. Assisting a stable patient with ambulation in the hallway
Correct Answer: D
Rationale: Delegation requires the nurse to evaluate the complexity of the task before
assigning it. The UAP is suitable for tasks that have predictable outcomes and do not
require clinical judgment. The RN remains responsible for the outcome of the delegated
task. Assisting with ambulation is within the UAP’s scope for a stable patient. The nurse
must still provide clear instructions and follow up on the completion of the task.
2. Two nurses on a unit have a disagreement regarding the holiday schedule. They decide to
use a strategy where each party gives up something to reach a solution. Which conflict
resolution strategy is being used?
A. Avoiding
B. Collaborating
C. Competing
D. Compromising
Correct Answer: D
Rationale: Compromising involves a give-and-take approach where both parties surrender
part of their needs. This strategy is effective when a quick solution is needed for a complex
problem. It promotes a sense of fairness by ensuring neither party wins or loses entirely.
While it may not satisfy everyone completely, it facilitates movement toward a resolution.
Leadership should monitor if this approach leaves underlying issues unaddressed over
time.
3. A nurse manager encourages staff to participate in decision-making and values their input
regarding unit policies. Which leadership style is this manager demonstrating?
A. Autocratic
B. Democratic
,C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Rationale: The democratic leadership style focuses on group participation and open
communication between staff and management. This approach often leads to higher
employee satisfaction and increased buy-in for changes. The manager acts as a facilitator
rather than a sole decision-maker in this model. It is particularly effective in professional
settings where staff expertise is highly valued. However, the decision-making process can
be slower than in other leadership styles.
4. When delegating a task to a Licensed Practical Nurse (LPN), which of the following is one of
the ‘Five Rights of Delegation’?
A. Right Compensation
B. Right Hospital Policy
C. Right Direction and Communication
D. Right Seniority
Correct Answer: C
Rationale: The Five Rights of Delegation include task, circumstance, person,
direction/communication, and supervision/evaluation. Right direction means providing a
clear, concise description of the task and its objectives. The nurse must communicate any
specific limits or expectations for the delegated activity. Clear communication prevents
errors and ensures patient safety during care delivery. Assessing the receiver’s
understanding of the instructions is a vital part of this right.
5. A nurse leader is managing a crisis situation where immediate, decisive action is required
to ensure patient safety. Which leadership style is most appropriate in this specific context?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Correct Answer: A
Rationale: Autocratic leadership involves centralized decision-making with little input
from others. This style is highly effective during emergency situations where there is no
time for discussion. The leader takes full responsibility for the decisions and directs the
team members precisely. While it can stifle creativity, it ensures that urgent tasks are
completed efficiently. Once the crisis is over, the leader may transition back to a more
participative style.
, 6. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient who was admitted yesterday for elective surgery
B. A patient requesting a PRN medication for mild back pain
C. A patient who needs discharge instructions for a home medication
D. A patient reporting a new onset of chest pain and shortness of breath
Correct Answer: D
Rationale: Prioritization is based on the ABCs: airway, breathing, and circulation. A patient
with chest pain and shortness of breath represents a potential life-threatening emergency.
The nurse must immediately assess these symptoms to prevent further cardiac or
respiratory compromise. Stable patients or routine tasks like discharge education can be
delayed for urgent clinical needs. This critical thinking process ensures that the most
vulnerable patients receive care first.
7. A nurse manager observes a staff nurse performing a procedure incorrectly. What is the
most appropriate initial action by the manager?
A. Report the nurse to the state board of nursing immediately
B. Provide immediate corrective feedback in a private setting
C. Wait until the yearly performance review to mention the error
D. Assign a different nurse to perform all future procedures
Correct Answer: B
Rationale: Supervision involves the provision of guidance and direction for tasks
performed by others. Immediate feedback is necessary to correct errors and ensure patient
safety is maintained. Corrective action should always be handled privately to maintain the
professional dignity of the staff member. This approach fosters a culture of learning rather
than a culture of blame. Regular supervision helps identify areas where additional training
or support may be required.
8. In conflict resolution, which strategy aims for a ‘win-win’ situation where both parties’
goals are met?
A. Smoothing
B. Collaborating
C. Competing
D. Accommodating
Correct Answer: B
