TIA Leadership and Management in Nursing 1 — Questions and Answers
Question 1: A nurse is assigned to care for four patients. Which patient should the nurse assess first?
- A patient with stable COPD requesting a breathing treatment
- A postoperative patient reporting increasing pain rated 7/10
- A patient who had a seizure 30 minutes ago and is now postictal (Correct answer)
- A new admission awaiting a room assignment
Correct answer: A patient who had a seizure 30 minutes ago and is now postictal
A postictal patient after a seizure requires immediate assessment for airway patency, injury, and neurological status — safety takes priority.
Question 2: A nurse delegates morning baths to an unlicensed assistive personnel (UAP). The nurse retains responsibility for:
- Nothing, since the task was properly delegated
- Supervising the task and evaluating patient outcomes (Correct answer)
- Completing the bath if the UAP is busy
- Documenting that the bath was completed by the UAP
Correct answer: Supervising the task and evaluating patient outcomes
Delegation transfers the task but not the accountability — the nurse is responsible for supervision and verifying patient outcomes.
Question 3: A nurse receives a verbal order from a physician by phone. What is the appropriate action?
- Carry out the order immediately and document later
- Refuse the verbal order and request written orders only
- Repeat the order back to the physician to confirm accuracy, then document (Correct answer)
- Have another nurse listen and co-sign the verbal order before acting
Correct answer: Repeat the order back to the physician to confirm accuracy, then document
Read-back of verbal/telephone orders is the required safety practice to prevent transcription errors before carrying out the order.
Question 4: A nurse witnesses a colleague make a medication error that caused patient harm. The nurse should first:
- Report the colleague to the state board of nursing
- Confront the colleague privately and tell them to self-report
- Assess the patient and notify the physician, then complete an incident report (Correct answer)
- Document the error in the medical record with the colleague's name
Correct answer: Assess the patient and notify the physician, then complete an incident report
Patient safety is the first priority — assess the patient, notify the provider, then complete the required incident report.
Question 5: A charge nurse is using transformational leadership. Which behavior best exemplifies this style?
- Assigning tasks based on rules and offering incentives for compliance
- Inspiring staff through a shared vision and mentoring professional growth (Correct answer)
- Making all decisions unilaterally to maintain efficiency
- Focusing primarily on error identification and correction
Correct answer: Inspiring staff through a shared vision and mentoring professional growth
Transformational leadership motivates staff through inspiration, shared vision, and fostering professional development rather than through rewards and punishments.
Question 6: A nurse is concerned about a physician's order that seems unsafe. Using SBAR, what does the 'R' stand for?
- Reason
- Response
- Recommendation (Correct answer)
- Reassessment
Correct answer: Recommendation
In the SBAR communication tool, 'R' stands for Recommendation — what the nurse is requesting or suggesting the provider do.
TIA Leadership and Management in Nursing 1
A nurse is assigned to care for four patients.
Which patient should the nurse assess first?