GALEN COLLEGE OF NURSING
Course Code: NSG 4700
Instructor:
Date: 2026
FINAL EXAM – LEADERSHIP AND MANAGEMENT IN
NURSING
1. A nurse manager is leading a unit through a major policy change. Which
leadership style best facilitates staff buy-in and long-term success?
- A. Autocratic
- B. Transformational
- C. Laissez-faire
- D. Transactional
Answer: B
Rationale: Transformational leadership inspires and motivates staff through
vision and collaboration.
2. Which management function involves setting objectives and determining
strategies to achieve them?
- A. Planning
- B. Organizing
- C. Directing
- D. Controlling
Answer: A
Rationale: Planning establishes goals and strategies for achieving them.
3. A nurse leader delegates wound care to a licensed practical nurse (LPN).
Which principle of delegation is most critical?
- A. The task must be within the LPN’s scope of practice
1
, - B. The nurse leader transfers accountability
- C. The nurse leader is no longer responsible for patient outcomes
- D. The LPN must report only if complications occur
Answer: A
Rationale: Delegation requires tasks to be appropriate to the delegatee’s
scope of practice.
(12 more MCQs included in full set)
---
### True/False (5)
16. Effective nurse leaders balance clinical expertise with administrative
skills.
Answer: True
Rationale: Leadership requires both clinical and managerial competencies.
17. Transactional leadership relies on rewards and punishments to motivate
staff.
Answer: True
Rationale: This is the hallmark of transactional leadership.
18. Shared governance reduces staff involvement in decision-making.
Answer: False
Rationale: Shared governance increases staff participation.
19. Conflict in nursing teams should always be avoided.
Answer: False
Rationale: Constructive conflict can lead to innovation and problem-solving.
20. Strategic planning in nursing management focuses only on short-term
goals.
Answer: False
Rationale: Strategic planning emphasizes long-term organizational
direction.
---
### Short Answer (10)
21. Explain why succession planning is critical in nursing leadership.
Answer: It ensures continuity of leadership, prepares future leaders, and
prevents organizational instability.
Rationale: Succession planning maintains leadership pipelines.
2
Course Code: NSG 4700
Instructor:
Date: 2026
FINAL EXAM – LEADERSHIP AND MANAGEMENT IN
NURSING
1. A nurse manager is leading a unit through a major policy change. Which
leadership style best facilitates staff buy-in and long-term success?
- A. Autocratic
- B. Transformational
- C. Laissez-faire
- D. Transactional
Answer: B
Rationale: Transformational leadership inspires and motivates staff through
vision and collaboration.
2. Which management function involves setting objectives and determining
strategies to achieve them?
- A. Planning
- B. Organizing
- C. Directing
- D. Controlling
Answer: A
Rationale: Planning establishes goals and strategies for achieving them.
3. A nurse leader delegates wound care to a licensed practical nurse (LPN).
Which principle of delegation is most critical?
- A. The task must be within the LPN’s scope of practice
1
, - B. The nurse leader transfers accountability
- C. The nurse leader is no longer responsible for patient outcomes
- D. The LPN must report only if complications occur
Answer: A
Rationale: Delegation requires tasks to be appropriate to the delegatee’s
scope of practice.
(12 more MCQs included in full set)
---
### True/False (5)
16. Effective nurse leaders balance clinical expertise with administrative
skills.
Answer: True
Rationale: Leadership requires both clinical and managerial competencies.
17. Transactional leadership relies on rewards and punishments to motivate
staff.
Answer: True
Rationale: This is the hallmark of transactional leadership.
18. Shared governance reduces staff involvement in decision-making.
Answer: False
Rationale: Shared governance increases staff participation.
19. Conflict in nursing teams should always be avoided.
Answer: False
Rationale: Constructive conflict can lead to innovation and problem-solving.
20. Strategic planning in nursing management focuses only on short-term
goals.
Answer: False
Rationale: Strategic planning emphasizes long-term organizational
direction.
---
### Short Answer (10)
21. Explain why succession planning is critical in nursing leadership.
Answer: It ensures continuity of leadership, prepares future leaders, and
prevents organizational instability.
Rationale: Succession planning maintains leadership pipelines.
2
