Leadership & Management Nursing Final Exam Practice |Questions
|Answers |Rationales
1. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the group?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making with little to no
input from staff, which is often effective in crisis situations.
2. A nurse manager is encouraging staff to participate in decision-making
regarding unit policies. Which leadership style is being demonstrated?
A. Autocratic
B. Transactional
C. Democratic
D. Laissez-faire
Answer: C
Rationale: Democratic leadership encourages group discussion and decision-making,
fostering a sense of ownership among staff.
,3. Which of the following tasks can a Registered Nurse (RN) safely delegate to
an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Providing discharge teaching to a patient
C. Assisting a stable patient with ambulation
D. Administering intramuscular medications
Answer: C
Rationale: UAPs can perform non-invasive tasks for stable patients, such as ADLs and
ambulation. Assessment, teaching, and medication administration are reserved for licensed
nurses.
4. In Lewin’s Change Theory, the stage where the change agent creates
awareness of the need for change is known as:
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Answer: A
Rationale: Unfreezing involves identifying the need for change and preparing the group to
abandon old patterns.
5. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a pain score of 6/10 scheduled for physical therapy
B. A patient needing discharge instructions for home oxygen
C. A patient 2 hours post-op with a heart rate of 120 bpm and low blood pressure
D. A patient requesting a dressing change for a chronic wound
Answer: C
, Rationale: Using the ABC and stability framework, the post-op patient showing signs of
shock (tachycardia and hypotension) is the highest priority.
6. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Competing
B. Collaborating
C. Compromising
D. Avoiding
Answer: C
Rationale: Compromising is a ‘lose-lose’ or ‘neutral’ approach where both parties yield
part of their goals to resolve the conflict.
7. The ethical principle that refers to the nurse’s obligation to ‘do no harm’ is:
A. Beneficence
B. Justice
C. Non-maleficence
D. Fidelity
Answer: C
Rationale: Non-maleficence is the duty to protect patients from harm.
8. Which of the ‘Five Rights of Delegation’ ensures the RN provides clear,
concise, and complete instructions to the delegatee?
A. Right Communication
B. Right Person
C. Right Task
D. Right Supervision
Answer: A
|Answers |Rationales
1. Which leadership style is characterized by a leader who makes decisions
independently without seeking input from the group?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making with little to no
input from staff, which is often effective in crisis situations.
2. A nurse manager is encouraging staff to participate in decision-making
regarding unit policies. Which leadership style is being demonstrated?
A. Autocratic
B. Transactional
C. Democratic
D. Laissez-faire
Answer: C
Rationale: Democratic leadership encourages group discussion and decision-making,
fostering a sense of ownership among staff.
,3. Which of the following tasks can a Registered Nurse (RN) safely delegate to
an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Providing discharge teaching to a patient
C. Assisting a stable patient with ambulation
D. Administering intramuscular medications
Answer: C
Rationale: UAPs can perform non-invasive tasks for stable patients, such as ADLs and
ambulation. Assessment, teaching, and medication administration are reserved for licensed
nurses.
4. In Lewin’s Change Theory, the stage where the change agent creates
awareness of the need for change is known as:
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Answer: A
Rationale: Unfreezing involves identifying the need for change and preparing the group to
abandon old patterns.
5. A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a pain score of 6/10 scheduled for physical therapy
B. A patient needing discharge instructions for home oxygen
C. A patient 2 hours post-op with a heart rate of 120 bpm and low blood pressure
D. A patient requesting a dressing change for a chronic wound
Answer: C
, Rationale: Using the ABC and stability framework, the post-op patient showing signs of
shock (tachycardia and hypotension) is the highest priority.
6. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Competing
B. Collaborating
C. Compromising
D. Avoiding
Answer: C
Rationale: Compromising is a ‘lose-lose’ or ‘neutral’ approach where both parties yield
part of their goals to resolve the conflict.
7. The ethical principle that refers to the nurse’s obligation to ‘do no harm’ is:
A. Beneficence
B. Justice
C. Non-maleficence
D. Fidelity
Answer: C
Rationale: Non-maleficence is the duty to protect patients from harm.
8. Which of the ‘Five Rights of Delegation’ ensures the RN provides clear,
concise, and complete instructions to the delegatee?
A. Right Communication
B. Right Person
C. Right Task
D. Right Supervision
Answer: A
