In Professional Nursing-Final Project
Readiness Examination -Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct /Instant
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Section I: Leadership Theories & Styles (Q1-10)
1. A nurse manager uses rewards and punishments to influence staff behavior.
Which leadership style is being demonstrated?
a) Transformational
b) Laissez-faire
c) Transactional
d) Authentic
Rationale: Transactional leadership focuses on exchanges (rewards/punishments)
to achieve compliance, unlike transformational leadership which inspires change.
2. During a code blue, the charge nurse gives direct, clear orders without seeking
input. This is most appropriate for which contingency model?
a) Relationship-oriented leadership
b) Task-oriented leadership
c) Participative leadership
d) Servant leadership
Rationale: In high-stress, time-sensitive emergencies, task-oriented leadership is
most effective per Fiedler’s Contingency Theory.
3. A new graduate nurse reports feeling “burned out.” The preceptor uses active
listening and helps the novice identify strengths. Which leadership behavior is
exhibited?
a) Coercive
,b) Coaching
c) Pacesetting
d) Bureaucratic
Rationale: Coaching leadership develops individuals by addressing emotional
needs and building competencies.
4. Which action best demonstrates transformational leadership in a unit facing
low morale?
a) Posting a list of new penalties for late charting
b) Creating a shared vision for patient safety and celebrating small wins
c) Following hospital policies without deviation
d) Avoiding conflict to maintain harmony
Rationale: Transformational leaders inspire through vision, intellectual
stimulation, and individualized consideration.
5. A nurse leader says, “The team knows best; I will not interfere unless asked.”
This reflects:
a) Autocratic leadership
b) Laissez-faire leadership
c) Democratic leadership
d) Situational leadership
Rationale: Laissez-faire is a “hands-off” approach, which can be effective with
highly skilled teams but risky in crises.
6. According to Kouzes and Posner’s Five Practices of Exemplary Leadership,
which behavior enables others to act?
a) Challenging the process
b) Fostering collaboration and building trust
c) Modeling the way
d) Encouraging the heart
Rationale: “Enable Others to Act” involves strengthening colleagues and
promoting cooperative goals.
7. A nurse manager adapts their leadership style based on staff experience levels.
This is known as:
a) Quantum leadership
b) Situational leadership (Hersey-Blanchard)
c) Bureaucratic leadership
d) Transactional leadership
, Rationale: Situational leadership matches style (telling, selling, participating,
delegating) to follower readiness.
8. Which statement by a nurse leader reflects authentic leadership?
a) “I’ll say whatever is needed to keep the administration happy.”
b) “I made a mistake in staffing; let’s find a solution together.”
c) “Rules are rules, regardless of patient context.”
d) “My way has always worked before.”
Rationale: Authentic leaders are self-aware, transparent, and ethical, admitting
errors to build trust.
9. A unit uses shared governance. This is most consistent with which leadership
model?
a) Democratic leadership
b) Autocratic leadership
c) Laissez-faire leadership
d) Transactional leadership
Rationale: Shared governance distributes decision-making power, aligning with
democratic principles.
10. During a merger, the CNO emphasizes vision, values, and continuous learning.
This best describes:
a) Transformational leadership
b) Passive management by exception
c) Contingent reward
d) Bureaucratic leadership
Rationale: Transformational leadership is ideal during organizational change to
align staff with new goals.
Section II: Legal & Ethical Issues in Nursing Management (Q11-20)
11. A nurse refuses to float to a unit where they have no training. This is protected
under:
a) Safe Harbor (Texas BON rule) or similar state whistleblower laws
b) Professional courtesy
c) Staffing ratio laws only
d) Union contract exclusively