NR 446 Nursing Leadership Exam 3 Practice 2026 |Chamberlain
College
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new
electronic health record system. Which action represents the ‘Unfreezing’
stage?
A. Implementing a pilot program on one unit
B. Providing training sessions for all staff members
C. Gathering data to demonstrate the need for a new system
D. Updating the policy manual to reflect the new system usage
Answer: C
Rationale: The Unfreezing stage involves creating awareness of the need for change and
gathering data to show that the current status quo is no longer effective.
2. Which conflict resolution strategy involves both parties giving up something
of equal value to reach a solution?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
Answer: C
Rationale: In compromising, each party gives up something of value to reach a middle-
ground solution.
,3. A nurse manager is preparing the annual budget. Which type of budget covers
the daily expenses of the unit, such as supplies and minor equipment?
A. Operating budget
B. Capital budget
C. Personnel budget
D. Fixed budget
Answer: A
Rationale: The operating budget covers the day-to-day expenses required for the unit to
function, including supplies and small equipment.
4. Which leadership style is characterized by the leader making all decisions
without input from the staff?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Democratic
Answer: A
Rationale: Autocratic (or authoritarian) leadership involves the leader maintaining total
control and making decisions independently.
5. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate?
A. Assisting a stable patient with ambulation
B. Evaluating the effectiveness of pain medication
C. Assessing a patient’s surgical incision
D. Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs can perform non-invasive tasks for stable patients, such as ADLs and
ambulation. Assessment, evaluation, and teaching are the responsibility of the RN.
, 6. A charge nurse is using the ‘SBAR’ tool to communicate with a physician.
What does the ‘B’ stand for?
A. Behavior
B. Background
C. Beliefs
D. Benefits
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
7. Which quality improvement tool is used to identify the primary cause of a
recurring problem on a unit?
A. Root Cause Analysis
B. Benchmarking
C. SWOT Analysis
D. Performance Appraisal
Answer: A
Rationale: Root Cause Analysis is a process used to identify the underlying cause of a
problem to prevent its recurrence.
8. A nurse manager is evaluating a staff nurse’s performance and notices they
are only remembering the nurse’s mistakes from the last two weeks. What type
of appraisal bias is this?
A. Recency effect
B. Horn effect
C. Halo effect
D. Leniency bias
Answer: A
Rationale: The recency effect occurs when an evaluator focuses only on recent events
rather than performance over the entire appraisal period.
College
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new
electronic health record system. Which action represents the ‘Unfreezing’
stage?
A. Implementing a pilot program on one unit
B. Providing training sessions for all staff members
C. Gathering data to demonstrate the need for a new system
D. Updating the policy manual to reflect the new system usage
Answer: C
Rationale: The Unfreezing stage involves creating awareness of the need for change and
gathering data to show that the current status quo is no longer effective.
2. Which conflict resolution strategy involves both parties giving up something
of equal value to reach a solution?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
Answer: C
Rationale: In compromising, each party gives up something of value to reach a middle-
ground solution.
,3. A nurse manager is preparing the annual budget. Which type of budget covers
the daily expenses of the unit, such as supplies and minor equipment?
A. Operating budget
B. Capital budget
C. Personnel budget
D. Fixed budget
Answer: A
Rationale: The operating budget covers the day-to-day expenses required for the unit to
function, including supplies and small equipment.
4. Which leadership style is characterized by the leader making all decisions
without input from the staff?
A. Autocratic
B. Laissez-faire
C. Transactional
D. Democratic
Answer: A
Rationale: Autocratic (or authoritarian) leadership involves the leader maintaining total
control and making decisions independently.
5. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate?
A. Assisting a stable patient with ambulation
B. Evaluating the effectiveness of pain medication
C. Assessing a patient’s surgical incision
D. Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs can perform non-invasive tasks for stable patients, such as ADLs and
ambulation. Assessment, evaluation, and teaching are the responsibility of the RN.
, 6. A charge nurse is using the ‘SBAR’ tool to communicate with a physician.
What does the ‘B’ stand for?
A. Behavior
B. Background
C. Beliefs
D. Benefits
Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
7. Which quality improvement tool is used to identify the primary cause of a
recurring problem on a unit?
A. Root Cause Analysis
B. Benchmarking
C. SWOT Analysis
D. Performance Appraisal
Answer: A
Rationale: Root Cause Analysis is a process used to identify the underlying cause of a
problem to prevent its recurrence.
8. A nurse manager is evaluating a staff nurse’s performance and notices they
are only remembering the nurse’s mistakes from the last two weeks. What type
of appraisal bias is this?
A. Recency effect
B. Horn effect
C. Halo effect
D. Leniency bias
Answer: A
Rationale: The recency effect occurs when an evaluator focuses only on recent events
rather than performance over the entire appraisal period.
