NR 446 Nursing Leadership Exam 3 Study Guide 2026 |Chamberlain
College
1. Which leadership style is characterized by a leader who inspires and
motivates followers to achieve more than they thought possible?
A. Transformational Leadership
B. Laissez-faire Leadership
C. Transactional Leadership
D. Autocratic Leadership
Answer: A
Rationale: Transformational leadership focuses on vision, inspiration, and empowering
others to exceed expectations through a shared goal.
2. In the SBAR communication tool, what does the ‘B’ stand for?
A. Beliefs
B. Behavior
C. Background
D. Bedside
Answer: C
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
Background provides clinical context related to the patient.
,3. Which task can an RN safely delegate to an unlicensed assistive personnel
(UAP)?
A. Assisting a stable patient with ambulation
B. Administering oral pain medication
C. Performing an initial head-to-toe assessment
D. Developing a nursing care plan
Answer: A
Rationale: UAPs can perform non-invasive tasks like ADLs and ambulating stable patients.
Assessments, medications, and care planning require professional nursing judgment.
4. Which ethical principle involves the nurse’s obligation to tell the truth?
A. Veracity
B. Beneficence
C. Autonomy
D. Justice
Answer: A
Rationale: Veracity is the duty to tell the truth and not mislead or deceive patients.
5. A nurse manager uses a ‘win-win’ approach to resolve a conflict between two
staff members. Which conflict resolution style is being used?
A. Avoiding
B. Collaborating
C. Competing
D. Accommodating
Answer: B
Rationale: Collaboration involves working together to find a solution that satisfies all
parties, resulting in a win-win outcome.
, 6. According to Lewin’s Change Theory, what is the stage where change is
integrated and stabilized into the system?
A. Unfreezing
B. Moving
C. Refreezing
D. Planning
Answer: C
Rationale: Refreezing is the final stage where the new behavior or process becomes the
new status quo and is reinforced.
7. Using the ABC prioritization framework, which patient should the nurse see
first?
A. A patient complaining of level 8 abdominal pain
B. A patient who needs discharge teaching
C. A patient requiring a dressing change for a post-op wound
D. A patient with an oxygen saturation of 84% on room air
Answer: D
Rationale: Airway and Breathing take priority. Low oxygen saturation (Breathing) is more
urgent than pain or routine care.
8. What is a primary characteristic of a Magnet-recognized hospital?
A. Centralized decision-making
B. High nurse turnover rates
C. Limited opportunities for professional development
D. Excellence in nursing leadership and clinical outcomes
Answer: D
Rationale: Magnet status recognizes healthcare organizations for quality patient care,
nursing excellence, and innovations in professional nursing practice.
College
1. Which leadership style is characterized by a leader who inspires and
motivates followers to achieve more than they thought possible?
A. Transformational Leadership
B. Laissez-faire Leadership
C. Transactional Leadership
D. Autocratic Leadership
Answer: A
Rationale: Transformational leadership focuses on vision, inspiration, and empowering
others to exceed expectations through a shared goal.
2. In the SBAR communication tool, what does the ‘B’ stand for?
A. Beliefs
B. Behavior
C. Background
D. Bedside
Answer: C
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
Background provides clinical context related to the patient.
,3. Which task can an RN safely delegate to an unlicensed assistive personnel
(UAP)?
A. Assisting a stable patient with ambulation
B. Administering oral pain medication
C. Performing an initial head-to-toe assessment
D. Developing a nursing care plan
Answer: A
Rationale: UAPs can perform non-invasive tasks like ADLs and ambulating stable patients.
Assessments, medications, and care planning require professional nursing judgment.
4. Which ethical principle involves the nurse’s obligation to tell the truth?
A. Veracity
B. Beneficence
C. Autonomy
D. Justice
Answer: A
Rationale: Veracity is the duty to tell the truth and not mislead or deceive patients.
5. A nurse manager uses a ‘win-win’ approach to resolve a conflict between two
staff members. Which conflict resolution style is being used?
A. Avoiding
B. Collaborating
C. Competing
D. Accommodating
Answer: B
Rationale: Collaboration involves working together to find a solution that satisfies all
parties, resulting in a win-win outcome.
, 6. According to Lewin’s Change Theory, what is the stage where change is
integrated and stabilized into the system?
A. Unfreezing
B. Moving
C. Refreezing
D. Planning
Answer: C
Rationale: Refreezing is the final stage where the new behavior or process becomes the
new status quo and is reinforced.
7. Using the ABC prioritization framework, which patient should the nurse see
first?
A. A patient complaining of level 8 abdominal pain
B. A patient who needs discharge teaching
C. A patient requiring a dressing change for a post-op wound
D. A patient with an oxygen saturation of 84% on room air
Answer: D
Rationale: Airway and Breathing take priority. Low oxygen saturation (Breathing) is more
urgent than pain or routine care.
8. What is a primary characteristic of a Magnet-recognized hospital?
A. Centralized decision-making
B. High nurse turnover rates
C. Limited opportunities for professional development
D. Excellence in nursing leadership and clinical outcomes
Answer: D
Rationale: Magnet status recognizes healthcare organizations for quality patient care,
nursing excellence, and innovations in professional nursing practice.
