NR 446 Nursing Leadership Exam 4 Practice Questions 2026
|Chamberlain College
1. Which leadership style is characterized by a leader who makes all decisions
without seeking input from staff?
A. Laissez-faire
B. Autocratic
C. Democratic
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control and giving orders.
2. A nurse manager is implementing a new electronic health record system.
According to Lewin’s Change Theory, what is the first stage of this process?
A. Unfreezing
B. Refreezing
C. Moving
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage, which involves creating the motivation to change
and helping individuals let go of old patterns.
,3. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which
task is most appropriate to delegate?
A. Administering oral medications to a stable patient
B. Developing a plan of care for a new admission
C. Performing an initial assessment on a post-operative patient
D. Providing discharge education to a complex patient
Answer: A
Rationale: LPNs can administer oral medications to stable patients. Initial assessments,
care plans, and discharge teaching are the responsibility of the RN.
4. Which component of the SBAR communication tool involves the nurse stating
their concerns about the current situation?
A. Situation
B. Assessment
C. Background
D. Recommendation
Answer: B
Rationale: The Assessment portion of SBAR involves the nurse’s clinical analysis of the
current situation and identified concerns.
5. A nurse respects a patient’s decision to refuse chemotherapy despite knowing
the benefits. This reflects which ethical principle?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Answer: B
Rationale: Autonomy is the right of the patient to make their own healthcare decisions
without coercion.
, 6. The nurse manager is evaluating the unit’s budget and notices a variance in
supply costs. Which type of budget accounts for day-to-day expenses?
A. Capital budget
B. Personnel budget
C. Operating budget
D. Cash budget
Answer: C
Rationale: The operating budget covers daily expenses like supplies, electricity, and minor
equipment.
7. In conflict resolution, which strategy results in a win-win outcome where
both parties work together to find a solution?
A. Compromising
B. Collaborating
C. Avoiding
D. Competing
Answer: B
Rationale: Collaborating involves both parties working toward a common goal to reach a
solution that satisfies everyone’s needs.
8. A nurse fails to provide the standard of care, resulting in injury to a patient.
This is an example of:
A. Battery
B. Professional Negligence
C. Assault
D. False Imprisonment
Answer: B
Rationale: Professional negligence (malpractice) occurs when a nurse fails to act in a
reasonable and prudent manner, leading to patient harm.
|Chamberlain College
1. Which leadership style is characterized by a leader who makes all decisions
without seeking input from staff?
A. Laissez-faire
B. Autocratic
C. Democratic
D. Transformational
Answer: B
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control and giving orders.
2. A nurse manager is implementing a new electronic health record system.
According to Lewin’s Change Theory, what is the first stage of this process?
A. Unfreezing
B. Refreezing
C. Moving
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage, which involves creating the motivation to change
and helping individuals let go of old patterns.
,3. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which
task is most appropriate to delegate?
A. Administering oral medications to a stable patient
B. Developing a plan of care for a new admission
C. Performing an initial assessment on a post-operative patient
D. Providing discharge education to a complex patient
Answer: A
Rationale: LPNs can administer oral medications to stable patients. Initial assessments,
care plans, and discharge teaching are the responsibility of the RN.
4. Which component of the SBAR communication tool involves the nurse stating
their concerns about the current situation?
A. Situation
B. Assessment
C. Background
D. Recommendation
Answer: B
Rationale: The Assessment portion of SBAR involves the nurse’s clinical analysis of the
current situation and identified concerns.
5. A nurse respects a patient’s decision to refuse chemotherapy despite knowing
the benefits. This reflects which ethical principle?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Answer: B
Rationale: Autonomy is the right of the patient to make their own healthcare decisions
without coercion.
, 6. The nurse manager is evaluating the unit’s budget and notices a variance in
supply costs. Which type of budget accounts for day-to-day expenses?
A. Capital budget
B. Personnel budget
C. Operating budget
D. Cash budget
Answer: C
Rationale: The operating budget covers daily expenses like supplies, electricity, and minor
equipment.
7. In conflict resolution, which strategy results in a win-win outcome where
both parties work together to find a solution?
A. Compromising
B. Collaborating
C. Avoiding
D. Competing
Answer: B
Rationale: Collaborating involves both parties working toward a common goal to reach a
solution that satisfies everyone’s needs.
8. A nurse fails to provide the standard of care, resulting in injury to a patient.
This is an example of:
A. Battery
B. Professional Negligence
C. Assault
D. False Imprisonment
Answer: B
Rationale: Professional negligence (malpractice) occurs when a nurse fails to act in a
reasonable and prudent manner, leading to patient harm.
