NR 446 Nursing Leadership Exam 5 Practice Questions 2026
|Chamberlain College
1. A nurse manager is evaluating a staff nurse’s performance. The manager
notes that the nurse is excellent at technical skills but struggles with prioritizing
patient care. Which leadership action should the manager take first?
A. Place the nurse on a formal disciplinary plan immediately.
B. Assign the nurse to a preceptor for technical skill refinement.
C. Schedule a one-on-one meeting to discuss time management strategies.
D. Transfer the nurse to a unit with lower patient acuity.
Answer: C
Rationale: The first step in addressing a performance gap is communication and coaching.
Discussing strategies allows the manager to assess the root cause and provide guidance
before moving to disciplinary action.
2. Which of the following is a key characteristic of transformational leadership?
A. Focusing on day-to-day operations and task completion.
B. Empowering followers to achieve a collective vision.
C. Using rewards and punishments to motivate staff.
D. Maintaining the status quo to ensure stability.
Answer: B
Rationale: Transformational leaders inspire and empower their team to work toward a
shared vision and goals, moving beyond simple transactions for tasks.
,3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assessing the breath sounds of a patient with pneumonia.
B. Evaluating the effectiveness of pain medication.
C. Assisting a stable patient with a bed bath.
D. Teaching a patient how to use an incentive spirometer.
Answer: C
Rationale: UAPs can perform routine tasks and activities of daily living (ADLs) for stable
patients. Assessment, evaluation, and teaching are functions of the RN.
4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. The change is integrated into the permanent status quo.
B. The manager rewards staff for adopting new behaviors.
C. New habits and patterns are actively being practiced.
D. Participants are convinced of the need for change.
Answer: D
Rationale: Unfreezing involves creating the motivation for change by helping individuals
let go of old patterns and recognizing the necessity of the new way.
5. A nurse manager is faced with a conflict between two nurses regarding the
holiday schedule. The manager tells them, ‘I don’t want to hear about this;
figure it out yourselves.’ Which conflict management style is being used?
A. Compromising
B. Collaborating
C. Avoiding
D. Accommodating
Answer: C
, Rationale: Avoidance occurs when a leader chooses not to acknowledge or resolve the
conflict, essentially withdrawing from the situation.
6. In the PDSA (Plan-Do-Study-Act) cycle of quality improvement, what happens
during the ‘Study’ phase?
A. Analyzing the data collected to see if the goal was met.
B. Defining the goal and predicting the outcome.
C. Implementing the change on a small scale.
D. Deciding whether to adopt, adapt, or abandon the change.
Answer: A
Rationale: The ‘Study’ phase involves reviewing and analyzing the results of the pilot or
test to determine if the intervention was successful.
7. Which ethical principle is being upheld when a nurse ensures a patient has all
the information needed to make an informed decision about surgery?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
Answer: A
Rationale: Autonomy refers to the right of the individual to make their own decisions
about their healthcare.
8. A nurse manager is planning the budget and needs to purchase three new
ventilators for the ICU. Which type of budget covers this expense?
A. Capital budget
B. Operating budget
C. Personnel budget
D. Cash budget
Answer: A
|Chamberlain College
1. A nurse manager is evaluating a staff nurse’s performance. The manager
notes that the nurse is excellent at technical skills but struggles with prioritizing
patient care. Which leadership action should the manager take first?
A. Place the nurse on a formal disciplinary plan immediately.
B. Assign the nurse to a preceptor for technical skill refinement.
C. Schedule a one-on-one meeting to discuss time management strategies.
D. Transfer the nurse to a unit with lower patient acuity.
Answer: C
Rationale: The first step in addressing a performance gap is communication and coaching.
Discussing strategies allows the manager to assess the root cause and provide guidance
before moving to disciplinary action.
2. Which of the following is a key characteristic of transformational leadership?
A. Focusing on day-to-day operations and task completion.
B. Empowering followers to achieve a collective vision.
C. Using rewards and punishments to motivate staff.
D. Maintaining the status quo to ensure stability.
Answer: B
Rationale: Transformational leaders inspire and empower their team to work toward a
shared vision and goals, moving beyond simple transactions for tasks.
,3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assessing the breath sounds of a patient with pneumonia.
B. Evaluating the effectiveness of pain medication.
C. Assisting a stable patient with a bed bath.
D. Teaching a patient how to use an incentive spirometer.
Answer: C
Rationale: UAPs can perform routine tasks and activities of daily living (ADLs) for stable
patients. Assessment, evaluation, and teaching are functions of the RN.
4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. The change is integrated into the permanent status quo.
B. The manager rewards staff for adopting new behaviors.
C. New habits and patterns are actively being practiced.
D. Participants are convinced of the need for change.
Answer: D
Rationale: Unfreezing involves creating the motivation for change by helping individuals
let go of old patterns and recognizing the necessity of the new way.
5. A nurse manager is faced with a conflict between two nurses regarding the
holiday schedule. The manager tells them, ‘I don’t want to hear about this;
figure it out yourselves.’ Which conflict management style is being used?
A. Compromising
B. Collaborating
C. Avoiding
D. Accommodating
Answer: C
, Rationale: Avoidance occurs when a leader chooses not to acknowledge or resolve the
conflict, essentially withdrawing from the situation.
6. In the PDSA (Plan-Do-Study-Act) cycle of quality improvement, what happens
during the ‘Study’ phase?
A. Analyzing the data collected to see if the goal was met.
B. Defining the goal and predicting the outcome.
C. Implementing the change on a small scale.
D. Deciding whether to adopt, adapt, or abandon the change.
Answer: A
Rationale: The ‘Study’ phase involves reviewing and analyzing the results of the pilot or
test to determine if the intervention was successful.
7. Which ethical principle is being upheld when a nurse ensures a patient has all
the information needed to make an informed decision about surgery?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
Answer: A
Rationale: Autonomy refers to the right of the individual to make their own decisions
about their healthcare.
8. A nurse manager is planning the budget and needs to purchase three new
ventilators for the ICU. Which type of budget covers this expense?
A. Capital budget
B. Operating budget
C. Personnel budget
D. Cash budget
Answer: A
