NR 446 Nursing Leadership Exam 6 Study Guide 2026 |Chamberlain
College
1. A nurse manager involves the staff in decision-making and encourages group
discussion when planning a new unit protocol. Which leadership style is being
demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
Answer: A
Rationale: Democratic leadership involves staff in decision-making and values
communication and collaboration.
2. Which leadership style is most appropriate during a code blue emergency
situation?
A. Laissez-faire
B. Democratic
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership is most effective in crisis situations where quick, decisive
action is required without time for group discussion.
,3. A nurse leader inspires staff to share a vision for the future and motivates
them to achieve higher levels of performance. This is an example of which
leadership style?
A. Transactional
B. Situational
C. Authoritative
D. Transformational
Answer: D
Rationale: Transformational leaders inspire and empower followers to achieve a shared
vision and foster professional growth.
4. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Evaluating the effectiveness of a medication
C. Teaching a patient how to use an incentive spirometer
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs can perform routine tasks such as ADLs and ambulation for stable
patients, but cannot assess, evaluate, or teach.
5. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Performing an admission assessment on a complex patient
B. Administering routine oral medications to a stable patient
C. Developing the initial nursing care plan
D. Administering IV push chemotherapy drugs
Answer: B
, Rationale: LPNs can administer oral and certain IV medications to stable patients but
cannot perform initial assessments or administer high-risk IV push meds in many
jurisdictions.
6. When delegating a task, the RN must provide clear instructions and
expectations. This represents which of the ‘Five Rights of Delegation’?
A. Right Task
B. Right Circumstance
C. Right Direction/Communication
D. Right Person
Answer: C
Rationale: Right Direction and Communication ensures the RN provides a clear, concise
description of the task, objectives, and limits.
7. A nurse manager is dealing with a conflict between two nurses. She asks both
nurses to give up something of value to reach an agreement. Which conflict
resolution strategy is being used?
A. Competing
B. Compromising
C. Smoothing
D. Avoiding
Answer: B
Rationale: Compromising involves both parties giving up something of equal value to
reach a middle ground.
College
1. A nurse manager involves the staff in decision-making and encourages group
discussion when planning a new unit protocol. Which leadership style is being
demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
Answer: A
Rationale: Democratic leadership involves staff in decision-making and values
communication and collaboration.
2. Which leadership style is most appropriate during a code blue emergency
situation?
A. Laissez-faire
B. Democratic
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership is most effective in crisis situations where quick, decisive
action is required without time for group discussion.
,3. A nurse leader inspires staff to share a vision for the future and motivates
them to achieve higher levels of performance. This is an example of which
leadership style?
A. Transactional
B. Situational
C. Authoritative
D. Transformational
Answer: D
Rationale: Transformational leaders inspire and empower followers to achieve a shared
vision and foster professional growth.
4. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Evaluating the effectiveness of a medication
C. Teaching a patient how to use an incentive spirometer
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs can perform routine tasks such as ADLs and ambulation for stable
patients, but cannot assess, evaluate, or teach.
5. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Performing an admission assessment on a complex patient
B. Administering routine oral medications to a stable patient
C. Developing the initial nursing care plan
D. Administering IV push chemotherapy drugs
Answer: B
, Rationale: LPNs can administer oral and certain IV medications to stable patients but
cannot perform initial assessments or administer high-risk IV push meds in many
jurisdictions.
6. When delegating a task, the RN must provide clear instructions and
expectations. This represents which of the ‘Five Rights of Delegation’?
A. Right Task
B. Right Circumstance
C. Right Direction/Communication
D. Right Person
Answer: C
Rationale: Right Direction and Communication ensures the RN provides a clear, concise
description of the task, objectives, and limits.
7. A nurse manager is dealing with a conflict between two nurses. She asks both
nurses to give up something of value to reach an agreement. Which conflict
resolution strategy is being used?
A. Competing
B. Compromising
C. Smoothing
D. Avoiding
Answer: B
Rationale: Compromising involves both parties giving up something of equal value to
reach a middle ground.
