NR 446 Nursing Leadership Exam 7 Study Guide 2026 |Chamberlain
College
1. A nurse manager is introducing a new evidence-based practice for wound
care. Which stage of Lewin’s Change Theory involves creating awareness that
the current method is no longer effective?
A. Refreezing
B. Moving
C. Resistance
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the leader creates
readiness for change by identifying the need for it and overcoming resistance.
2. Which leadership style is most effective in a crisis situation, such as a cardiac
arrest, where immediate decisions are required?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members, making it ideal for emergency situations.
,3. A nurse delegates the task of monitoring vital signs for a stable post-
operative patient to an unlicensed assistive personnel (UAP). Which ‘Right of
Delegation’ is being exercised?
A. Right Direction
B. Right Task
C. Right Supervision
D. Right Circumstance
Answer: B
Rationale: The Right Task involves delegating tasks that are repetitive, require little
supervision, and are relatively non-invasive, such as vital signs on stable patients.
4. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Compromising
B. Avoiding
C. Collaborating
D. Accommodating
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ strategy where each party yields
something of value to resolve the conflict.
5. A transformational leader focuses primarily on which of the following?
A. Maintaining the status quo
B. Using rewards and punishments
C. Micromanaging daily tasks
D. Empowering staff and shared vision
Answer: D
Rationale: Transformational leaders inspire and motivate followers to achieve
extraordinary outcomes by empowering them and sharing a vision.
, 6. In Lewin’s Change Theory, which stage involves the actual implementation of
the change?
A. Unfreezing
B. Refreezing
C. Acceptance
D. Moving
Answer: D
Rationale: The Moving stage (also called Transition) is where the change is actually
implemented and people begin to learn new behaviors.
7. A nurse manager allows the staff to make most of the decisions and provides
little guidance. What leadership style is this?
A. Democratic
B. Transactional
C. Authoritarian
D. Laissez-faire
Answer: D
Rationale: Laissez-faire leadership is ‘hands-off,’ allowing the group to make decisions
with minimal leader involvement.
8. Which of the following is an example of an ethical dilemma involving
‘Autonomy’?
A. A nurse reports a colleague for working under the influence.
B. A nurse gives the wrong medication to a patient.
C. A hospital allocates limited ventilators based on age.
D. A patient refuses a life-saving blood transfusion due to religious beliefs.
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
healthcare, even if the nurse disagrees.
College
1. A nurse manager is introducing a new evidence-based practice for wound
care. Which stage of Lewin’s Change Theory involves creating awareness that
the current method is no longer effective?
A. Refreezing
B. Moving
C. Resistance
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the leader creates
readiness for change by identifying the need for it and overcoming resistance.
2. Which leadership style is most effective in a crisis situation, such as a cardiac
arrest, where immediate decisions are required?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership is characterized by individual control over all decisions
and little input from group members, making it ideal for emergency situations.
,3. A nurse delegates the task of monitoring vital signs for a stable post-
operative patient to an unlicensed assistive personnel (UAP). Which ‘Right of
Delegation’ is being exercised?
A. Right Direction
B. Right Task
C. Right Supervision
D. Right Circumstance
Answer: B
Rationale: The Right Task involves delegating tasks that are repetitive, require little
supervision, and are relatively non-invasive, such as vital signs on stable patients.
4. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Compromising
B. Avoiding
C. Collaborating
D. Accommodating
Answer: A
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ strategy where each party yields
something of value to resolve the conflict.
5. A transformational leader focuses primarily on which of the following?
A. Maintaining the status quo
B. Using rewards and punishments
C. Micromanaging daily tasks
D. Empowering staff and shared vision
Answer: D
Rationale: Transformational leaders inspire and motivate followers to achieve
extraordinary outcomes by empowering them and sharing a vision.
, 6. In Lewin’s Change Theory, which stage involves the actual implementation of
the change?
A. Unfreezing
B. Refreezing
C. Acceptance
D. Moving
Answer: D
Rationale: The Moving stage (also called Transition) is where the change is actually
implemented and people begin to learn new behaviors.
7. A nurse manager allows the staff to make most of the decisions and provides
little guidance. What leadership style is this?
A. Democratic
B. Transactional
C. Authoritarian
D. Laissez-faire
Answer: D
Rationale: Laissez-faire leadership is ‘hands-off,’ allowing the group to make decisions
with minimal leader involvement.
8. Which of the following is an example of an ethical dilemma involving
‘Autonomy’?
A. A nurse reports a colleague for working under the influence.
B. A nurse gives the wrong medication to a patient.
C. A hospital allocates limited ventilators based on age.
D. A patient refuses a life-saving blood transfusion due to religious beliefs.
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
healthcare, even if the nurse disagrees.
