NR 446 Nursing Leadership Exam 9 Study Guide 2026 |Chamberlain
College
1. A nurse manager encourages staff to participate in decision-making and seeks
consensus from the group. Which leadership style is this manager using?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Answer: D
Rationale: Democratic leadership involves the group in decision-making and values input
from all members to reach a consensus.
2. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s right to make this choice.
Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
medical care.
,3. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task
is appropriate for the AP to perform?
A. Measuring and recording vital signs on a stable patient
B. Assessing a patient’s surgical incision
C. Administering oral medications
D. Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs or APs can perform routine tasks like measuring vital signs on stable
patients. Assessment, medication administration, and teaching require professional
nursing judgment.
4. Which phase of Lewin’s Change Theory involves establishing the change as
the new status quo or norm?
A. Refreezing
B. Moving
C. Unfreezing
D. Changing
Answer: A
Rationale: Refreezing is the final stage where the new behavior is integrated into the
system and becomes the new standard.
5. A nurse manager is resolving a conflict between two nurses by having them
both give up something to reach a solution. Which conflict resolution strategy is
this?
A. Avoiding
B. Competing
C. Collaborating
D. Compromising
Answer: D
, Rationale: Compromising involves each party giving up something of value to reach a
middle ground.
6. When using the SBAR communication tool, which information belongs in the
‘Assessment’ section?
A. The patient’s medical history and admission diagnosis
B. The patient’s name and room number
C. The nurse’s recommendation for a change in treatment
D. The patient’s current vital signs and clinical changes
Answer: D
Rationale: The Assessment section (A in SBAR) includes the nurse’s interpretation of the
current clinical situation, such as vital signs and subjective findings.
7. Which leadership style is characterized by the leader providing minimal
direction and allowing the group to function independently?
A. Transformational
B. Laissez-faire
C. Democratic
D. Autocratic
Answer: B
Rationale: Laissez-faire leadership is ‘hands-off,’ where the leader provides little guidance
and allows the group to make most decisions.
8. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient reporting a new onset of chest pain and shortness of breath
B. A patient with a scheduled dose of oral antibiotics
C. A patient who needs a dressing change for a stage 2 pressure injury
D. A patient requesting a PRN medication for mild nausea
Answer: A
College
1. A nurse manager encourages staff to participate in decision-making and seeks
consensus from the group. Which leadership style is this manager using?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Answer: D
Rationale: Democratic leadership involves the group in decision-making and values input
from all members to reach a consensus.
2. A nurse is caring for a patient who refuses a life-saving blood transfusion due
to religious beliefs. The nurse supports the patient’s right to make this choice.
Which ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Non-maleficence
D. Autonomy
Answer: D
Rationale: Autonomy refers to the patient’s right to make their own decisions about their
medical care.
,3. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task
is appropriate for the AP to perform?
A. Measuring and recording vital signs on a stable patient
B. Assessing a patient’s surgical incision
C. Administering oral medications
D. Teaching a patient how to use an incentive spirometer
Answer: A
Rationale: UAPs or APs can perform routine tasks like measuring vital signs on stable
patients. Assessment, medication administration, and teaching require professional
nursing judgment.
4. Which phase of Lewin’s Change Theory involves establishing the change as
the new status quo or norm?
A. Refreezing
B. Moving
C. Unfreezing
D. Changing
Answer: A
Rationale: Refreezing is the final stage where the new behavior is integrated into the
system and becomes the new standard.
5. A nurse manager is resolving a conflict between two nurses by having them
both give up something to reach a solution. Which conflict resolution strategy is
this?
A. Avoiding
B. Competing
C. Collaborating
D. Compromising
Answer: D
, Rationale: Compromising involves each party giving up something of value to reach a
middle ground.
6. When using the SBAR communication tool, which information belongs in the
‘Assessment’ section?
A. The patient’s medical history and admission diagnosis
B. The patient’s name and room number
C. The nurse’s recommendation for a change in treatment
D. The patient’s current vital signs and clinical changes
Answer: D
Rationale: The Assessment section (A in SBAR) includes the nurse’s interpretation of the
current clinical situation, such as vital signs and subjective findings.
7. Which leadership style is characterized by the leader providing minimal
direction and allowing the group to function independently?
A. Transformational
B. Laissez-faire
C. Democratic
D. Autocratic
Answer: B
Rationale: Laissez-faire leadership is ‘hands-off,’ where the leader provides little guidance
and allows the group to make most decisions.
8. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient reporting a new onset of chest pain and shortness of breath
B. A patient with a scheduled dose of oral antibiotics
C. A patient who needs a dressing change for a stage 2 pressure injury
D. A patient requesting a PRN medication for mild nausea
Answer: A
