NR 446 Nursing Leadership Final Exam Practice 2026 |Chamberlain
College
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
A. Rewarding staff with bonuses for meeting productivity goals
B. Making all unit decisions independently to ensure efficiency
C. Strictly enforcing hospital policies and procedures
D. Empowering staff to participate in a new clinical ladder program
Answer: D
Rationale: Transformational leadership focuses on empowering others, shared vision, and
inspiring staff to achieve higher levels of performance.
2. Which of the following describes the ‘Unfreezing’ stage in Lewin’s Change
Theory?
A. Identifying the need for change and creating readiness
B. Developing a plan to implement the change
C. Integrating the change into the daily routine
D. Evaluating the outcomes of the change process
Answer: A
Rationale: Unfreezing involves creating the motivation for change by identifying the need
and overcoming resistance.
,3. A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which
‘Right of Delegation’ is the nurse exercising when providing clear instructions?
A. Right Task
B. Right Person
C. Right Supervision and Evaluation
D. Right Direction and Communication
Answer: D
Rationale: Right Direction and Communication involves providing clear, concise, and
complete instructions regarding the task.
4. When resolving a conflict, a manager uses the ‘Collaborating’ strategy. What
is the expected outcome?
A. A win-lose situation where the manager decides
B. A lose-lose situation where both parties give up everything
C. A win-win situation where both parties achieve their goals
D. An avoidance of the issue until it resolves itself
Answer: C
Rationale: Collaborating is a win-win strategy where parties work together to find a
solution that satisfies both.
5. Which ethical principle is a nurse following when they provide the same
quality of care to all patients regardless of their socioeconomic status?
A. Autonomy
B. Beneficence
C. Fidelity
D. Justice
Answer: D
Rationale: Justice refers to the fair and equitable distribution of resources and treatment.
, 6. A nurse manager is conducting a Root Cause Analysis (RCA) after a medication
error. What is the primary purpose of an RCA?
A. To identify and punish the individual responsible
B. To satisfy legal requirements for hospital accreditation
C. To decrease the insurance premiums of the healthcare facility
D. To identify system failures and prevent future occurrences
Answer: D
Rationale: RCA is a process used to identify the underlying systems or process issues that
led to an error.
7. Which task is appropriate for a nurse to delegate to a Licensed Practical Nurse
(LPN)?
A. Developing the initial plan of care for a new admission
B. Administering an intravenous bolus of a high-risk medication
C. Performing a sterile dressing change on a stable patient
D. Providing discharge education to a patient with a new diagnosis
Answer: C
Rationale: LPNs can perform technical skills like sterile dressing changes for stable
patients, while assessment and education are RN responsibilities.
8. In an SBAR communication, which information belongs in the ‘Situation’
section?
A. The patient’s full medical history and allergies
B. The reason the nurse is calling or the current problem
C. The nurse’s recommendation for a change in treatment
D. The latest set of vital signs and lab results
Answer: B
Rationale: Situation describes what is happening at the present time that requires
attention.
College
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
A. Rewarding staff with bonuses for meeting productivity goals
B. Making all unit decisions independently to ensure efficiency
C. Strictly enforcing hospital policies and procedures
D. Empowering staff to participate in a new clinical ladder program
Answer: D
Rationale: Transformational leadership focuses on empowering others, shared vision, and
inspiring staff to achieve higher levels of performance.
2. Which of the following describes the ‘Unfreezing’ stage in Lewin’s Change
Theory?
A. Identifying the need for change and creating readiness
B. Developing a plan to implement the change
C. Integrating the change into the daily routine
D. Evaluating the outcomes of the change process
Answer: A
Rationale: Unfreezing involves creating the motivation for change by identifying the need
and overcoming resistance.
,3. A nurse is delegating a task to an unlicensed assistive personnel (UAP). Which
‘Right of Delegation’ is the nurse exercising when providing clear instructions?
A. Right Task
B. Right Person
C. Right Supervision and Evaluation
D. Right Direction and Communication
Answer: D
Rationale: Right Direction and Communication involves providing clear, concise, and
complete instructions regarding the task.
4. When resolving a conflict, a manager uses the ‘Collaborating’ strategy. What
is the expected outcome?
A. A win-lose situation where the manager decides
B. A lose-lose situation where both parties give up everything
C. A win-win situation where both parties achieve their goals
D. An avoidance of the issue until it resolves itself
Answer: C
Rationale: Collaborating is a win-win strategy where parties work together to find a
solution that satisfies both.
5. Which ethical principle is a nurse following when they provide the same
quality of care to all patients regardless of their socioeconomic status?
A. Autonomy
B. Beneficence
C. Fidelity
D. Justice
Answer: D
Rationale: Justice refers to the fair and equitable distribution of resources and treatment.
, 6. A nurse manager is conducting a Root Cause Analysis (RCA) after a medication
error. What is the primary purpose of an RCA?
A. To identify and punish the individual responsible
B. To satisfy legal requirements for hospital accreditation
C. To decrease the insurance premiums of the healthcare facility
D. To identify system failures and prevent future occurrences
Answer: D
Rationale: RCA is a process used to identify the underlying systems or process issues that
led to an error.
7. Which task is appropriate for a nurse to delegate to a Licensed Practical Nurse
(LPN)?
A. Developing the initial plan of care for a new admission
B. Administering an intravenous bolus of a high-risk medication
C. Performing a sterile dressing change on a stable patient
D. Providing discharge education to a patient with a new diagnosis
Answer: C
Rationale: LPNs can perform technical skills like sterile dressing changes for stable
patients, while assessment and education are RN responsibilities.
8. In an SBAR communication, which information belongs in the ‘Situation’
section?
A. The patient’s full medical history and allergies
B. The reason the nurse is calling or the current problem
C. The nurse’s recommendation for a change in treatment
D. The latest set of vital signs and lab results
Answer: B
Rationale: Situation describes what is happening at the present time that requires
attention.
