NR 446 Nursing Leadership Practice Exam 2026 |Chamberlain College
1. A nurse manager is encouraging staff to participate in a new quality
improvement initiative and offers to provide flexible scheduling as a reward for
those who lead the project. Which type of power is the manager using?
A. Referent power
B. Coercive power
C. Expert power
D. Reward power
Answer: D
Rationale: Reward power is obtained by the ability to grant favors or provide rewards,
such as flexible scheduling, to others for carrying out orders or meeting expectations.
2. A nurse is caring for a client who refuses a scheduled blood transfusion for
religious reasons. The nurse respects this decision despite knowing the client’s
hemoglobin is critically low. Which ethical principle is the nurse demonstrating?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care, even if the healthcare provider disagrees with those decisions.
,3. Which leadership style is characterized by a leader who makes all decisions
with little to no input from the staff and prioritizes task completion above all
else?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic (or authoritarian) leadership involves centralized decision-making
with the leader maintaining full control and giving orders to subordinates.
4. A nurse manager is evaluating a newly licensed nurse’s ability to delegate
tasks. Which of the following tasks is appropriate for the nurse to delegate to an
assistive personnel (AP)?
A. Assisting a stable client with post-operative ambulation
B. Teaching a client how to use an incentive spirometer
C. Performing a sterile dressing change
D. Evaluating a client’s response to pain medication
Answer: A
Rationale: Ambulation of a stable patient is within the scope of practice for an AP.
Evaluation, teaching, and complex procedures requiring sterile technique are the
responsibility of the RN.
, 5. According to Lewin’s Change Theory, what is the first stage of the change
process where the leader builds awareness for the need for change?
A. Unfreezing
B. Moving
C. Refreezing
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage where the leader gathers data, diagnoses the
problem, and makes others aware of the need for change.
6. A nurse executive is leading a hospital through the process of obtaining
Magnet status. Which characteristic is a key component of the Magnet
Recognition Program?
A. Centralized decision-making
B. Minimal investment in professional development
C. Empowerment of nursing staff and shared governance
D. High nurse-to-patient ratios
Answer: C
Rationale: Magnet status emphasizes structural empowerment, exemplary professional
practice, and shared governance where bedside nurses have a voice in decision-making.
7. Which of the following describes the ‘Refreezing’ stage in Lewin’s Change
Theory?
A. Integrating the change into the status quo
B. Implementing the plan
C. Identifying the problem
D. Developing a timeline for change
Answer: A
1. A nurse manager is encouraging staff to participate in a new quality
improvement initiative and offers to provide flexible scheduling as a reward for
those who lead the project. Which type of power is the manager using?
A. Referent power
B. Coercive power
C. Expert power
D. Reward power
Answer: D
Rationale: Reward power is obtained by the ability to grant favors or provide rewards,
such as flexible scheduling, to others for carrying out orders or meeting expectations.
2. A nurse is caring for a client who refuses a scheduled blood transfusion for
religious reasons. The nurse respects this decision despite knowing the client’s
hemoglobin is critically low. Which ethical principle is the nurse demonstrating?
A. Beneficence
B. Non-maleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their medical care, even if the healthcare provider disagrees with those decisions.
,3. Which leadership style is characterized by a leader who makes all decisions
with little to no input from the staff and prioritizes task completion above all
else?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic (or authoritarian) leadership involves centralized decision-making
with the leader maintaining full control and giving orders to subordinates.
4. A nurse manager is evaluating a newly licensed nurse’s ability to delegate
tasks. Which of the following tasks is appropriate for the nurse to delegate to an
assistive personnel (AP)?
A. Assisting a stable client with post-operative ambulation
B. Teaching a client how to use an incentive spirometer
C. Performing a sterile dressing change
D. Evaluating a client’s response to pain medication
Answer: A
Rationale: Ambulation of a stable patient is within the scope of practice for an AP.
Evaluation, teaching, and complex procedures requiring sterile technique are the
responsibility of the RN.
, 5. According to Lewin’s Change Theory, what is the first stage of the change
process where the leader builds awareness for the need for change?
A. Unfreezing
B. Moving
C. Refreezing
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage where the leader gathers data, diagnoses the
problem, and makes others aware of the need for change.
6. A nurse executive is leading a hospital through the process of obtaining
Magnet status. Which characteristic is a key component of the Magnet
Recognition Program?
A. Centralized decision-making
B. Minimal investment in professional development
C. Empowerment of nursing staff and shared governance
D. High nurse-to-patient ratios
Answer: C
Rationale: Magnet status emphasizes structural empowerment, exemplary professional
practice, and shared governance where bedside nurses have a voice in decision-making.
7. Which of the following describes the ‘Refreezing’ stage in Lewin’s Change
Theory?
A. Integrating the change into the status quo
B. Implementing the plan
C. Identifying the problem
D. Developing a timeline for change
Answer: A
