NR 446 Nursing Leadership Week 5 Study Guide 2026 |Chamberlain
College
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
A. Focusing on day-to-day operations and task completion.
B. Using rewards and punishments to motivate staff.
C. Making all decisions independently without staff input.
D. Empowering staff to participate in a shared vision for the unit.
Answer: D
Rationale: Transformational leaders motivate and inspire staff by creating a shared vision
and empowering them to achieve excellence.
2. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. The new change becomes part of the permanent routine.
B. Developing awareness that a change is necessary.
C. Implementing the actual change strategy.
D. Evaluating the outcomes of the change.
Answer: B
Rationale: Unfreezing is the first stage where the need for change is identified and
readiness for change is established.
,3. A nurse is resolving a conflict between two staff members by encouraging
them to find a ‘win-win’ solution. Which conflict management style is being
used?
A. Avoiding
B. Competing
C. Accommodating
D. Collaborating
Answer: D
Rationale: Collaborating is an assertive and cooperative approach that seeks a mutually
satisfying solution.
4. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right supervision
B. Right documentation
C. Right cost
D. Right location
Answer: A
Rationale: The Five Rights are: Task, Circumstance, Person, Direction/Communication,
and Supervision/Evaluation.
5. A nurse manager is preparing the annual budget and needs to request a new
MRI machine. This expense falls under which budget category?
A. Personnel budget
B. Capital budget
C. Operating budget
D. Cash budget
Answer: B
Rationale: The capital budget involves large-scale, long-term investments like major
medical equipment or building renovations.
, 6. What is the primary goal of Continuous Quality Improvement (CQI) in
healthcare?
A. To punish staff for medical errors.
B. To increase the hospital’s annual profit.
C. To reduce the number of nursing staff on a unit.
D. To improve processes and patient outcomes systematically.
Answer: D
Rationale: CQI focuses on the system and processes rather than individual blame to
improve the quality of care and outcomes.
7. Which task can a Registered Nurse (RN) safely delegate to a Licensed Practical
Nurse (LPN)?
A. Performing the initial admission assessment.
B. Providing complex discharge teaching.
C. Developing a new nursing care plan.
D. Administering oral medications to a stable patient.
Answer: D
Rationale: LPNs can perform tasks such as administering medications (depending on state
law) to stable patients; RNs must handle initial assessments and teaching.
8. A leader who makes decisions without seeking input from the team is using
which leadership style?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Autocratic (or authoritarian) leadership involves centralized decision-making
with little to no input from others.
College
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
A. Focusing on day-to-day operations and task completion.
B. Using rewards and punishments to motivate staff.
C. Making all decisions independently without staff input.
D. Empowering staff to participate in a shared vision for the unit.
Answer: D
Rationale: Transformational leaders motivate and inspire staff by creating a shared vision
and empowering them to achieve excellence.
2. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. The new change becomes part of the permanent routine.
B. Developing awareness that a change is necessary.
C. Implementing the actual change strategy.
D. Evaluating the outcomes of the change.
Answer: B
Rationale: Unfreezing is the first stage where the need for change is identified and
readiness for change is established.
,3. A nurse is resolving a conflict between two staff members by encouraging
them to find a ‘win-win’ solution. Which conflict management style is being
used?
A. Avoiding
B. Competing
C. Accommodating
D. Collaborating
Answer: D
Rationale: Collaborating is an assertive and cooperative approach that seeks a mutually
satisfying solution.
4. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right supervision
B. Right documentation
C. Right cost
D. Right location
Answer: A
Rationale: The Five Rights are: Task, Circumstance, Person, Direction/Communication,
and Supervision/Evaluation.
5. A nurse manager is preparing the annual budget and needs to request a new
MRI machine. This expense falls under which budget category?
A. Personnel budget
B. Capital budget
C. Operating budget
D. Cash budget
Answer: B
Rationale: The capital budget involves large-scale, long-term investments like major
medical equipment or building renovations.
, 6. What is the primary goal of Continuous Quality Improvement (CQI) in
healthcare?
A. To punish staff for medical errors.
B. To increase the hospital’s annual profit.
C. To reduce the number of nursing staff on a unit.
D. To improve processes and patient outcomes systematically.
Answer: D
Rationale: CQI focuses on the system and processes rather than individual blame to
improve the quality of care and outcomes.
7. Which task can a Registered Nurse (RN) safely delegate to a Licensed Practical
Nurse (LPN)?
A. Performing the initial admission assessment.
B. Providing complex discharge teaching.
C. Developing a new nursing care plan.
D. Administering oral medications to a stable patient.
Answer: D
Rationale: LPNs can perform tasks such as administering medications (depending on state
law) to stable patients; RNs must handle initial assessments and teaching.
8. A leader who makes decisions without seeking input from the team is using
which leadership style?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Autocratic (or authoritarian) leadership involves centralized decision-making
with little to no input from others.
