Nursing Leadership and Capstone Exam 2 Study Guide 2026
|Chamberlain College
1. A nurse manager is encouraging staff to participate in decision-making
regarding unit policies. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in decision-making and fosters
communication, unlike autocratic leadership which is top-down.
2. Which of the following tasks is most appropriate for a nurse to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication
B. Performing an initial admission assessment
C. Providing discharge instructions to a new mother
D. Assisting a stable patient with morning hygiene
Answer: D
Rationale: UAPs can perform routine tasks like hygiene for stable patients; assessment,
evaluation, and teaching require the judgment of an RN.
,3. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a fractured hip reporting pain 7/10
B. A patient with chronic COPD and an O2 saturation of 90%
C. A patient with a wound infection receiving scheduled antibiotics
D. A patient who had an abdominal surgery 2 hours ago and has a heart rate of 125 bpm
Answer: D
Rationale: Tachycardia after surgery can indicate internal bleeding or shock, making this
the highest priority based on the ABCs.
4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. Identifying the need for change and creating readiness
B. Integrating the change into the daily routine
C. Implementing the planned change strategies
D. Evaluating the outcomes of the change process
Answer: A
Rationale: Unfreezing involves preparing the group for change by creating awareness of
the need for change.
5. A nurse manager is dealing with a conflict between two staff members. The
manager asks both parties to give up something of value to reach a solution.
Which conflict resolution strategy is this?
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: B
, Rationale: Compromising involves both parties giving up something to reach a middle-
ground solution.
6. Which ethical principle is violated when a nurse provides false information to
a patient about their diagnosis?
A. Beneficence
B. Justice
C. Autonomy
D. Veracity
Answer: D
Rationale: Veracity refers to the duty to tell the truth and not mislead patients.
7. What is the primary focus of a ‘Transformational Leader’?
A. Using rewards and punishments to motivate staff
B. Maintaining the status quo through strict supervision
C. Empowering followers to achieve a shared vision
D. Focusing solely on day-to-day operations
Answer: C
Rationale: Transformational leaders inspire and empower followers to achieve higher
goals and vision.
8. Which task can be safely delegated to a Licensed Practical Nurse (LPN)?
A. Developing the initial plan of care for a patient
B. Administering an intravenous push medication
C. Performing a complex psychosocial assessment
D. Administering a scheduled subcutaneous insulin injection
Answer: D
Rationale: LPNs can administer medications via many routes, including subcutaneous, but
initial planning and IV pushes are usually RN responsibilities.
|Chamberlain College
1. A nurse manager is encouraging staff to participate in decision-making
regarding unit policies. Which leadership style is being demonstrated?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in decision-making and fosters
communication, unlike autocratic leadership which is top-down.
2. Which of the following tasks is most appropriate for a nurse to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication
B. Performing an initial admission assessment
C. Providing discharge instructions to a new mother
D. Assisting a stable patient with morning hygiene
Answer: D
Rationale: UAPs can perform routine tasks like hygiene for stable patients; assessment,
evaluation, and teaching require the judgment of an RN.
,3. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a fractured hip reporting pain 7/10
B. A patient with chronic COPD and an O2 saturation of 90%
C. A patient with a wound infection receiving scheduled antibiotics
D. A patient who had an abdominal surgery 2 hours ago and has a heart rate of 125 bpm
Answer: D
Rationale: Tachycardia after surgery can indicate internal bleeding or shock, making this
the highest priority based on the ABCs.
4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’
stage?
A. Identifying the need for change and creating readiness
B. Integrating the change into the daily routine
C. Implementing the planned change strategies
D. Evaluating the outcomes of the change process
Answer: A
Rationale: Unfreezing involves preparing the group for change by creating awareness of
the need for change.
5. A nurse manager is dealing with a conflict between two staff members. The
manager asks both parties to give up something of value to reach a solution.
Which conflict resolution strategy is this?
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: B
, Rationale: Compromising involves both parties giving up something to reach a middle-
ground solution.
6. Which ethical principle is violated when a nurse provides false information to
a patient about their diagnosis?
A. Beneficence
B. Justice
C. Autonomy
D. Veracity
Answer: D
Rationale: Veracity refers to the duty to tell the truth and not mislead patients.
7. What is the primary focus of a ‘Transformational Leader’?
A. Using rewards and punishments to motivate staff
B. Maintaining the status quo through strict supervision
C. Empowering followers to achieve a shared vision
D. Focusing solely on day-to-day operations
Answer: C
Rationale: Transformational leaders inspire and empower followers to achieve higher
goals and vision.
8. Which task can be safely delegated to a Licensed Practical Nurse (LPN)?
A. Developing the initial plan of care for a patient
B. Administering an intravenous push medication
C. Performing a complex psychosocial assessment
D. Administering a scheduled subcutaneous insulin injection
Answer: D
Rationale: LPNs can administer medications via many routes, including subcutaneous, but
initial planning and IV pushes are usually RN responsibilities.
