Nursing Leadership Exam 7 Practice Questions 2026 |Chamberlain
College
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
A. Empowering staff to participate in a new unit-based council
B. Offering rewards for staff who pick up extra shifts
C. Making all decisions independently to save time
D. Focusing strictly on daily tasks and rules
Answer: A
Rationale: Transformational leaders inspire and empower staff to contribute to the
organization’s vision through shared decision-making.
2. Which task is appropriate for a nurse to delegate to an Unlicensed Assistive
Personnel (UAP)?
A. Assessing a patient’s surgical wound
B. Administering an oral medication
C. Developing a plan of care for a new admission
D. Recording intake and output (I&O)
Answer: D
Rationale: UAPs can perform routine tasks like I&O. Assessment, medication
administration, and care planning require professional nursing judgment.
,3. A nurse is prioritizing care for four patients. Which patient should be assessed
first?
A. A patient with a pain level of 6 out of 10
B. A patient reporting sudden shortness of breath
C. A patient scheduled for discharge in 2 hours
D. A patient requesting assistance with a bed bath
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, shortness of breath
is the highest priority.
4. In Lewin’s Change Theory, which stage involves the actual implementation of
the change?
A. Moving
B. Unfreezing
C. Refreezing
D. Evaluation
Answer: A
Rationale: The ‘Moving’ stage is where the change is implemented after the need for
change has been established in the unfreezing stage.
5. The nurse respects a patient’s right to refuse a life-saving blood transfusion.
This is an example of which ethical principle?
A. Beneficence
B. Justice
C. Fidelity
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care.
, 6. Which of the following is a primary goal of Quality Improvement (QI) in a
hospital setting?
A. Improving patient outcomes through systematic processes
B. Reducing hospital costs by cutting staff
C. Identifying individuals to blame for errors
D. Increasing the number of patients admitted
Answer: A
Rationale: QI focuses on improving systems and processes to enhance patient safety and
outcomes.
7. Two nurses disagree on how to organize the supply room. They decide to
meet and find a solution that satisfies both. This is known as:
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
Answer: C
Rationale: Collaboration involves working together to find a win-win solution for both
parties.
8. What is the primary role of the nurse when obtaining informed consent from
a patient?
A. Explaining the risks and benefits of the procedure
B. Ensuring the family agrees with the decision
C. Choosing the best treatment for the patient
D. Witnessing the patient’s signature on the form
Answer: D
Rationale: The physician is responsible for explaining the procedure; the nurse acts as a
witness to the signature and ensures the patient is competent.
College
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
A. Empowering staff to participate in a new unit-based council
B. Offering rewards for staff who pick up extra shifts
C. Making all decisions independently to save time
D. Focusing strictly on daily tasks and rules
Answer: A
Rationale: Transformational leaders inspire and empower staff to contribute to the
organization’s vision through shared decision-making.
2. Which task is appropriate for a nurse to delegate to an Unlicensed Assistive
Personnel (UAP)?
A. Assessing a patient’s surgical wound
B. Administering an oral medication
C. Developing a plan of care for a new admission
D. Recording intake and output (I&O)
Answer: D
Rationale: UAPs can perform routine tasks like I&O. Assessment, medication
administration, and care planning require professional nursing judgment.
,3. A nurse is prioritizing care for four patients. Which patient should be assessed
first?
A. A patient with a pain level of 6 out of 10
B. A patient reporting sudden shortness of breath
C. A patient scheduled for discharge in 2 hours
D. A patient requesting assistance with a bed bath
Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, shortness of breath
is the highest priority.
4. In Lewin’s Change Theory, which stage involves the actual implementation of
the change?
A. Moving
B. Unfreezing
C. Refreezing
D. Evaluation
Answer: A
Rationale: The ‘Moving’ stage is where the change is implemented after the need for
change has been established in the unfreezing stage.
5. The nurse respects a patient’s right to refuse a life-saving blood transfusion.
This is an example of which ethical principle?
A. Beneficence
B. Justice
C. Fidelity
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care.
, 6. Which of the following is a primary goal of Quality Improvement (QI) in a
hospital setting?
A. Improving patient outcomes through systematic processes
B. Reducing hospital costs by cutting staff
C. Identifying individuals to blame for errors
D. Increasing the number of patients admitted
Answer: A
Rationale: QI focuses on improving systems and processes to enhance patient safety and
outcomes.
7. Two nurses disagree on how to organize the supply room. They decide to
meet and find a solution that satisfies both. This is known as:
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
Answer: C
Rationale: Collaboration involves working together to find a win-win solution for both
parties.
8. What is the primary role of the nurse when obtaining informed consent from
a patient?
A. Explaining the risks and benefits of the procedure
B. Ensuring the family agrees with the decision
C. Choosing the best treatment for the patient
D. Witnessing the patient’s signature on the form
Answer: D
Rationale: The physician is responsible for explaining the procedure; the nurse acts as a
witness to the signature and ensures the patient is competent.
