Nursing Leadership Final Exam Practice 2026 |Chamberlain College
1. A nurse manager is encouraging staff to participate in decision-making
regarding the unit’s new scheduling policy. Which leadership style is this nurse
manager demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in decision-making and encourages
communication and feedback.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate to delegate?
A. Performing an initial admission assessment
B. Administering a scheduled oral medication
C. Developing a plan of care for a new patient
D. Evaluating the effectiveness of a pain intervention
Answer: B
Rationale: LPNs can perform routine tasks like administering oral medications, but initial
assessments, care planning, and evaluations are the RN’s responsibility.
,3. According to the Five Rights of Delegation, which factor must the RN consider
to ensure the task is appropriate for the delegatee?
A. Right circumstance
B. Right documentation
C. Right payment
D. Right location
Answer: A
Rationale: The Five Rights include Right Task, Right Circumstance, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a fever of 101.2°F
B. A client who is 2 days post-op and reporting mild nausea
C. A client with shortness of breath and an oxygen saturation of 88%
D. A client who needs a dressing change for a chronic wound
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
respiratory distress takes priority.
5. What is the primary goal of the ‘Unfreezing’ stage in Lewin’s Theory of
Change?
A. Reducing the forces that maintain the status quo
B. Stabilizing the change into the system
C. Developing new habits
D. Celebrating the success of the change
Answer: A
Rationale: Unfreezing involves creating awareness of the need for change and breaking
down existing mindsets.
, 6. Which ethical principle is demonstrated when a nurse honors a patient’s
refusal of life-saving treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their healthcare.
7. A nurse is resolving a conflict by finding a solution where both parties give up
something to reach an agreement. This is known as:
A. Competing
B. Accommodating
C. Avoiding
D. Compromising
Answer: D
Rationale: Compromising involves both parties making concessions to reach a middle
ground.
8. What is the first step in the Quality Improvement (QI) process?
A. Implementing a new protocol
B. Collecting and analyzing data
C. Identifying a problem or area for improvement
D. Evaluating the outcomes
Answer: C
Rationale: The QI process begins with identifying the issue or performance gap that needs
to be addressed.
1. A nurse manager is encouraging staff to participate in decision-making
regarding the unit’s new scheduling policy. Which leadership style is this nurse
manager demonstrating?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transactional
Answer: A
Rationale: Democratic leadership involves staff in decision-making and encourages
communication and feedback.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
most appropriate to delegate?
A. Performing an initial admission assessment
B. Administering a scheduled oral medication
C. Developing a plan of care for a new patient
D. Evaluating the effectiveness of a pain intervention
Answer: B
Rationale: LPNs can perform routine tasks like administering oral medications, but initial
assessments, care planning, and evaluations are the RN’s responsibility.
,3. According to the Five Rights of Delegation, which factor must the RN consider
to ensure the task is appropriate for the delegatee?
A. Right circumstance
B. Right documentation
C. Right payment
D. Right location
Answer: A
Rationale: The Five Rights include Right Task, Right Circumstance, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a fever of 101.2°F
B. A client who is 2 days post-op and reporting mild nausea
C. A client with shortness of breath and an oxygen saturation of 88%
D. A client who needs a dressing change for a chronic wound
Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the client with
respiratory distress takes priority.
5. What is the primary goal of the ‘Unfreezing’ stage in Lewin’s Theory of
Change?
A. Reducing the forces that maintain the status quo
B. Stabilizing the change into the system
C. Developing new habits
D. Celebrating the success of the change
Answer: A
Rationale: Unfreezing involves creating awareness of the need for change and breaking
down existing mindsets.
, 6. Which ethical principle is demonstrated when a nurse honors a patient’s
refusal of life-saving treatment?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions about
their healthcare.
7. A nurse is resolving a conflict by finding a solution where both parties give up
something to reach an agreement. This is known as:
A. Competing
B. Accommodating
C. Avoiding
D. Compromising
Answer: D
Rationale: Compromising involves both parties making concessions to reach a middle
ground.
8. What is the first step in the Quality Improvement (QI) process?
A. Implementing a new protocol
B. Collecting and analyzing data
C. Identifying a problem or area for improvement
D. Evaluating the outcomes
Answer: C
Rationale: The QI process begins with identifying the issue or performance gap that needs
to be addressed.
