RN Leadership | 100 Real Exam Questions
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Newest 2026-2027 Updated 100 Questions
From Actual Exams Complete Questions
And Correct Detailed Answers (Expert
Verified Exam) |Already Graded A+||Brand
New!!
1.
A nurse manager observes a staff nurse consistently arriving 20 minutes late for
shift handoff. What is the most appropriate initial action?
A. Report the nurse to human resources
B. Document the behavior and issue a written warning
C. Privately discuss the issue with the nurse
D. Reassign the nurse to a different shift permanently
Answer: C
Rationale: The first step in progressive discipline is a private, direct conversation
to clarify expectations and identify underlying causes before formal action.
2.
A unit experiences a sudden increase in medication errors. What should the nurse
leader do FIRST?
A. Implement disciplinary action
B. Conduct a root cause analysis
,C. Replace all staff on the unit
D. Notify the hospital board immediately
Answer: B
Rationale: A root cause analysis (RCA) identifies system-level issues contributing
to errors before punitive actions are considered.
3.
Which leadership style is most effective in a high-stress emergency situation?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership allows rapid decision-making in emergencies
where time is critical.
4.
A nurse leader is delegating tasks. Which task is appropriate to delegate to a UAP?
A. Initial patient assessment
B. Medication administration
C. Vital signs on stable patients
D. Patient care planning
Answer: C
Rationale: Unlicensed Assistive Personnel (UAP) may perform basic, non-
assessment tasks like vital signs on stable patients.
5.
,A staff nurse reports bullying from a colleague. What is the leader’s priority
action?
A. Ignore until confirmed
B. Transfer the reporting nurse
C. Investigate immediately
D. Terminate both nurses
Answer: C
Rationale: Workplace safety and psychological safety require immediate
investigation of bullying allegations.
6.
Which communication technique improves teamwork during shift handoff?
A. Email reports
B. SBAR format
C. Informal discussion
D. Text messaging
Answer: B
Rationale: SBAR (Situation, Background, Assessment, Recommendation)
standardizes communication and reduces errors.
7.
A nurse manager notices increased staff burnout. What is the BEST intervention?
A. Increase overtime shifts
B. Reduce staffing levels
C. Implement wellness and support programs
D. Ignore until turnover increases
, Answer: C
Rationale: Addressing burnout requires supportive interventions such as
wellness programs and workload management.
8.
Which is an example of transformational leadership?
A. Strict rule enforcement
B. Rewarding compliance only
C. Inspiring staff toward shared goals
D. Avoiding conflict
Answer: C
Rationale: Transformational leaders motivate and inspire teams toward vision
and improvement.
9.
A nurse refuses an assignment citing lack of competence. What should the leader
do FIRST?
A. Discipline the nurse
B. Reassign without discussion
C. Assess competency and provide support
D. Report to licensing board
Answer: C
Rationale: Leaders must ensure safe assignment based on competency and
provide education if needed.
10.
Which factor MOST contributes to effective delegation?
& Verified Answers | Pass First Attempt
Newest 2026-2027 Updated 100 Questions
From Actual Exams Complete Questions
And Correct Detailed Answers (Expert
Verified Exam) |Already Graded A+||Brand
New!!
1.
A nurse manager observes a staff nurse consistently arriving 20 minutes late for
shift handoff. What is the most appropriate initial action?
A. Report the nurse to human resources
B. Document the behavior and issue a written warning
C. Privately discuss the issue with the nurse
D. Reassign the nurse to a different shift permanently
Answer: C
Rationale: The first step in progressive discipline is a private, direct conversation
to clarify expectations and identify underlying causes before formal action.
2.
A unit experiences a sudden increase in medication errors. What should the nurse
leader do FIRST?
A. Implement disciplinary action
B. Conduct a root cause analysis
,C. Replace all staff on the unit
D. Notify the hospital board immediately
Answer: B
Rationale: A root cause analysis (RCA) identifies system-level issues contributing
to errors before punitive actions are considered.
3.
Which leadership style is most effective in a high-stress emergency situation?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leadership allows rapid decision-making in emergencies
where time is critical.
4.
A nurse leader is delegating tasks. Which task is appropriate to delegate to a UAP?
A. Initial patient assessment
B. Medication administration
C. Vital signs on stable patients
D. Patient care planning
Answer: C
Rationale: Unlicensed Assistive Personnel (UAP) may perform basic, non-
assessment tasks like vital signs on stable patients.
5.
,A staff nurse reports bullying from a colleague. What is the leader’s priority
action?
A. Ignore until confirmed
B. Transfer the reporting nurse
C. Investigate immediately
D. Terminate both nurses
Answer: C
Rationale: Workplace safety and psychological safety require immediate
investigation of bullying allegations.
6.
Which communication technique improves teamwork during shift handoff?
A. Email reports
B. SBAR format
C. Informal discussion
D. Text messaging
Answer: B
Rationale: SBAR (Situation, Background, Assessment, Recommendation)
standardizes communication and reduces errors.
7.
A nurse manager notices increased staff burnout. What is the BEST intervention?
A. Increase overtime shifts
B. Reduce staffing levels
C. Implement wellness and support programs
D. Ignore until turnover increases
, Answer: C
Rationale: Addressing burnout requires supportive interventions such as
wellness programs and workload management.
8.
Which is an example of transformational leadership?
A. Strict rule enforcement
B. Rewarding compliance only
C. Inspiring staff toward shared goals
D. Avoiding conflict
Answer: C
Rationale: Transformational leaders motivate and inspire teams toward vision
and improvement.
9.
A nurse refuses an assignment citing lack of competence. What should the leader
do FIRST?
A. Discipline the nurse
B. Reassign without discussion
C. Assess competency and provide support
D. Report to licensing board
Answer: C
Rationale: Leaders must ensure safe assignment based on competency and
provide education if needed.
10.
Which factor MOST contributes to effective delegation?
