WGU C468 – NURSING LEADERSHIP AND MANAGEMENT – PRACTICE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*Leadership Theories*
*Conflict Management Styles*
*Delegation and Scope of Practice*
*Quality Improvement and Safety*
*Ethical and Legal Principles*
*Resource and Budget Management*
*Change Management and Innovation*
*Interprofessional Collaboration*
*Introduction*
This assessment is designed to provide a comprehensive evaluation of the core
competencies required for nursing leadership and management. The purpose of this
exam is to prepare candidates for high-stakes decision-making by assessing
knowledge in delegation, conflict resolution, organizational change, and
professional ethics. The assessment utilizes multiple-choice and scenario-based
questions to challenge the candidate’s ability to apply theoretical frameworks
to clinical environments. With a strong emphasis on real-world application, the
exam ensures that learners can effectively manage resources, lead diverse teams,
and maintain patient safety while adhering to regulatory standards and
legal compliance protocols.
, SECTION ONE
1. A nurse manager is implementing a new electronic health record system. Several staff members are
resistant to the change. Which action by the manager demonstrates the unfreezing stage of Lewin’s
Change Theory?
A. Providing technical support during the first week of implementation
B. Rewarding staff who use the new system correctly
🟢 C. Sharing data about the inefficiencies of the current paper-based system
D. Creating a task force to refine the new digital workflows
🔴 RATIONALE: Unfreezing involves creating the motivation to change by helping individuals realize that the
current status quo is no longer effective or efficient.
2. Which leadership style is characterized by a leader who makes all decisions independently without seeking
input from the staff?
🟢 A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
🔴 RATIONALE: Autocratic leadership involves centralized decision-making with little to no input from
subordinates, often used in crisis situations.
3. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the RN to delegate?
,A. Developing a plan of care for a new admission
B. Performing the initial assessment on a post-operative patient
🟢 C. Administering a scheduled intramuscular injection
D. Providing discharge teaching to a patient with a new diagnosis
🔴 RATIONALE: LPNs can perform technical skills such as medication administration, while assessment, care
planning, and teaching are the responsibility of the RN.
4. A nurse manager notices a conflict between two nurses regarding the holiday schedule. The manager tells
them to "work it out themselves." Which conflict management style is the manager using?
A. Competing
🟢 B. Avoiding
C. Collaborating
D. Accommodating
🔴 RATIONALE: Avoiding is a passive approach where the leader chooses not to address the conflict directly or
defers the responsibility to others.
5. Which of the following is a primary focus of the Quality and Safety Education for Nurses (QSEN)
competency regarding informatics?
A. Minimizing the risk of harm to patients through system effectiveness
B. Using data to monitor the outcomes of care processes
🟢 C. Navigating the electronic health record to document and plan care
D. Functioning effectively within nursing and interprofessional teams
🔴 RATIONALE: The informatics competency focuses on using information and technology to communicate,
manage knowledge, and support decision-making.
, 6. A nurse executive is reviewing the annual budget. Which type of budget covers the purchase of major
equipment, such as a new MRI machine?
🟢 A. Capital budget
B. Operating budget
C. Personnel budget
D. Cash budget
🔴 RATIONALE: Capital budgets are used for high-cost items that have a long life expectancy, typically
exceeding a specific dollar threshold set by the facility.
7. A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious beliefs. The
nurse supports the patient’s right to choose. Which ethical principle is being demonstrated?
A. Beneficence
B. Nonmaleficence
🟢 C. Autonomy
D. Justice
🔴 RATIONALE: Autonomy refers to the right of patients to make their own decisions about their medical care
without being influenced by healthcare providers.
8. A nursing team is using a "Shared Governance" model. What is the primary benefit of this organizational
structure?
A. It increases the top-down control of the administration
🟢 B. It empowers staff nurses to have a voice in clinical practice decisions
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*Leadership Theories*
*Conflict Management Styles*
*Delegation and Scope of Practice*
*Quality Improvement and Safety*
*Ethical and Legal Principles*
*Resource and Budget Management*
*Change Management and Innovation*
*Interprofessional Collaboration*
*Introduction*
This assessment is designed to provide a comprehensive evaluation of the core
competencies required for nursing leadership and management. The purpose of this
exam is to prepare candidates for high-stakes decision-making by assessing
knowledge in delegation, conflict resolution, organizational change, and
professional ethics. The assessment utilizes multiple-choice and scenario-based
questions to challenge the candidate’s ability to apply theoretical frameworks
to clinical environments. With a strong emphasis on real-world application, the
exam ensures that learners can effectively manage resources, lead diverse teams,
and maintain patient safety while adhering to regulatory standards and
legal compliance protocols.
, SECTION ONE
1. A nurse manager is implementing a new electronic health record system. Several staff members are
resistant to the change. Which action by the manager demonstrates the unfreezing stage of Lewin’s
Change Theory?
A. Providing technical support during the first week of implementation
B. Rewarding staff who use the new system correctly
🟢 C. Sharing data about the inefficiencies of the current paper-based system
D. Creating a task force to refine the new digital workflows
🔴 RATIONALE: Unfreezing involves creating the motivation to change by helping individuals realize that the
current status quo is no longer effective or efficient.
2. Which leadership style is characterized by a leader who makes all decisions independently without seeking
input from the staff?
🟢 A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
🔴 RATIONALE: Autocratic leadership involves centralized decision-making with little to no input from
subordinates, often used in crisis situations.
3. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the RN to delegate?
,A. Developing a plan of care for a new admission
B. Performing the initial assessment on a post-operative patient
🟢 C. Administering a scheduled intramuscular injection
D. Providing discharge teaching to a patient with a new diagnosis
🔴 RATIONALE: LPNs can perform technical skills such as medication administration, while assessment, care
planning, and teaching are the responsibility of the RN.
4. A nurse manager notices a conflict between two nurses regarding the holiday schedule. The manager tells
them to "work it out themselves." Which conflict management style is the manager using?
A. Competing
🟢 B. Avoiding
C. Collaborating
D. Accommodating
🔴 RATIONALE: Avoiding is a passive approach where the leader chooses not to address the conflict directly or
defers the responsibility to others.
5. Which of the following is a primary focus of the Quality and Safety Education for Nurses (QSEN)
competency regarding informatics?
A. Minimizing the risk of harm to patients through system effectiveness
B. Using data to monitor the outcomes of care processes
🟢 C. Navigating the electronic health record to document and plan care
D. Functioning effectively within nursing and interprofessional teams
🔴 RATIONALE: The informatics competency focuses on using information and technology to communicate,
manage knowledge, and support decision-making.
, 6. A nurse executive is reviewing the annual budget. Which type of budget covers the purchase of major
equipment, such as a new MRI machine?
🟢 A. Capital budget
B. Operating budget
C. Personnel budget
D. Cash budget
🔴 RATIONALE: Capital budgets are used for high-cost items that have a long life expectancy, typically
exceeding a specific dollar threshold set by the facility.
7. A nurse is caring for a patient who refuses a life-saving blood transfusion due to religious beliefs. The
nurse supports the patient’s right to choose. Which ethical principle is being demonstrated?
A. Beneficence
B. Nonmaleficence
🟢 C. Autonomy
D. Justice
🔴 RATIONALE: Autonomy refers to the right of patients to make their own decisions about their medical care
without being influenced by healthcare providers.
8. A nursing team is using a "Shared Governance" model. What is the primary benefit of this organizational
structure?
A. It increases the top-down control of the administration
🟢 B. It empowers staff nurses to have a voice in clinical practice decisions
