NUR 402 ACTUAL EXAM – LEADERSHIP &
MANAGEMENT IN NURSING 110 Practice Questions with
Correct Answers & Detailed Rationales 2025 Latest
Update – All You Need to Pass NUR 402 Exam – Graded
A+
Question 1
A nurse manager is implementing a shared governance model on a medical-surgical unit. What
is the primary goal of this model?
A) To reduce the number of staff meetings
B) To give staff nurses control over their practice and decision-making
C) To eliminate the need for a nurse manager
D) To increase physician authority on the unit
Correct Answer: B
Rationale: Shared governance empowers staff nurses to participate in decisions regarding
practice, quality, and professional development, increasing autonomy and job satisfaction.
Question 2
A charge nurse is delegating tasks to licensed practical nurses (LPNs) and unlicensed assistive
personnel (UAP). Which task can be safely delegated to a UAP?
A) Administering IV push medications
B) Performing a sterile dressing change
C) Measuring and recording intake and output
D) Assessing a patient's lung sounds
Correct Answer: C
Rationale: UAP can measure and record intake/output, vital signs, and assist with ADLs.
Assessment, sterile procedures, and IV medications require licensed nursing judgment.
Question 3
Which of the following is an example of an autocratic leadership style?
A) The nurse manager asks the team for input on scheduling changes
B) The nurse manager makes all decisions without input from staff
,C) The nurse manager delegates decision-making to the team
D) The nurse manager allows staff to set their own goals
Correct Answer: B
Rationale: Autocratic leadership centralizes decision-making with the leader. Democratic
leadership seeks input; laissez-faire allows staff autonomy.
Question 4
A nurse manager notices increased conflict between day shift and night shift nurses. What is the
first step in conflict resolution?
A) Discipline both shifts
B) Ignore the conflict
C) Identify the underlying cause of the conflict
D) Implement a new scheduling policy
Correct Answer: C
Rationale: The first step in conflict resolution is to assess and identify the root cause before
implementing solutions.
Question 5
Which of the following is a key component of Lewin's Change Theory?
A) Unfreezing, moving, refreezing
B) Planning, implementing, evaluating
C) Assessment, diagnosis, intervention
D) Input, throughput, output
Correct Answer: A
Rationale: Lewin's change model includes unfreezing (preparing for change), moving
(implementing change), and refreezing (stabilizing change).
Question 6
A nurse is using a transformational leadership approach. Which behavior is most consistent with
this style?
A) Rewarding staff with bonuses for compliance
B) Inspiring staff to achieve a shared vision and go beyond self-interest
C) Closely monitoring every task performed by staff
D) Avoiding all conflict with staff
,Correct Answer: B
Rationale: Transformational leadership inspires and motivates followers to achieve higher goals
and embrace change.
Question 7
When delegating a task to an LPN, the nurse is ultimately responsible for:
A) The LPN's actions and outcomes
B) Only the initial delegation decision
C) Only tasks the nurse performs personally
D) The LPN's license renewal
Correct Answer: A
Rationale: The delegating nurse retains accountability for the delegation and the outcome, even
though the LPN is responsible for task completion.
Question 8
Which of the following is a primary function of a nurse manager?
A) Direct patient care
B) Fiscal management and budgeting
C) Performing all patient assessments
D) Administering all medications
Correct Answer: B
Rationale: Nurse managers are responsible for fiscal management, staffing, quality
improvement, and unit operations.
Question 9
A nurse is applying the "rights of delegation." Which of the following is NOT one of the five
rights?
A) Right task
B) Right circumstance
C) Right room
D) Right person
Correct Answer: C
Rationale: The five rights of delegation: Right task, right circumstance, right person, right
direction/communication, right supervision/evaluation.
, Question 10
A staff nurse is asked to serve on a hospital committee to reduce catheter-associated urinary
tract infections (CAUTI). This is an example of:
A) Task delegation
B) Participative decision-making
C) Autocratic leadership
D) Laissez-faire leadership
Correct Answer: B
Rationale: Participative decision-making involves staff in decisions that affect their practice and
patient outcomes.
Question 11
Which conflict resolution technique is considered a "win-win" approach?
A) Avoiding
B) Competing
C) Collaborating
D) Accommodating
Correct Answer: C
Rationale: Collaboration seeks to meet the needs of all parties, resulting in a mutually beneficial
outcome.
Question 12
A nurse manager is conducting a performance appraisal for a staff nurse. Which action is most
important?
A) Compare the nurse to other staff members
B) Base evaluation on objective data and specific behaviors
C) Focus only on negative behaviors
D) Complete the evaluation without input from the nurse
Correct Answer: B
Rationale: Performance appraisals should be based on objective, measurable criteria and
specific examples, with input from the employee.
Question 13
MANAGEMENT IN NURSING 110 Practice Questions with
Correct Answers & Detailed Rationales 2025 Latest
Update – All You Need to Pass NUR 402 Exam – Graded
A+
Question 1
A nurse manager is implementing a shared governance model on a medical-surgical unit. What
is the primary goal of this model?
A) To reduce the number of staff meetings
B) To give staff nurses control over their practice and decision-making
C) To eliminate the need for a nurse manager
D) To increase physician authority on the unit
Correct Answer: B
Rationale: Shared governance empowers staff nurses to participate in decisions regarding
practice, quality, and professional development, increasing autonomy and job satisfaction.
Question 2
A charge nurse is delegating tasks to licensed practical nurses (LPNs) and unlicensed assistive
personnel (UAP). Which task can be safely delegated to a UAP?
A) Administering IV push medications
B) Performing a sterile dressing change
C) Measuring and recording intake and output
D) Assessing a patient's lung sounds
Correct Answer: C
Rationale: UAP can measure and record intake/output, vital signs, and assist with ADLs.
Assessment, sterile procedures, and IV medications require licensed nursing judgment.
Question 3
Which of the following is an example of an autocratic leadership style?
A) The nurse manager asks the team for input on scheduling changes
B) The nurse manager makes all decisions without input from staff
,C) The nurse manager delegates decision-making to the team
D) The nurse manager allows staff to set their own goals
Correct Answer: B
Rationale: Autocratic leadership centralizes decision-making with the leader. Democratic
leadership seeks input; laissez-faire allows staff autonomy.
Question 4
A nurse manager notices increased conflict between day shift and night shift nurses. What is the
first step in conflict resolution?
A) Discipline both shifts
B) Ignore the conflict
C) Identify the underlying cause of the conflict
D) Implement a new scheduling policy
Correct Answer: C
Rationale: The first step in conflict resolution is to assess and identify the root cause before
implementing solutions.
Question 5
Which of the following is a key component of Lewin's Change Theory?
A) Unfreezing, moving, refreezing
B) Planning, implementing, evaluating
C) Assessment, diagnosis, intervention
D) Input, throughput, output
Correct Answer: A
Rationale: Lewin's change model includes unfreezing (preparing for change), moving
(implementing change), and refreezing (stabilizing change).
Question 6
A nurse is using a transformational leadership approach. Which behavior is most consistent with
this style?
A) Rewarding staff with bonuses for compliance
B) Inspiring staff to achieve a shared vision and go beyond self-interest
C) Closely monitoring every task performed by staff
D) Avoiding all conflict with staff
,Correct Answer: B
Rationale: Transformational leadership inspires and motivates followers to achieve higher goals
and embrace change.
Question 7
When delegating a task to an LPN, the nurse is ultimately responsible for:
A) The LPN's actions and outcomes
B) Only the initial delegation decision
C) Only tasks the nurse performs personally
D) The LPN's license renewal
Correct Answer: A
Rationale: The delegating nurse retains accountability for the delegation and the outcome, even
though the LPN is responsible for task completion.
Question 8
Which of the following is a primary function of a nurse manager?
A) Direct patient care
B) Fiscal management and budgeting
C) Performing all patient assessments
D) Administering all medications
Correct Answer: B
Rationale: Nurse managers are responsible for fiscal management, staffing, quality
improvement, and unit operations.
Question 9
A nurse is applying the "rights of delegation." Which of the following is NOT one of the five
rights?
A) Right task
B) Right circumstance
C) Right room
D) Right person
Correct Answer: C
Rationale: The five rights of delegation: Right task, right circumstance, right person, right
direction/communication, right supervision/evaluation.
, Question 10
A staff nurse is asked to serve on a hospital committee to reduce catheter-associated urinary
tract infections (CAUTI). This is an example of:
A) Task delegation
B) Participative decision-making
C) Autocratic leadership
D) Laissez-faire leadership
Correct Answer: B
Rationale: Participative decision-making involves staff in decisions that affect their practice and
patient outcomes.
Question 11
Which conflict resolution technique is considered a "win-win" approach?
A) Avoiding
B) Competing
C) Collaborating
D) Accommodating
Correct Answer: C
Rationale: Collaboration seeks to meet the needs of all parties, resulting in a mutually beneficial
outcome.
Question 12
A nurse manager is conducting a performance appraisal for a staff nurse. Which action is most
important?
A) Compare the nurse to other staff members
B) Base evaluation on objective data and specific behaviors
C) Focus only on negative behaviors
D) Complete the evaluation without input from the nurse
Correct Answer: B
Rationale: Performance appraisals should be based on objective, measurable criteria and
specific examples, with input from the employee.
Question 13
