NUR 283 Comp 2 Exam Transition to RN Practice
(2026/2027) PDF | Nursing | Galen College
1. Which leadership style involves the leader making
decisions independently without input from team members?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Rationale: Autocratic leadership is characterized by
unilateral decision-making, effective in emergencies but
can lower morale in daily operations.
2. A nurse manager is implementing evidence-based
practice changes. Which strategy is most effective for
overcoming resistance to change?
A. Mandating compliance without discussion
B. Involving staff in planning and implementation
1
,C. Implementing changes during night shift
D. Threatening disciplinary action
Correct Answer: B
Rationale: Participation fosters ownership; when staff help
create the change, they are less resistant and more likely
to sustain it.
3. What is the primary difference between a nurse
manager and a nurse leader?
A. Manager has formal authority; leader may influence
without it
B. Nurse leader handles budgets; manager does not
C. No difference
D. Manager gives direct care; leader does not
Correct Answer: A
Rationale: Management is a formal position with authority;
leadership is an informal skill of influence anyone can
exhibit.
2
,4. Which quality improvement model uses the Plan-Do-
Study-Act (PDSA) cycle?
A. Six Sigma
B. Lean methodology
C. Institute for Healthcare Improvement (IHI) model
D. Root cause analysis
Correct Answer: C
Rationale: The IHI popularized PDSA for testing small-
scale changes before full implementation.
5. A nurse manager notices conflict between two staff
nurses. Most appropriate initial action?
A. Terminate one immediately
B. Ignore the conflict
C. Assess by speaking with each privately
D. Reassign both to different units
Correct Answer: C
3
, Rationale: First step in conflict resolution is data
collection—hear both sides privately.
6. Which behavior best exemplifies transformational
leadership?
A. Maintaining strict control over decisions
B. Inspiring staff to embrace a shared vision
C. Delegating all tasks without oversight
D. Focusing solely on daily task completion
Correct Answer: B
Rationale: Transformational leadership focuses on vision
and inspiration to elevate morale beyond task
management.
7. Which approach is most effective for a performance
appraisal?
A. Using only one recent incident
B. Providing ongoing feedback throughout the year
4
(2026/2027) PDF | Nursing | Galen College
1. Which leadership style involves the leader making
decisions independently without input from team members?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Rationale: Autocratic leadership is characterized by
unilateral decision-making, effective in emergencies but
can lower morale in daily operations.
2. A nurse manager is implementing evidence-based
practice changes. Which strategy is most effective for
overcoming resistance to change?
A. Mandating compliance without discussion
B. Involving staff in planning and implementation
1
,C. Implementing changes during night shift
D. Threatening disciplinary action
Correct Answer: B
Rationale: Participation fosters ownership; when staff help
create the change, they are less resistant and more likely
to sustain it.
3. What is the primary difference between a nurse
manager and a nurse leader?
A. Manager has formal authority; leader may influence
without it
B. Nurse leader handles budgets; manager does not
C. No difference
D. Manager gives direct care; leader does not
Correct Answer: A
Rationale: Management is a formal position with authority;
leadership is an informal skill of influence anyone can
exhibit.
2
,4. Which quality improvement model uses the Plan-Do-
Study-Act (PDSA) cycle?
A. Six Sigma
B. Lean methodology
C. Institute for Healthcare Improvement (IHI) model
D. Root cause analysis
Correct Answer: C
Rationale: The IHI popularized PDSA for testing small-
scale changes before full implementation.
5. A nurse manager notices conflict between two staff
nurses. Most appropriate initial action?
A. Terminate one immediately
B. Ignore the conflict
C. Assess by speaking with each privately
D. Reassign both to different units
Correct Answer: C
3
, Rationale: First step in conflict resolution is data
collection—hear both sides privately.
6. Which behavior best exemplifies transformational
leadership?
A. Maintaining strict control over decisions
B. Inspiring staff to embrace a shared vision
C. Delegating all tasks without oversight
D. Focusing solely on daily task completion
Correct Answer: B
Rationale: Transformational leadership focuses on vision
and inspiration to elevate morale beyond task
management.
7. Which approach is most effective for a performance
appraisal?
A. Using only one recent incident
B. Providing ongoing feedback throughout the year
4
