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1. A nurse manager notices increased staff absenteeism. What is the most appropriate
first action?
A. Implement disciplinary action
B. Conduct staff performance evaluations
C. Assess the underlying causes of absenteeism
D. Increase staff scheduling flexibility
Answer: C
Rationale: Identifying the root causes of absenteeism allows the manager to implement
effective interventions rather than assuming punitive measures are appropriate.
2. Which leadership style involves the nurse leader making decisions without input
from the team?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transformational
Answer: C
Rationale: Autocratic leaders make decisions independently, focusing on task completion
rather than team input.
3. A nurse manager is planning staff assignments. Which factor should be the highest
priority?
A. Staff personal preferences
B. Staff education and competency
, C. Length of time staff has been employed
D. Staff age and experience
Answer: B
Rationale: Patient safety and quality of care are ensured when staff are assigned based on
education, skills, and competency.
4. Which action demonstrates effective delegation by a nurse leader?
A. Assigning all tasks to the newest staff member
B. Delegating tasks according to staff competence
C. Delegating tasks to reduce manager workload without consideration
D. Performing all tasks personally to ensure quality
Answer: B
Rationale: Delegation should match the staff’s skills and competency to ensure safe and
effective care.
5. A nurse leader is mentoring a new graduate. What is the most appropriate
approach?
A. Criticize errors immediately
B. Allow independent work without supervision
C. Provide guidance and constructive feedback
D. Limit interactions to avoid dependency
Answer: C
Rationale: Providing constructive feedback supports professional growth and confidence in
new nurses.
6. Which of the following is an example of transformational leadership?
A. Giving strict orders to staff
B. Inspiring staff to achieve organizational goals
C. Allowing staff complete independence
D. Avoiding change initiatives
Answer: B
Rationale: Transformational leaders motivate and inspire staff toward a shared vision and
encourage innovation.
7. A nurse manager receives a complaint about workplace bullying. What is the most
appropriate initial action?
A. Ignore the complaint
B. Address the issue directly and confidentially
C. Send a general email warning staff
D. Transfer the complainant to another unit
, Answer: B
Rationale: Addressing the issue confidentially protects staff, maintains a safe work
environment, and follows organizational policy.
8. Which of the following demonstrates effective conflict resolution?
A. Avoiding the conflict
B. Listening to all parties and negotiating a solution
C. Punishing the parties involved
D. Letting the most senior staff decide
Answer: B
Rationale: Listening and negotiating ensures resolution that respects all perspectives and
maintains team cohesion.
9. A nurse manager wants to improve team communication. Which method is most
effective?
A. Sending occasional emails
B. Holding daily briefings and check-ins
C. Relying on staff to share information
D. Posting memos on the bulletin board
Answer: B
Rationale: Daily briefings promote active communication, clarify expectations, and
improve team collaboration.
10. A staff nurse is consistently late for shifts. What is the nurse manager’s best
response?
A. Terminate employment immediately
B. Document occurrences and discuss concerns with the nurse
C. Ignore the behavior to maintain morale
D. Reassign the nurse to a less critical unit
Answer: B
Rationale: Addressing performance issues promptly with documentation ensures
accountability and adherence to policy.
11. Which action by a nurse leader demonstrates accountability?
A. Delegating all responsibilities to staff
B. Accepting responsibility for decisions and outcomes
C. Avoiding difficult situations
D. Blaming staff for errors
Answer: B
Rationale: Accountability involves acknowledging and taking responsibility for one’s
decisions, actions, and their outcomes.