NR 446 Nursing Leadership Practice Exam 2026 |Chamberlain College
1. According to Lewin’s Change Theory, what is the first stage where the leader
must create awareness of the need for change?
A. Unfreezing
B. Moving
C. Refreezing
D. Evaluating
Answer: A
Rationale: Unfreezing is the first stage of Lewin’s theory, where the status quo is
challenged and the need for change is communicated to stakeholders.
2. Which leadership style is characterized by a leader who makes all decisions
without seeking input from the team?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic (or authoritative) leaders maintain control and make decisions
independently, often leading to quick action but low staff satisfaction.
,3. A nurse manager is resolving a conflict where both parties agree to give up
something to reach a solution. Which strategy is being used?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: D
Rationale: Compromising involves a ‘lose-lose’ or ‘give-and-take’ approach where both
parties yield part of their goals to reach a middle ground.
4. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task
is most appropriate?
A. Assessing a patient’s surgical wound
B. Teaching a patient how to use a walker
C. Administering oral medications
D. Measuring intake and output on a stable patient
Answer: D
Rationale: UAPs should be assigned routine, non-invasive tasks. Assessment, teaching, and
medication administration are responsibilities of licensed nurses.
5. Which ethical principle is demonstrated when a nurse keeps a promise made
to a patient?
A. Autonomy
B. Justice
C. Fidelity
D. Beneficence
Answer: C
Rationale: Fidelity refers to faithfulness and the keeping of promises or commitments
made to others.
, 6. A nurse leader is using a transformational leadership style. What is a primary
characteristic of this approach?
A. Focusing on day-to-day operations and task completion
B. Motivating staff through a shared vision and inspiration
C. Using rewards and punishments to control behavior
D. Remaining hands-off and letting the team function alone
Answer: B
Rationale: Transformational leaders empower and inspire followers to achieve a shared
vision and commit to personal and professional growth.
7. A sentinel event occurs on a unit. What is the first action the nurse manager
should take?
A. Fire the staff member involved
B. Conduct a root cause analysis
C. Report the event to the State Board of Nursing
D. Notify the hospital’s public relations department
Answer: B
Rationale: A root cause analysis is a systematic process used to identify the underlying
factors that led to a sentinel event to prevent recurrence.
8. Which conflict resolution strategy results in a ‘win-win’ outcome?
A. Collaborating
B. Accommodating
C. Smoothing
D. Compromising
Answer: A
Rationale: Collaborating involves both parties working together to find a solution that
satisfies all goals, resulting in a win-win.
1. According to Lewin’s Change Theory, what is the first stage where the leader
must create awareness of the need for change?
A. Unfreezing
B. Moving
C. Refreezing
D. Evaluating
Answer: A
Rationale: Unfreezing is the first stage of Lewin’s theory, where the status quo is
challenged and the need for change is communicated to stakeholders.
2. Which leadership style is characterized by a leader who makes all decisions
without seeking input from the team?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B
Rationale: Autocratic (or authoritative) leaders maintain control and make decisions
independently, often leading to quick action but low staff satisfaction.
,3. A nurse manager is resolving a conflict where both parties agree to give up
something to reach a solution. Which strategy is being used?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: D
Rationale: Compromising involves a ‘lose-lose’ or ‘give-and-take’ approach where both
parties yield part of their goals to reach a middle ground.
4. When delegating tasks to an Unlicensed Assistive Personnel (UAP), which task
is most appropriate?
A. Assessing a patient’s surgical wound
B. Teaching a patient how to use a walker
C. Administering oral medications
D. Measuring intake and output on a stable patient
Answer: D
Rationale: UAPs should be assigned routine, non-invasive tasks. Assessment, teaching, and
medication administration are responsibilities of licensed nurses.
5. Which ethical principle is demonstrated when a nurse keeps a promise made
to a patient?
A. Autonomy
B. Justice
C. Fidelity
D. Beneficence
Answer: C
Rationale: Fidelity refers to faithfulness and the keeping of promises or commitments
made to others.
, 6. A nurse leader is using a transformational leadership style. What is a primary
characteristic of this approach?
A. Focusing on day-to-day operations and task completion
B. Motivating staff through a shared vision and inspiration
C. Using rewards and punishments to control behavior
D. Remaining hands-off and letting the team function alone
Answer: B
Rationale: Transformational leaders empower and inspire followers to achieve a shared
vision and commit to personal and professional growth.
7. A sentinel event occurs on a unit. What is the first action the nurse manager
should take?
A. Fire the staff member involved
B. Conduct a root cause analysis
C. Report the event to the State Board of Nursing
D. Notify the hospital’s public relations department
Answer: B
Rationale: A root cause analysis is a systematic process used to identify the underlying
factors that led to a sentinel event to prevent recurrence.
8. Which conflict resolution strategy results in a ‘win-win’ outcome?
A. Collaborating
B. Accommodating
C. Smoothing
D. Compromising
Answer: A
Rationale: Collaborating involves both parties working together to find a solution that
satisfies all goals, resulting in a win-win.
