NR 446 Nursing Leadership Week 9 Comprehensive Review 2026
|Chamberlain College
1. A nurse manager is using a leadership style that encourages staff
participation in decision-making and values individual input. Which style is
being demonstrated?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
Rationale: Democratic leadership encourages group discussion and decision-making,
fostering a sense of ownership among staff.
2. Which of the following tasks is most appropriate for a Registered Nurse (RN)
to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s surgical wound
B. Providing discharge instructions to a patient
C. Administering oral medications
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs can perform routine tasks such as ambulating stable patients.
Assessment, teaching, and medication administration require professional nursing
judgment.
,3. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a fractured hip reporting pain 7/10
B. A patient scheduled for physical therapy in 30 minutes
C. A patient requiring a routine dressing change
D. A patient with heart failure and new-onset shortness of breath
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new-onset shortness of breath is the highest priority.
4. According to Lewin’s Change Theory, what is the first stage of the change
process?
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Answer: A
Rationale: Unfreezing is the first stage, where the need for change is recognized and the
status quo is challenged.
5. A nurse manager is dealing with a conflict between two staff members. The
manager asks both parties to give up something to reach a solution. Which
conflict resolution strategy is this?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: D
, Rationale: Compromising involves both parties making concessions to reach a middle
ground.
6. The ethical principle that refers to the nurse’s obligation to do no harm is:
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: D
Rationale: Nonmaleficence is the duty to do no harm to the patient.
7. A nurse is caring for a patient who is refusing a life-saving blood transfusion
due to religious beliefs. The nurse supports the patient’s decision. Which ethical
principle is being applied?
A. Fidelity
B. Veracity
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy is the right of the patient to make their own decisions about their
healthcare.
8. In the ‘Five Rights of Delegation,’ which of the following is included?
A. Right Hospital
B. Right Charting
C. Right Supervision
D. Right Insurance
Answer: C
|Chamberlain College
1. A nurse manager is using a leadership style that encourages staff
participation in decision-making and values individual input. Which style is
being demonstrated?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
Rationale: Democratic leadership encourages group discussion and decision-making,
fostering a sense of ownership among staff.
2. Which of the following tasks is most appropriate for a Registered Nurse (RN)
to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s surgical wound
B. Providing discharge instructions to a patient
C. Administering oral medications
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs can perform routine tasks such as ambulating stable patients.
Assessment, teaching, and medication administration require professional nursing
judgment.
,3. A nurse is prioritizing care for four patients. Which patient should the nurse
see first?
A. A patient with a fractured hip reporting pain 7/10
B. A patient scheduled for physical therapy in 30 minutes
C. A patient requiring a routine dressing change
D. A patient with heart failure and new-onset shortness of breath
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new-onset shortness of breath is the highest priority.
4. According to Lewin’s Change Theory, what is the first stage of the change
process?
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Answer: A
Rationale: Unfreezing is the first stage, where the need for change is recognized and the
status quo is challenged.
5. A nurse manager is dealing with a conflict between two staff members. The
manager asks both parties to give up something to reach a solution. Which
conflict resolution strategy is this?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: D
, Rationale: Compromising involves both parties making concessions to reach a middle
ground.
6. The ethical principle that refers to the nurse’s obligation to do no harm is:
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: D
Rationale: Nonmaleficence is the duty to do no harm to the patient.
7. A nurse is caring for a patient who is refusing a life-saving blood transfusion
due to religious beliefs. The nurse supports the patient’s decision. Which ethical
principle is being applied?
A. Fidelity
B. Veracity
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy is the right of the patient to make their own decisions about their
healthcare.
8. In the ‘Five Rights of Delegation,’ which of the following is included?
A. Right Hospital
B. Right Charting
C. Right Supervision
D. Right Insurance
Answer: C
