Nursing Leadership Exam 1 Study Guide 2026 |Chamberlain College
1. A nurse manager is described as having a transformational leadership style.
Which action best exemplifies this style?
A. Focusing solely on day-to-day operations and task completion.
B. Using rewards and punishments to motivate staff members.
C. Making all decisions independently without staff input.
D. Inspiring the team to achieve a shared vision of the future.
Answer: D
Rationale: Transformational leaders focus on vision and empowerment, inspiring staff to
transcend their own self-interests for the good of the organization.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), the nurse
must ensure which of the following?
A. The UAP has the same professional license as the nurse.
B. The task is complex and requires clinical judgment.
C. The nurse remains accountable for the outcome of the task.
D. The UAP can perform initial patient assessments.
Answer: C
Rationale: Accountability for the overall care of the patient remains with the delegating
RN, even if the task is performed by a UAP.
,3. Which stage of Lewin’s Change Theory involves creating the motivation or
readiness for change?
A. Evaluating
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage, where the leader helps others recognize the need
for change and prepares them for it.
4. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who needs a dressing change for a chronic ulcer.
B. A client who is scheduled for discharge in two hours.
C. A client requesting a dose of oral pain medication.
D. A client reporting sudden shortness of breath and chest pain.
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness of
breath and chest pain indicate a potentially life-threatening respiratory/cardiac issue.
5. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Avoiding
B. Competing
C. Compromising
D. Accommodating
Answer: C
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ strategy where each side yields a
portion of their goals to resolve the conflict.
, 6. A charge nurse is delegating tasks for the shift. Which task is appropriate to
delegate to a Licensed Practical Nurse (LPN)?
A. Performing an admission assessment on a new patient.
B. Developing a plan of care for a client with complex needs.
C. Administering a routine scheduled subcutaneous insulin injection.
D. Providing discharge teaching for a patient after surgery.
Answer: C
Rationale: LPNs can perform routine tasks and administer most medications, but the RN is
responsible for assessment, planning, and initial teaching.
7. Which component of emotional intelligence involves the ability to control
impulsive behaviors and emotions?
A. Self-regulation
B. Self-awareness
C. Social skills
D. Empathy
Answer: A
Rationale: Self-regulation is the ability to manage your emotions and impulses effectively
in various situations.
8. An autocratic leader is most likely to use which approach during an
emergency situation?
A. Asking for team consensus before taking action.
B. Allowing the staff to decide how to handle the crisis.
C. Giving clear, direct orders to be followed immediately.
D. Providing minimal guidance and staying in the background.
Answer: C
Rationale: Autocratic leadership is effective in crises because it allows for rapid decision-
making and clear direction.
1. A nurse manager is described as having a transformational leadership style.
Which action best exemplifies this style?
A. Focusing solely on day-to-day operations and task completion.
B. Using rewards and punishments to motivate staff members.
C. Making all decisions independently without staff input.
D. Inspiring the team to achieve a shared vision of the future.
Answer: D
Rationale: Transformational leaders focus on vision and empowerment, inspiring staff to
transcend their own self-interests for the good of the organization.
2. When delegating a task to an Unlicensed Assistive Personnel (UAP), the nurse
must ensure which of the following?
A. The UAP has the same professional license as the nurse.
B. The task is complex and requires clinical judgment.
C. The nurse remains accountable for the outcome of the task.
D. The UAP can perform initial patient assessments.
Answer: C
Rationale: Accountability for the overall care of the patient remains with the delegating
RN, even if the task is performed by a UAP.
,3. Which stage of Lewin’s Change Theory involves creating the motivation or
readiness for change?
A. Evaluating
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage, where the leader helps others recognize the need
for change and prepares them for it.
4. A nurse is prioritizing care for four clients. Which client should the nurse
assess first?
A. A client who needs a dressing change for a chronic ulcer.
B. A client who is scheduled for discharge in two hours.
C. A client requesting a dose of oral pain medication.
D. A client reporting sudden shortness of breath and chest pain.
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, sudden shortness of
breath and chest pain indicate a potentially life-threatening respiratory/cardiac issue.
5. Which conflict resolution strategy involves both parties giving up something
to reach a solution?
A. Avoiding
B. Competing
C. Compromising
D. Accommodating
Answer: C
Rationale: Compromising is a ‘lose-lose’ or ‘win-lose’ strategy where each side yields a
portion of their goals to resolve the conflict.
, 6. A charge nurse is delegating tasks for the shift. Which task is appropriate to
delegate to a Licensed Practical Nurse (LPN)?
A. Performing an admission assessment on a new patient.
B. Developing a plan of care for a client with complex needs.
C. Administering a routine scheduled subcutaneous insulin injection.
D. Providing discharge teaching for a patient after surgery.
Answer: C
Rationale: LPNs can perform routine tasks and administer most medications, but the RN is
responsible for assessment, planning, and initial teaching.
7. Which component of emotional intelligence involves the ability to control
impulsive behaviors and emotions?
A. Self-regulation
B. Self-awareness
C. Social skills
D. Empathy
Answer: A
Rationale: Self-regulation is the ability to manage your emotions and impulses effectively
in various situations.
8. An autocratic leader is most likely to use which approach during an
emergency situation?
A. Asking for team consensus before taking action.
B. Allowing the staff to decide how to handle the crisis.
C. Giving clear, direct orders to be followed immediately.
D. Providing minimal guidance and staying in the background.
Answer: C
Rationale: Autocratic leadership is effective in crises because it allows for rapid decision-
making and clear direction.
