And Correct Answers With Rationales.
Nurse Executive Online Study Course
Module 1: Foundations of Nurse Executive Leadership
1. What is the primary role of a nurse executive?
A. Provide direct patient care exclusively
B. Lead nursing teams, manage resources, and ensure quality patient care
C. Administer medications only
D. Conduct research exclusively
Correct Answer: B
Rationale:
A nurse executive focuses on strategic leadership, management, and coordination of nursing
services to ensure quality and safe patient care.
2. Which leadership style involves shared decision-making with staff?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Rationale:
Democratic leadership encourages staff participation, collaboration, and shared decision-making.
3. Which competency is essential for a nurse executive?
A. Strategic planning
B. Performing surgery
C. Administering medications exclusively
D. Conducting lab tests
Correct Answer: A
,Rationale:
Strategic planning ensures alignment of nursing services with organizational goals.
4. Which action demonstrates effective delegation?
A. Assigning tasks based on staff competency and scope of practice
B. Giving all tasks to one staff member
C. Avoiding supervision
D. Assigning tasks randomly
Correct Answer: A
Rationale:
Delegation must match staff skills and legal scope to ensure safe and efficient care.
5. Which tool helps nurse executives monitor quality outcomes?
A. Key performance indicators (KPIs)
B. Personal preference
C. Random observations only
D. Informal feedback only
Correct Answer: A
Rationale:
KPIs measure quality, safety, and performance in nursing services.
6. Which budgeting approach is commonly used in nursing leadership?
A. Zero-based budgeting
B. Unlimited spending
C. Guessing expenses
D. Ignoring resource allocation
Correct Answer: A
Rationale:
Zero-based budgeting requires justifying all expenses to ensure efficient use of resources.
7. Which leadership action promotes staff retention?
A. Providing recognition, professional development, and support
B. Ignoring staff needs
C. Strict punishment for errors only
D. Restricting education opportunities
Correct Answer: A
, Rationale:
Recognition and development improve job satisfaction and reduce turnover.
8. Which method is used to resolve conflicts among nursing staff?
A. Mediation and open communication
B. Ignoring the conflict
C. Punishing staff immediately
D. Avoiding discussion
Correct Answer: A
Rationale:
Conflict resolution through mediation improves teamwork and patient care outcomes.
9. Which leadership style is characterized by minimal guidance and staff autonomy?
A. Laissez-faire
B. Autocratic
C. Transformational
D. Democratic
Correct Answer: A
Rationale:
Laissez-faire leaders allow staff independence, which may work with highly competent teams.
10. Which ethical principle guides nurse executives in decision-making?
A. Beneficence, nonmaleficence, justice, and autonomy
B. Personal preference
C. Ignoring organizational policies
D. Avoiding accountability
Correct Answer: A
Rationale:
Ethical leadership ensures decisions promote patient safety, fairness, and professional integrity.
11. Which tool helps nurse executives assess staffing needs?
A. Patient acuity systems
B. Guessing staff numbers
C. Personal schedule preference
D. Random assignment
Correct Answer: A