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NR 450 – NURSING CAPSTONE & LEADERSHIP
MIDTERM EXAM WITH REAL EXAM QUESTIONS
AND ANSWERS 2026-27 VERSION
1. Which leadership style involves staff in decision-making while
maintaining accountability?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Democratic leaders encourage collaboration and
shared decision-making.
2. A nurse manager motivates staff with rewards for meeting
targets. This reflects:
A. Transformational leadership
B. Transactional leadership
C. Servant leadership
D. Laissez-faire
Answer: B
Rationale: Transactional leadership focuses on rewards and
penalties for performance.
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3. Which leadership theory focuses on inspiring change and
innovation?
A. Situational
B. Transformational
C. Autocratic
D. Transactional
Answer: B
Rationale: Transformational leaders motivate through vision
and inspiration.
4. A new nurse feels guided and supported by the manager.
Which style is most likely?
A. Laissez-faire
B. Transformational
C. Autocratic
D. Bureaucratic
Answer: B
Rationale: Transformational leaders provide mentorship and
support.
5. Which leadership style is effective in a crisis requiring rapid
decisions?
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A. Autocratic
B. Democratic
C. Laissez-faire
D. Servant
Answer: A
Rationale: Autocratic leadership allows fast decision-making in
emergencies.
6. Servant leadership emphasizes:
A. Power and authority
B. Serving the team and meeting their needs
C. Strict rules
D. Performance bonuses
Answer: B
Rationale: Servant leaders prioritize staff development and
well-being.
7. Which theory adapts leadership style based on staff
competence and motivation?
A. Situational leadership
B. Transformational leadership
C. Bureaucratic
D. Transactional
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Answer: A
Rationale: Situational leadership adjusts approach to staff
readiness.
8. Which leader focuses on long-term vision and staff
development?
A. Laissez-faire
B. Transformational
C. Autocratic
D. Servant
Answer: B
Rationale: Transformational leaders develop staff and inspire
growth.
9. Which leadership style allows team members to make most
decisions?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: C
Rationale: Laissez-faire leaders provide minimal guidance and
allow autonomy.
NR 450 – NURSING CAPSTONE & LEADERSHIP
MIDTERM EXAM WITH REAL EXAM QUESTIONS
AND ANSWERS 2026-27 VERSION
1. Which leadership style involves staff in decision-making while
maintaining accountability?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: B
Rationale: Democratic leaders encourage collaboration and
shared decision-making.
2. A nurse manager motivates staff with rewards for meeting
targets. This reflects:
A. Transformational leadership
B. Transactional leadership
C. Servant leadership
D. Laissez-faire
Answer: B
Rationale: Transactional leadership focuses on rewards and
penalties for performance.
,2
3. Which leadership theory focuses on inspiring change and
innovation?
A. Situational
B. Transformational
C. Autocratic
D. Transactional
Answer: B
Rationale: Transformational leaders motivate through vision
and inspiration.
4. A new nurse feels guided and supported by the manager.
Which style is most likely?
A. Laissez-faire
B. Transformational
C. Autocratic
D. Bureaucratic
Answer: B
Rationale: Transformational leaders provide mentorship and
support.
5. Which leadership style is effective in a crisis requiring rapid
decisions?
,3
A. Autocratic
B. Democratic
C. Laissez-faire
D. Servant
Answer: A
Rationale: Autocratic leadership allows fast decision-making in
emergencies.
6. Servant leadership emphasizes:
A. Power and authority
B. Serving the team and meeting their needs
C. Strict rules
D. Performance bonuses
Answer: B
Rationale: Servant leaders prioritize staff development and
well-being.
7. Which theory adapts leadership style based on staff
competence and motivation?
A. Situational leadership
B. Transformational leadership
C. Bureaucratic
D. Transactional
, 4
Answer: A
Rationale: Situational leadership adjusts approach to staff
readiness.
8. Which leader focuses on long-term vision and staff
development?
A. Laissez-faire
B. Transformational
C. Autocratic
D. Servant
Answer: B
Rationale: Transformational leaders develop staff and inspire
growth.
9. Which leadership style allows team members to make most
decisions?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Answer: C
Rationale: Laissez-faire leaders provide minimal guidance and
allow autonomy.
