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CLN500: Leadership & Management – Questions
with Correct Answers Comprehensive Nursing
Total Questions: 60
Format: Multiple choice (45) + select all that apply (5) + clinical scenarios (10)
Target Level: Undergraduate (BSN) / Graduate (MSN) bridge
Focus: Leadership theories, delegation, staffing, conflict resolution, quality improvement,
patient safety, legal/ethical issues, financial management, strategic planning, change
management, and healthcare policy.
DOMAIN I: LEADERSHIP THEORIES & STYLES (5 questions)
Q1. A nurse manager uses a leadership style that involves subordinates in decision-making,
encourages participation, and seeks consensus. This is best described as:
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transactional leadership
Correct Answer: B
Rationale: Democratic leadership emphasizes group participation, shared decision-making, and
empowerment. Autocratic (A) is directive; laissez-faire (C) hands-off; transactional (D) focuses
on rewards/punishments.
Q2. A charge nurse consistently rewards staff with recognition and small incentives for meeting
quality metrics. This approach aligns with which leadership theory?
A. Transformational leadership
B. Transactional leadership
C. Servant leadership
D. Situational leadership
Correct Answer: B
Rationale: Transactional leadership focuses on contingent rewards and management by
exception. Transformational (A) inspires change; servant (C) prioritizes follower needs;
situational (D) adapts style to the situation.
,2
Q3. A nurse leader inspires the team by articulating a vision of excellence in patient care,
serving as a role model, and encouraging innovation. This is characteristic of:
A. Transactional leadership
B. Transformational leadership
C. Bureaucratic leadership
D. Autocratic leadership
Correct Answer: B
Rationale: Transformational leaders motivate through vision, idealized influence, inspirational
motivation, intellectual stimulation, and individualized consideration. Transactional (A) focuses
on exchanges.
Q4. According to Hersey-Blanchard Situational Leadership Theory, a leader should use a
delegating style (low task, low relationship) when followers are:
A. Unable and unwilling (high task, high relationship – telling)
B. Unable but willing (high task, high relationship – selling)
C. Able but unwilling (high relationship, low task – participating)
D. Able and willing (delegating)
Correct Answer: D
Rationale: Delegating (low task, low relationship) is for followers who are competent and
committed (able and willing). Telling (A) for unable/unwilling; selling (B) for unable but willing;
participating (C) for able but unwilling.
Q5. A nurse manager uses a leadership style that focuses on maintaining the status quo,
enforcing rules, and monitoring deviations. This manager is demonstrating:
A. Transformational leadership
B. Transactional leadership
C. Charismatic leadership
D. Quantum leadership
Correct Answer: B
Rationale: Transactional leadership emphasizes supervision, organization, and group
performance; rewards and punishments for compliance. Transformational (A) changes status
quo; charismatic (C) uses personal charm; quantum (D) views organizations as dynamic.
DOMAIN II: DELEGATION & ASSIGNMENT (6 questions)
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Q6. The nurse manager is assigning tasks to staff. Which task can be delegated to a licensed
practical/vocational nurse (LPN/LVN)?
A. Initial admission assessment
B. Administration of IV push morphine
C. Tracheostomy suctioning of a stable patient
D. Development of the nursing care plan
Correct Answer: C
Rationale: LPNs can perform stable, predictable tasks such as suctioning, medication
administration (except IV push in many states), and wound care. Initial assessment (A), IV push
(B), and care plan development (D) are RN responsibilities.
Q7. A charge nurse delegates taking vital signs on a stable post-operative patient to a nursing
assistant (UAP). The charge nurse remains responsible for:
A. Performing the vital signs
B. Supervision and evaluation of the task
C. Reassigning the task to another UAP
D. Documenting the vital signs
Correct Answer: B
Rationale: Delegation transfers responsibility for the task but not accountability for supervision,
monitoring, and follow-up. The RN retains accountability for patient outcomes and must ensure
the task was performed correctly.
Q8. Which of the following is an example of inappropriate delegation by an RN to an unlicensed
assistive personnel (UAP)?
A. Obtaining a blood glucose reading on a stable diabetic patient
B. Ambulating a post-operative patient with stable vital signs
C. Feeding a patient with dysphagia who requires aspiration precautions
D. Measuring intake and output on a patient with heart failure
Correct Answer: C
Rationale: Patients with dysphagia require skilled assessment during feeding (aspiration risk).
This task should not be delegated to UAP. Stable monitoring (A, B, D) are within UAP scope with
appropriate training.
CLN500: Leadership & Management – Questions
with Correct Answers Comprehensive Nursing
Total Questions: 60
Format: Multiple choice (45) + select all that apply (5) + clinical scenarios (10)
Target Level: Undergraduate (BSN) / Graduate (MSN) bridge
Focus: Leadership theories, delegation, staffing, conflict resolution, quality improvement,
patient safety, legal/ethical issues, financial management, strategic planning, change
management, and healthcare policy.
DOMAIN I: LEADERSHIP THEORIES & STYLES (5 questions)
Q1. A nurse manager uses a leadership style that involves subordinates in decision-making,
encourages participation, and seeks consensus. This is best described as:
A. Autocratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Transactional leadership
Correct Answer: B
Rationale: Democratic leadership emphasizes group participation, shared decision-making, and
empowerment. Autocratic (A) is directive; laissez-faire (C) hands-off; transactional (D) focuses
on rewards/punishments.
Q2. A charge nurse consistently rewards staff with recognition and small incentives for meeting
quality metrics. This approach aligns with which leadership theory?
A. Transformational leadership
B. Transactional leadership
C. Servant leadership
D. Situational leadership
Correct Answer: B
Rationale: Transactional leadership focuses on contingent rewards and management by
exception. Transformational (A) inspires change; servant (C) prioritizes follower needs;
situational (D) adapts style to the situation.
,2
Q3. A nurse leader inspires the team by articulating a vision of excellence in patient care,
serving as a role model, and encouraging innovation. This is characteristic of:
A. Transactional leadership
B. Transformational leadership
C. Bureaucratic leadership
D. Autocratic leadership
Correct Answer: B
Rationale: Transformational leaders motivate through vision, idealized influence, inspirational
motivation, intellectual stimulation, and individualized consideration. Transactional (A) focuses
on exchanges.
Q4. According to Hersey-Blanchard Situational Leadership Theory, a leader should use a
delegating style (low task, low relationship) when followers are:
A. Unable and unwilling (high task, high relationship – telling)
B. Unable but willing (high task, high relationship – selling)
C. Able but unwilling (high relationship, low task – participating)
D. Able and willing (delegating)
Correct Answer: D
Rationale: Delegating (low task, low relationship) is for followers who are competent and
committed (able and willing). Telling (A) for unable/unwilling; selling (B) for unable but willing;
participating (C) for able but unwilling.
Q5. A nurse manager uses a leadership style that focuses on maintaining the status quo,
enforcing rules, and monitoring deviations. This manager is demonstrating:
A. Transformational leadership
B. Transactional leadership
C. Charismatic leadership
D. Quantum leadership
Correct Answer: B
Rationale: Transactional leadership emphasizes supervision, organization, and group
performance; rewards and punishments for compliance. Transformational (A) changes status
quo; charismatic (C) uses personal charm; quantum (D) views organizations as dynamic.
DOMAIN II: DELEGATION & ASSIGNMENT (6 questions)
, 3
Q6. The nurse manager is assigning tasks to staff. Which task can be delegated to a licensed
practical/vocational nurse (LPN/LVN)?
A. Initial admission assessment
B. Administration of IV push morphine
C. Tracheostomy suctioning of a stable patient
D. Development of the nursing care plan
Correct Answer: C
Rationale: LPNs can perform stable, predictable tasks such as suctioning, medication
administration (except IV push in many states), and wound care. Initial assessment (A), IV push
(B), and care plan development (D) are RN responsibilities.
Q7. A charge nurse delegates taking vital signs on a stable post-operative patient to a nursing
assistant (UAP). The charge nurse remains responsible for:
A. Performing the vital signs
B. Supervision and evaluation of the task
C. Reassigning the task to another UAP
D. Documenting the vital signs
Correct Answer: B
Rationale: Delegation transfers responsibility for the task but not accountability for supervision,
monitoring, and follow-up. The RN retains accountability for patient outcomes and must ensure
the task was performed correctly.
Q8. Which of the following is an example of inappropriate delegation by an RN to an unlicensed
assistive personnel (UAP)?
A. Obtaining a blood glucose reading on a stable diabetic patient
B. Ambulating a post-operative patient with stable vital signs
C. Feeding a patient with dysphagia who requires aspiration precautions
D. Measuring intake and output on a patient with heart failure
Correct Answer: C
Rationale: Patients with dysphagia require skilled assessment during feeding (aspiration risk).
This task should not be delegated to UAP. Stable monitoring (A, B, D) are within UAP scope with
appropriate training.
