NURSING LEADERSHIP AND MANAGEMENT EXAM – QUESTIONS AND ANSWERS
*CORE DOMAINS*
*Leadership Theories*
*Organizational Culture*
*Strategic Planning and Budgeting*
*Conflict Management*
*Legal and Ethical Practice*
*Quality Improvement*
*Human Resource Management*
*Delegation Principles*
*INTRODUCTION*
*The purpose of this examination is to evaluate the competency of nursing professio
SECTION ONE: QUESTIONS 1–100
1. A nurse manager is implementing a new staffing model and observes that staff are
resistant to the change. According to Lewin’s Change Theory, which phase is the
manager currently addressing?
, A. Unfreezing
B. Moving
C. Refreezing
D. Assessing
🟢A
🔴 RATIONALE: The unfreezing phase involves identifying the need for change
and overcoming resistance, which is necessary before new behaviors can be
adopted.
2. Which leadership style is characterized by a leader who provides little to no
direction and gives employees complete freedom to make decisions?
A. Democratic
B. Authoritarian
C. Laissez-faire
D. Transactional
🟢C
🔴 RATIONALE: Laissez-faire leadership is defined by a hands-off approach,
where the leader allows group members to make their own decisions.
3. When prioritizing tasks using the ABC model, what does "C" represent?
A. Critical needs requiring immediate action
B. Needs that are important but not urgent
C. Nice-to-do tasks that can be delegated or postponed
D. Tasks that have already been completed
, 🟢C
🔴 RATIONALE: In priority setting, "A" represents urgent, "B" represents important,
and "C" represents tasks that are not urgent or critical.
4. A nurse manager is reviewing a budget variance report. Which of the following is
considered a fixed cost in a hospital unit?
A. Medical-surgical supplies
B. Nursing salaries
C. Rental payments for diagnostic equipment
D. Patient care hours
🟢C
🔴 RATIONALE: Fixed costs remain constant regardless of the volume of service,
whereas variable costs fluctuate with patient volume.
5. A nurse leader uses a SWOT analysis to evaluate the unit's position. Which
element is considered an internal factor?
A. Threat
B. Opportunity
C. Strength
D. Trend
🟢C
🔴 RATIONALE: Strengths and Weaknesses are internal factors, while
Opportunities and Threats are external factors.
, 6. Which document outlines the scope of practice and the legal standards for nursing
in a specific jurisdiction?
A. Hospital Policy and Procedure Manual
B. The Nurse Practice Act
C. The American Nurses Association Code of Ethics
D. Institutional Bylaws
🟢B
🔴 RATIONALE: The Nurse Practice Act is the legislative statute that defines the
legal scope of nursing practice in a state or province.
7. A charge nurse delegates a task to an unlicensed assistive personnel (UAP). Which
of the following is the most important factor to consider?
A. The UAP's willingness to perform the task
B. The UAP's scope of practice and competency
C. The nurse's current workload
D. The number of patients on the unit
🟢B
🔴 RATIONALE: Ensuring the delegatee has the skills, training, and legal scope to
perform the task is the primary responsibility of the delegating nurse.
8. A staff nurse reports that a coworker has been stealing narcotics. Which is the
immediate priority for the nurse leader?
A. Confront the coworker privately
B. Conduct an investigation to gather evidence
*CORE DOMAINS*
*Leadership Theories*
*Organizational Culture*
*Strategic Planning and Budgeting*
*Conflict Management*
*Legal and Ethical Practice*
*Quality Improvement*
*Human Resource Management*
*Delegation Principles*
*INTRODUCTION*
*The purpose of this examination is to evaluate the competency of nursing professio
SECTION ONE: QUESTIONS 1–100
1. A nurse manager is implementing a new staffing model and observes that staff are
resistant to the change. According to Lewin’s Change Theory, which phase is the
manager currently addressing?
, A. Unfreezing
B. Moving
C. Refreezing
D. Assessing
🟢A
🔴 RATIONALE: The unfreezing phase involves identifying the need for change
and overcoming resistance, which is necessary before new behaviors can be
adopted.
2. Which leadership style is characterized by a leader who provides little to no
direction and gives employees complete freedom to make decisions?
A. Democratic
B. Authoritarian
C. Laissez-faire
D. Transactional
🟢C
🔴 RATIONALE: Laissez-faire leadership is defined by a hands-off approach,
where the leader allows group members to make their own decisions.
3. When prioritizing tasks using the ABC model, what does "C" represent?
A. Critical needs requiring immediate action
B. Needs that are important but not urgent
C. Nice-to-do tasks that can be delegated or postponed
D. Tasks that have already been completed
, 🟢C
🔴 RATIONALE: In priority setting, "A" represents urgent, "B" represents important,
and "C" represents tasks that are not urgent or critical.
4. A nurse manager is reviewing a budget variance report. Which of the following is
considered a fixed cost in a hospital unit?
A. Medical-surgical supplies
B. Nursing salaries
C. Rental payments for diagnostic equipment
D. Patient care hours
🟢C
🔴 RATIONALE: Fixed costs remain constant regardless of the volume of service,
whereas variable costs fluctuate with patient volume.
5. A nurse leader uses a SWOT analysis to evaluate the unit's position. Which
element is considered an internal factor?
A. Threat
B. Opportunity
C. Strength
D. Trend
🟢C
🔴 RATIONALE: Strengths and Weaknesses are internal factors, while
Opportunities and Threats are external factors.
, 6. Which document outlines the scope of practice and the legal standards for nursing
in a specific jurisdiction?
A. Hospital Policy and Procedure Manual
B. The Nurse Practice Act
C. The American Nurses Association Code of Ethics
D. Institutional Bylaws
🟢B
🔴 RATIONALE: The Nurse Practice Act is the legislative statute that defines the
legal scope of nursing practice in a state or province.
7. A charge nurse delegates a task to an unlicensed assistive personnel (UAP). Which
of the following is the most important factor to consider?
A. The UAP's willingness to perform the task
B. The UAP's scope of practice and competency
C. The nurse's current workload
D. The number of patients on the unit
🟢B
🔴 RATIONALE: Ensuring the delegatee has the skills, training, and legal scope to
perform the task is the primary responsibility of the delegating nurse.
8. A staff nurse reports that a coworker has been stealing narcotics. Which is the
immediate priority for the nurse leader?
A. Confront the coworker privately
B. Conduct an investigation to gather evidence
