1|Page
CNML & NE-BC EXAM QUESTIONS AND VERIFIED
ANSWERS 2026 (GRADED A+) DETAILED ANSWERS!!
What is Transformational Leadership? ......ANSWER......Transformational
leaders focus on change and practice things like providing employees
with a voice in order to participate in the change.
What is a transactional leader? ......ANSWER......Transactional leaders
focus primarily on tasks like the budget, staffing, and day-to-day
operations.
What are the key factors to employee satisfaction? ......ANSWER......*
Having friends at work
* Someone care about the employee as a person
* Working for an organization whose values are compatible with yours
* Being given assignments based on your strengths
What is Shared Governance? ......ANSWER......a system for providing
employees with opportunities for input through an organized
democratic process where each unit is represented
When should an employee be disciplined for lateness?
......ANSWER......Following the organizational policy the employee
should be notified of any infraction as soon as possible after the event.
,2|Page
What is the main responsibility of management? ......ANSWER......to
supervise employees, assure patient safety, monitor the budget, and
ensure that the policies and procedures of the organization are adhered
to.
What should the nurse manager's responsibility be in terms of doing
direct care? ......ANSWER......The nurse manager's number one
responsibility is to run the unit. In a crisis situation the nurse manager
should help out but it should not become a routine.
What is the best way to implement a policy change such as a dress
code. ......ANSWER......The best way to implement any policy change is
to have the users involved in the decision to some extent. Involving
known complainers in the design process is a good way to identify the
potential opposition to a new policy
What are 5 Ways people react to change in Rogers Stages of Innovation
Model? ......ANSWER......* Innovators (2.5%) - Risk takers who are not
afraid to fail & are implementers of the change
* Early Adopters (13.5%) - Less cautious about change and adopt early.
They are often highly opinionated and can influence others to change
* Early Majority (34%) - Adopt to change after they have some time to
see the early adopters success
* Late Majority (34%) - Skeptics, they need to see a lot of evidence
before adopting the change
* Laggards (16%) - Stick to tried and true methods. They may never
accept the change.
,3|Page
What is Positive Deviance Approach to Change?
......ANSWER......Involves leadership looking for change from the group,
rather than leading the group. Real change begins from the inside.
What are the stages of Rogers Diffusion of Innovation Theory?
......ANSWER......1. Agenda-Setting a perceived need for innovation
2. Matching-fitting a problem with the innovation
3. Redefining/Restructuring - innovation is modified to fit the
organizations needs
4. Clarifying - the relationship between the organization and the
innovation is better defined
5. Routinizing - innovation becomes part of the organization's activities
and no longer labeled as an innovation
Describe Circle of Influence. ......ANSWER......Covey (1990) suggested
our lives are covered by two circles: a larger circle of everything your
could possibly be concerned about, and a smaller inner circle of things
you can influence. He suggested that when we focus on things and
people we can influence our circle of influence gets larger. Focusing on
your circle of concern can lead to frustration, as these are things you
cannot influence. Focusing on your circle of concern can also reduce
your circle of influence as you are not paying attention to things and
people you can influence.
, 4|Page
Should the charge nurse take a regular patient assignment if the unit is
short staffed? ......ANSWER......The charge nurse, like the manager is
assigned the duty of leading the unit. Since that is the primary role, all
options for staffing should be explored before taking an assignment. If
the charge nurse takes a full patient assignment, it means nobody is
leading the unit, which could be a problem if a crisis occurs, at which
point the charge nurse would either be distracted from the crisis or be
distracted from caring for her patient assignment. There are certain
cases where the only solution is for the charge nurse to take an
assignment. Ideally it should not be a full assignment so there is still
time to lead the unit.
What is the best way to provide a new charge nurse with experience?
......ANSWER......The best way to provide a new charge nurse with
experience is to partner him or her with an experienced charge nurse
and put them in charge. That way the experienced charge nurse can
provide them with direction and coaching in the actual charge nurse
role.
Shouldn't the most experienced staff member be the one in charge?
......ANSWER......Actually it is the most effective to make assignments
based on employee strength and interest (Rath,2007) You cultivate
leaders by allowing the nurse with the interest in leading to lead.
Define Leadership. ......ANSWER......Leadership is the art and science of
providing direction, inspiration, and goals to a team by providing vision,
guidance, and holding them accountable for outcomes
CNML & NE-BC EXAM QUESTIONS AND VERIFIED
ANSWERS 2026 (GRADED A+) DETAILED ANSWERS!!
What is Transformational Leadership? ......ANSWER......Transformational
leaders focus on change and practice things like providing employees
with a voice in order to participate in the change.
What is a transactional leader? ......ANSWER......Transactional leaders
focus primarily on tasks like the budget, staffing, and day-to-day
operations.
What are the key factors to employee satisfaction? ......ANSWER......*
Having friends at work
* Someone care about the employee as a person
* Working for an organization whose values are compatible with yours
* Being given assignments based on your strengths
What is Shared Governance? ......ANSWER......a system for providing
employees with opportunities for input through an organized
democratic process where each unit is represented
When should an employee be disciplined for lateness?
......ANSWER......Following the organizational policy the employee
should be notified of any infraction as soon as possible after the event.
,2|Page
What is the main responsibility of management? ......ANSWER......to
supervise employees, assure patient safety, monitor the budget, and
ensure that the policies and procedures of the organization are adhered
to.
What should the nurse manager's responsibility be in terms of doing
direct care? ......ANSWER......The nurse manager's number one
responsibility is to run the unit. In a crisis situation the nurse manager
should help out but it should not become a routine.
What is the best way to implement a policy change such as a dress
code. ......ANSWER......The best way to implement any policy change is
to have the users involved in the decision to some extent. Involving
known complainers in the design process is a good way to identify the
potential opposition to a new policy
What are 5 Ways people react to change in Rogers Stages of Innovation
Model? ......ANSWER......* Innovators (2.5%) - Risk takers who are not
afraid to fail & are implementers of the change
* Early Adopters (13.5%) - Less cautious about change and adopt early.
They are often highly opinionated and can influence others to change
* Early Majority (34%) - Adopt to change after they have some time to
see the early adopters success
* Late Majority (34%) - Skeptics, they need to see a lot of evidence
before adopting the change
* Laggards (16%) - Stick to tried and true methods. They may never
accept the change.
,3|Page
What is Positive Deviance Approach to Change?
......ANSWER......Involves leadership looking for change from the group,
rather than leading the group. Real change begins from the inside.
What are the stages of Rogers Diffusion of Innovation Theory?
......ANSWER......1. Agenda-Setting a perceived need for innovation
2. Matching-fitting a problem with the innovation
3. Redefining/Restructuring - innovation is modified to fit the
organizations needs
4. Clarifying - the relationship between the organization and the
innovation is better defined
5. Routinizing - innovation becomes part of the organization's activities
and no longer labeled as an innovation
Describe Circle of Influence. ......ANSWER......Covey (1990) suggested
our lives are covered by two circles: a larger circle of everything your
could possibly be concerned about, and a smaller inner circle of things
you can influence. He suggested that when we focus on things and
people we can influence our circle of influence gets larger. Focusing on
your circle of concern can lead to frustration, as these are things you
cannot influence. Focusing on your circle of concern can also reduce
your circle of influence as you are not paying attention to things and
people you can influence.
, 4|Page
Should the charge nurse take a regular patient assignment if the unit is
short staffed? ......ANSWER......The charge nurse, like the manager is
assigned the duty of leading the unit. Since that is the primary role, all
options for staffing should be explored before taking an assignment. If
the charge nurse takes a full patient assignment, it means nobody is
leading the unit, which could be a problem if a crisis occurs, at which
point the charge nurse would either be distracted from the crisis or be
distracted from caring for her patient assignment. There are certain
cases where the only solution is for the charge nurse to take an
assignment. Ideally it should not be a full assignment so there is still
time to lead the unit.
What is the best way to provide a new charge nurse with experience?
......ANSWER......The best way to provide a new charge nurse with
experience is to partner him or her with an experienced charge nurse
and put them in charge. That way the experienced charge nurse can
provide them with direction and coaching in the actual charge nurse
role.
Shouldn't the most experienced staff member be the one in charge?
......ANSWER......Actually it is the most effective to make assignments
based on employee strength and interest (Rath,2007) You cultivate
leaders by allowing the nurse with the interest in leading to lead.
Define Leadership. ......ANSWER......Leadership is the art and science of
providing direction, inspiration, and goals to a team by providing vision,
guidance, and holding them accountable for outcomes
