Leadership & Management in Nursing
Exam Prep | 2026 BSN Pathway |
NCLEX‑Style Ultimate Bundle for Exam
Success
100 Questions
1. A nurse manager is implementing a shared governance model on a medical-surgical unit. Which
outcome indicates that this model is being successfully implemented?
A) Staff nurses have increased autonomy in decision-making
B) The nurse manager makes all staffing decisions
C) Unit policies are updated annually
D) Patient satisfaction scores remain unchanged
🎯CORRECT CHOICE: A) Staff nurses have increased autonomy in decision-making
💡EXPLANATION: Shared governance empowers staff nurses by involving them in decisions that affect
their practice and working environment. Increased autonomy is a key indicator of successful
implementation.
2. A charge nurse is delegating a task to a licensed practical nurse (LPN). Which task is appropriate for
the LPN to perform?
A) Performing an initial assessment on a newly admitted patient
B) Administering an oral medication to a stable patient
C) Developing a plan of care for a complex patient
D) Providing discharge teaching to a patient with a new diagnosis
🎯CORRECT CHOICE: B) Administering an oral medication to a stable patient
,💡EXPLANATION: LPNs are licensed to administer medications to stable patients with predictable
outcomes. Initial assessments, care planning, and discharge teaching are within the RN scope of
practice.
3. A nurse is using the SBAR communication tool to report a patient's change in status to a physician.
Which component of SBAR describes the current situation?
A) "The patient is Mr. Smith in room 202."
B) "He has a history of hypertension and diabetes."
C) "His blood pressure is 88/52, and he is diaphoretic."
D) "I recommend that you come and evaluate him."
🎯CORRECT CHOICE: C) "His blood pressure is 88/52, and he is diaphoretic."
💡EXPLANATION: The Situation component of SBAR provides a concise statement of the current
problem, including vital signs and observable symptoms. Background is the patient's history, and
Recommendation is the suggested action.
4. A nurse manager is developing a budget for the nursing unit. Which type of budget includes salaries,
supplies, and operating expenses?
A) Capital budget
B) Operating budget
C) Personnel budget
D) Revenue budget
🎯CORRECT CHOICE: B) Operating budget
💡EXPLANATION: The operating budget covers the day-to-day expenses of running a unit, including
salaries, supplies, utilities, and other recurring costs. The capital budget covers major equipment
purchases.
5. A charge nurse is assigning patient care to a new graduate nurse. What is the charge nurse's primary
responsibility?
A) Ensure the new graduate is assigned to the most complex patients
B) Ensure the assignment matches the new graduate's competency level
,C) Assign the new graduate to the same patients each shift
D) Ensure the new graduate works independently without supervision
🎯CORRECT CHOICE: B) Ensure the assignment matches the new graduate's competency level
💡EXPLANATION: The charge nurse must consider the skill and experience level of each staff member
when making assignments. New graduates should be assigned stable patients and provided with
appropriate supervision.
6. A nurse manager is addressing a conflict between two staff members. Which conflict resolution
strategy is most likely to result in a win-win outcome?
A) Avoidance
B) Accommodation
C) Competition
D) Collaboration
🎯CORRECT CHOICE: D) Collaboration
💡EXPLANATION: Collaboration involves working together to find a mutually agreeable solution that
satisfies both parties. This is the most constructive approach to conflict resolution.
7. A nurse is preparing to delegate a task to an unlicensed assistive personnel (UAP). Which of the "Five
Rights of Delegation" is the nurse ensuring when confirming the UAP has the necessary skills and
training?
A) Right task
B) Right circumstance
C) Right person
D) Right direction
🎯CORRECT CHOICE: C) Right person
💡EXPLANATION: The "Right Person" means ensuring that the delegatee has the appropriate knowledge,
skills, and training to perform the task safely and competently.
, 8. A nurse manager is evaluating a policy change. The nurse manager should evaluate the policy's
effectiveness by measuring:
A) Staff compliance with the policy
B) The cost of implementing the policy
C) The impact on patient outcomes
D) All of the above
🎯CORRECT CHOICE: D) All of the above
💡EXPLANATION: Evaluating a policy's effectiveness requires a comprehensive approach that considers
staff compliance, cost-effectiveness, and, most importantly, the impact on patient outcomes.
9. A charge nurse is making a patient assignment for a shift. Which principle should guide the charge
nurse's decision?
A) Assign the most experienced nurse to the least complex patients
B) Match patient acuity with staff competency
C) Assign patients based on room numbers
D) Allow staff to choose their own patients
🎯CORRECT CHOICE: B) Match patient acuity with staff competency
💡EXPLANATION: The primary principle in patient assignment is to match the complexity of patient care
needs (acuity) with the competency level of the nursing staff to ensure safe and effective care.
10. A nurse manager is implementing a new electronic health record (EHR) system on the unit. Which
leadership style is most effective for facilitating this change?
A) Laissez-faire leadership
B) Autocratic leadership
C) Transformational leadership
D) Bureaucratic leadership
🎯CORRECT CHOICE: C) Transformational leadership
Exam Prep | 2026 BSN Pathway |
NCLEX‑Style Ultimate Bundle for Exam
Success
100 Questions
1. A nurse manager is implementing a shared governance model on a medical-surgical unit. Which
outcome indicates that this model is being successfully implemented?
A) Staff nurses have increased autonomy in decision-making
B) The nurse manager makes all staffing decisions
C) Unit policies are updated annually
D) Patient satisfaction scores remain unchanged
🎯CORRECT CHOICE: A) Staff nurses have increased autonomy in decision-making
💡EXPLANATION: Shared governance empowers staff nurses by involving them in decisions that affect
their practice and working environment. Increased autonomy is a key indicator of successful
implementation.
2. A charge nurse is delegating a task to a licensed practical nurse (LPN). Which task is appropriate for
the LPN to perform?
A) Performing an initial assessment on a newly admitted patient
B) Administering an oral medication to a stable patient
C) Developing a plan of care for a complex patient
D) Providing discharge teaching to a patient with a new diagnosis
🎯CORRECT CHOICE: B) Administering an oral medication to a stable patient
,💡EXPLANATION: LPNs are licensed to administer medications to stable patients with predictable
outcomes. Initial assessments, care planning, and discharge teaching are within the RN scope of
practice.
3. A nurse is using the SBAR communication tool to report a patient's change in status to a physician.
Which component of SBAR describes the current situation?
A) "The patient is Mr. Smith in room 202."
B) "He has a history of hypertension and diabetes."
C) "His blood pressure is 88/52, and he is diaphoretic."
D) "I recommend that you come and evaluate him."
🎯CORRECT CHOICE: C) "His blood pressure is 88/52, and he is diaphoretic."
💡EXPLANATION: The Situation component of SBAR provides a concise statement of the current
problem, including vital signs and observable symptoms. Background is the patient's history, and
Recommendation is the suggested action.
4. A nurse manager is developing a budget for the nursing unit. Which type of budget includes salaries,
supplies, and operating expenses?
A) Capital budget
B) Operating budget
C) Personnel budget
D) Revenue budget
🎯CORRECT CHOICE: B) Operating budget
💡EXPLANATION: The operating budget covers the day-to-day expenses of running a unit, including
salaries, supplies, utilities, and other recurring costs. The capital budget covers major equipment
purchases.
5. A charge nurse is assigning patient care to a new graduate nurse. What is the charge nurse's primary
responsibility?
A) Ensure the new graduate is assigned to the most complex patients
B) Ensure the assignment matches the new graduate's competency level
,C) Assign the new graduate to the same patients each shift
D) Ensure the new graduate works independently without supervision
🎯CORRECT CHOICE: B) Ensure the assignment matches the new graduate's competency level
💡EXPLANATION: The charge nurse must consider the skill and experience level of each staff member
when making assignments. New graduates should be assigned stable patients and provided with
appropriate supervision.
6. A nurse manager is addressing a conflict between two staff members. Which conflict resolution
strategy is most likely to result in a win-win outcome?
A) Avoidance
B) Accommodation
C) Competition
D) Collaboration
🎯CORRECT CHOICE: D) Collaboration
💡EXPLANATION: Collaboration involves working together to find a mutually agreeable solution that
satisfies both parties. This is the most constructive approach to conflict resolution.
7. A nurse is preparing to delegate a task to an unlicensed assistive personnel (UAP). Which of the "Five
Rights of Delegation" is the nurse ensuring when confirming the UAP has the necessary skills and
training?
A) Right task
B) Right circumstance
C) Right person
D) Right direction
🎯CORRECT CHOICE: C) Right person
💡EXPLANATION: The "Right Person" means ensuring that the delegatee has the appropriate knowledge,
skills, and training to perform the task safely and competently.
, 8. A nurse manager is evaluating a policy change. The nurse manager should evaluate the policy's
effectiveness by measuring:
A) Staff compliance with the policy
B) The cost of implementing the policy
C) The impact on patient outcomes
D) All of the above
🎯CORRECT CHOICE: D) All of the above
💡EXPLANATION: Evaluating a policy's effectiveness requires a comprehensive approach that considers
staff compliance, cost-effectiveness, and, most importantly, the impact on patient outcomes.
9. A charge nurse is making a patient assignment for a shift. Which principle should guide the charge
nurse's decision?
A) Assign the most experienced nurse to the least complex patients
B) Match patient acuity with staff competency
C) Assign patients based on room numbers
D) Allow staff to choose their own patients
🎯CORRECT CHOICE: B) Match patient acuity with staff competency
💡EXPLANATION: The primary principle in patient assignment is to match the complexity of patient care
needs (acuity) with the competency level of the nursing staff to ensure safe and effective care.
10. A nurse manager is implementing a new electronic health record (EHR) system on the unit. Which
leadership style is most effective for facilitating this change?
A) Laissez-faire leadership
B) Autocratic leadership
C) Transformational leadership
D) Bureaucratic leadership
🎯CORRECT CHOICE: C) Transformational leadership
