NSG 4700 Exam 1 V3 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 1) | Galen
1. A nurse manager is utilizing an autocratic leadership style when dealing with a staffing
crisis. Which behavior by the manager best exemplifies this style?
A. Asking the staff for their input before making a decision.
B. Making a unilateral decision on which nurses will work overtime.
C. Allowing the staff to self-schedule for the next month.
D. Providing minimal direction and letting the group set goals.
Correct Answer: B
Explanation: The autocratic leadership style involves the leader making decisions
independently without input from the group. This style is often necessary in emergency
situations or crises where rapid decision-making is essential. While it ensures efficiency, it
may lead to decreased job satisfaction among staff if used in non-emergent contexts.
2. Which function is primarily associated with the role of a manager rather than a leader?
A. Inspiring others with a long-term vision.
B. Maintaining clinical excellence and professional standards.
C. Challenging the status quo to improve patient care.
,D. Managing resources, budgets, and staffing schedules.
Correct Answer: D
Explanation: Management focuses on the tactical and operational aspects of an
organization, such as budgeting and scheduling. In contrast, leadership is centered on
interpersonal relationships and influencing others toward a vision. Managers are typically
appointed to a formal position, whereas leaders may emerge informally within a group.
3. A nurse is implementing Lewin’s Change Theory on a surgical unit. During the ‘unfreezing’
stage, what action should the nurse take first?
A. Develop a plan for implementing the new technology.
B. Identify the need for change and create awareness of the problem.
C. Provide incentives for staff who adopt the change quickly.
D. Integrate the change into the daily operations of the unit.
Correct Answer: B
Explanation: The unfreezing stage is the initial phase of Lewin’s theory where the status
quo is disrupted to prepare for change. The leader must help the staff recognize that a
change is necessary by highlighting inefficiencies or safety concerns. Without successful
unfreezing, staff members are likely to remain resistant to any new initiatives.
, 4. The registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following are considered the ‘Five Rights of Delegation’?
(Select all that apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
E. Right Supervision/Evaluation
F. Right Unit Location
G. Right Documentation Timing
Correct Answer: A,B,C,D,E
Explanation: The Five Rights of Delegation are a framework provided by the NCSBN to
ensure patient safety when an RN assigns tasks. The rights include ensuring the task is
appropriate, the patient’s condition is stable, the person is competent, the instructions are
clear, and the RN monitors the outcome. Omitting any of these rights increases the risk of
medical errors and legal liability for the nurse.
5. A nurse manager is resolving a conflict between two staff nurses regarding vacation time.
Both nurses agree to give up one desired day to ensure the unit is safely staffed. Which
conflict management strategy is being used?
A. Competing
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 1) | Galen
1. A nurse manager is utilizing an autocratic leadership style when dealing with a staffing
crisis. Which behavior by the manager best exemplifies this style?
A. Asking the staff for their input before making a decision.
B. Making a unilateral decision on which nurses will work overtime.
C. Allowing the staff to self-schedule for the next month.
D. Providing minimal direction and letting the group set goals.
Correct Answer: B
Explanation: The autocratic leadership style involves the leader making decisions
independently without input from the group. This style is often necessary in emergency
situations or crises where rapid decision-making is essential. While it ensures efficiency, it
may lead to decreased job satisfaction among staff if used in non-emergent contexts.
2. Which function is primarily associated with the role of a manager rather than a leader?
A. Inspiring others with a long-term vision.
B. Maintaining clinical excellence and professional standards.
C. Challenging the status quo to improve patient care.
,D. Managing resources, budgets, and staffing schedules.
Correct Answer: D
Explanation: Management focuses on the tactical and operational aspects of an
organization, such as budgeting and scheduling. In contrast, leadership is centered on
interpersonal relationships and influencing others toward a vision. Managers are typically
appointed to a formal position, whereas leaders may emerge informally within a group.
3. A nurse is implementing Lewin’s Change Theory on a surgical unit. During the ‘unfreezing’
stage, what action should the nurse take first?
A. Develop a plan for implementing the new technology.
B. Identify the need for change and create awareness of the problem.
C. Provide incentives for staff who adopt the change quickly.
D. Integrate the change into the daily operations of the unit.
Correct Answer: B
Explanation: The unfreezing stage is the initial phase of Lewin’s theory where the status
quo is disrupted to prepare for change. The leader must help the staff recognize that a
change is necessary by highlighting inefficiencies or safety concerns. Without successful
unfreezing, staff members are likely to remain resistant to any new initiatives.
, 4. The registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following are considered the ‘Five Rights of Delegation’?
(Select all that apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
E. Right Supervision/Evaluation
F. Right Unit Location
G. Right Documentation Timing
Correct Answer: A,B,C,D,E
Explanation: The Five Rights of Delegation are a framework provided by the NCSBN to
ensure patient safety when an RN assigns tasks. The rights include ensuring the task is
appropriate, the patient’s condition is stable, the person is competent, the instructions are
clear, and the RN monitors the outcome. Omitting any of these rights increases the risk of
medical errors and legal liability for the nurse.
5. A nurse manager is resolving a conflict between two staff nurses regarding vacation time.
Both nurses agree to give up one desired day to ensure the unit is safely staffed. Which
conflict management strategy is being used?
A. Competing
