Leadership & Management
Nursing Exam – 150+
Questions
Question 1
A nurse manager is implementing a shared governance model on a medical-surgical unit. Which of the
following best describes the primary purpose of shared governance?
A) To reduce the cost of healthcare delivery
B) To empower nurses to have input into practice decisions
C) To increase the number of staff on the unit
D) To eliminate the need for nurse managers
Correct Answer: B) To empower nurses to have input into practice decisions
Rationale: Shared governance is a model that empowers nurses to participate in decision-making
regarding practice, quality, and professional development. It promotes autonomy, accountability, and
engagement. It does not eliminate the need for nurse managers but changes their role to that of a
facilitator.
Question 2
A nurse leader is delegating tasks to unlicensed assistive personnel (UAP). Which of the following tasks is
appropriate to delegate to a UAP?
A) Administering oral medications
B) Performing a wound assessment
C) Assisting a patient with ambulation
D) Developing a plan of care
Correct Answer: C) Assisting a patient with ambulation
Rationale: Assisting with ambulation is a task that can be safely delegated to UAP. Delegation is guided
by the five rights: right task, right circumstance, right person, right direction/communication, and right
,supervision/evaluation. Medication administration, assessment, and care planning are beyond the scope
of UAP.
Question 3
A nurse manager is addressing a conflict between two staff nurses. Which of the following conflict
resolution strategies is most likely to result in a win-win outcome?
A) Competition
B) Accommodation
C) Avoidance
D) Collaboration
Correct Answer: D) Collaboration
Rationale: Collaboration involves working together to find a mutually acceptable solution that addresses
the concerns of both parties. This approach leads to a win-win outcome. Competition results in a win-lose
outcome. Accommodation is a lose-win outcome. Avoidance results in a lose-lose outcome.
Question 4
A nurse is applying the principles of transformational leadership. Which of the following behaviors is
most characteristic of a transformational leader?
A) Providing rewards for compliance
B) Inspiring and motivating staff to achieve a shared vision
C) Maintaining the status quo
D) Using authoritative decision-making
Correct Answer: B) Inspiring and motivating staff to achieve a shared vision
Rationale: Transformational leadership is characterized by inspiring and motivating followers to achieve
a shared vision. It involves intellectual stimulation, individualized consideration, and idealized influence.
Providing rewards is characteristic of transactional leadership, not transformational.
Question 5
A nurse manager is conducting a performance evaluation for a staff nurse. Which of the following is the
most appropriate approach to performance evaluation?
A) Provide feedback only on areas needing improvement
B) Focus on the nurse's personality traits
,C) Provide specific, objective, and timely feedback
D) Compare the nurse to other staff members
Correct Answer: C) Provide specific, objective, and timely feedback
Rationale: Effective performance evaluations provide specific, objective, and timely feedback based on
observable behaviors and outcomes. Feedback should include both strengths and areas for improvement.
Comparing staff members and focusing on personality are not appropriate evaluation practices.
Question 6
A nurse leader is implementing a quality improvement initiative to reduce hospital-acquired infections.
Which of the following is the first step in the quality improvement process?
A) Implementing the change
B) Identifying the problem
C) Collecting data
D) Evaluating the outcome
Correct Answer: B) Identifying the problem
Rationale: The first step in the quality improvement process is identifying the problem or opportunity for
improvement. This is followed by planning, implementing, and evaluating. The Plan-Do-Study-Act (PDSA)
cycle is a common framework for quality improvement.
Question 7
A nurse manager is using the situational leadership model. Which of the following leadership styles is
most appropriate for a new graduate nurse who is highly motivated but lacks experience?
A) Telling/directing
B) Selling/coaching
C) Participating/supporting
D) Delegating
Correct Answer: B) Selling/coaching
Rationale: According to the situational leadership model, a new graduate who is highly motivated but
lacks experience requires a selling/coaching style, which provides both direction and support. Telling is
for low motivation and low competence. Participating is for high competence but low motivation.
Delegating is for high competence and high motivation.
, Question 8
A nurse is serving on a hospital committee to develop a new policy. Which of the following is the most
important step in policy development?
A) Implementing the policy immediately
B) Reviewing evidence-based practice guidelines
C) Seeking input from administration only
D) Writing the policy in complex language
Correct Answer: B) Reviewing evidence-based practice guidelines
Rationale: Policy development should be based on evidence-based practice guidelines to ensure that
policies reflect best practices. Implementation should be planned, not immediate. Input should be sought
from stakeholders, not just administration. Policies should be written in clear, understandable language.
Question 9
A nurse manager is using the magnetic model to improve nursing practice. Which of the following is a
key component of the magnet model?
A) Hierarchical decision-making
B) Transformational leadership
C) Authoritarian management
D) Bureaucratic structures
Correct Answer: B) Transformational leadership
Rationale: The magnet model includes transformational leadership, structural empowerment, exemplary
professional practice, new knowledge and innovations, and empirical outcomes. Transformational
leadership is a key component. Hierarchical and authoritarian structures are not consistent with the
magnet model.
Question 10
A nurse leader is facilitating a team meeting. Which of the following is the most effective way to
encourage participation from all team members?
A) Ask for opinions from the most senior members only
B) Use a round-robin technique to solicit input
C) Focus on the agenda and ignore questions
D) Limit the meeting to 15 minutes
Nursing Exam – 150+
Questions
Question 1
A nurse manager is implementing a shared governance model on a medical-surgical unit. Which of the
following best describes the primary purpose of shared governance?
A) To reduce the cost of healthcare delivery
B) To empower nurses to have input into practice decisions
C) To increase the number of staff on the unit
D) To eliminate the need for nurse managers
Correct Answer: B) To empower nurses to have input into practice decisions
Rationale: Shared governance is a model that empowers nurses to participate in decision-making
regarding practice, quality, and professional development. It promotes autonomy, accountability, and
engagement. It does not eliminate the need for nurse managers but changes their role to that of a
facilitator.
Question 2
A nurse leader is delegating tasks to unlicensed assistive personnel (UAP). Which of the following tasks is
appropriate to delegate to a UAP?
A) Administering oral medications
B) Performing a wound assessment
C) Assisting a patient with ambulation
D) Developing a plan of care
Correct Answer: C) Assisting a patient with ambulation
Rationale: Assisting with ambulation is a task that can be safely delegated to UAP. Delegation is guided
by the five rights: right task, right circumstance, right person, right direction/communication, and right
,supervision/evaluation. Medication administration, assessment, and care planning are beyond the scope
of UAP.
Question 3
A nurse manager is addressing a conflict between two staff nurses. Which of the following conflict
resolution strategies is most likely to result in a win-win outcome?
A) Competition
B) Accommodation
C) Avoidance
D) Collaboration
Correct Answer: D) Collaboration
Rationale: Collaboration involves working together to find a mutually acceptable solution that addresses
the concerns of both parties. This approach leads to a win-win outcome. Competition results in a win-lose
outcome. Accommodation is a lose-win outcome. Avoidance results in a lose-lose outcome.
Question 4
A nurse is applying the principles of transformational leadership. Which of the following behaviors is
most characteristic of a transformational leader?
A) Providing rewards for compliance
B) Inspiring and motivating staff to achieve a shared vision
C) Maintaining the status quo
D) Using authoritative decision-making
Correct Answer: B) Inspiring and motivating staff to achieve a shared vision
Rationale: Transformational leadership is characterized by inspiring and motivating followers to achieve
a shared vision. It involves intellectual stimulation, individualized consideration, and idealized influence.
Providing rewards is characteristic of transactional leadership, not transformational.
Question 5
A nurse manager is conducting a performance evaluation for a staff nurse. Which of the following is the
most appropriate approach to performance evaluation?
A) Provide feedback only on areas needing improvement
B) Focus on the nurse's personality traits
,C) Provide specific, objective, and timely feedback
D) Compare the nurse to other staff members
Correct Answer: C) Provide specific, objective, and timely feedback
Rationale: Effective performance evaluations provide specific, objective, and timely feedback based on
observable behaviors and outcomes. Feedback should include both strengths and areas for improvement.
Comparing staff members and focusing on personality are not appropriate evaluation practices.
Question 6
A nurse leader is implementing a quality improvement initiative to reduce hospital-acquired infections.
Which of the following is the first step in the quality improvement process?
A) Implementing the change
B) Identifying the problem
C) Collecting data
D) Evaluating the outcome
Correct Answer: B) Identifying the problem
Rationale: The first step in the quality improvement process is identifying the problem or opportunity for
improvement. This is followed by planning, implementing, and evaluating. The Plan-Do-Study-Act (PDSA)
cycle is a common framework for quality improvement.
Question 7
A nurse manager is using the situational leadership model. Which of the following leadership styles is
most appropriate for a new graduate nurse who is highly motivated but lacks experience?
A) Telling/directing
B) Selling/coaching
C) Participating/supporting
D) Delegating
Correct Answer: B) Selling/coaching
Rationale: According to the situational leadership model, a new graduate who is highly motivated but
lacks experience requires a selling/coaching style, which provides both direction and support. Telling is
for low motivation and low competence. Participating is for high competence but low motivation.
Delegating is for high competence and high motivation.
, Question 8
A nurse is serving on a hospital committee to develop a new policy. Which of the following is the most
important step in policy development?
A) Implementing the policy immediately
B) Reviewing evidence-based practice guidelines
C) Seeking input from administration only
D) Writing the policy in complex language
Correct Answer: B) Reviewing evidence-based practice guidelines
Rationale: Policy development should be based on evidence-based practice guidelines to ensure that
policies reflect best practices. Implementation should be planned, not immediate. Input should be sought
from stakeholders, not just administration. Policies should be written in clear, understandable language.
Question 9
A nurse manager is using the magnetic model to improve nursing practice. Which of the following is a
key component of the magnet model?
A) Hierarchical decision-making
B) Transformational leadership
C) Authoritarian management
D) Bureaucratic structures
Correct Answer: B) Transformational leadership
Rationale: The magnet model includes transformational leadership, structural empowerment, exemplary
professional practice, new knowledge and innovations, and empirical outcomes. Transformational
leadership is a key component. Hierarchical and authoritarian structures are not consistent with the
magnet model.
Question 10
A nurse leader is facilitating a team meeting. Which of the following is the most effective way to
encourage participation from all team members?
A) Ask for opinions from the most senior members only
B) Use a round-robin technique to solicit input
C) Focus on the agenda and ignore questions
D) Limit the meeting to 15 minutes
