NUR 283 COMPREHENSIVE EXAM 3 -
LEADERSHIP AND MANAGEMENT
QUESTIONS AND ANSWERS
1. A nurse manager is evaluating a staff nurse’s performance and notes that the nurse
frequently volunteers for extra shifts and suggests improvements for patient workflow.
Which leadership style is the nurse manager likely to use to encourage this nurse’s growth?
A. Transformational
B. Transactional
C. Autocratic
D. Laissez-faire
Answer: A
Conceptual Explanation: Transformational leadership focuses on empowering followers
to share in the vision and reach their full potential, which is appropriate for a high-
performing, self-motivated nurse.
,2. A registered nurse (RN) is planning the day’s tasks. Which task is most appropriate to
delegate to an experienced Licensed Practical Nurse (LPN)?
A. Administering a routine scheduled subcutaneous insulin injection
B. Performing an admission assessment on a stable patient
C. Providing discharge education to a patient after a stroke
D. Administering an initial dose of IV push medication
Answer: A
Conceptual Explanation: LPNs can administer scheduled medications, including
injections. Admission assessments and discharge education require RN-level evaluation
and teaching.
3. According to Lewin’s Change Theory, a nurse manager who is creating dissatisfaction with
the status quo to prepare staff for a new documentation system is in which stage?
A. Equilibrium
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying problems and reducing the desire to maintain the current state.
, 4. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8/10 following surgery
B. A patient whose IV pump is alarming ‘occlusion’
C. A patient with a new onset of confusion and restlessness
D. A patient scheduled for physical therapy in 30 minutes
Answer: C
Conceptual Explanation: New onset confusion and restlessness are early signs of hypoxia
or neurological changes (ABC priority), making this patient the most urgent.
5. During a staff meeting, two nurses disagree on the holiday schedule. The manager tells
them to each give up one preferred day off to reach an agreement. Which conflict
management strategy is being used?
A. Competing
B. Compromising
C. Avoiding
D. Collaborating
Answer: B
Conceptual Explanation: Compromising involves each party giving up something of value
to reach a middle-ground solution.
LEADERSHIP AND MANAGEMENT
QUESTIONS AND ANSWERS
1. A nurse manager is evaluating a staff nurse’s performance and notes that the nurse
frequently volunteers for extra shifts and suggests improvements for patient workflow.
Which leadership style is the nurse manager likely to use to encourage this nurse’s growth?
A. Transformational
B. Transactional
C. Autocratic
D. Laissez-faire
Answer: A
Conceptual Explanation: Transformational leadership focuses on empowering followers
to share in the vision and reach their full potential, which is appropriate for a high-
performing, self-motivated nurse.
,2. A registered nurse (RN) is planning the day’s tasks. Which task is most appropriate to
delegate to an experienced Licensed Practical Nurse (LPN)?
A. Administering a routine scheduled subcutaneous insulin injection
B. Performing an admission assessment on a stable patient
C. Providing discharge education to a patient after a stroke
D. Administering an initial dose of IV push medication
Answer: A
Conceptual Explanation: LPNs can administer scheduled medications, including
injections. Admission assessments and discharge education require RN-level evaluation
and teaching.
3. According to Lewin’s Change Theory, a nurse manager who is creating dissatisfaction with
the status quo to prepare staff for a new documentation system is in which stage?
A. Equilibrium
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying problems and reducing the desire to maintain the current state.
, 4. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with a pain level of 8/10 following surgery
B. A patient whose IV pump is alarming ‘occlusion’
C. A patient with a new onset of confusion and restlessness
D. A patient scheduled for physical therapy in 30 minutes
Answer: C
Conceptual Explanation: New onset confusion and restlessness are early signs of hypoxia
or neurological changes (ABC priority), making this patient the most urgent.
5. During a staff meeting, two nurses disagree on the holiday schedule. The manager tells
them to each give up one preferred day off to reach an agreement. Which conflict
management strategy is being used?
A. Competing
B. Compromising
C. Avoiding
D. Collaborating
Answer: B
Conceptual Explanation: Compromising involves each party giving up something of value
to reach a middle-ground solution.
