BSN Nursing Leadership and Evidence-Based Practice
Exam UPDATED ACTUAL Questions and CORRECT Answers
1. A nurse manager encourages staff to participate in decision-making and
values their input regarding unit policies. Which leadership style is this nurse
manager exhibiting?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Answer: B
Rationale: Democratic leadership involves staff in the decision-making process and fosters
a sense of ownership and collaboration.
2. When formulating a clinical question using the PICOT format, what does the
‘I’ represent?
A. Implementation
B. Intervention
C. Investigation
D. Institution
Answer: B
Rationale: In PICOT, ‘I’ stands for Intervention or interest area being studied.
,3. Which level of evidence is considered the highest in the hierarchy of evidence
for EBP?
A. Case-control studies
B. Systematic reviews or meta-analyses
C. Expert opinion
D. Single randomized controlled trials
Answer: B
Rationale: Systematic reviews and meta-analyses of all relevant randomized controlled
trials are at the top of the evidence hierarchy.
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assessing a newly admitted patient
B. Performing a sterile dressing change
C. Assisting a stable patient with ambulation
D. Providing discharge teaching
Answer: C
Rationale: RNs should delegate tasks that are repetitive, non-invasive, and do not require
clinical judgment, such as ambulating a stable patient.
5. In Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. Resistance to change is identified and overcome
B. The change is integrated into the daily routine
C. A new equilibrium is established
D. The change is actually implemented
Answer: A
Rationale: Unfreezing involves creating readiness for change by examining the status quo
and overcoming resistance.
, 6. A nurse leader focuses on maintaining the status quo and uses rewards and
punishments to motivate staff. This is an example of which leadership theory?
A. Transformational Leadership
B. Servant Leadership
C. Authentic Leadership
D. Transactional Leadership
Answer: D
Rationale: Transactional leadership focuses on supervision, organization, and group
performance through a system of rewards and punishments.
7. Conflict resolution that results in a win-win situation for both parties is
known as:
A. Compromising
B. Collaborating
C. Accommodating
D. Avoiding
Answer: B
Rationale: Collaboration involves working together to find a solution that satisfies the
concerns of all parties, leading to a win-win outcome.
8. Which ethical principle refers to the duty to ‘do no harm’?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C
Rationale: Nonmaleficence is the ethical obligation to protect the patient from harm.
Exam UPDATED ACTUAL Questions and CORRECT Answers
1. A nurse manager encourages staff to participate in decision-making and
values their input regarding unit policies. Which leadership style is this nurse
manager exhibiting?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Answer: B
Rationale: Democratic leadership involves staff in the decision-making process and fosters
a sense of ownership and collaboration.
2. When formulating a clinical question using the PICOT format, what does the
‘I’ represent?
A. Implementation
B. Intervention
C. Investigation
D. Institution
Answer: B
Rationale: In PICOT, ‘I’ stands for Intervention or interest area being studied.
,3. Which level of evidence is considered the highest in the hierarchy of evidence
for EBP?
A. Case-control studies
B. Systematic reviews or meta-analyses
C. Expert opinion
D. Single randomized controlled trials
Answer: B
Rationale: Systematic reviews and meta-analyses of all relevant randomized controlled
trials are at the top of the evidence hierarchy.
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate to delegate?
A. Assessing a newly admitted patient
B. Performing a sterile dressing change
C. Assisting a stable patient with ambulation
D. Providing discharge teaching
Answer: C
Rationale: RNs should delegate tasks that are repetitive, non-invasive, and do not require
clinical judgment, such as ambulating a stable patient.
5. In Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. Resistance to change is identified and overcome
B. The change is integrated into the daily routine
C. A new equilibrium is established
D. The change is actually implemented
Answer: A
Rationale: Unfreezing involves creating readiness for change by examining the status quo
and overcoming resistance.
, 6. A nurse leader focuses on maintaining the status quo and uses rewards and
punishments to motivate staff. This is an example of which leadership theory?
A. Transformational Leadership
B. Servant Leadership
C. Authentic Leadership
D. Transactional Leadership
Answer: D
Rationale: Transactional leadership focuses on supervision, organization, and group
performance through a system of rewards and punishments.
7. Conflict resolution that results in a win-win situation for both parties is
known as:
A. Compromising
B. Collaborating
C. Accommodating
D. Avoiding
Answer: B
Rationale: Collaboration involves working together to find a solution that satisfies the
concerns of all parties, leading to a win-win outcome.
8. Which ethical principle refers to the duty to ‘do no harm’?
A. Autonomy
B. Beneficence
C. Nonmaleficence
D. Justice
Answer: C
Rationale: Nonmaleficence is the ethical obligation to protect the patient from harm.
