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Nursing 354 Leadership and
Management Practice Exam Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
___________________________________________________________________
Question 1
A nurse manager wants to improve staff morale on a unit. Which action is most
appropriate?
A. Increase staff monitoring
B. Make all decisions independently
C. Recognize staff accomplishments and provide meaningful feedback
D. Reduce staff participation in meetings
Answer: Recognize staff accomplishments and provide meaningful feedback
Rationale: Recognition and constructive feedback can improve motivation,
engagement, and job satisfaction.
Question 2
Which leadership style encourages staff participation in decision-making?
A. Autocratic
B. Laissez-faire
,C. Transactional
D. Democratic
Answer: Democratic
Rationale: Democratic leadership involves team members in decision-making
and encourages communication and collaboration.
Question 3
A nurse leader demonstrates transformational leadership by:
A. Enforcing rules without discussion
B. Rewarding staff only for completing assigned tasks
C. Avoiding involvement in staff development
D. Inspiring staff to achieve shared goals and embrace improvement
Answer: Inspiring staff to achieve shared goals and embrace improvement
Rationale: Transformational leaders motivate employees through vision,
inspiration, professional growth, and organizational change.
Question 4
Which activity is an example of delegation?
A. Asking another nurse to independently determine a patient's diagnosis
B. Assigning an appropriate nursing assistant to obtain vital signs on a stable
patient
C. Asking a nursing assistant to evaluate a patient's response to medication
D. Asking an unlicensed worker to provide patient teaching about insulin
Answer: Assigning an appropriate nursing assistant to obtain vital signs on a
stable patient
Rationale: Vital signs for a stable patient may be delegated to appropriately
trained assistive personnel. The nurse retains accountability for appropriate
delegation and follow-up.
Question 5
,Which principle is most important when delegating a nursing task?
A. Delegate tasks based solely on convenience
B. Delegate all tasks that take more than 10 minutes
C. Match the task with the delegatee's competence and scope of practice
D. Avoid giving instructions to the delegatee
Answer: Match the task with the delegatee's competence and scope of practice
Rationale: Safe delegation requires consideration of the right task,
circumstances, person, direction, and supervision.
Question 6
A nurse manager notices increasing conflict between two staff members. What
should the manager do first?
A. Immediately suspend both nurses
B. Ignore the conflict
C. Transfer both nurses to another unit
D. Assess the situation and allow each nurse to explain the concern
Answer: Assess the situation and allow each nurse to explain the concern
Rationale: Effective conflict management begins with assessment and
understanding the perspectives and facts involved.
Question 7
Which conflict-resolution strategy seeks a solution that satisfies both parties?
A. Avoidance
B. Competition
C. Accommodation
D. Collaboration
Answer: Collaboration
Rationale: Collaboration involves working together to identify a mutually
acceptable solution that addresses the concerns of all parties.
, Question 8
A nurse manager uses the phrase, "Let's find a solution that works for both of us."
Which conflict-management strategy is being used?
A. Avoidance
B. Collaboration
C. Competition
D. Withdrawal
Answer: Collaboration
Rationale: Collaboration emphasizes cooperation, shared problem-solving, and
mutually beneficial outcomes.
Question 9
Which behavior best demonstrates effective communication by a nurse leader?
A. Interrupting staff members
B. Using vague instructions
C. Actively listening and clarifying information
D. Avoiding feedback
Answer: Actively listening and clarifying information
Rationale: Active listening and clarification reduce misunderstandings and
support effective professional communication.
Question 10
A nurse manager is implementing a new documentation procedure. Which action
is most likely to promote successful change?
A. Implement the change without informing staff
B. Explain the reason for the change and involve staff in implementation
C. Threaten staff who resist
D. Delay all education until after implementation
Answer: Explain the reason for the change and involve staff in implementation
Nursing 354 Leadership and
Management Practice Exam Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
___________________________________________________________________
Question 1
A nurse manager wants to improve staff morale on a unit. Which action is most
appropriate?
A. Increase staff monitoring
B. Make all decisions independently
C. Recognize staff accomplishments and provide meaningful feedback
D. Reduce staff participation in meetings
Answer: Recognize staff accomplishments and provide meaningful feedback
Rationale: Recognition and constructive feedback can improve motivation,
engagement, and job satisfaction.
Question 2
Which leadership style encourages staff participation in decision-making?
A. Autocratic
B. Laissez-faire
,C. Transactional
D. Democratic
Answer: Democratic
Rationale: Democratic leadership involves team members in decision-making
and encourages communication and collaboration.
Question 3
A nurse leader demonstrates transformational leadership by:
A. Enforcing rules without discussion
B. Rewarding staff only for completing assigned tasks
C. Avoiding involvement in staff development
D. Inspiring staff to achieve shared goals and embrace improvement
Answer: Inspiring staff to achieve shared goals and embrace improvement
Rationale: Transformational leaders motivate employees through vision,
inspiration, professional growth, and organizational change.
Question 4
Which activity is an example of delegation?
A. Asking another nurse to independently determine a patient's diagnosis
B. Assigning an appropriate nursing assistant to obtain vital signs on a stable
patient
C. Asking a nursing assistant to evaluate a patient's response to medication
D. Asking an unlicensed worker to provide patient teaching about insulin
Answer: Assigning an appropriate nursing assistant to obtain vital signs on a
stable patient
Rationale: Vital signs for a stable patient may be delegated to appropriately
trained assistive personnel. The nurse retains accountability for appropriate
delegation and follow-up.
Question 5
,Which principle is most important when delegating a nursing task?
A. Delegate tasks based solely on convenience
B. Delegate all tasks that take more than 10 minutes
C. Match the task with the delegatee's competence and scope of practice
D. Avoid giving instructions to the delegatee
Answer: Match the task with the delegatee's competence and scope of practice
Rationale: Safe delegation requires consideration of the right task,
circumstances, person, direction, and supervision.
Question 6
A nurse manager notices increasing conflict between two staff members. What
should the manager do first?
A. Immediately suspend both nurses
B. Ignore the conflict
C. Transfer both nurses to another unit
D. Assess the situation and allow each nurse to explain the concern
Answer: Assess the situation and allow each nurse to explain the concern
Rationale: Effective conflict management begins with assessment and
understanding the perspectives and facts involved.
Question 7
Which conflict-resolution strategy seeks a solution that satisfies both parties?
A. Avoidance
B. Competition
C. Accommodation
D. Collaboration
Answer: Collaboration
Rationale: Collaboration involves working together to identify a mutually
acceptable solution that addresses the concerns of all parties.
, Question 8
A nurse manager uses the phrase, "Let's find a solution that works for both of us."
Which conflict-management strategy is being used?
A. Avoidance
B. Collaboration
C. Competition
D. Withdrawal
Answer: Collaboration
Rationale: Collaboration emphasizes cooperation, shared problem-solving, and
mutually beneficial outcomes.
Question 9
Which behavior best demonstrates effective communication by a nurse leader?
A. Interrupting staff members
B. Using vague instructions
C. Actively listening and clarifying information
D. Avoiding feedback
Answer: Actively listening and clarifying information
Rationale: Active listening and clarification reduce misunderstandings and
support effective professional communication.
Question 10
A nurse manager is implementing a new documentation procedure. Which action
is most likely to promote successful change?
A. Implement the change without informing staff
B. Explain the reason for the change and involve staff in implementation
C. Threaten staff who resist
D. Delay all education until after implementation
Answer: Explain the reason for the change and involve staff in implementation
