NURSING LEADERSHIP AND
MANAGEMENT COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During which stage does the manager create a sense of urgency and identify
the need for change?
A. Unfreezing
B. Moving
C. Refreezing
D. Transitioning
Answer: A
Conceptual Explanation: Unfreezing is the first stage of Lewin’s theory where the status
quo is challenged and the need for change is established to overcome resistance.
2. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate for the LPN?
A. Performing a sterile dressing change on a stable wound
,B. Administering an intravenous push medication
C. Developing a plan of care for a client with complex needs
D. Completing the initial admission assessment of a new patient
Answer: A
Conceptual Explanation: LPNs can perform sterile procedures and care for stable
patients. Initial assessments, IV push meds (in many jurisdictions), and care planning are
RN responsibilities.
3. Which leadership style is characterized by a leader who makes all decisions without input
from the staff and maintains strict control?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Conceptual Explanation: Autocratic (or authoritarian) leadership involves centralized
decision-making with little to no input from subordinates.
, 4. During a staff meeting, the nurse manager notices two nurses arguing about the holiday
schedule. The manager tells them to find a solution that satisfies both of them partially.
Which conflict resolution strategy is being suggested?
A. Collaborating
B. Compromising
C. Competing
D. Smoothing
Answer: B
Conceptual Explanation: Compromising involves each party giving up something to reach
a middle ground where both are partially satisfied.
5. A nurse is assigned to four patients. Using the principle of prioritization, which patient
should the nurse see first?
A. A patient scheduled for discharge in two hours
B. A patient reporting new-onset shortness of breath and restlessness
C. A patient with a pain level of 6 out of 10 requesting medication
D. A patient whose IV site is slightly red and tender
Answer: B
Conceptual Explanation: ABC (Airway, Breathing, Circulation) takes priority. Shortness of
breath indicates a potential respiratory emergency.
MANAGEMENT COMPREHENSIVE
EXAM QUESTIONS AND ANSWERS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During which stage does the manager create a sense of urgency and identify
the need for change?
A. Unfreezing
B. Moving
C. Refreezing
D. Transitioning
Answer: A
Conceptual Explanation: Unfreezing is the first stage of Lewin’s theory where the status
quo is challenged and the need for change is established to overcome resistance.
2. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate for the LPN?
A. Performing a sterile dressing change on a stable wound
,B. Administering an intravenous push medication
C. Developing a plan of care for a client with complex needs
D. Completing the initial admission assessment of a new patient
Answer: A
Conceptual Explanation: LPNs can perform sterile procedures and care for stable
patients. Initial assessments, IV push meds (in many jurisdictions), and care planning are
RN responsibilities.
3. Which leadership style is characterized by a leader who makes all decisions without input
from the staff and maintains strict control?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Conceptual Explanation: Autocratic (or authoritarian) leadership involves centralized
decision-making with little to no input from subordinates.
, 4. During a staff meeting, the nurse manager notices two nurses arguing about the holiday
schedule. The manager tells them to find a solution that satisfies both of them partially.
Which conflict resolution strategy is being suggested?
A. Collaborating
B. Compromising
C. Competing
D. Smoothing
Answer: B
Conceptual Explanation: Compromising involves each party giving up something to reach
a middle ground where both are partially satisfied.
5. A nurse is assigned to four patients. Using the principle of prioritization, which patient
should the nurse see first?
A. A patient scheduled for discharge in two hours
B. A patient reporting new-onset shortness of breath and restlessness
C. A patient with a pain level of 6 out of 10 requesting medication
D. A patient whose IV site is slightly red and tender
Answer: B
Conceptual Explanation: ABC (Airway, Breathing, Circulation) takes priority. Shortness of
breath indicates a potential respiratory emergency.
