NURSING LEADERSHIP AND
MANAGEMENT FINAL EXAM STUDY
GUIDE QUESTIONS AND ANSWERS
1. A nurse manager is implementing a new bedside shift report protocol to improve patient
safety. Which stage of Lewin’s Change Theory is characterized by the manager reinforcing the
new practice until it becomes part of the unit culture?
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Answer: B
Conceptual Explanation: Refreezing occurs when the change has been integrated into the
status quo and is stabilized through reinforcement.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate for the LPN?
A. Developing a plan of care for a client with a new diagnosis of type 2 diabetes.
,B. Assisting a stable client with ambulation for the first time post-surgery.
C. Performing a sterile dressing change on a client’s stage 3 pressure injury.
D. Providing discharge instructions to a client who underwent a laparoscopic
cholecystectomy.
Answer: C
Conceptual Explanation: LPNs can perform sterile procedures and care for stable clients
with predictable outcomes. Assessment, planning, and teaching are RN responsibilities.
3. Which leadership style is characterized by a leader who involves the staff in decision-
making and values two-way communication?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Answer: D
Conceptual Explanation: Democratic leadership involves staff in the decision-making
process, fostering collaboration and communication.
, 4. A nurse manager is mediating a conflict between two nurses who disagree on the holiday
schedule. Both nurses agree to give up one desired holiday to gain another. Which conflict
resolution strategy was used?
A. Compromising
B. Avoiding
C. Competing
D. Collaborating
Answer: A
Conceptual Explanation: Compromising involves a ‘give-and-take’ where both parties
yield something of value to reach a middle ground.
5. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative who has not yet had a bowel movement.
B. A client with a chest tube who has developed sudden shortness of breath and tracheal
deviation.
C. A client with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 90%.
D. A client receiving IV antibiotics who reports itching at the insertion site.
Answer: B
MANAGEMENT FINAL EXAM STUDY
GUIDE QUESTIONS AND ANSWERS
1. A nurse manager is implementing a new bedside shift report protocol to improve patient
safety. Which stage of Lewin’s Change Theory is characterized by the manager reinforcing the
new practice until it becomes part of the unit culture?
A. Unfreezing
B. Refreezing
C. Moving
D. Evaluating
Answer: B
Conceptual Explanation: Refreezing occurs when the change has been integrated into the
status quo and is stabilized through reinforcement.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate for the LPN?
A. Developing a plan of care for a client with a new diagnosis of type 2 diabetes.
,B. Assisting a stable client with ambulation for the first time post-surgery.
C. Performing a sterile dressing change on a client’s stage 3 pressure injury.
D. Providing discharge instructions to a client who underwent a laparoscopic
cholecystectomy.
Answer: C
Conceptual Explanation: LPNs can perform sterile procedures and care for stable clients
with predictable outcomes. Assessment, planning, and teaching are RN responsibilities.
3. Which leadership style is characterized by a leader who involves the staff in decision-
making and values two-way communication?
A. Autocratic
B. Laissez-faire
C. Bureaucratic
D. Democratic
Answer: D
Conceptual Explanation: Democratic leadership involves staff in the decision-making
process, fostering collaboration and communication.
, 4. A nurse manager is mediating a conflict between two nurses who disagree on the holiday
schedule. Both nurses agree to give up one desired holiday to gain another. Which conflict
resolution strategy was used?
A. Compromising
B. Avoiding
C. Competing
D. Collaborating
Answer: A
Conceptual Explanation: Compromising involves a ‘give-and-take’ where both parties
yield something of value to reach a middle ground.
5. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client 2 days postoperative who has not yet had a bowel movement.
B. A client with a chest tube who has developed sudden shortness of breath and tracheal
deviation.
C. A client with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 90%.
D. A client receiving IV antibiotics who reports itching at the insertion site.
Answer: B
