NUR 257 PRACTICE EXAM - GALEN
COLLEGE (LEADERSHIP AND
MANAGEMENT) QUESTIONS AND
ANSWERS | 2026/2027 UPDATE | 100%
CORRECT
1. A nurse manager is evaluating the unit’s budget and notices a significant unfavorable
variance in the supply category. Which of the following is the nurse manager’s first priority?
A. Reprimand the staff for wasting supplies during patient care
B. Determine the cause of the variance by reviewing the unit activities
C. Ask for a budget increase for the remainder of the fiscal year
D. Implement a new policy requiring lock-and-key storage for all supplies
Answer: B
Conceptual Explanation: The first step in the nursing process (assessment) applies to
management; the manager must first identify why the variance occurred before
implementing changes or punishments.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the LPN?
A. Performing a central line dressing change for a stable patient
,B. Administering an initial dose of IV push medication
C. Developing a teaching plan for a patient with new-onset diabetes
D. Feeding a patient who has a high risk for aspiration
Answer: A
Conceptual Explanation: LPNs can perform sterile procedures like dressing changes on
stable patients. Initial IV pushes and teaching plans are RN responsibilities, while high-risk
feeding usually requires professional assessment.
3. Which leadership style is characterized by the leader providing minimal direction and
allowing the group to make all decisions?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: B
Conceptual Explanation: Laissez-faire leadership is ‘hands-off,’ giving complete autonomy
to the group, which can be effective with highly professional staff but can lead to chaos if
direction is needed.
4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with COPD complaining of chronic shortness of breath and an SpO2 of 89%
, B. A client scheduled for discharge who is waiting for their family to arrive
C. A client with a pressure injury requesting a pain medication PRN
D. A client who underwent a thyroidectomy 6 hours ago and has new onset of tingling
around the mouth
Answer: D
Conceptual Explanation: Tingling around the mouth (chvostek’s sign) after
thyroidectomy indicates hypocalcemia, which can lead to laryngospasm and airway
obstruction, a high-priority acute complication.
5. A nurse manager is utilizing Lewin’s Change Theory to implement a new charting system.
During the ‘unfreezing’ stage, what is the manager’s primary goal?
A. Stabilize the change so it becomes the new status quo
B. Develop a detailed plan for the transition period
C. Identify early adopters to lead the implementation process
D. Increase the perception of the need for change among the staff
Answer: D
Conceptual Explanation: Unfreezing involves creating readiness for change by helping
people let go of old patterns and acknowledging the necessity of the new process.
COLLEGE (LEADERSHIP AND
MANAGEMENT) QUESTIONS AND
ANSWERS | 2026/2027 UPDATE | 100%
CORRECT
1. A nurse manager is evaluating the unit’s budget and notices a significant unfavorable
variance in the supply category. Which of the following is the nurse manager’s first priority?
A. Reprimand the staff for wasting supplies during patient care
B. Determine the cause of the variance by reviewing the unit activities
C. Ask for a budget increase for the remainder of the fiscal year
D. Implement a new policy requiring lock-and-key storage for all supplies
Answer: B
Conceptual Explanation: The first step in the nursing process (assessment) applies to
management; the manager must first identify why the variance occurred before
implementing changes or punishments.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed Assistive
Personnel (UAP). Which task is most appropriate for the LPN?
A. Performing a central line dressing change for a stable patient
,B. Administering an initial dose of IV push medication
C. Developing a teaching plan for a patient with new-onset diabetes
D. Feeding a patient who has a high risk for aspiration
Answer: A
Conceptual Explanation: LPNs can perform sterile procedures like dressing changes on
stable patients. Initial IV pushes and teaching plans are RN responsibilities, while high-risk
feeding usually requires professional assessment.
3. Which leadership style is characterized by the leader providing minimal direction and
allowing the group to make all decisions?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transformational
Answer: B
Conceptual Explanation: Laissez-faire leadership is ‘hands-off,’ giving complete autonomy
to the group, which can be effective with highly professional staff but can lead to chaos if
direction is needed.
4. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with COPD complaining of chronic shortness of breath and an SpO2 of 89%
, B. A client scheduled for discharge who is waiting for their family to arrive
C. A client with a pressure injury requesting a pain medication PRN
D. A client who underwent a thyroidectomy 6 hours ago and has new onset of tingling
around the mouth
Answer: D
Conceptual Explanation: Tingling around the mouth (chvostek’s sign) after
thyroidectomy indicates hypocalcemia, which can lead to laryngospasm and airway
obstruction, a high-priority acute complication.
5. A nurse manager is utilizing Lewin’s Change Theory to implement a new charting system.
During the ‘unfreezing’ stage, what is the manager’s primary goal?
A. Stabilize the change so it becomes the new status quo
B. Develop a detailed plan for the transition period
C. Identify early adopters to lead the implementation process
D. Increase the perception of the need for change among the staff
Answer: D
Conceptual Explanation: Unfreezing involves creating readiness for change by helping
people let go of old patterns and acknowledging the necessity of the new process.
