,NUR 282 Leadership and Nursing
Management Exam Prep —
Comprehensive Review + Practice
MCQs — Galen College of Nursing
2025/2026
1. A nurse manager is implementing a new electronic health record system on a medical-surgical unit.
According to Lewin's Change Theory, which action is most critical during the "unfreezing" stage?
A. Providing ongoing training and technical support to all staff members
B. Recognizing that the current paper-based documentation system is outdated and inefficient
C. Evaluating the new system's impact on patient outcomes after implementation
D. Rewarding staff who quickly adapt to the new electronic system
Correct Answer: B
Rationale: The "unfreezing" stage involves creating awareness that current practices are inadequate. This
recognition is the necessary first step to motivate change. The other options relate to the "moving" and
"refreezing" stages .
2. A newly hired nurse manager observes that staff members frequently disagree on the best approach to
patient care. Which leadership style would be most effective initially to address this conflict and build team
consensus?
A. Autocratic, to make quick decisions and restore order
B. Laissez-faire, to allow the staff to resolve issues independently
,C. Democratic, to involve the team in collaborative problem-solving
D. Passive, to avoid escalating the conflict further
Correct Answer: C
Rationale: A democratic approach is most effective for resolving conflicts, as it encourages staff participation in
decision-making. This collaborative style helps address underlying issues and builds consensus. Autocratic and
laissez-faire styles are less effective in this context .
3. A charge nurse is assigning care for a team of nurses and unlicensed assistive personnel (UAP). Which task is
appropriate for the charge nurse to delegate to the UAP?
A. Assessing a patient's pain level and response to analgesic medication
B. Teaching a patient and family about post-operative wound care
C. Assisting a stable patient with ambulation in the hallway
D. Developing the plan of care for a newly admitted patient
Correct Answer: C
Rationale: Assisting with ambulation is a routine, non-invasive task within the UAP's scope of practice.
Assessment, teaching, and care plan development require professional nursing judgment and cannot be
delegated .
4. A nurse manager is evaluating the effectiveness of a new fall prevention program. Which quality
improvement tool would best help the manager visualize the sequence of events leading to a fall?
A. Pareto chart
, B. Fishbone diagram
C. Control chart
D. Flowchart
Correct Answer: D
Rationale: A flowchart visually maps the steps in a process, helping to identify where failures occur. It is the
best tool for understanding the sequence of events that may lead to a fall. Fishbone diagrams identify root
causes, Pareto charts prioritize causes, and control charts monitor variation .
5. A nurse overhears two colleagues arguing loudly in the hallway about a patient assignment. What is the
nurse's most appropriate initial action?
A. Ignore the argument and continue with assigned tasks
B. Join the argument to support one of the colleagues
C. Approach the colleagues and suggest they move to a private area to discuss the issue
D. Report both colleagues to the nurse manager for unprofessional behavior
Correct Answer: C
Rationale: Addressing a conflict in a public space is inappropriate and unprofessional. The priority is to de-
escalate the situation by suggesting a private conversation. This respects the dignity of the parties involved and
maintains a professional environment .
6. A nurse manager uses a transformational leadership style. Which behavior is most consistent with this
approach?
Management Exam Prep —
Comprehensive Review + Practice
MCQs — Galen College of Nursing
2025/2026
1. A nurse manager is implementing a new electronic health record system on a medical-surgical unit.
According to Lewin's Change Theory, which action is most critical during the "unfreezing" stage?
A. Providing ongoing training and technical support to all staff members
B. Recognizing that the current paper-based documentation system is outdated and inefficient
C. Evaluating the new system's impact on patient outcomes after implementation
D. Rewarding staff who quickly adapt to the new electronic system
Correct Answer: B
Rationale: The "unfreezing" stage involves creating awareness that current practices are inadequate. This
recognition is the necessary first step to motivate change. The other options relate to the "moving" and
"refreezing" stages .
2. A newly hired nurse manager observes that staff members frequently disagree on the best approach to
patient care. Which leadership style would be most effective initially to address this conflict and build team
consensus?
A. Autocratic, to make quick decisions and restore order
B. Laissez-faire, to allow the staff to resolve issues independently
,C. Democratic, to involve the team in collaborative problem-solving
D. Passive, to avoid escalating the conflict further
Correct Answer: C
Rationale: A democratic approach is most effective for resolving conflicts, as it encourages staff participation in
decision-making. This collaborative style helps address underlying issues and builds consensus. Autocratic and
laissez-faire styles are less effective in this context .
3. A charge nurse is assigning care for a team of nurses and unlicensed assistive personnel (UAP). Which task is
appropriate for the charge nurse to delegate to the UAP?
A. Assessing a patient's pain level and response to analgesic medication
B. Teaching a patient and family about post-operative wound care
C. Assisting a stable patient with ambulation in the hallway
D. Developing the plan of care for a newly admitted patient
Correct Answer: C
Rationale: Assisting with ambulation is a routine, non-invasive task within the UAP's scope of practice.
Assessment, teaching, and care plan development require professional nursing judgment and cannot be
delegated .
4. A nurse manager is evaluating the effectiveness of a new fall prevention program. Which quality
improvement tool would best help the manager visualize the sequence of events leading to a fall?
A. Pareto chart
, B. Fishbone diagram
C. Control chart
D. Flowchart
Correct Answer: D
Rationale: A flowchart visually maps the steps in a process, helping to identify where failures occur. It is the
best tool for understanding the sequence of events that may lead to a fall. Fishbone diagrams identify root
causes, Pareto charts prioritize causes, and control charts monitor variation .
5. A nurse overhears two colleagues arguing loudly in the hallway about a patient assignment. What is the
nurse's most appropriate initial action?
A. Ignore the argument and continue with assigned tasks
B. Join the argument to support one of the colleagues
C. Approach the colleagues and suggest they move to a private area to discuss the issue
D. Report both colleagues to the nurse manager for unprofessional behavior
Correct Answer: C
Rationale: Addressing a conflict in a public space is inappropriate and unprofessional. The priority is to de-
escalate the situation by suggesting a private conversation. This respects the dignity of the parties involved and
maintains a professional environment .
6. A nurse manager uses a transformational leadership style. Which behavior is most consistent with this
approach?
