NUR 3270 LEADERSHIP AND
MANAGEMENT EXAM REVIEW
QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED EXPLANATIONS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new bedside reporting
protocol. Which action best represents the ‘unfreezing’ stage?
A. Assigning mentors to support staff during the transition
B. Updating the hospital’s policy and procedure manual to reflect the new change
C. Conducting a survey to demonstrate staff dissatisfaction with current handoff methods
D. Providing hands-on training for the new electronic reporting system
Answer: C
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying a problem and helping others recognize the need for change.
2. Which task is most appropriate for the RN to delegate to an Unlicensed Assistive Personnel
(UAP) for a patient with a fresh post-operative hip replacement?
A. Assessing the pedal pulses and skin temperature of the affected leg
B. Emptying and measuring the output from the surgical drain
C. Teaching the patient how to use an incentive spirometer
,D. Assisting the patient with the first time ambulating after surgery
Answer: B
Conceptual Explanation: Emptying a drain and measuring output is a technical, routine
task that does not require clinical judgment, making it suitable for a UAP.
3. A nurse is caring for a client who refuses a blood transfusion due to religious beliefs despite
life-threatening anemia. The nurse supports the client’s decision. Which ethical principle is
being applied?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Conceptual Explanation: Autonomy refers to the right of the patient to make their own
decisions about their medical care, even if the provider disagrees.
4. In a conflict resolution scenario, a nurse manager decides to ignore a minor dispute
between two nurses, hoping it will resolve itself. Which conflict management strategy is
being used?
A. Compromising
B. Competing
, C. Avoiding
D. Collaborating
Answer: C
Conceptual Explanation: Avoiding is a strategy where one party ignores the conflict,
which may be appropriate for minor or trivial issues.
5. A nurse manager is using a ‘Transactional’ leadership style. Which behavior is most
characteristic of this style?
A. Focusing on team building and shared vision
B. Inspiring others through charisma and personal influence
C. Empowering staff to participate in decentralized decision-making
D. Using rewards and punishments to motivate staff performance
Answer: D
Conceptual Explanation: Transactional leadership focuses on the exchange between
leader and follower, utilizing rewards for goals met and corrective action for failure.
6. Which of the following describes a ‘Sentinel Event’ as defined by The Joint Commission?
A. A dispute between a physician and a nurse regarding patient care priorities
B. A common medication error that does not result in patient harm
C. An unexpected occurrence involving death or serious physical or psychological injury
MANAGEMENT EXAM REVIEW
QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED EXPLANATIONS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new bedside reporting
protocol. Which action best represents the ‘unfreezing’ stage?
A. Assigning mentors to support staff during the transition
B. Updating the hospital’s policy and procedure manual to reflect the new change
C. Conducting a survey to demonstrate staff dissatisfaction with current handoff methods
D. Providing hands-on training for the new electronic reporting system
Answer: C
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying a problem and helping others recognize the need for change.
2. Which task is most appropriate for the RN to delegate to an Unlicensed Assistive Personnel
(UAP) for a patient with a fresh post-operative hip replacement?
A. Assessing the pedal pulses and skin temperature of the affected leg
B. Emptying and measuring the output from the surgical drain
C. Teaching the patient how to use an incentive spirometer
,D. Assisting the patient with the first time ambulating after surgery
Answer: B
Conceptual Explanation: Emptying a drain and measuring output is a technical, routine
task that does not require clinical judgment, making it suitable for a UAP.
3. A nurse is caring for a client who refuses a blood transfusion due to religious beliefs despite
life-threatening anemia. The nurse supports the client’s decision. Which ethical principle is
being applied?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Conceptual Explanation: Autonomy refers to the right of the patient to make their own
decisions about their medical care, even if the provider disagrees.
4. In a conflict resolution scenario, a nurse manager decides to ignore a minor dispute
between two nurses, hoping it will resolve itself. Which conflict management strategy is
being used?
A. Compromising
B. Competing
, C. Avoiding
D. Collaborating
Answer: C
Conceptual Explanation: Avoiding is a strategy where one party ignores the conflict,
which may be appropriate for minor or trivial issues.
5. A nurse manager is using a ‘Transactional’ leadership style. Which behavior is most
characteristic of this style?
A. Focusing on team building and shared vision
B. Inspiring others through charisma and personal influence
C. Empowering staff to participate in decentralized decision-making
D. Using rewards and punishments to motivate staff performance
Answer: D
Conceptual Explanation: Transactional leadership focuses on the exchange between
leader and follower, utilizing rewards for goals met and corrective action for failure.
6. Which of the following describes a ‘Sentinel Event’ as defined by The Joint Commission?
A. A dispute between a physician and a nurse regarding patient care priorities
B. A common medication error that does not result in patient harm
C. An unexpected occurrence involving death or serious physical or psychological injury
