NUR 426 LEADERSHIP AND
MANAGEMENT FINAL EXAM
QUESTIONS WITH VERIFIED ANSWERS
2026/2027
1. A nurse manager is implementing a new electronic health record system. Which action by
the manager represents the ‘unfreezing’ stage of Lewin’s Change Theory?
A. Providing training sessions for all nursing staff on the new system.
B. Developing a policy that requires all documentation to be digital by the end of the
month.
C. Creating a sense of urgency by showing how the current paper system leads to
medication errors.
D. Celebrating the successful transition with a unit party.
Answer: C
Conceptual Explanation: Unfreezing involves creating awareness of the need for change
and overcoming resistance by demonstrating the inefficiencies or dangers of the status quo.
2. Which leadership style is most effective in a crisis situation, such as a cardiac arrest or a
mass casualty event?
A. Laissez-faire
,B. Democratic
C. Autocratic
D. Transformational
Answer: C
Conceptual Explanation: Autocratic leadership is characterized by individual control over
all decisions and little input from group members. It is most efficient in emergency
situations where quick, decisive action is required.
3. A registered nurse (RN) is assigning tasks to a licensed practical nurse (LPN). Which task is
most appropriate for the LPN?
A. Providing wound care and dressing changes for a client with a stable pressure injury.
B. Developing a plan of care for a client with multiple comorbidities.
C. Administering an intravenous (IV) push bolus of a high-risk medication.
D. Performing the initial admission assessment on a client with heart failure.
Answer: A
Conceptual Explanation: LPNs can perform tasks for stable patients, including wound
care and medication administration (depending on state law), but the RN is responsible for
initial assessments and care planning.
, 4. A nurse manager is preparing the annual budget. Which type of budget covers the
purchase of a new $50,000 telemetry monitoring system?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Answer: D
Conceptual Explanation: Capital budgets are used for high-cost items that have a long
useful life, typically exceeding a specific dollar threshold (e.g., $5,000 or more).
5. Two nurses are in conflict over the holiday schedule. The manager tells them, ‘I don’t have
time for this; you two need to figure it out yourselves.’ Which conflict management strategy
is the manager using?
A. Collaborating
B. Compromising
C. Smoothing
D. Avoiding
Answer: D
Conceptual Explanation: Avoiding is a passive strategy where the manager refuses to
acknowledge or participate in the conflict resolution process.
MANAGEMENT FINAL EXAM
QUESTIONS WITH VERIFIED ANSWERS
2026/2027
1. A nurse manager is implementing a new electronic health record system. Which action by
the manager represents the ‘unfreezing’ stage of Lewin’s Change Theory?
A. Providing training sessions for all nursing staff on the new system.
B. Developing a policy that requires all documentation to be digital by the end of the
month.
C. Creating a sense of urgency by showing how the current paper system leads to
medication errors.
D. Celebrating the successful transition with a unit party.
Answer: C
Conceptual Explanation: Unfreezing involves creating awareness of the need for change
and overcoming resistance by demonstrating the inefficiencies or dangers of the status quo.
2. Which leadership style is most effective in a crisis situation, such as a cardiac arrest or a
mass casualty event?
A. Laissez-faire
,B. Democratic
C. Autocratic
D. Transformational
Answer: C
Conceptual Explanation: Autocratic leadership is characterized by individual control over
all decisions and little input from group members. It is most efficient in emergency
situations where quick, decisive action is required.
3. A registered nurse (RN) is assigning tasks to a licensed practical nurse (LPN). Which task is
most appropriate for the LPN?
A. Providing wound care and dressing changes for a client with a stable pressure injury.
B. Developing a plan of care for a client with multiple comorbidities.
C. Administering an intravenous (IV) push bolus of a high-risk medication.
D. Performing the initial admission assessment on a client with heart failure.
Answer: A
Conceptual Explanation: LPNs can perform tasks for stable patients, including wound
care and medication administration (depending on state law), but the RN is responsible for
initial assessments and care planning.
, 4. A nurse manager is preparing the annual budget. Which type of budget covers the
purchase of a new $50,000 telemetry monitoring system?
A. Operating budget
B. Personnel budget
C. Cash budget
D. Capital budget
Answer: D
Conceptual Explanation: Capital budgets are used for high-cost items that have a long
useful life, typically exceeding a specific dollar threshold (e.g., $5,000 or more).
5. Two nurses are in conflict over the holiday schedule. The manager tells them, ‘I don’t have
time for this; you two need to figure it out yourselves.’ Which conflict management strategy
is the manager using?
A. Collaborating
B. Compromising
C. Smoothing
D. Avoiding
Answer: D
Conceptual Explanation: Avoiding is a passive strategy where the manager refuses to
acknowledge or participate in the conflict resolution process.
