NR.110.605
Leadership & Management in Health
Care
Midterm Exam Review
(Questions & Solutions)
2025
1
,1. A hospital CFO adopts activity-based costing to more accurately
allocate overhead. Which cost driver best aligns with operating-room
overhead?
A. Number of direct labor hours
B. Square footage of pre-op holding
C. Number of surgical cases
D. Patient days on the surgical ward
ANS: C
Rationale: Assigning overhead by number of surgical cases links costs
directly to the volume of OR activities, improving accuracy.
2. A nurse executive implements a balanced scorecard. Which metric
belongs in the “learning and growth” quadrant?
A. Staff turnover rate
B. Patient satisfaction score
C. Number of staff certification hours
D. Operating margin
ANS: C
Rationale: Learning and growth focuses on workforce development;
tracking certification hours measures staff skill enhancement.
3. A clinical director uses value stream mapping to improve patient
admission flow. What does this tool primarily identify?
A. Financial variances
B. Non–value-added steps
C. Regulatory gaps
D. Staffing shortages
ANS: B
Rationale: Value stream maps visualize each process step,
2
, highlighting delays or waste for targeted improvement.
4. During a system-wide change, the leader’s step of creating a guiding
coalition falls within which model?
A. Lewin’s Change Model
B. Kotter’s Eight-Step Model
C. ADKAR Model
D. Rogers’ Diffusion of Innovation
ANS: B
Rationale: Kotter’s second step is to form a coalition of influential
stakeholders to champion the change.
5. A nursing manager recognizes a conflict‐handling style that sacrifices
personal priorities to maintain harmony. This style is:
A. Competing
B. Avoiding
C. Accommodating
D. Collaborating
ANS: C
Rationale: In accommodating, one party yields to another’s concerns
at the expense of their own objectives.
6. An interprofessional unit uses the Safety Attitudes Questionnaire.
Which domain assesses staff perception of collaboration among team
members?
A. Safety climate
B. Teamwork climate
C. Job satisfaction
D. Working conditions
ANS: B
Rationale: The teamwork climate domain measures openness,
mutual respect, and collaboration among clinicians.
3
Leadership & Management in Health
Care
Midterm Exam Review
(Questions & Solutions)
2025
1
,1. A hospital CFO adopts activity-based costing to more accurately
allocate overhead. Which cost driver best aligns with operating-room
overhead?
A. Number of direct labor hours
B. Square footage of pre-op holding
C. Number of surgical cases
D. Patient days on the surgical ward
ANS: C
Rationale: Assigning overhead by number of surgical cases links costs
directly to the volume of OR activities, improving accuracy.
2. A nurse executive implements a balanced scorecard. Which metric
belongs in the “learning and growth” quadrant?
A. Staff turnover rate
B. Patient satisfaction score
C. Number of staff certification hours
D. Operating margin
ANS: C
Rationale: Learning and growth focuses on workforce development;
tracking certification hours measures staff skill enhancement.
3. A clinical director uses value stream mapping to improve patient
admission flow. What does this tool primarily identify?
A. Financial variances
B. Non–value-added steps
C. Regulatory gaps
D. Staffing shortages
ANS: B
Rationale: Value stream maps visualize each process step,
2
, highlighting delays or waste for targeted improvement.
4. During a system-wide change, the leader’s step of creating a guiding
coalition falls within which model?
A. Lewin’s Change Model
B. Kotter’s Eight-Step Model
C. ADKAR Model
D. Rogers’ Diffusion of Innovation
ANS: B
Rationale: Kotter’s second step is to form a coalition of influential
stakeholders to champion the change.
5. A nursing manager recognizes a conflict‐handling style that sacrifices
personal priorities to maintain harmony. This style is:
A. Competing
B. Avoiding
C. Accommodating
D. Collaborating
ANS: C
Rationale: In accommodating, one party yields to another’s concerns
at the expense of their own objectives.
6. An interprofessional unit uses the Safety Attitudes Questionnaire.
Which domain assesses staff perception of collaboration among team
members?
A. Safety climate
B. Teamwork climate
C. Job satisfaction
D. Working conditions
ANS: B
Rationale: The teamwork climate domain measures openness,
mutual respect, and collaboration among clinicians.
3
