NCLEX Questions for Leadership and
Management With accurate solutions,
Exams Brand New 2025-2026
1. Developing the most effective teams.
Rationale:
1: The most important focus of this manager is on developing and supporting effective teams,
utilizing the knowledge of many.
2: Risk taking is a part of knowledge work, but is not the most important of this manager's
tasks.
3: Knowledge work is a combination of routine and nonroutine work, so the manager will
have focus on the routine.
This is not the manager's most important focus.
4: Understanding the history of the organization is important as it will help the manager
work within the organization, but it is not the most important focus.
A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is
concerned that older nurses may not respect the manager's authority because of the age difference.
How can this nurse manager best exercise authority?
1. Use critical thinking to solve problems on the unit.
2. Give assignments clearly, taking staff expertise into consideration.
3. Understand complex health care environments.
4. Maintain an autocratic approach to influence results. ......answer.....Answer:
2. Give assignments clearly, taking staff expertise into consideration.
1
, Rationale:
1: Critical thinking is important for every RN, not just a manager 2: Giving clear assignments
is a characteristic of authority. The young nurse who takes staff expertise into consideration
when making assignments is likely to be more successful in leading the group.
3: Nurse managers do work in complex health care environments but must create an
appropriate organizational environment as a way of exercising authority.
4: In autocratic leadership, one person has all of the power. This is not a good approach for a
younger leader to adopt when working with a group of older, more experienced nurses.
What statement, made in the morning shift report, would help an effective manager develop trust on
the nursing unit?
1. "I know I told you that you could have the weekend off, but I really need you to work."
2. "The others work many extra shifts, why can't you?"
3. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change
now, but we should talk further about schedules and needs."
4. "I can't believe you need help with such a simple task. Didn't you learn that in school?"
......answer.....Answer:
3. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change
now, but we should talk further about schedules and needs."
Rationale:
1: To develop trust, managers who make promises to staff must keep the promise.
2: This statement implies that the staff nurse is not a team player.
It also sets up one nurse against the remainder of the staff.
Effective managers must be fair and supportive with all staff.
3: This manager is standing up for staff by not allowing another unit to take a nurse today.
4: This statement is belittling to the staff nurse. This attitude does not demonstrate trust that staff
performances will be effective.
2
, The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager,
will help this nurse become inspirational and motivational in this new role?
1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."
2. "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them
immediately."
3. "Give your best nurses extra attention and rewards for their help."
4. "Never get into a disagreement with a staff member." ......answer.....Answer:
1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."
Rationale:
1: Managers need to be honest and forthcoming with staff, which includes taking responsibility for
one's own actions and errors. This also provides a positive role model for the staff.
2: When errors occur, the manager should use the opportunity for improvement, not punishment.
3: When staff feel some staff are given extra credit, staff will feel uncomfortable with the manager and
resentment will build.
4: Staff need to feel that they can share their feedback, positive or negative, and not feel threatened
when they disagree with the manager.
The nurse wishes to improve personal Emotional Intelligence (EI) in hopes of a promotion to nurse
manager. Which skills are important for this nurse to improve? Select all that apply.
1. Self-confidence.
2. Knowledge base of nursing.
3. Proficiency in technical skills.
4. Empathy.
5. Ability to initiate change. ......answer.....Answer:
1. Self-confidence.
4. Empathy.
5. Ability to initiate change.
3
, Rationale:
1: EI competencies are self-confidence, empathy, change catalyst, and visionary leadership.
2: While this is an important aspect of professional nursing, it is not a competency of EI.
3: While this is an important aspect of professional nursing, it is not a competency of EI.
4: EI competencies are self-confidence, empathy, change catalyst, and visionary leadership.
5: EI competencies are self-confidence, empathy, change catalyst, and visionary leadership.
Compare and contrast manager roles and leadership roles by choosing the options that are more
aligned with the manager role. Select all that apply.
1. Focus is change.
2. Have the ability to influence others.
3. Control the environment.
4. Focus is on people.
5. Focus on efficiency. ......answer.....Answer:
3. Control the environment.
5. Focus on efficiency.
Rationale:
1: The manager accepts the status quo, while the leader challenges it.
2: The manager controls people, while the leader influences
3: The manager controls the environment, patient care, and the staff that deliver that care.
4: The leader focuses on people while the manager focuses on systems and structure.
5: Managers focus on efficiency, while leaders focus on effectiveness.
4
Management With accurate solutions,
Exams Brand New 2025-2026
1. Developing the most effective teams.
Rationale:
1: The most important focus of this manager is on developing and supporting effective teams,
utilizing the knowledge of many.
2: Risk taking is a part of knowledge work, but is not the most important of this manager's
tasks.
3: Knowledge work is a combination of routine and nonroutine work, so the manager will
have focus on the routine.
This is not the manager's most important focus.
4: Understanding the history of the organization is important as it will help the manager
work within the organization, but it is not the most important focus.
A very young nurse has been promoted to nurse manager of an inpatient surgical unit. The nurse is
concerned that older nurses may not respect the manager's authority because of the age difference.
How can this nurse manager best exercise authority?
1. Use critical thinking to solve problems on the unit.
2. Give assignments clearly, taking staff expertise into consideration.
3. Understand complex health care environments.
4. Maintain an autocratic approach to influence results. ......answer.....Answer:
2. Give assignments clearly, taking staff expertise into consideration.
1
, Rationale:
1: Critical thinking is important for every RN, not just a manager 2: Giving clear assignments
is a characteristic of authority. The young nurse who takes staff expertise into consideration
when making assignments is likely to be more successful in leading the group.
3: Nurse managers do work in complex health care environments but must create an
appropriate organizational environment as a way of exercising authority.
4: In autocratic leadership, one person has all of the power. This is not a good approach for a
younger leader to adopt when working with a group of older, more experienced nurses.
What statement, made in the morning shift report, would help an effective manager develop trust on
the nursing unit?
1. "I know I told you that you could have the weekend off, but I really need you to work."
2. "The others work many extra shifts, why can't you?"
3. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change
now, but we should talk further about schedules and needs."
4. "I can't believe you need help with such a simple task. Didn't you learn that in school?"
......answer.....Answer:
3. "I'm sorry, but I do not have a nurse to spare today to help on your unit. I cannot make a change
now, but we should talk further about schedules and needs."
Rationale:
1: To develop trust, managers who make promises to staff must keep the promise.
2: This statement implies that the staff nurse is not a team player.
It also sets up one nurse against the remainder of the staff.
Effective managers must be fair and supportive with all staff.
3: This manager is standing up for staff by not allowing another unit to take a nurse today.
4: This statement is belittling to the staff nurse. This attitude does not demonstrate trust that staff
performances will be effective.
2
, The nurse has just been promoted to unit manager. Which advice, offered by a senior unit manager,
will help this nurse become inspirational and motivational in this new role?
1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."
2. "Don't be too soft on the staff. If they make a mistake, be certain to reprimand them
immediately."
3. "Give your best nurses extra attention and rewards for their help."
4. "Never get into a disagreement with a staff member." ......answer.....Answer:
1. "If you make a mistake with your staff, admit it, apologize, and correct the error if possible."
Rationale:
1: Managers need to be honest and forthcoming with staff, which includes taking responsibility for
one's own actions and errors. This also provides a positive role model for the staff.
2: When errors occur, the manager should use the opportunity for improvement, not punishment.
3: When staff feel some staff are given extra credit, staff will feel uncomfortable with the manager and
resentment will build.
4: Staff need to feel that they can share their feedback, positive or negative, and not feel threatened
when they disagree with the manager.
The nurse wishes to improve personal Emotional Intelligence (EI) in hopes of a promotion to nurse
manager. Which skills are important for this nurse to improve? Select all that apply.
1. Self-confidence.
2. Knowledge base of nursing.
3. Proficiency in technical skills.
4. Empathy.
5. Ability to initiate change. ......answer.....Answer:
1. Self-confidence.
4. Empathy.
5. Ability to initiate change.
3
, Rationale:
1: EI competencies are self-confidence, empathy, change catalyst, and visionary leadership.
2: While this is an important aspect of professional nursing, it is not a competency of EI.
3: While this is an important aspect of professional nursing, it is not a competency of EI.
4: EI competencies are self-confidence, empathy, change catalyst, and visionary leadership.
5: EI competencies are self-confidence, empathy, change catalyst, and visionary leadership.
Compare and contrast manager roles and leadership roles by choosing the options that are more
aligned with the manager role. Select all that apply.
1. Focus is change.
2. Have the ability to influence others.
3. Control the environment.
4. Focus is on people.
5. Focus on efficiency. ......answer.....Answer:
3. Control the environment.
5. Focus on efficiency.
Rationale:
1: The manager accepts the status quo, while the leader challenges it.
2: The manager controls people, while the leader influences
3: The manager controls the environment, patient care, and the staff that deliver that care.
4: The leader focuses on people while the manager focuses on systems and structure.
5: Managers focus on efficiency, while leaders focus on effectiveness.
4
