NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College 2026/2027
OBJECTIVE ASSESSMENT - EXAM
NUR 611 Final Exam Review | Questions and Answers |
2026 Updated | 100% Correct - Utica College 2026/2027
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Leadership & Management Quality Improvement & Patient Safety
Healthcare Policy & Ethics Interprofessional Collaboration
Evidence-Based Practice & Research Professional Role Transition
COVER PAGE - 1
,SECTION 1 | Nursing Leadership & Management | Q1-Q15 | NUR 611 Final Exam Review | Questions and Answers | 2
Q1 Question 1 of 75
A nurse manager on a 32-bed medical-surgical unit holds weekly huddles where staff share unit
goals, celebrate peer wins, and propose process improvements. The manager frames each
change as connected to the unit's vision of patient-centered excellence. Which leadership theory
best describes this approach?
A. Transformational leadership
B. Transactional leadership
C. Laissez-faire leadership
D. Autocratic leadership
Correct Answer: A
Rationale:
Transformational leaders inspire followers by connecting daily work to a shared vision, fostering intrinsic
motivation, and encouraging innovation through individualized consideration and inspirational motivation.
Transactional leadership relies on rewards and punishments for performance, not vision-building. Laissez-faire is
hands-off and avoids direction, while autocratic centralizes decisions without staff input.
Q2 Question 2 of 75
Two charge nurses disagree about holiday scheduling. One nurse, valuing team harmony during a
stressful flu surge, yields her preferred schedule to the other to preserve the working relationship.
Which conflict-handling style is she demonstrating?
A. Competing
B. Accommodating
C. Avoiding
D. Collaborating
Correct Answer: B
Rationale:
Accommodating prioritizes the relationship over personal goals by yielding to the other party, appropriate when
the issue matters less than harmony or during a crisis. Competing pursues one's own goals at the other's
expense, avoiding sidesteps the conflict, and collaborating seeks a mutually satisfying solution that fully satisfies
both parties.
NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College - 2026/2027 | Passing Score: 80% | Page 2 of
,SECTION 1 (continued) | Nursing Leadership & Management | NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Corre
Q3 Question 3 of 75
A registered nurse on a telemetry unit is caring for five post-operative patients and needs to obtain
routine vital signs. Which factor is most important for the RN to verify before delegating this task to
a nursing assistant?
A. The patient's insurance coverage and room number
B. The nursing assistant's preferred shift length
C. The nursing assistant's documented competency in vital sign measurement
D. The unit's linen supply for the shift
Correct Answer: C
Rationale:
The Five Rights of Delegation require the RN to verify right task, right circumstance, right person, right direction
and communication, and right supervision; competency validation is central to right person. Insurance, shift
preference, and linen supply are unrelated to safe delegation and do not affect whether the delegatee can safely
perform the task.
Q4 Question 4 of 75
A nurse leader is implementing a new electronic health record across three medical units. She
begins by presenting data showing medication error rates with the old system and gathering staff
input on workflow concerns before any change occurs. Which stage of Lewin's change theory does
this represent?
A. Refreezing
B. Moving
C. Sustaining
D. Unfreezing
Correct Answer: D
Rationale:
Unfreezing involves creating the motivation to change by presenting the need and addressing resistance through
data and dialogue before the actual change. Moving is the implementation phase, and refreezing stabilizes the
new behavior as the norm. Sustaining is not a stage in Lewin's model.
NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College - 2026/2027 | Passing Score: 80% | Page 3 of
, SECTION 1 (continued) | Nursing Leadership & Management | NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Corre
Q5 Question 5 of 75
A Magnet-recognized hospital restructures its nursing practice council so that staff nurses vote on
clinical practice standards, equipment purchases, and policy revisions. Which principle is most
directly supported by this structure?
A. Shared governance and professional autonomy
B. Centralized top-down authority
C. Hierarchical command and control
D. Bureaucratic compliance monitoring
Correct Answer: A
Rationale:
Shared governance distributes decision-making authority to staff nurses over clinical practice, reinforcing
autonomy and accountability, hallmarks of Magnet cultures. Centralized authority, hierarchical command, and
bureaucratic monitoring concentrate power at the top and contradict the empowerment that shared governance is
designed to produce.
Q6 Question 6 of 75
A nurse manager reviews the monthly operating budget and notes a 12% unfavorable variance in
the salary line due to agency RN usage. Which action should the manager take first?
A. Immediately terminate two staff RN positions
B. Investigate the root cause of increased agency utilization
C. Submit a request to increase next year's budget
D. Cancel all scheduled staff education sessions
Correct Answer: B
Rationale:
Variance analysis begins with root cause investigation; agency use often signals unfilled vacancies, turnover, or
spikes in acuity that must be understood before corrective action. Terminating staff worsens the underlying gap,
increasing next year's budget does not solve the current problem, and canceling education undermines long-term
retention without addressing the variance driver.
NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College - 2026/2027 | Passing Score: 80% | Page 4 of
OBJECTIVE ASSESSMENT - EXAM
NUR 611 Final Exam Review | Questions and Answers |
2026 Updated | 100% Correct - Utica College 2026/2027
75 100%
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Leadership & Management Quality Improvement & Patient Safety
Healthcare Policy & Ethics Interprofessional Collaboration
Evidence-Based Practice & Research Professional Role Transition
COVER PAGE - 1
,SECTION 1 | Nursing Leadership & Management | Q1-Q15 | NUR 611 Final Exam Review | Questions and Answers | 2
Q1 Question 1 of 75
A nurse manager on a 32-bed medical-surgical unit holds weekly huddles where staff share unit
goals, celebrate peer wins, and propose process improvements. The manager frames each
change as connected to the unit's vision of patient-centered excellence. Which leadership theory
best describes this approach?
A. Transformational leadership
B. Transactional leadership
C. Laissez-faire leadership
D. Autocratic leadership
Correct Answer: A
Rationale:
Transformational leaders inspire followers by connecting daily work to a shared vision, fostering intrinsic
motivation, and encouraging innovation through individualized consideration and inspirational motivation.
Transactional leadership relies on rewards and punishments for performance, not vision-building. Laissez-faire is
hands-off and avoids direction, while autocratic centralizes decisions without staff input.
Q2 Question 2 of 75
Two charge nurses disagree about holiday scheduling. One nurse, valuing team harmony during a
stressful flu surge, yields her preferred schedule to the other to preserve the working relationship.
Which conflict-handling style is she demonstrating?
A. Competing
B. Accommodating
C. Avoiding
D. Collaborating
Correct Answer: B
Rationale:
Accommodating prioritizes the relationship over personal goals by yielding to the other party, appropriate when
the issue matters less than harmony or during a crisis. Competing pursues one's own goals at the other's
expense, avoiding sidesteps the conflict, and collaborating seeks a mutually satisfying solution that fully satisfies
both parties.
NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College - 2026/2027 | Passing Score: 80% | Page 2 of
,SECTION 1 (continued) | Nursing Leadership & Management | NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Corre
Q3 Question 3 of 75
A registered nurse on a telemetry unit is caring for five post-operative patients and needs to obtain
routine vital signs. Which factor is most important for the RN to verify before delegating this task to
a nursing assistant?
A. The patient's insurance coverage and room number
B. The nursing assistant's preferred shift length
C. The nursing assistant's documented competency in vital sign measurement
D. The unit's linen supply for the shift
Correct Answer: C
Rationale:
The Five Rights of Delegation require the RN to verify right task, right circumstance, right person, right direction
and communication, and right supervision; competency validation is central to right person. Insurance, shift
preference, and linen supply are unrelated to safe delegation and do not affect whether the delegatee can safely
perform the task.
Q4 Question 4 of 75
A nurse leader is implementing a new electronic health record across three medical units. She
begins by presenting data showing medication error rates with the old system and gathering staff
input on workflow concerns before any change occurs. Which stage of Lewin's change theory does
this represent?
A. Refreezing
B. Moving
C. Sustaining
D. Unfreezing
Correct Answer: D
Rationale:
Unfreezing involves creating the motivation to change by presenting the need and addressing resistance through
data and dialogue before the actual change. Moving is the implementation phase, and refreezing stabilizes the
new behavior as the norm. Sustaining is not a stage in Lewin's model.
NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College - 2026/2027 | Passing Score: 80% | Page 3 of
, SECTION 1 (continued) | Nursing Leadership & Management | NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Corre
Q5 Question 5 of 75
A Magnet-recognized hospital restructures its nursing practice council so that staff nurses vote on
clinical practice standards, equipment purchases, and policy revisions. Which principle is most
directly supported by this structure?
A. Shared governance and professional autonomy
B. Centralized top-down authority
C. Hierarchical command and control
D. Bureaucratic compliance monitoring
Correct Answer: A
Rationale:
Shared governance distributes decision-making authority to staff nurses over clinical practice, reinforcing
autonomy and accountability, hallmarks of Magnet cultures. Centralized authority, hierarchical command, and
bureaucratic monitoring concentrate power at the top and contradict the empowerment that shared governance is
designed to produce.
Q6 Question 6 of 75
A nurse manager reviews the monthly operating budget and notes a 12% unfavorable variance in
the salary line due to agency RN usage. Which action should the manager take first?
A. Immediately terminate two staff RN positions
B. Investigate the root cause of increased agency utilization
C. Submit a request to increase next year's budget
D. Cancel all scheduled staff education sessions
Correct Answer: B
Rationale:
Variance analysis begins with root cause investigation; agency use often signals unfilled vacancies, turnover, or
spikes in acuity that must be understood before corrective action. Terminating staff worsens the underlying gap,
increasing next year's budget does not solve the current problem, and canceling education undermines long-term
retention without addressing the variance driver.
NUR 611 Final Exam Review | Questions and Answers | 2026 Updated | 100% Correct - Utica College - 2026/2027 | Passing Score: 80% | Page 4 of
