, NUR 283 Exam 2 – Transition to RN
Practice – Actual Questions & Answers
(Galen) 100% Guarantee Pass
Question 1: Which leadership style involves the leader making decisions independently
without input from team members?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B. Autocratic
Rationale: Autocratic leadership is characterized by unilateral decision-making. It is
effective in emergencies but can lower morale in daily operations. Democratic involves
group input; laissez-faire is hands-off; transformational inspires through vision .
Question 2: A nurse manager is implementing evidence-based practice changes. Which
strategy is most effective for overcoming resistance to change?
A. Mandating compliance without discussion
B. Involving staff in planning and implementation
C. Implementing changes during night shift
D. Threatening disciplinary action
Answer: B. Involving staff in planning and implementation
Rationale: Participation fosters ownership; when staff help create the change, they are
less resistant and more likely to sustain it. Mandating compliance or threats increases
resistance .
Question 3: What is the primary difference between a nurse manager and a nurse
leader?
,A. Manager has formal authority; leader may influence without it
B. Nurse leader handles budgets; manager does not
C. No difference
D. Manager gives direct care; leader does not
Answer: A. Manager has formal authority; leader may influence without it
Rationale: Management is a formal position with authority; leadership is an informal
skill of influence that anyone can exhibit .
Question 4: A nurse manager observes a staff RN consistently arriving 15 minutes late.
What is the first action?
A. Immediate termination
B. Verbal warning and discussion of expectations
C. Send written warning without discussion
D. Reduce the RN's salary
Answer: B. Verbal warning and discussion of expectations
Rationale: Progressive discipline starts with verbal coaching and clarifying
expectations. Immediate termination or salary reduction is inappropriate without prior
corrective action .
Question 5: The charge nurse is making client assignments. Which client should be
assigned to the most experienced RN?
A. Client with constipation requesting laxative
B. Client with food poisoning, stable
C. Client with chest tube and new onset subcutaneous emphysema
D. Client with a wound dressing change
Answer: C. Client with chest tube and new onset subcutaneous emphysema
Rationale: Subcutaneous emphysema indicates a chest tube air leak requiring
immediate expert assessment. The most complex, unstable patients should be assigned
to the most experienced nurse .
, Question 6: Which behavior best exemplifies transformational leadership?
A. Maintaining strict control over decisions
B. Inspiring staff to embrace a shared vision
C. Delegating all tasks without oversight
D. Focusing solely on daily task completion
Answer: B. Inspiring staff to embrace a shared vision
Rationale: Transformational leadership focuses on vision and inspiration to elevate
morale beyond task management. Autocratic leaders maintain strict control .
Question 7: A nurse manager is budgeting for next fiscal year. Which type of budget
includes costs for staff salaries?
A. Operating budget
B. Capital budget
C. Fixed budget
D. Variable budget
Answer: A. Operating budget
Rationale: The operating budget covers day-to-day expenses including salaries,
supplies, and utilities. Capital budgets cover major equipment purchases .
Question 8: Which approach is most effective for a performance appraisal?
A. Using only one recent incident
B. Providing ongoing feedback throughout the year
C. Waiting until annual review to address concerns
D. Comparing employee to other staff
Answer: B. Providing ongoing feedback throughout the year
Rationale: Continuous feedback prevents surprises and provides a fair, accurate
picture of performance. Annual reviews without ongoing feedback are ineffective .
Practice – Actual Questions & Answers
(Galen) 100% Guarantee Pass
Question 1: Which leadership style involves the leader making decisions independently
without input from team members?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Transformational
Answer: B. Autocratic
Rationale: Autocratic leadership is characterized by unilateral decision-making. It is
effective in emergencies but can lower morale in daily operations. Democratic involves
group input; laissez-faire is hands-off; transformational inspires through vision .
Question 2: A nurse manager is implementing evidence-based practice changes. Which
strategy is most effective for overcoming resistance to change?
A. Mandating compliance without discussion
B. Involving staff in planning and implementation
C. Implementing changes during night shift
D. Threatening disciplinary action
Answer: B. Involving staff in planning and implementation
Rationale: Participation fosters ownership; when staff help create the change, they are
less resistant and more likely to sustain it. Mandating compliance or threats increases
resistance .
Question 3: What is the primary difference between a nurse manager and a nurse
leader?
,A. Manager has formal authority; leader may influence without it
B. Nurse leader handles budgets; manager does not
C. No difference
D. Manager gives direct care; leader does not
Answer: A. Manager has formal authority; leader may influence without it
Rationale: Management is a formal position with authority; leadership is an informal
skill of influence that anyone can exhibit .
Question 4: A nurse manager observes a staff RN consistently arriving 15 minutes late.
What is the first action?
A. Immediate termination
B. Verbal warning and discussion of expectations
C. Send written warning without discussion
D. Reduce the RN's salary
Answer: B. Verbal warning and discussion of expectations
Rationale: Progressive discipline starts with verbal coaching and clarifying
expectations. Immediate termination or salary reduction is inappropriate without prior
corrective action .
Question 5: The charge nurse is making client assignments. Which client should be
assigned to the most experienced RN?
A. Client with constipation requesting laxative
B. Client with food poisoning, stable
C. Client with chest tube and new onset subcutaneous emphysema
D. Client with a wound dressing change
Answer: C. Client with chest tube and new onset subcutaneous emphysema
Rationale: Subcutaneous emphysema indicates a chest tube air leak requiring
immediate expert assessment. The most complex, unstable patients should be assigned
to the most experienced nurse .
, Question 6: Which behavior best exemplifies transformational leadership?
A. Maintaining strict control over decisions
B. Inspiring staff to embrace a shared vision
C. Delegating all tasks without oversight
D. Focusing solely on daily task completion
Answer: B. Inspiring staff to embrace a shared vision
Rationale: Transformational leadership focuses on vision and inspiration to elevate
morale beyond task management. Autocratic leaders maintain strict control .
Question 7: A nurse manager is budgeting for next fiscal year. Which type of budget
includes costs for staff salaries?
A. Operating budget
B. Capital budget
C. Fixed budget
D. Variable budget
Answer: A. Operating budget
Rationale: The operating budget covers day-to-day expenses including salaries,
supplies, and utilities. Capital budgets cover major equipment purchases .
Question 8: Which approach is most effective for a performance appraisal?
A. Using only one recent incident
B. Providing ongoing feedback throughout the year
C. Waiting until annual review to address concerns
D. Comparing employee to other staff
Answer: B. Providing ongoing feedback throughout the year
Rationale: Continuous feedback prevents surprises and provides a fair, accurate
picture of performance. Annual reviews without ongoing feedback are ineffective .
