BSN3A Nursing Leadership and Management – Exam Practice
Questions & Verified Answers with Explained Rationales (2026 Latest
Update) – Comprehensive 250-Question Practice Exam
Questions 1–250
1. A nurse manager is implementing a new scheduling system. The
staff is resistant to the change. Which leadership style would be
most effective in facilitating the change?
A) Autocratic
B) Laissez-faire
C) Transformational
D) Bureaucratic
Answer C: Transformational
,Rationale: Transformational leadership inspires and motivates staff
to embrace change through vision and involvement.
2. Which management theory emphasizes efficiency,
standardization, and hierarchical structure?
A) Human relations theory
B) Classical management theory
C) Systems theory
D) Contingency theory
Answer B: Classical management theory
Rationale: Classical theory focuses on organizational structure,
efficiency, and standardized processes.
3. A nurse manager is using a democratic leadership style. Which
characteristic is most consistent with this style?
A) The manager makes all decisions independently
B) The manager involves staff in decision-making
C) The manager provides minimal guidance
D) The manager focuses only on task completion
,Answer B: The manager involves staff in decision-making
Rationale: Democratic leaders encourage staff participation and
shared decision-making.
4. A nurse manager delegates a task to a licensed practical nurse
(LPN). Which task can the LPN perform?
A) Develop a care plan
B) Administer medications and perform sterile procedures
C) Perform a comprehensive admission assessment
D) Evaluate patient outcomes
Answer B: Administer medications and perform sterile procedures
Rationale: LPNs can administer medications and perform sterile
procedures but cannot perform initial assessments or develop care
plans.
5. The five rights of delegation include:
A) Right task, right time, right place, right person, right supervision
B) Right task, right circumstances, right person, right
direction/communication, right supervision
, C) Right patient, right drug, right dose, right route, right time
D) Right task, right patient, right supervisor, right outcome, right
evaluation
Answer B: Right task, right circumstances, right person, right
direction/communication, right supervision
Rationale: The five rights of delegation guide safe and appropriate
delegation.
6. A nurse manager is responsible for budget planning. Which type
of budget includes costs for salaries, supplies, and equipment?
A) Capital budget
B) Operating budget
C) Personnel budget
D) Fixed budget
Answer B: Operating budget
Rationale: Operating budgets cover day-to-day expenses including
salaries, supplies, and equipment.
Questions & Verified Answers with Explained Rationales (2026 Latest
Update) – Comprehensive 250-Question Practice Exam
Questions 1–250
1. A nurse manager is implementing a new scheduling system. The
staff is resistant to the change. Which leadership style would be
most effective in facilitating the change?
A) Autocratic
B) Laissez-faire
C) Transformational
D) Bureaucratic
Answer C: Transformational
,Rationale: Transformational leadership inspires and motivates staff
to embrace change through vision and involvement.
2. Which management theory emphasizes efficiency,
standardization, and hierarchical structure?
A) Human relations theory
B) Classical management theory
C) Systems theory
D) Contingency theory
Answer B: Classical management theory
Rationale: Classical theory focuses on organizational structure,
efficiency, and standardized processes.
3. A nurse manager is using a democratic leadership style. Which
characteristic is most consistent with this style?
A) The manager makes all decisions independently
B) The manager involves staff in decision-making
C) The manager provides minimal guidance
D) The manager focuses only on task completion
,Answer B: The manager involves staff in decision-making
Rationale: Democratic leaders encourage staff participation and
shared decision-making.
4. A nurse manager delegates a task to a licensed practical nurse
(LPN). Which task can the LPN perform?
A) Develop a care plan
B) Administer medications and perform sterile procedures
C) Perform a comprehensive admission assessment
D) Evaluate patient outcomes
Answer B: Administer medications and perform sterile procedures
Rationale: LPNs can administer medications and perform sterile
procedures but cannot perform initial assessments or develop care
plans.
5. The five rights of delegation include:
A) Right task, right time, right place, right person, right supervision
B) Right task, right circumstances, right person, right
direction/communication, right supervision
, C) Right patient, right drug, right dose, right route, right time
D) Right task, right patient, right supervisor, right outcome, right
evaluation
Answer B: Right task, right circumstances, right person, right
direction/communication, right supervision
Rationale: The five rights of delegation guide safe and appropriate
delegation.
6. A nurse manager is responsible for budget planning. Which type
of budget includes costs for salaries, supplies, and equipment?
A) Capital budget
B) Operating budget
C) Personnel budget
D) Fixed budget
Answer B: Operating budget
Rationale: Operating budgets cover day-to-day expenses including
salaries, supplies, and equipment.
