BSN Nursing Leadership & Evidence-Based Practice Exam
3 UPDATED ACTUAL Questions and CORRECT Answers
1. A nurse manager encourages staff to participate in decision-making and
empowers them to improve patient care. Which leadership style is being
demonstrated?
A. Autocratic
B. Laissez-faire
C. Transformational
D. Transactional
Answer: C
Rationale: Transformational leadership focuses on empowering others to share in the
organization’s vision and inspiring them to achieve high levels of performance.
2. In the PICO(T) format for Evidence-Based Practice, what does the ‘I’
represent?
A. Implementation
B. Integration
C. Intervention
D. Institution
Answer: C
Rationale: In PICO(T), I stands for Intervention, which refers to the specific treatment,
therapy, or exposure being studied.
,3. According to Lewin’s Change Theory, which stage involves creating the
motivation to change and preparing staff for a new process?
A. Unfreezing
B. Moving
C. Refreezing
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage where the leader helps others let go of an old
pattern and creates awareness of the need for change.
4. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Educating a patient on insulin administration
C. Evaluating the effectiveness of a new medication
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs should be assigned tasks that are routine, non-invasive, and do not
require clinical judgment or assessment.
5. What is the primary purpose of ‘Benchmarking’ in quality improvement?
A. To compare performance against industry standards or best practices
B. To punish underperforming staff
C. To reduce the cost of medical supplies
D. To assign blame for medical errors
Answer: A
Rationale: Benchmarking is a process by which an organization compares its performance
levels against those of similar organizations or industry leaders.
, 6. A nurse respects a patient’s right to refuse a life-saving blood transfusion
based on religious beliefs. Which ethical principle is being upheld?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the patient’s right to self-determination and making their
own healthcare decisions.
7. A healthcare facility is analyzing the underlying factors of a ‘sentinel event.’
Which process are they likely using?
A. SWOT Analysis
B. Performance Appraisal
C. Root Cause Analysis (RCA)
D. Utilization Review
Answer: C
Rationale: Root Cause Analysis is a systematic process used to identify the basic or causal
factors that underlie a variation in performance or a sentinel event.
8. Which level of evidence is considered the highest in the hierarchy of evidence
for EBP?
A. Case reports
B. Expert opinion
C. Single randomized controlled trial (RCT)
D. Systematic reviews or Meta-analyses of RCTs
Answer: D
Rationale: Systematic reviews and meta-analyses synthesize results from multiple high-
quality studies, providing the strongest evidence.
3 UPDATED ACTUAL Questions and CORRECT Answers
1. A nurse manager encourages staff to participate in decision-making and
empowers them to improve patient care. Which leadership style is being
demonstrated?
A. Autocratic
B. Laissez-faire
C. Transformational
D. Transactional
Answer: C
Rationale: Transformational leadership focuses on empowering others to share in the
organization’s vision and inspiring them to achieve high levels of performance.
2. In the PICO(T) format for Evidence-Based Practice, what does the ‘I’
represent?
A. Implementation
B. Integration
C. Intervention
D. Institution
Answer: C
Rationale: In PICO(T), I stands for Intervention, which refers to the specific treatment,
therapy, or exposure being studied.
,3. According to Lewin’s Change Theory, which stage involves creating the
motivation to change and preparing staff for a new process?
A. Unfreezing
B. Moving
C. Refreezing
D. Stabilizing
Answer: A
Rationale: Unfreezing is the first stage where the leader helps others let go of an old
pattern and creates awareness of the need for change.
4. Which task is most appropriate for a Registered Nurse (RN) to delegate to an
Unlicensed Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Educating a patient on insulin administration
C. Evaluating the effectiveness of a new medication
D. Assisting a stable patient with ambulation
Answer: D
Rationale: UAPs should be assigned tasks that are routine, non-invasive, and do not
require clinical judgment or assessment.
5. What is the primary purpose of ‘Benchmarking’ in quality improvement?
A. To compare performance against industry standards or best practices
B. To punish underperforming staff
C. To reduce the cost of medical supplies
D. To assign blame for medical errors
Answer: A
Rationale: Benchmarking is a process by which an organization compares its performance
levels against those of similar organizations or industry leaders.
, 6. A nurse respects a patient’s right to refuse a life-saving blood transfusion
based on religious beliefs. Which ethical principle is being upheld?
A. Beneficence
B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Rationale: Autonomy refers to the patient’s right to self-determination and making their
own healthcare decisions.
7. A healthcare facility is analyzing the underlying factors of a ‘sentinel event.’
Which process are they likely using?
A. SWOT Analysis
B. Performance Appraisal
C. Root Cause Analysis (RCA)
D. Utilization Review
Answer: C
Rationale: Root Cause Analysis is a systematic process used to identify the basic or causal
factors that underlie a variation in performance or a sentinel event.
8. Which level of evidence is considered the highest in the hierarchy of evidence
for EBP?
A. Case reports
B. Expert opinion
C. Single randomized controlled trial (RCT)
D. Systematic reviews or Meta-analyses of RCTs
Answer: D
Rationale: Systematic reviews and meta-analyses synthesize results from multiple high-
quality studies, providing the strongest evidence.
