BSN Nursing Leadership & Evidence-Based Practice Exam
8 Practice UPDATED ACTUAL Questions and CORRECT
Answers
1. Which leadership style is characterized by a leader who makes all decisions
without seeking input from the team?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership involves centralized decision-making with little to no
input from subordinates.
2. In the PICO acronym for developing research questions, what does the ‘C’
represent?
A. Consequences
B. Comparison
C. Case study
D. Clinical setting
Answer: B
Rationale: PICO stands for Patient/Population, Intervention, Comparison, and Outcome.
,3. Which level of evidence is considered the highest in the hierarchy of
evidence-based practice?
A. Systematic Reviews and Meta-analyses
B. Case-Control Studies
C. Expert Opinion
D. Randomized Controlled Trials
Answer: A
Rationale: Systematic reviews and meta-analyses synthesize results from multiple studies,
providing the strongest evidence.
4. A nurse manager is resolving a conflict by finding a solution where both
parties give up something. Which strategy is this?
A. Collaborating
B. Competing
C. Accommodating
D. Compromising
Answer: D
Rationale: Compromising involves mutual concessions where each party gives up
something of value.
5. Which of the following tasks is most appropriate to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Assisting a stable patient with ambulation
C. Providing discharge instructions
D. Administering oral medications
Answer: B
Rationale: UAPs can perform routine tasks like ambulation for stable patients but cannot
perform assessment, teaching, or medication administration.
, 6. According to Lewin’s Change Theory, what is the stage where the leader helps
people let go of old patterns?
A. Stabilizing
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage where the need for change is recognized and old
habits are challenged.
7. Which ethical principle refers to the duty to do good and act in the best
interest of the patient?
A. Justice
B. Autonomy
C. Beneficence
D. Fidelity
Answer: C
Rationale: Beneficence is the ethical principle of doing good and promoting the well-being
of others.
8. A nurse identifies a ‘near miss’ in medication administration. What is the
priority action?
A. Ignore it since no harm occurred
B. Report it according to facility policy
C. Tell the patient about the potential error
D. Wait for the next staff meeting to discuss it
Answer: B
Rationale: Reporting near misses is critical for quality improvement and identifying
system failures to prevent future harm.
8 Practice UPDATED ACTUAL Questions and CORRECT
Answers
1. Which leadership style is characterized by a leader who makes all decisions
without seeking input from the team?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transformational
Answer: A
Rationale: Autocratic leadership involves centralized decision-making with little to no
input from subordinates.
2. In the PICO acronym for developing research questions, what does the ‘C’
represent?
A. Consequences
B. Comparison
C. Case study
D. Clinical setting
Answer: B
Rationale: PICO stands for Patient/Population, Intervention, Comparison, and Outcome.
,3. Which level of evidence is considered the highest in the hierarchy of
evidence-based practice?
A. Systematic Reviews and Meta-analyses
B. Case-Control Studies
C. Expert Opinion
D. Randomized Controlled Trials
Answer: A
Rationale: Systematic reviews and meta-analyses synthesize results from multiple studies,
providing the strongest evidence.
4. A nurse manager is resolving a conflict by finding a solution where both
parties give up something. Which strategy is this?
A. Collaborating
B. Competing
C. Accommodating
D. Compromising
Answer: D
Rationale: Compromising involves mutual concessions where each party gives up
something of value.
5. Which of the following tasks is most appropriate to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s pain level
B. Assisting a stable patient with ambulation
C. Providing discharge instructions
D. Administering oral medications
Answer: B
Rationale: UAPs can perform routine tasks like ambulation for stable patients but cannot
perform assessment, teaching, or medication administration.
, 6. According to Lewin’s Change Theory, what is the stage where the leader helps
people let go of old patterns?
A. Stabilizing
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage where the need for change is recognized and old
habits are challenged.
7. Which ethical principle refers to the duty to do good and act in the best
interest of the patient?
A. Justice
B. Autonomy
C. Beneficence
D. Fidelity
Answer: C
Rationale: Beneficence is the ethical principle of doing good and promoting the well-being
of others.
8. A nurse identifies a ‘near miss’ in medication administration. What is the
priority action?
A. Ignore it since no harm occurred
B. Report it according to facility policy
C. Tell the patient about the potential error
D. Wait for the next staff meeting to discuss it
Answer: B
Rationale: Reporting near misses is critical for quality improvement and identifying
system failures to prevent future harm.
