BSN Nursing Leadership & Evidence-Based Practice Final
Exam Practice UPDATED ACTUAL Questions and CORRECT
Answers
1. Which leadership style is characterized by a leader who provides little or no
direction to the team and allows the group to make their own decisions?
A. Autocratic
B. Democratic
C. Transactional
D. Laissez-faire
Answer: D
Rationale: Laissez-faire leadership is a hands-off approach where the leader provides
minimal direction, allowing members to function independently.
2. In the evidence-based practice (EBP) process, what does the ‘I’ represent in
the PICO mnemonic?
A. Information
B. Implementation
C. Intervention
D. Interpretation
Answer: C
Rationale: In the PICO acronym, P is for Patient/Population, I is for Intervention, C is for
Comparison, and O is for Outcome.
,3. Which level of evidence is considered the highest and most reliable in the
hierarchy of evidence?
A. Systematic reviews and Meta-analyses of RCTs
B. Expert opinion
C. Case-control studies
D. Single randomized controlled trials (RCTs)
Answer: A
Rationale: Systematic reviews and Meta-analyses of multiple RCTs sit at the top of the
evidence hierarchy as they synthesize data from multiple high-quality studies.
4. A nurse manager is utilizing Lewin’s Change Theory. Which stage involves the
process of making the new change a permanent part of the culture?
A. Unfreezing
B. Moving
C. Refreezing
D. Assessing
Answer: C
Rationale: Refreezing is the final stage of Lewin’s theory where the change is integrated
and stabilized into the organization’s routine.
5. Which conflict resolution strategy results in a win-win situation for both
parties?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
Answer: A
Rationale: Collaborating involves both parties working together to find a mutually
satisfying solution, resulting in a win-win outcome.
, 6. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for delegation?
A. Assessing a patient’s surgical incision
B. Providing discharge education to a patient
C. Assisting a stable patient with a bed bath
D. Adjusting the rate of an intravenous infusion
Answer: C
Rationale: Nurses can delegate routine tasks such as ADLs and vital signs on stable
patients to UAPs, but cannot delegate assessment, teaching, or medication administration.
7. The ethical principle of ‘Non-maleficence’ is best described as:
A. The duty to do good
B. The duty to do no harm
C. The right to self-determination
D. The fair distribution of resources
Answer: B
Rationale: Non-maleficence is the fundamental ethical principle in healthcare that
obligates professionals to avoid causing harm to patients.
8. What is the primary purpose of a Root Cause Analysis (RCA) in a hospital
setting?
A. To assign blame to specific staff members
B. To provide a legal defense for the hospital
C. To identify system failures that led to an adverse event
D. To evaluate individual performance for yearly reviews
Answer: C
Rationale: An RCA is a structured process used to identify the underlying system issues or
process failures that contributed to a sentinel event, focusing on prevention rather than
blame.
Exam Practice UPDATED ACTUAL Questions and CORRECT
Answers
1. Which leadership style is characterized by a leader who provides little or no
direction to the team and allows the group to make their own decisions?
A. Autocratic
B. Democratic
C. Transactional
D. Laissez-faire
Answer: D
Rationale: Laissez-faire leadership is a hands-off approach where the leader provides
minimal direction, allowing members to function independently.
2. In the evidence-based practice (EBP) process, what does the ‘I’ represent in
the PICO mnemonic?
A. Information
B. Implementation
C. Intervention
D. Interpretation
Answer: C
Rationale: In the PICO acronym, P is for Patient/Population, I is for Intervention, C is for
Comparison, and O is for Outcome.
,3. Which level of evidence is considered the highest and most reliable in the
hierarchy of evidence?
A. Systematic reviews and Meta-analyses of RCTs
B. Expert opinion
C. Case-control studies
D. Single randomized controlled trials (RCTs)
Answer: A
Rationale: Systematic reviews and Meta-analyses of multiple RCTs sit at the top of the
evidence hierarchy as they synthesize data from multiple high-quality studies.
4. A nurse manager is utilizing Lewin’s Change Theory. Which stage involves the
process of making the new change a permanent part of the culture?
A. Unfreezing
B. Moving
C. Refreezing
D. Assessing
Answer: C
Rationale: Refreezing is the final stage of Lewin’s theory where the change is integrated
and stabilized into the organization’s routine.
5. Which conflict resolution strategy results in a win-win situation for both
parties?
A. Collaborating
B. Competing
C. Compromising
D. Avoiding
Answer: A
Rationale: Collaborating involves both parties working together to find a mutually
satisfying solution, resulting in a win-win outcome.
, 6. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for delegation?
A. Assessing a patient’s surgical incision
B. Providing discharge education to a patient
C. Assisting a stable patient with a bed bath
D. Adjusting the rate of an intravenous infusion
Answer: C
Rationale: Nurses can delegate routine tasks such as ADLs and vital signs on stable
patients to UAPs, but cannot delegate assessment, teaching, or medication administration.
7. The ethical principle of ‘Non-maleficence’ is best described as:
A. The duty to do good
B. The duty to do no harm
C. The right to self-determination
D. The fair distribution of resources
Answer: B
Rationale: Non-maleficence is the fundamental ethical principle in healthcare that
obligates professionals to avoid causing harm to patients.
8. What is the primary purpose of a Root Cause Analysis (RCA) in a hospital
setting?
A. To assign blame to specific staff members
B. To provide a legal defense for the hospital
C. To identify system failures that led to an adverse event
D. To evaluate individual performance for yearly reviews
Answer: C
Rationale: An RCA is a structured process used to identify the underlying system issues or
process failures that contributed to a sentinel event, focusing on prevention rather than
blame.
