,NR 451 Final Exam RN Capstone Questions And Answers 2026/2027
Chamberlain
1.** A nurse manager is encouraging staff to participate in decision-making
regarding unit policies. Which leadership style is being demonstrated?
A) Autocratic
B) Laissez-faire
C) Democratic
D) Transactional
**Correct Answer:** C) Democratic
**Rationale:** Democratic (or participative) leadership includes the group in
decision-making, motivates by supporting staff achievements, and fosters
communication and collaboration.
**2.** A nurse manager makes decisions for the group, motivates by
coercion, and communication occurs down the chain of command. Which
leadership style is the nurse manager demonstrating?
A) Democratic
B) Authoritative
C) Laissez-faire
D) Transformational
**Correct Answer:** B) Authoritative
**Rationale:** Authoritative leadership involves making decisions for the
group, motivating by coercion, and communication down the chain of
,command. Work output is usually high, making it effective for crisis
situations.
**3.** A nurse leader empowers staff to assume responsibility for a
communal vision and inspires them to achieve long-term goals. Which type
of leader is this?
A) Transactional leader
B) Transformational leader
C) Authoritative leader
D) Laissez-faire leader
**Correct Answer:** B) Transformational leader
**Rationale:** Transformational leaders empower followers to assume
responsibility for a communal vision, and personal development is a
secondary outcome. They inspire others to achieve a common, long-term
vision.
**4.** A nurse manager is implementing a new evidence-based practice on
the unit. According to Lewin's Change Theory, which action should the
manager take during the "unfreezing" stage?
A) Encourage staff to incorporate the new practice into daily routines
B) Provide training and resources for the new procedure
C) Establish a sense of urgency by explaining the need for the change
D) Evaluate the effectiveness of the change through audits
**Correct Answer:** C) Establish a sense of urgency by explaining the need
for the change
, **Rationale:** The unfreezing stage is the first step of Lewin's Change Theory
where the manager must identify the problem and create awareness about
the need for change.
**5.** A nurse manager is using a shared governance model on the unit.
Which statement best describes shared governance?
A) The manager makes all decisions for the unit
B) Staff nurses have input into decisions that affect their practice
C) Decisions are made by the healthcare provider only
D) Staff nurses have no input into unit decisions
**Correct Answer:** B) Staff nurses have input into decisions that affect their
practice
**Rationale:** Shared governance is a model in which staff nurses have input
into decisions that affect their practice and the work environment. It
promotes autonomy, empowerment, and job satisfaction.
**6.** A nurse manager is evaluating staff productivity. Which factor is most
important for staff productivity?
A) Adequate staffing levels
B) High salaries
C) Frequent staff meetings
D) Generous vacation time
**Correct Answer:** A) Adequate staffing levels
Chamberlain
1.** A nurse manager is encouraging staff to participate in decision-making
regarding unit policies. Which leadership style is being demonstrated?
A) Autocratic
B) Laissez-faire
C) Democratic
D) Transactional
**Correct Answer:** C) Democratic
**Rationale:** Democratic (or participative) leadership includes the group in
decision-making, motivates by supporting staff achievements, and fosters
communication and collaboration.
**2.** A nurse manager makes decisions for the group, motivates by
coercion, and communication occurs down the chain of command. Which
leadership style is the nurse manager demonstrating?
A) Democratic
B) Authoritative
C) Laissez-faire
D) Transformational
**Correct Answer:** B) Authoritative
**Rationale:** Authoritative leadership involves making decisions for the
group, motivating by coercion, and communication down the chain of
,command. Work output is usually high, making it effective for crisis
situations.
**3.** A nurse leader empowers staff to assume responsibility for a
communal vision and inspires them to achieve long-term goals. Which type
of leader is this?
A) Transactional leader
B) Transformational leader
C) Authoritative leader
D) Laissez-faire leader
**Correct Answer:** B) Transformational leader
**Rationale:** Transformational leaders empower followers to assume
responsibility for a communal vision, and personal development is a
secondary outcome. They inspire others to achieve a common, long-term
vision.
**4.** A nurse manager is implementing a new evidence-based practice on
the unit. According to Lewin's Change Theory, which action should the
manager take during the "unfreezing" stage?
A) Encourage staff to incorporate the new practice into daily routines
B) Provide training and resources for the new procedure
C) Establish a sense of urgency by explaining the need for the change
D) Evaluate the effectiveness of the change through audits
**Correct Answer:** C) Establish a sense of urgency by explaining the need
for the change
, **Rationale:** The unfreezing stage is the first step of Lewin's Change Theory
where the manager must identify the problem and create awareness about
the need for change.
**5.** A nurse manager is using a shared governance model on the unit.
Which statement best describes shared governance?
A) The manager makes all decisions for the unit
B) Staff nurses have input into decisions that affect their practice
C) Decisions are made by the healthcare provider only
D) Staff nurses have no input into unit decisions
**Correct Answer:** B) Staff nurses have input into decisions that affect their
practice
**Rationale:** Shared governance is a model in which staff nurses have input
into decisions that affect their practice and the work environment. It
promotes autonomy, empowerment, and job satisfaction.
**6.** A nurse manager is evaluating staff productivity. Which factor is most
important for staff productivity?
A) Adequate staffing levels
B) High salaries
C) Frequent staff meetings
D) Generous vacation time
**Correct Answer:** A) Adequate staffing levels
