1
NR 545 FINAL EXAM COMPREHENSIVE EXAM PREP
2026/2027 | VERIFIED Q&A | CHAMBERLAIN
UNIVERSITY
1.
A nurse leader is planning the implementation of a new electronic documentation
process on a medical-surgical unit. Several experienced nurses express concern
that the change will increase workload and negatively affect patient care. Which
leadership action is most appropriate during the initial stage of implementing this
change?
A. Require all nurses to begin using the new system immediately without
discussion.
B. Involve staff members in identifying concerns, planning implementation, and
developing solutions.
C. Delay implementation indefinitely until every staff member agrees with the
change.
D. Delegate responsibility for implementation entirely to the information
technology department.
Answer: B
2.
A nurse manager is reviewing organizational performance data and identifies a
significant increase in patient falls during the previous quarter. Which action best
demonstrates the use of evidence-based leadership to address this problem?
A. Immediately discipline all staff members involved in patient falls.
B. Review current evidence, analyze contributing factors, and implement
interventions supported by research.
C. Continue existing practices because they have historically been successful.
D. Ask staff members to independently decide how to prevent future falls.
Answer: B
,2
3.
A transformational nurse leader wants to increase staff engagement and
commitment to organizational goals. Which behavior best reflects transformational
leadership?
A. Closely monitoring employees and correcting all deviations from policy.
B. Motivating staff through a shared vision and encouraging professional growth.
C. Using rewards and punishments as the primary methods of influencing
behavior.
D. Avoiding involvement in decisions made by staff members.
Answer: B
4.
A nurse manager must address a conflict between two experienced nurses who
disagree about the appropriate distribution of patient assignments. Which conflict-
management approach is most appropriate when both nurses' concerns are
important and a mutually beneficial solution is desired?
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
Answer: C
5.
A healthcare organization is introducing a major change that requires employees to
learn new workflows. According to principles of change management, what should
leaders do first?
A. Evaluate the effectiveness of the completed change.
B. Identify the need for change and create awareness among stakeholders.
,3
C. Punish employees who resist the new process.
D. Permanently institutionalize the new procedures.
Answer: B
6.
A nurse executive wants to create a culture of safety within the organization.
Which action is most consistent with a just culture?
A. Automatically terminating every employee involved in an adverse event.
B. Encouraging reporting of errors while distinguishing between human error,
risky behavior, and reckless conduct.
C. Discouraging staff from reporting near misses to protect the organization's
reputation.
D. Holding individual nurses responsible for all system failures.
Answer: B
7.
A nurse manager notices that staff members frequently communicate important
patient information through informal conversations rather than standardized
processes. Which intervention would best improve communication safety?
A. Allow each nurse to choose a preferred communication method.
B. Implement a standardized communication framework such as SBAR.
C. Eliminate communication between nurses and other healthcare professionals.
D. Require all communication to occur through written reports only.
Answer: B
8.
, 4
A nurse leader is analyzing the organization's staffing needs for the upcoming
fiscal year. Which information is most important when developing an effective
staffing plan?
A. Employee preferences alone.
B. Patient acuity, workload, organizational needs, and available resources.
C. The number of managers employed by the organization.
D. The personal schedules preferred by senior staff only.
Answer: B
9.
A nurse manager delegates responsibility for developing a patient education
program to an experienced staff nurse. Which responsibility remains with the nurse
manager?
A. Performing every task associated with the program.
B. Maintaining accountability for the delegated responsibility.
C. Transferring all leadership authority to the staff nurse.
D. Eliminating the need to evaluate the completed work.
Answer: B
10.
A nurse leader uses performance improvement data to determine whether an
intervention has reduced medication administration errors. Which phase of the
Plan-Do-Study-Act cycle involves analyzing the results of the intervention?
A. Plan
B. Do
C. Study
D. Act
Answer: C
NR 545 FINAL EXAM COMPREHENSIVE EXAM PREP
2026/2027 | VERIFIED Q&A | CHAMBERLAIN
UNIVERSITY
1.
A nurse leader is planning the implementation of a new electronic documentation
process on a medical-surgical unit. Several experienced nurses express concern
that the change will increase workload and negatively affect patient care. Which
leadership action is most appropriate during the initial stage of implementing this
change?
A. Require all nurses to begin using the new system immediately without
discussion.
B. Involve staff members in identifying concerns, planning implementation, and
developing solutions.
C. Delay implementation indefinitely until every staff member agrees with the
change.
D. Delegate responsibility for implementation entirely to the information
technology department.
Answer: B
2.
A nurse manager is reviewing organizational performance data and identifies a
significant increase in patient falls during the previous quarter. Which action best
demonstrates the use of evidence-based leadership to address this problem?
A. Immediately discipline all staff members involved in patient falls.
B. Review current evidence, analyze contributing factors, and implement
interventions supported by research.
C. Continue existing practices because they have historically been successful.
D. Ask staff members to independently decide how to prevent future falls.
Answer: B
,2
3.
A transformational nurse leader wants to increase staff engagement and
commitment to organizational goals. Which behavior best reflects transformational
leadership?
A. Closely monitoring employees and correcting all deviations from policy.
B. Motivating staff through a shared vision and encouraging professional growth.
C. Using rewards and punishments as the primary methods of influencing
behavior.
D. Avoiding involvement in decisions made by staff members.
Answer: B
4.
A nurse manager must address a conflict between two experienced nurses who
disagree about the appropriate distribution of patient assignments. Which conflict-
management approach is most appropriate when both nurses' concerns are
important and a mutually beneficial solution is desired?
A. Avoiding
B. Competing
C. Collaborating
D. Accommodating
Answer: C
5.
A healthcare organization is introducing a major change that requires employees to
learn new workflows. According to principles of change management, what should
leaders do first?
A. Evaluate the effectiveness of the completed change.
B. Identify the need for change and create awareness among stakeholders.
,3
C. Punish employees who resist the new process.
D. Permanently institutionalize the new procedures.
Answer: B
6.
A nurse executive wants to create a culture of safety within the organization.
Which action is most consistent with a just culture?
A. Automatically terminating every employee involved in an adverse event.
B. Encouraging reporting of errors while distinguishing between human error,
risky behavior, and reckless conduct.
C. Discouraging staff from reporting near misses to protect the organization's
reputation.
D. Holding individual nurses responsible for all system failures.
Answer: B
7.
A nurse manager notices that staff members frequently communicate important
patient information through informal conversations rather than standardized
processes. Which intervention would best improve communication safety?
A. Allow each nurse to choose a preferred communication method.
B. Implement a standardized communication framework such as SBAR.
C. Eliminate communication between nurses and other healthcare professionals.
D. Require all communication to occur through written reports only.
Answer: B
8.
, 4
A nurse leader is analyzing the organization's staffing needs for the upcoming
fiscal year. Which information is most important when developing an effective
staffing plan?
A. Employee preferences alone.
B. Patient acuity, workload, organizational needs, and available resources.
C. The number of managers employed by the organization.
D. The personal schedules preferred by senior staff only.
Answer: B
9.
A nurse manager delegates responsibility for developing a patient education
program to an experienced staff nurse. Which responsibility remains with the nurse
manager?
A. Performing every task associated with the program.
B. Maintaining accountability for the delegated responsibility.
C. Transferring all leadership authority to the staff nurse.
D. Eliminating the need to evaluate the completed work.
Answer: B
10.
A nurse leader uses performance improvement data to determine whether an
intervention has reduced medication administration errors. Which phase of the
Plan-Do-Study-Act cycle involves analyzing the results of the intervention?
A. Plan
B. Do
C. Study
D. Act
Answer: C
