NUR 3270 NURSING LEADERSHIP AND
MANAGEMENT MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED EXPLANATIONS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Implementing a pilot program on one unit
B. Providing positive feedback to staff using the new system
C. Creating dissatisfaction with the current paper charting process
D. Writing new policies and procedures for the system
Answer: C
Conceptual Explanation: Unfreezing involves creating the motivation for change by
helping individuals understand that the current method is no longer effective.
2. Which leadership style is characterized by the leader making all decisions with little to no
input from the staff?
A. Democratic
,B. Transformational
C. Laissez-faire
D. Autocratic
Answer: D
Conceptual Explanation: Autocratic leadership is characterized by individual control over
all decisions and little input from group members.
3. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate to delegate?
A. Performing the initial assessment on a new admission
B. Administering an intramuscular injection of an antibiotic
C. Developing a plan of care for a patient with complex needs
D. Administering intravenous push medications
Answer: B
Conceptual Explanation: LPNs can generally administer IM injections, but initial
assessments, IV push medications, and planning care usually require RN judgment.
4. A nurse is caring for a client who refuses a blood transfusion for religious reasons despite it
being life-saving. The nurse supports the client’s right to refuse. Which ethical principle is
being upheld?
A. Autonomy
, B. Justice
C. Beneficence
D. Fidelity
Answer: A
Conceptual Explanation: Autonomy refers to the right of patients to make their own
decisions about their medical care.
5. In the ‘Moving’ stage of Lewin’s Change Theory, what is the primary focus of the change
agent?
A. Evaluating the outcomes of the change
B. Stabilizing the change into the system
C. Developing a plan to implement the change
D. Gathering data to prove change is needed
Answer: C
Conceptual Explanation: The moving stage involves the actual implementation of the
change, including planning and executing the transition.
6. A nurse manager is using the SBAR tool for communication. Which of the following is an
example of ‘Assessment’ in SBAR?
A. ‘The patient’s blood pressure is 80/40 mmHg.’
B. ‘The patient was admitted two days ago with pneumonia.’
MANAGEMENT MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS
AND DETAILED EXPLANATIONS
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. During the ‘unfreezing’ stage, which action is most appropriate?
A. Implementing a pilot program on one unit
B. Providing positive feedback to staff using the new system
C. Creating dissatisfaction with the current paper charting process
D. Writing new policies and procedures for the system
Answer: C
Conceptual Explanation: Unfreezing involves creating the motivation for change by
helping individuals understand that the current method is no longer effective.
2. Which leadership style is characterized by the leader making all decisions with little to no
input from the staff?
A. Democratic
,B. Transformational
C. Laissez-faire
D. Autocratic
Answer: D
Conceptual Explanation: Autocratic leadership is characterized by individual control over
all decisions and little input from group members.
3. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is most appropriate to delegate?
A. Performing the initial assessment on a new admission
B. Administering an intramuscular injection of an antibiotic
C. Developing a plan of care for a patient with complex needs
D. Administering intravenous push medications
Answer: B
Conceptual Explanation: LPNs can generally administer IM injections, but initial
assessments, IV push medications, and planning care usually require RN judgment.
4. A nurse is caring for a client who refuses a blood transfusion for religious reasons despite it
being life-saving. The nurse supports the client’s right to refuse. Which ethical principle is
being upheld?
A. Autonomy
, B. Justice
C. Beneficence
D. Fidelity
Answer: A
Conceptual Explanation: Autonomy refers to the right of patients to make their own
decisions about their medical care.
5. In the ‘Moving’ stage of Lewin’s Change Theory, what is the primary focus of the change
agent?
A. Evaluating the outcomes of the change
B. Stabilizing the change into the system
C. Developing a plan to implement the change
D. Gathering data to prove change is needed
Answer: C
Conceptual Explanation: The moving stage involves the actual implementation of the
change, including planning and executing the transition.
6. A nurse manager is using the SBAR tool for communication. Which of the following is an
example of ‘Assessment’ in SBAR?
A. ‘The patient’s blood pressure is 80/40 mmHg.’
B. ‘The patient was admitted two days ago with pneumonia.’
