NUR 426 LEADERSHIP AND
MANAGEMENT IN NURSING
COMPREHENSIVE EXAM QUESTIONS
WITH VERIFIED ANSWERS 2026/2027
1. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Providing training sessions for all staff members on the new software.
B. Sharing data regarding the high rate of medication errors associated with the current
paper system.
C. Evaluating the effectiveness of the system three months after implementation.
D. Updating the unit’s policy and procedure manual to reflect the new system.
Answer: B
Conceptual Explanation: The unfreezing stage involves creating the motivation for
change by helping individuals realize that the current status quo is no longer effective.
Sharing data about errors highlights the need for change.
2. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
most appropriate to delegate?
A. Teaching a client how to use an incentive spirometer.
,B. Feeding a client who was just admitted with a diagnosis of dysphagia following a stroke.
C. Performing an initial skin assessment on a client admitted for pressure injuries.
D. Assisting a client who is 24 hours post-operative from a total hip replacement to
ambulate.
Answer: D
Conceptual Explanation: UAPs can perform tasks that are routine and do not require
clinical judgment, such as ambulating a stable post-operative client. Feeding a client with
dysphagia, performing assessments, and teaching all require the skills of a licensed nurse.
3. A nurse is caring for a group of clients. Which client should the nurse assess first?
A. A client with chronic obstructive pulmonary disease (COPD) with a pulse oximetry
reading of 90%.
B. A client who is 2 hours post-laparoscopic cholecystectomy reporting shoulder pain.
C. A client with a deep vein thrombosis (DVT) reporting sudden shortness of breath and
chest pain.
D. A client with diabetes mellitus who has a pre-meal blood glucose of 140 mg/dL.
Answer: C
Conceptual Explanation: Sudden shortness of breath and chest pain in a client with DVT
are signs of a pulmonary embolism, which is a life-threatening emergency
(Circulation/Airway priority).
, 4. A nurse manager uses a leadership style that focuses on the daily operations and uses
rewards to motivate employees. Which leadership style is being demonstrated?
A. Transformational
B. Democratic
C. Laissez-faire
D. Transactional
Answer: D
Conceptual Explanation: Transactional leadership focuses on management tasks, day-to-
day operations, and uses a system of rewards and punishments to influence performance.
5. During a staff meeting, two nurses disagree on the process for wound care. The manager
tells them, ‘I don’t want to hear about it; just get it done however you want.’ Which conflict
management strategy is the manager using?
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: C
Conceptual Explanation: Avoiding is a passive response where the manager refuses to
acknowledge the conflict or take a stand, leaving the issue unresolved.
MANAGEMENT IN NURSING
COMPREHENSIVE EXAM QUESTIONS
WITH VERIFIED ANSWERS 2026/2027
1. A nurse manager is implementing a new electronic health record system. According to
Lewin’s Change Theory, which action represents the ‘unfreezing’ stage?
A. Providing training sessions for all staff members on the new software.
B. Sharing data regarding the high rate of medication errors associated with the current
paper system.
C. Evaluating the effectiveness of the system three months after implementation.
D. Updating the unit’s policy and procedure manual to reflect the new system.
Answer: B
Conceptual Explanation: The unfreezing stage involves creating the motivation for
change by helping individuals realize that the current status quo is no longer effective.
Sharing data about errors highlights the need for change.
2. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
most appropriate to delegate?
A. Teaching a client how to use an incentive spirometer.
,B. Feeding a client who was just admitted with a diagnosis of dysphagia following a stroke.
C. Performing an initial skin assessment on a client admitted for pressure injuries.
D. Assisting a client who is 24 hours post-operative from a total hip replacement to
ambulate.
Answer: D
Conceptual Explanation: UAPs can perform tasks that are routine and do not require
clinical judgment, such as ambulating a stable post-operative client. Feeding a client with
dysphagia, performing assessments, and teaching all require the skills of a licensed nurse.
3. A nurse is caring for a group of clients. Which client should the nurse assess first?
A. A client with chronic obstructive pulmonary disease (COPD) with a pulse oximetry
reading of 90%.
B. A client who is 2 hours post-laparoscopic cholecystectomy reporting shoulder pain.
C. A client with a deep vein thrombosis (DVT) reporting sudden shortness of breath and
chest pain.
D. A client with diabetes mellitus who has a pre-meal blood glucose of 140 mg/dL.
Answer: C
Conceptual Explanation: Sudden shortness of breath and chest pain in a client with DVT
are signs of a pulmonary embolism, which is a life-threatening emergency
(Circulation/Airway priority).
, 4. A nurse manager uses a leadership style that focuses on the daily operations and uses
rewards to motivate employees. Which leadership style is being demonstrated?
A. Transformational
B. Democratic
C. Laissez-faire
D. Transactional
Answer: D
Conceptual Explanation: Transactional leadership focuses on management tasks, day-to-
day operations, and uses a system of rewards and punishments to influence performance.
5. During a staff meeting, two nurses disagree on the process for wound care. The manager
tells them, ‘I don’t want to hear about it; just get it done however you want.’ Which conflict
management strategy is the manager using?
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: C
Conceptual Explanation: Avoiding is a passive response where the manager refuses to
acknowledge the conflict or take a stand, leaving the issue unresolved.
