NUR 426 NURSING LEADERSHIP AND
MANAGEMENT MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS
2026/2027
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. Training staff on the technical aspects of the new software.
B. Setting a date for the official go-live of the system.
C. Auditing charts to ensure the new system is being used correctly.
D. Creating dissatisfaction with the current paper-based charting to motivate change.
Answer: D
Conceptual Explanation: In Lewin’s Change Theory, ‘Unfreezing’ involves creating
awareness of the need for change and overcoming resistance by showing that the current
method is ineffective.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate to delegate to the LPN?
A. Assessing a newly admitted patient with chest pain.
B. Assisting a patient with ambulation for the first time post-surgery.
,C. Developing the initial nursing care plan for a diabetic patient.
D. Administering a scheduled intramuscular injection to a stable patient.
Answer: D
Conceptual Explanation: LPNs can perform technical skills and administer medications to
stable patients. Assessment, planning care, and initial teaching/ambulation (high risk) are
RN responsibilities.
3. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the group, often used in emergency situations?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: C
Conceptual Explanation: Autocratic (or Authoritarian) leadership involves centralized
decision-making and is most effective in crises where quick action is required.
4. A nurse is faced with an ethical dilemma where the family wants to withhold a terminal
diagnosis from the patient. The nurse believes the patient has the right to know. Which
ethical principle is the nurse advocating for?
A. Beneficence
, B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
to make informed decisions about their own medical care.
5. Which component of professional negligence is defined as the nurse’s failure to meet the
established standard of care?
A. Breach of duty
B. Duty to use due care
C. Causation
D. Injury or damages
Answer: A
Conceptual Explanation: Breach of duty occurs when the nurse’s conduct falls below the
standard of care that a reasonably prudent nurse would provide in similar circumstances.
6. A nurse manager is preparing the annual budget and needs to request a new $50,000
telemetry monitoring system. Under which budget category does this fall?
A. Operating budget
B. Capital budget
MANAGEMENT MIDTERM EXAM
QUESTIONS WITH VERIFIED ANSWERS
2026/2027
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. Training staff on the technical aspects of the new software.
B. Setting a date for the official go-live of the system.
C. Auditing charts to ensure the new system is being used correctly.
D. Creating dissatisfaction with the current paper-based charting to motivate change.
Answer: D
Conceptual Explanation: In Lewin’s Change Theory, ‘Unfreezing’ involves creating
awareness of the need for change and overcoming resistance by showing that the current
method is ineffective.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate to delegate to the LPN?
A. Assessing a newly admitted patient with chest pain.
B. Assisting a patient with ambulation for the first time post-surgery.
,C. Developing the initial nursing care plan for a diabetic patient.
D. Administering a scheduled intramuscular injection to a stable patient.
Answer: D
Conceptual Explanation: LPNs can perform technical skills and administer medications to
stable patients. Assessment, planning care, and initial teaching/ambulation (high risk) are
RN responsibilities.
3. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the group, often used in emergency situations?
A. Democratic
B. Laissez-faire
C. Autocratic
D. Transactional
Answer: C
Conceptual Explanation: Autocratic (or Authoritarian) leadership involves centralized
decision-making and is most effective in crises where quick action is required.
4. A nurse is faced with an ethical dilemma where the family wants to withhold a terminal
diagnosis from the patient. The nurse believes the patient has the right to know. Which
ethical principle is the nurse advocating for?
A. Beneficence
, B. Justice
C. Autonomy
D. Non-maleficence
Answer: C
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
to make informed decisions about their own medical care.
5. Which component of professional negligence is defined as the nurse’s failure to meet the
established standard of care?
A. Breach of duty
B. Duty to use due care
C. Causation
D. Injury or damages
Answer: A
Conceptual Explanation: Breach of duty occurs when the nurse’s conduct falls below the
standard of care that a reasonably prudent nurse would provide in similar circumstances.
6. A nurse manager is preparing the annual budget and needs to request a new $50,000
telemetry monitoring system. Under which budget category does this fall?
A. Operating budget
B. Capital budget
