NURS 450 Exam 2026/2027 | Practice Questions and Answers, Test
Bank and Exam Review
System Theory - Ans✅✅✅ organizations evolve in positive ways
Chaos Theory - Ans✅✅✅ change is not orderly (and often disruptive)
Leadership - Ans✅✅✅ the ability to inspire others to achieve a desired outcome
Management - Ans✅✅✅ the process of planning, organizing, directing, and coordinating the work
within an organization
Formal Leaders - Ans✅✅✅ specific role responsibility related to the position one holds
Informal Leaders - Ans✅✅✅ not explicit or official; based on personal power or credibility in the eyes
of others
Following - Ans✅✅✅ active, creative role to support, influence, and complement leader
Chain of Command - Ans✅✅✅ Hierarchy of authority within an organization
Should be used for flow of communication and delegation
Laissez-faire - Ans✅✅✅ • Permissive/passive
• Low control
Democratic - Ans✅✅✅ •Supportive/participatory
• Moderate control
,Authoritative - Ans✅✅✅ • Dictator/paternalistic
• High control
Transactional Leaders - Ans✅✅✅ •Focus on immediate problems
•Maintain the status quo by performing work according to policy and procedures
•Rely on formal authority to reward or punish --> motivation for followers
Transformational Leaders - Ans✅✅✅ • Goes beyond transactions to inspire and motivate followers
• Empowers and inspires followers to achieve common long-term vision
• Appeal to higher values rather than individual self-interests
3 ANA LEADERSHIP COMPETECIES - Ans✅✅✅ 1. Leading yourself
2. Leading others
3. Leading the organization
Too narrow a functional orientation - Ans✅✅✅ Lacks depth to manage outside one's current
function
4 PARTS OF EMOTIONAL INTELLIGENCE FRAMEWORK - Ans✅✅✅ Self-Awareness
Self-Regulation
Social Awareness
Social Skills
A group of emergency room (ER) nurses are asked to develop an action plan to improve the time before
patients who present with chest pain receive an ECG. Which of the following would NOT be helpful
when working on a quality improvement (QI) effort like this? - Ans✅✅✅ Identify whose fault it is that
results are not very good.
, Which one of the following is an example of a Never Event? - Ans✅✅✅ Stage IV hospital-acquired
pressure ulcer
What is a common cause of errors within healthcare settings? - Ans✅✅✅ Communication problems
between caregivers
Which of the following is the best motivator for improving patient safety and quality of care? -
Ans✅✅✅ Public reporting of performance
Which of the following is NOT expected to be found in a high reliability organization (HRO)? -
Ans✅✅✅ Financial performance is negatively impacted
Leadership plays an important role in creating a high reliability organization (HRO). Which of the
following statements demonstrates the best understanding of the role of leadership in an HRO? -
Ans✅✅✅ Leaders are accountable for the provision of effective and efficient care while protecting
the safety of patients, employees, and visitors.
Which of the following methods are helpful for assessing the culture of an high-reliability organization
(HRO)?
SELECT ALL THAT APPLY - Ans✅✅✅ Observe the behaviors of employees when they think no one is
watching to determine if they are adhering to the policies and expectations of the organization.
Review safety event reports, including near miss, precursor, and serious safety events.
Use a standard tool to assess the patient safety of the organization.
A patient falls and experiences a severe injury. In a culture of safety, what consequences might the
assigned nurse, who never had a patient experience an injury before, reasonably anticipate? -
Ans✅✅✅ Meeting with the risk manager
The nurse administers the wrong dose of heparin to a patient. This is classified as which of the
following? - Ans✅✅✅ Adverse event
Bank and Exam Review
System Theory - Ans✅✅✅ organizations evolve in positive ways
Chaos Theory - Ans✅✅✅ change is not orderly (and often disruptive)
Leadership - Ans✅✅✅ the ability to inspire others to achieve a desired outcome
Management - Ans✅✅✅ the process of planning, organizing, directing, and coordinating the work
within an organization
Formal Leaders - Ans✅✅✅ specific role responsibility related to the position one holds
Informal Leaders - Ans✅✅✅ not explicit or official; based on personal power or credibility in the eyes
of others
Following - Ans✅✅✅ active, creative role to support, influence, and complement leader
Chain of Command - Ans✅✅✅ Hierarchy of authority within an organization
Should be used for flow of communication and delegation
Laissez-faire - Ans✅✅✅ • Permissive/passive
• Low control
Democratic - Ans✅✅✅ •Supportive/participatory
• Moderate control
,Authoritative - Ans✅✅✅ • Dictator/paternalistic
• High control
Transactional Leaders - Ans✅✅✅ •Focus on immediate problems
•Maintain the status quo by performing work according to policy and procedures
•Rely on formal authority to reward or punish --> motivation for followers
Transformational Leaders - Ans✅✅✅ • Goes beyond transactions to inspire and motivate followers
• Empowers and inspires followers to achieve common long-term vision
• Appeal to higher values rather than individual self-interests
3 ANA LEADERSHIP COMPETECIES - Ans✅✅✅ 1. Leading yourself
2. Leading others
3. Leading the organization
Too narrow a functional orientation - Ans✅✅✅ Lacks depth to manage outside one's current
function
4 PARTS OF EMOTIONAL INTELLIGENCE FRAMEWORK - Ans✅✅✅ Self-Awareness
Self-Regulation
Social Awareness
Social Skills
A group of emergency room (ER) nurses are asked to develop an action plan to improve the time before
patients who present with chest pain receive an ECG. Which of the following would NOT be helpful
when working on a quality improvement (QI) effort like this? - Ans✅✅✅ Identify whose fault it is that
results are not very good.
, Which one of the following is an example of a Never Event? - Ans✅✅✅ Stage IV hospital-acquired
pressure ulcer
What is a common cause of errors within healthcare settings? - Ans✅✅✅ Communication problems
between caregivers
Which of the following is the best motivator for improving patient safety and quality of care? -
Ans✅✅✅ Public reporting of performance
Which of the following is NOT expected to be found in a high reliability organization (HRO)? -
Ans✅✅✅ Financial performance is negatively impacted
Leadership plays an important role in creating a high reliability organization (HRO). Which of the
following statements demonstrates the best understanding of the role of leadership in an HRO? -
Ans✅✅✅ Leaders are accountable for the provision of effective and efficient care while protecting
the safety of patients, employees, and visitors.
Which of the following methods are helpful for assessing the culture of an high-reliability organization
(HRO)?
SELECT ALL THAT APPLY - Ans✅✅✅ Observe the behaviors of employees when they think no one is
watching to determine if they are adhering to the policies and expectations of the organization.
Review safety event reports, including near miss, precursor, and serious safety events.
Use a standard tool to assess the patient safety of the organization.
A patient falls and experiences a severe injury. In a culture of safety, what consequences might the
assigned nurse, who never had a patient experience an injury before, reasonably anticipate? -
Ans✅✅✅ Meeting with the risk manager
The nurse administers the wrong dose of heparin to a patient. This is classified as which of the
following? - Ans✅✅✅ Adverse event
