GALEN NUR 282
Exam 1 Leadership &
Nursing Management Practice Set
75 Original Questions with Detailed Rationales
2026/2027 EDITION
Foundations • leadership styles • power • structures • communication • teams • conflict
Unofficial, independent educational practice. Not affiliated with or endorsed by Galen College of Nursing, ATI, NCSBN, NCLEX, or any instructor. Course
sequencing and exam emphasis may vary by campus and instructor.
, How to Use This Practice Set
Complete the questions without viewing the answer panels. Mark confidence as High, Medium, or Low, then review every
rationale - including items answered correctly. Build a remediation list by domain and retest missed concepts after 24-48 hours.
Domain Questions Primary skill
Foundations of leadership and management 1-10 Roles, functions, systems thinking
Leadership styles and emotional intelligence 11-22 Style selection and adaptation
Power and influence 23-32 Power bases and ethical influence
Structures and shared governance 33-42 Authority, policy, workflow
Communication and handoffs 43-54 SBAR, closed loop, escalation
Teams, conflict, and feedback 55-67 Team stages and resolution
Integrated application 68-75 Combined leadership judgment
Suggested benchmark: 64-75 = strong readiness; 53-63 = targeted review; 0-52 = rebuild foundations and retest. This is a
study benchmark, not an official course cut score.
Priority reasoning sequence: identify the goal or risk; distinguish leadership from management; determine whether urgency
requires direction or participation; match authority with accountability; choose the most specific, respectful, system-aware action.
NUR 282 | Exam 1 Leadership & Management Practice Set Page 2
, 1. A nurse manager develops the monthly schedule, monitors overtime, and reviews fall data. Which
management functions are most evident?
A. Research and advocacy
B. Credentialing and licensure
C. Staffing and controlling
D. Leading and counseling only
Correct answer: C. Staffing and controlling
Rationale: Staffing includes matching personnel to anticipated care needs, while controlling compares results with standards and
prompts correction. The activities are operational management responsibilities even though leadership skills may support them.
2. Which action best demonstrates leadership by a staff nurse who has no formal title?
A. Organizing peers to test a safer bedside-handoff process
B. Completing only assigned tasks
C. Changing unit policy independently
D. Giving formal discipline to a coworker
Correct answer: A. Organizing peers to test a safer bedside-handoff process
Rationale: Leadership is influence toward a shared goal and can occur without positional authority. The staff nurse may champion
improvement, but policy changes and discipline require appropriate organizational authority.
3. A unit meets every task deadline, but staff do not understand why a major change matters. What is most
missing?
A. A larger span of control
B. More coercive power
C. A shared vision that connects the work to purpose
D. A stricter dress code
Correct answer: C. A shared vision that connects the work to purpose
Rationale: Management can produce task completion, while leadership creates direction and commitment. Explaining purpose helps
staff see how the change benefits patients and the team.
NUR 282 | Exam 1 Leadership & Management Practice Set Page 3
, 4. Which statement correctly distinguishes responsibility from accountability?
A. A delegated team member performs the task, while the RN remains accountable for the delegation decision
B. Responsibility and accountability always mean the same thing
C. The RN transfers all accountability with the task
D. Only managers can be accountable for nursing care
Correct answer: A. A delegated team member performs the task, while the RN remains accountable for the delegation
decision
Rationale: Responsibility concerns performing an activity; accountability concerns answerability for decisions and outcomes. A
delegatee is responsible for accepted work, while the RN remains accountable for choosing, directing, supervising, and evaluating the
delegation.
5. A manager responds to repeated late medications by first examining workload, interruptions, pharmacy
delivery, and electronic alerts. Which concept is being used?
A. Coercive control
B. Personal blame
C. Trait theory
D. Systems thinking
Correct answer: D. Systems thinking
Rationale: Systems thinking examines interactions among people, processes, technology, and environment. It avoids assuming that
one person is the sole cause before workflow contributors are understood.
6. Which outcome best shows effective management rather than activity alone?
A. The manager holds five meetings
B. Staff receive more email reminders
C. Medication reconciliation reliability improves from 78% to 96% for three months
D. A new memo is posted
Correct answer: C. Medication reconciliation reliability improves from 78% to 96% for three months
Rationale: Management effectiveness is judged by measurable, sustained results. Meetings and reminders are interventions, not
evidence that the process or outcome improved.
NUR 282 | Exam 1 Leadership & Management Practice Set Page 4
Exam 1 Leadership &
Nursing Management Practice Set
75 Original Questions with Detailed Rationales
2026/2027 EDITION
Foundations • leadership styles • power • structures • communication • teams • conflict
Unofficial, independent educational practice. Not affiliated with or endorsed by Galen College of Nursing, ATI, NCSBN, NCLEX, or any instructor. Course
sequencing and exam emphasis may vary by campus and instructor.
, How to Use This Practice Set
Complete the questions without viewing the answer panels. Mark confidence as High, Medium, or Low, then review every
rationale - including items answered correctly. Build a remediation list by domain and retest missed concepts after 24-48 hours.
Domain Questions Primary skill
Foundations of leadership and management 1-10 Roles, functions, systems thinking
Leadership styles and emotional intelligence 11-22 Style selection and adaptation
Power and influence 23-32 Power bases and ethical influence
Structures and shared governance 33-42 Authority, policy, workflow
Communication and handoffs 43-54 SBAR, closed loop, escalation
Teams, conflict, and feedback 55-67 Team stages and resolution
Integrated application 68-75 Combined leadership judgment
Suggested benchmark: 64-75 = strong readiness; 53-63 = targeted review; 0-52 = rebuild foundations and retest. This is a
study benchmark, not an official course cut score.
Priority reasoning sequence: identify the goal or risk; distinguish leadership from management; determine whether urgency
requires direction or participation; match authority with accountability; choose the most specific, respectful, system-aware action.
NUR 282 | Exam 1 Leadership & Management Practice Set Page 2
, 1. A nurse manager develops the monthly schedule, monitors overtime, and reviews fall data. Which
management functions are most evident?
A. Research and advocacy
B. Credentialing and licensure
C. Staffing and controlling
D. Leading and counseling only
Correct answer: C. Staffing and controlling
Rationale: Staffing includes matching personnel to anticipated care needs, while controlling compares results with standards and
prompts correction. The activities are operational management responsibilities even though leadership skills may support them.
2. Which action best demonstrates leadership by a staff nurse who has no formal title?
A. Organizing peers to test a safer bedside-handoff process
B. Completing only assigned tasks
C. Changing unit policy independently
D. Giving formal discipline to a coworker
Correct answer: A. Organizing peers to test a safer bedside-handoff process
Rationale: Leadership is influence toward a shared goal and can occur without positional authority. The staff nurse may champion
improvement, but policy changes and discipline require appropriate organizational authority.
3. A unit meets every task deadline, but staff do not understand why a major change matters. What is most
missing?
A. A larger span of control
B. More coercive power
C. A shared vision that connects the work to purpose
D. A stricter dress code
Correct answer: C. A shared vision that connects the work to purpose
Rationale: Management can produce task completion, while leadership creates direction and commitment. Explaining purpose helps
staff see how the change benefits patients and the team.
NUR 282 | Exam 1 Leadership & Management Practice Set Page 3
, 4. Which statement correctly distinguishes responsibility from accountability?
A. A delegated team member performs the task, while the RN remains accountable for the delegation decision
B. Responsibility and accountability always mean the same thing
C. The RN transfers all accountability with the task
D. Only managers can be accountable for nursing care
Correct answer: A. A delegated team member performs the task, while the RN remains accountable for the delegation
decision
Rationale: Responsibility concerns performing an activity; accountability concerns answerability for decisions and outcomes. A
delegatee is responsible for accepted work, while the RN remains accountable for choosing, directing, supervising, and evaluating the
delegation.
5. A manager responds to repeated late medications by first examining workload, interruptions, pharmacy
delivery, and electronic alerts. Which concept is being used?
A. Coercive control
B. Personal blame
C. Trait theory
D. Systems thinking
Correct answer: D. Systems thinking
Rationale: Systems thinking examines interactions among people, processes, technology, and environment. It avoids assuming that
one person is the sole cause before workflow contributors are understood.
6. Which outcome best shows effective management rather than activity alone?
A. The manager holds five meetings
B. Staff receive more email reminders
C. Medication reconciliation reliability improves from 78% to 96% for three months
D. A new memo is posted
Correct answer: C. Medication reconciliation reliability improves from 78% to 96% for three months
Rationale: Management effectiveness is judged by measurable, sustained results. Meetings and reminders are interventions, not
evidence that the process or outcome improved.
NUR 282 | Exam 1 Leadership & Management Practice Set Page 4
