Maryville NR 449 Nursing Leadership
& Management Final Exam With
Actual 120 Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/ 2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse manager is developing a staffing plan for the unit. Which of the following
should the manager consider first?
a. Staff requests for vacation time
b. Patient acuity levels
c. Budget constraints
d. Seniority of staff
b. Patient acuity levels
Rationale: Patient care needs and acuity must be prioritized to ensure safe staffing.
Vacation and budget are considered after patient safety is addressed.
2. Which leadership style emphasizes group decision-making and collaboration?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Transformational
b. Democratic
Rationale: Democratic leaders encourage participation and collaboration in
decision-making, unlike autocratic or laissez-faire styles.
3. A charge nurse notices conflict between two staff nurses. Which is the best first
action?
a. Report both nurses to administration
b. Ask each nurse to explain their side separately
c. Encourage open communication between the nurses
, d. Reassign one nurse to another unit
c. Encourage open communication between the nurses
Rationale: Conflict resolution starts with communication and problem-solving at
the lowest level before escalating.
4. A new graduate nurse expresses anxiety about caring for multiple patients. Which
action by the preceptor is most appropriate?
a. Assign the nurse the easiest patient assignment
b. Review prioritization and time management strategies
c. Report the nurse to administration
d. Ignore the concern and encourage independence
b. Review prioritization and time management strategies
Rationale: Supporting new nurses through education and guidance promotes
growth and confidence without avoiding responsibilities.
5. Which of the following is a priority ethical principle in nursing leadership?
a. Veracity
b. Autonomy
c. Justice
d. Beneficence
d. Beneficence
Rationale: Beneficence, or acting in the best interest of the patient, is a guiding
principle in ethical nursing leadership.
6. A nurse manager is using transformational leadership. Which behavior is expected?
a. Provides strict rules with little flexibility
b. Inspires and motivates staff toward a shared vision
c. Avoids decision-making and lets staff work independently
d. Focuses only on short-term goals
b. Inspires and motivates staff toward a shared vision
Rationale: Transformational leaders engage and motivate staff by fostering
innovation and shared goals.
7. Which of the following is an example of effective delegation by a registered nurse?
a. Assigning an LPN to administer IV chemotherapy
b. Assigning a CNA to assist a patient with ambulation
c. Assigning a student nurse to assess a new admission independently
d. Assigning an LPN to create a plan of care
b. Assigning a CNA to assist a patient with ambulation
Rationale: Delegation requires assigning tasks within the scope of practice;
ambulation is appropriate for a CNA.
, 8. A nurse leader is planning a change in policy. According to Lewin’s change theory,
what is the first step?
a. Refreezing
b. Implementing the change
c. Unfreezing
d. Evaluation
c. Unfreezing
Rationale: Unfreezing involves preparing staff for change by recognizing the need
and reducing resistance.
9. Which of the following is considered a sentinel event?
a. Medication error that causes minor nausea
b. Patient fall with no injury
c. Surgery on the wrong body part
d. Delay in administering a scheduled dose
c. Surgery on the wrong body part
Rationale: Sentinel events are unexpected events causing serious injury or risk,
requiring immediate investigation.
10. A nurse manager wants to motivate staff through recognition and rewards. This
reflects which theory of motivation?
a. Maslow’s hierarchy of needs
b. Herzberg’s two-factor theory
c. Lewin’s change theory
d. Watson’s caring theory
b. Herzberg’s two-factor theory
Rationale: Herzberg’s theory emphasizes motivation through recognition,
achievement, and job satisfaction.
11. A nurse manager is evaluating team performance and notices frequent missed
assignments. Which strategy should be implemented first?
a. Increase penalties for errors
b. Provide education and clarify expectations
c. Replace underperforming staff
d. Reduce patient assignments
b. Provide education and clarify expectations
Rationale: Addressing knowledge gaps and clarifying responsibilities improves
performance before punitive measures are taken.
12. Which communication technique is most effective for conflict resolution?
a. Passive listening
b. Active listening
c. Avoiding the conflict
& Management Final Exam With
Actual 120 Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass Graded
A+/ 2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse manager is developing a staffing plan for the unit. Which of the following
should the manager consider first?
a. Staff requests for vacation time
b. Patient acuity levels
c. Budget constraints
d. Seniority of staff
b. Patient acuity levels
Rationale: Patient care needs and acuity must be prioritized to ensure safe staffing.
Vacation and budget are considered after patient safety is addressed.
2. Which leadership style emphasizes group decision-making and collaboration?
a. Autocratic
b. Democratic
c. Laissez-faire
d. Transformational
b. Democratic
Rationale: Democratic leaders encourage participation and collaboration in
decision-making, unlike autocratic or laissez-faire styles.
3. A charge nurse notices conflict between two staff nurses. Which is the best first
action?
a. Report both nurses to administration
b. Ask each nurse to explain their side separately
c. Encourage open communication between the nurses
, d. Reassign one nurse to another unit
c. Encourage open communication between the nurses
Rationale: Conflict resolution starts with communication and problem-solving at
the lowest level before escalating.
4. A new graduate nurse expresses anxiety about caring for multiple patients. Which
action by the preceptor is most appropriate?
a. Assign the nurse the easiest patient assignment
b. Review prioritization and time management strategies
c. Report the nurse to administration
d. Ignore the concern and encourage independence
b. Review prioritization and time management strategies
Rationale: Supporting new nurses through education and guidance promotes
growth and confidence without avoiding responsibilities.
5. Which of the following is a priority ethical principle in nursing leadership?
a. Veracity
b. Autonomy
c. Justice
d. Beneficence
d. Beneficence
Rationale: Beneficence, or acting in the best interest of the patient, is a guiding
principle in ethical nursing leadership.
6. A nurse manager is using transformational leadership. Which behavior is expected?
a. Provides strict rules with little flexibility
b. Inspires and motivates staff toward a shared vision
c. Avoids decision-making and lets staff work independently
d. Focuses only on short-term goals
b. Inspires and motivates staff toward a shared vision
Rationale: Transformational leaders engage and motivate staff by fostering
innovation and shared goals.
7. Which of the following is an example of effective delegation by a registered nurse?
a. Assigning an LPN to administer IV chemotherapy
b. Assigning a CNA to assist a patient with ambulation
c. Assigning a student nurse to assess a new admission independently
d. Assigning an LPN to create a plan of care
b. Assigning a CNA to assist a patient with ambulation
Rationale: Delegation requires assigning tasks within the scope of practice;
ambulation is appropriate for a CNA.
, 8. A nurse leader is planning a change in policy. According to Lewin’s change theory,
what is the first step?
a. Refreezing
b. Implementing the change
c. Unfreezing
d. Evaluation
c. Unfreezing
Rationale: Unfreezing involves preparing staff for change by recognizing the need
and reducing resistance.
9. Which of the following is considered a sentinel event?
a. Medication error that causes minor nausea
b. Patient fall with no injury
c. Surgery on the wrong body part
d. Delay in administering a scheduled dose
c. Surgery on the wrong body part
Rationale: Sentinel events are unexpected events causing serious injury or risk,
requiring immediate investigation.
10. A nurse manager wants to motivate staff through recognition and rewards. This
reflects which theory of motivation?
a. Maslow’s hierarchy of needs
b. Herzberg’s two-factor theory
c. Lewin’s change theory
d. Watson’s caring theory
b. Herzberg’s two-factor theory
Rationale: Herzberg’s theory emphasizes motivation through recognition,
achievement, and job satisfaction.
11. A nurse manager is evaluating team performance and notices frequent missed
assignments. Which strategy should be implemented first?
a. Increase penalties for errors
b. Provide education and clarify expectations
c. Replace underperforming staff
d. Reduce patient assignments
b. Provide education and clarify expectations
Rationale: Addressing knowledge gaps and clarifying responsibilities improves
performance before punitive measures are taken.
12. Which communication technique is most effective for conflict resolution?
a. Passive listening
b. Active listening
c. Avoiding the conflict
