Maryville NR 449 Nursing Leadership
& Management Exam 2 With Actual
120 Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. Which leadership style is characterized by involving staff in decision-making and
encouraging participation?
a. Autocratic
b. Laissez-faire
c. Transformational
d. Democratic
Answer: d. Democratic
Democratic leaders include team members in decision-making, fostering
collaboration and job satisfaction.
2. A nurse manager is reviewing incident reports. Which of the following is a priority?
a. A patient falls in the hallway
b. A visitor complains about food service
c. Supplies are missing from a cart
d. Staff tardiness
Answer: a. A patient falls in the hallway
Patient safety incidents are always the highest priority and must be addressed
immediately.
3. Which ethical principle is applied when a nurse respects a patient’s decision to refuse
treatment?
a. Justice
b. Autonomy
c. Fidelity
, d. Beneficence
Answer: b. Autonomy
Autonomy means respecting a patient’s right to make their own healthcare decisions.
4. A charge nurse delegates tasks to a nursing assistant. Which task is appropriate?
a. Administering oral medications
b. Teaching about wound care
c. Feeding a stable patient
d. Interpreting lab results
Answer: c. Feeding a stable patient
Unlicensed assistive personnel can perform basic care tasks like feeding, but not
medication administration, teaching, or interpretation.
5. A nurse manager uses benchmarking. What does this process involve?
a. Comparing current practices with the best in the industry
b. Delegating tasks to improve workflow
c. Monitoring staff attendance records
d. Developing a disaster plan
Answer: a. Comparing current practices with the best in the industry
Benchmarking identifies gaps in quality by comparing organizational outcomes to
industry standards.
6. Which conflict management style focuses on finding a win-win solution?
a. Avoidance
b. Compromise
c. Collaboration
d. Competition
Answer: c. Collaboration
Collaboration seeks mutually beneficial solutions, supporting teamwork and
relationships.
7. A nurse leader demonstrates transformational leadership by:
a. Giving orders without input
b. Motivating staff with a shared vision
c. Avoiding involvement in staff concerns
d. Relying only on policies for guidance
Answer: b. Motivating staff with a shared vision
Transformational leaders inspire and motivate staff to work toward common goals.
8. Which of the following should the nurse manager do first during change
implementation?
a. Communicate the vision for change
b. Evaluate staff performance
, c. Modify policies
d. Train staff
Answer: a. Communicate the vision for change
Clearly communicating the vision builds understanding and buy-in, which is essential
at the start of change.
9. The nurse leader is using Lewin’s change theory. What is the first stage?
a. Moving
b. Freezing
c. Refreezing
d. Unfreezing
Answer: d. Unfreezing
The unfreezing stage prepares staff for change by identifying need and decreasing
resistance.
10. Which of the following is a sentinel event?
a. Medication administered late
b. Patient injury from a fall resulting in death
c. Missed patient teaching session
d. Delay in meal delivery
Answer: b. Patient injury from a fall resulting in death
A sentinel event is a serious, unexpected occurrence leading to death or severe harm.
11. A nurse manager is addressing staff resistance to change. Which action is most
effective?
a. Ignoring staff concerns
b. Encouraging open communication
c. Threatening job reassignment
d. Enforcing strict compliance
Answer: b. Encouraging open communication
Active listening and addressing concerns helps reduce resistance to change.
12. A nurse reports suspected chemical impairment in a colleague. Which responsibility
applies?
a. Confront the colleague privately
b. Report findings to the nurse manager
c. Document in the colleague’s file
d. Ignore unless harm occurs
Answer: b. Report findings to the nurse manager
Nurses have a duty to report suspected impairment to ensure patient safety.
& Management Exam 2 With Actual
120 Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. Which leadership style is characterized by involving staff in decision-making and
encouraging participation?
a. Autocratic
b. Laissez-faire
c. Transformational
d. Democratic
Answer: d. Democratic
Democratic leaders include team members in decision-making, fostering
collaboration and job satisfaction.
2. A nurse manager is reviewing incident reports. Which of the following is a priority?
a. A patient falls in the hallway
b. A visitor complains about food service
c. Supplies are missing from a cart
d. Staff tardiness
Answer: a. A patient falls in the hallway
Patient safety incidents are always the highest priority and must be addressed
immediately.
3. Which ethical principle is applied when a nurse respects a patient’s decision to refuse
treatment?
a. Justice
b. Autonomy
c. Fidelity
, d. Beneficence
Answer: b. Autonomy
Autonomy means respecting a patient’s right to make their own healthcare decisions.
4. A charge nurse delegates tasks to a nursing assistant. Which task is appropriate?
a. Administering oral medications
b. Teaching about wound care
c. Feeding a stable patient
d. Interpreting lab results
Answer: c. Feeding a stable patient
Unlicensed assistive personnel can perform basic care tasks like feeding, but not
medication administration, teaching, or interpretation.
5. A nurse manager uses benchmarking. What does this process involve?
a. Comparing current practices with the best in the industry
b. Delegating tasks to improve workflow
c. Monitoring staff attendance records
d. Developing a disaster plan
Answer: a. Comparing current practices with the best in the industry
Benchmarking identifies gaps in quality by comparing organizational outcomes to
industry standards.
6. Which conflict management style focuses on finding a win-win solution?
a. Avoidance
b. Compromise
c. Collaboration
d. Competition
Answer: c. Collaboration
Collaboration seeks mutually beneficial solutions, supporting teamwork and
relationships.
7. A nurse leader demonstrates transformational leadership by:
a. Giving orders without input
b. Motivating staff with a shared vision
c. Avoiding involvement in staff concerns
d. Relying only on policies for guidance
Answer: b. Motivating staff with a shared vision
Transformational leaders inspire and motivate staff to work toward common goals.
8. Which of the following should the nurse manager do first during change
implementation?
a. Communicate the vision for change
b. Evaluate staff performance
, c. Modify policies
d. Train staff
Answer: a. Communicate the vision for change
Clearly communicating the vision builds understanding and buy-in, which is essential
at the start of change.
9. The nurse leader is using Lewin’s change theory. What is the first stage?
a. Moving
b. Freezing
c. Refreezing
d. Unfreezing
Answer: d. Unfreezing
The unfreezing stage prepares staff for change by identifying need and decreasing
resistance.
10. Which of the following is a sentinel event?
a. Medication administered late
b. Patient injury from a fall resulting in death
c. Missed patient teaching session
d. Delay in meal delivery
Answer: b. Patient injury from a fall resulting in death
A sentinel event is a serious, unexpected occurrence leading to death or severe harm.
11. A nurse manager is addressing staff resistance to change. Which action is most
effective?
a. Ignoring staff concerns
b. Encouraging open communication
c. Threatening job reassignment
d. Enforcing strict compliance
Answer: b. Encouraging open communication
Active listening and addressing concerns helps reduce resistance to change.
12. A nurse reports suspected chemical impairment in a colleague. Which responsibility
applies?
a. Confront the colleague privately
b. Report findings to the nurse manager
c. Document in the colleague’s file
d. Ignore unless harm occurs
Answer: b. Report findings to the nurse manager
Nurses have a duty to report suspected impairment to ensure patient safety.
