✅ Leadership & Nursing Care Management – 200 Practice
Questions (with Answers)
All questions are original and educational. Mix of NCLEX-style multiple choice + scenario
questions.
📘 SECTION 1 — Leadership Foundations (1–25)
1. A nurse manager who uses democratic leadership primarily does which of the
following?
A. Makes decisions alone
B. Encourages staff participation
C. Avoids staff input to prevent conflict
D. Delegates without supervision
Answer: B
2. Transformational leaders are best known for:
A. Maintaining stability during crises
B. Motivating staff by creating a shared vision
C. Enforcing rules through strict control
D. Minimizing communication
Answer: B
3. A charge nurse who focuses on day-to-day operations is demonstrating:
A. Transactional leadership
B. Transformational leadership
C. Laissez-faire leadership
D. Servant leadership
Answer: A
4. The most effective leadership style during a true emergency is:
A. Autocratic
B. Democratic
C. Laissez-faire
D. Participative
Answer: A
5. Servant leaders primarily emphasize:
A. Organizational profit
,B. Meeting team members’ needs
C. Maintaining authoritarian control
D. Limiting communication
Answer: B
6. Which of the following is a key trait of an effective nurse leader?
A. Avoiding delegation
B. Emotional intelligence
C. Micromanagement
D. Inflexibility
Answer: B
7. According to situational leadership theory, the leader should:
A. Use the same style consistently
B. Adapt leadership style to the task and staff readiness
C. Delegate everything to experienced staff
D. Avoid adjusting to team needs
Answer: B
8. A nurse manager encouraging staff to challenge old routines is using:
A. Passive leadership
B. Transactional leadership
C. Transformational leadership
D. Bureaucratic leadership
Answer: C
9. A new nurse manager who relies heavily on policies and rules is using:
A. Bureaucratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Servant leadership
Answer: A
10. The primary goal of shared governance is to:
A. Reduce staffing
B. Increase staff involvement in decision-making
C. Centralize administrative power
D. Eliminate committee structures
Answer: B
,11. Professional accountability means:
A. Completing tasks assigned by others
B. Accepting responsibility for outcomes of actions
C. Avoiding reporting errors
D. Delegating without follow-up
Answer: B
12. A nurse leader who focuses on ethical behavior and fairness demonstrates:
A. Autocratic leadership
B. Moral leadership
C. Avoidance leadership
D. Task-oriented leadership
Answer: B
13. Effective leaders manage change by first:
A. Implementing the change immediately
B. Conducting a needs assessment
C. Ignoring staff concerns
D. Reducing staffing levels
Answer: B
14. Delegation is MOST effective when the nurse:
A. Assigns tasks incompatible with scope
B. Chooses the right person for the right task
C. Avoids providing instructions
D. Does not evaluate performance
Answer: B
15. A nurse who motivates staff through rewards is using:
A. Transformational leadership
B. Transactional leadership
C. Servant leadership
D. Visionary leadership
Answer: B
16. A nurse manager who offers minimal guidance and allows staff to function
independently uses:
A. Autocratic leadership
B. Democratic leadership
, C. Laissez-faire leadership
D. Coaching leadership
Answer: C
17. The most important component of effective leadership communication is:
A. Using medical jargon
B. Active listening
C. Speaking loudly
D. Using complex instructions
Answer: B
18. Which staff behavior indicates healthy followership?
A. Blindly agreeing with leaders
B. Providing constructive feedback
C. Refusing to participate
D. Avoiding accountability
Answer: B
19. Mentoring new nurses supports which leadership function?
A. Delegation
B. Professional development
C. Budget reduction
D. Rule enforcement
Answer: B
20. Nurse leaders who empower staff to be innovative promote:
A. Creativity
B. Resistance
C. Compliance only
D. Authoritarian structure
Answer: A
21. Which quality is MOST essential for conflict resolution?
A. Aggressive expression
B. Empathy
C. Avoidance
D. Blaming others
Answer: B
Questions (with Answers)
All questions are original and educational. Mix of NCLEX-style multiple choice + scenario
questions.
📘 SECTION 1 — Leadership Foundations (1–25)
1. A nurse manager who uses democratic leadership primarily does which of the
following?
A. Makes decisions alone
B. Encourages staff participation
C. Avoids staff input to prevent conflict
D. Delegates without supervision
Answer: B
2. Transformational leaders are best known for:
A. Maintaining stability during crises
B. Motivating staff by creating a shared vision
C. Enforcing rules through strict control
D. Minimizing communication
Answer: B
3. A charge nurse who focuses on day-to-day operations is demonstrating:
A. Transactional leadership
B. Transformational leadership
C. Laissez-faire leadership
D. Servant leadership
Answer: A
4. The most effective leadership style during a true emergency is:
A. Autocratic
B. Democratic
C. Laissez-faire
D. Participative
Answer: A
5. Servant leaders primarily emphasize:
A. Organizational profit
,B. Meeting team members’ needs
C. Maintaining authoritarian control
D. Limiting communication
Answer: B
6. Which of the following is a key trait of an effective nurse leader?
A. Avoiding delegation
B. Emotional intelligence
C. Micromanagement
D. Inflexibility
Answer: B
7. According to situational leadership theory, the leader should:
A. Use the same style consistently
B. Adapt leadership style to the task and staff readiness
C. Delegate everything to experienced staff
D. Avoid adjusting to team needs
Answer: B
8. A nurse manager encouraging staff to challenge old routines is using:
A. Passive leadership
B. Transactional leadership
C. Transformational leadership
D. Bureaucratic leadership
Answer: C
9. A new nurse manager who relies heavily on policies and rules is using:
A. Bureaucratic leadership
B. Democratic leadership
C. Laissez-faire leadership
D. Servant leadership
Answer: A
10. The primary goal of shared governance is to:
A. Reduce staffing
B. Increase staff involvement in decision-making
C. Centralize administrative power
D. Eliminate committee structures
Answer: B
,11. Professional accountability means:
A. Completing tasks assigned by others
B. Accepting responsibility for outcomes of actions
C. Avoiding reporting errors
D. Delegating without follow-up
Answer: B
12. A nurse leader who focuses on ethical behavior and fairness demonstrates:
A. Autocratic leadership
B. Moral leadership
C. Avoidance leadership
D. Task-oriented leadership
Answer: B
13. Effective leaders manage change by first:
A. Implementing the change immediately
B. Conducting a needs assessment
C. Ignoring staff concerns
D. Reducing staffing levels
Answer: B
14. Delegation is MOST effective when the nurse:
A. Assigns tasks incompatible with scope
B. Chooses the right person for the right task
C. Avoids providing instructions
D. Does not evaluate performance
Answer: B
15. A nurse who motivates staff through rewards is using:
A. Transformational leadership
B. Transactional leadership
C. Servant leadership
D. Visionary leadership
Answer: B
16. A nurse manager who offers minimal guidance and allows staff to function
independently uses:
A. Autocratic leadership
B. Democratic leadership
, C. Laissez-faire leadership
D. Coaching leadership
Answer: C
17. The most important component of effective leadership communication is:
A. Using medical jargon
B. Active listening
C. Speaking loudly
D. Using complex instructions
Answer: B
18. Which staff behavior indicates healthy followership?
A. Blindly agreeing with leaders
B. Providing constructive feedback
C. Refusing to participate
D. Avoiding accountability
Answer: B
19. Mentoring new nurses supports which leadership function?
A. Delegation
B. Professional development
C. Budget reduction
D. Rule enforcement
Answer: B
20. Nurse leaders who empower staff to be innovative promote:
A. Creativity
B. Resistance
C. Compliance only
D. Authoritarian structure
Answer: A
21. Which quality is MOST essential for conflict resolution?
A. Aggressive expression
B. Empathy
C. Avoidance
D. Blaming others
Answer: B
