NUR 282 Leadership and Nursing Management Exam 2
2026/2027 Questions and Correct Answers with
Rationale | Newest Update | Galen College of Nursing
1. A nurse manager is evaluating a staff nurse’s performance. The manager
notes that the nurse is excellent at clinical skills but struggles with time
management. Which leadership style is most effective for coaching this nurse?
A. Democratic leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Transactional leadership
Answer: A
Rationale: Democratic leadership involves collaboration and coaching, which is ideal for
helping a skilled nurse improve specific professional behaviors like time management
through mutual goal setting.
2. Which task can the RN safely delegate to a Licensed Practical Nurse (LPN)?
A. Developing the initial plan of care for a new admission
B. Administering a scheduled intramuscular injection
C. Performing a comprehensive admission assessment
D. Providing discharge teaching for a patient with a new colostomy
Answer: B
Rationale: LPNs can administer medications (excluding certain IV meds depending on
state law) and perform routine treatments. Initial assessments, care planning, and complex
teaching are the responsibility of the RN.
3. A nurse is using the SBAR tool to communicate with a physician. Which
statement represents the ‘Background’ component?
A. I am calling about Mr. Smith in room 402 who is experiencing shortness of breath.
B. I suggest we order a stat chest X-ray and increase his oxygen to 4 liters.
C. The patient’s breath sounds have crackles in the bases and O2 saturation is 88%.
D. The patient has a history of congestive heart failure and was admitted two days ago.
Answer: D
Rationale: Background provides clinical history and context related to the current
situation.
, 4. A nurse manager is dealing with a conflict between two nurses regarding the
holiday schedule. The manager tells them, ‘I don’t have time for this, figure it
out yourselves.’ Which conflict management strategy is being used?
A. Competing
B. Compromising
C. Avoiding
D. Collaborating
Answer: C
Rationale: Avoiding involves withdrawing from the conflict or ignoring its existence,
which provides no resolution.
5. According to Lewin’s Change Theory, what occurs during the ‘Moving’ stage?
A. Creating awareness of the need for change
B. Developing a plan and implementing the change
C. Stabilizing the change into the organizational culture
D. Gathering data to prove the current system is failing
Answer: B
Rationale: The Moving stage (or Change stage) is when the actual implementation of the
new process or behavior takes place.
6. Which patient should the nurse prioritize to see first after the morning shift
report?
A. A patient with a pain level of 6/10 requesting medication
B. A patient whose surgical wound dressing is saturated with serosanguinous fluid
C. A patient waiting for transport to a scheduled MRI
D. A patient with a blood glucose of 50 mg/dL
Answer: D
Rationale: Hypoglycemia (50 mg/dL) is an acute physiological crisis that takes priority
over pain, scheduled tests, or non-hemorrhagic dressing issues.
7. What is the primary focus of ‘Transformational Leadership’?
A. Maintaining established routines and standards
B. Inspiring and motivating staff to achieve a shared vision
C. Using rewards and punishments to manage performance
D. Focusing solely on the day-to-day operations of the unit
Answer: B
Rationale: Transformational leaders focus on empowerment, vision, and inspiring
followers to exceed expectations for the sake of the organization.
2026/2027 Questions and Correct Answers with
Rationale | Newest Update | Galen College of Nursing
1. A nurse manager is evaluating a staff nurse’s performance. The manager
notes that the nurse is excellent at clinical skills but struggles with time
management. Which leadership style is most effective for coaching this nurse?
A. Democratic leadership
B. Autocratic leadership
C. Laissez-faire leadership
D. Transactional leadership
Answer: A
Rationale: Democratic leadership involves collaboration and coaching, which is ideal for
helping a skilled nurse improve specific professional behaviors like time management
through mutual goal setting.
2. Which task can the RN safely delegate to a Licensed Practical Nurse (LPN)?
A. Developing the initial plan of care for a new admission
B. Administering a scheduled intramuscular injection
C. Performing a comprehensive admission assessment
D. Providing discharge teaching for a patient with a new colostomy
Answer: B
Rationale: LPNs can administer medications (excluding certain IV meds depending on
state law) and perform routine treatments. Initial assessments, care planning, and complex
teaching are the responsibility of the RN.
3. A nurse is using the SBAR tool to communicate with a physician. Which
statement represents the ‘Background’ component?
A. I am calling about Mr. Smith in room 402 who is experiencing shortness of breath.
B. I suggest we order a stat chest X-ray and increase his oxygen to 4 liters.
C. The patient’s breath sounds have crackles in the bases and O2 saturation is 88%.
D. The patient has a history of congestive heart failure and was admitted two days ago.
Answer: D
Rationale: Background provides clinical history and context related to the current
situation.
, 4. A nurse manager is dealing with a conflict between two nurses regarding the
holiday schedule. The manager tells them, ‘I don’t have time for this, figure it
out yourselves.’ Which conflict management strategy is being used?
A. Competing
B. Compromising
C. Avoiding
D. Collaborating
Answer: C
Rationale: Avoiding involves withdrawing from the conflict or ignoring its existence,
which provides no resolution.
5. According to Lewin’s Change Theory, what occurs during the ‘Moving’ stage?
A. Creating awareness of the need for change
B. Developing a plan and implementing the change
C. Stabilizing the change into the organizational culture
D. Gathering data to prove the current system is failing
Answer: B
Rationale: The Moving stage (or Change stage) is when the actual implementation of the
new process or behavior takes place.
6. Which patient should the nurse prioritize to see first after the morning shift
report?
A. A patient with a pain level of 6/10 requesting medication
B. A patient whose surgical wound dressing is saturated with serosanguinous fluid
C. A patient waiting for transport to a scheduled MRI
D. A patient with a blood glucose of 50 mg/dL
Answer: D
Rationale: Hypoglycemia (50 mg/dL) is an acute physiological crisis that takes priority
over pain, scheduled tests, or non-hemorrhagic dressing issues.
7. What is the primary focus of ‘Transformational Leadership’?
A. Maintaining established routines and standards
B. Inspiring and motivating staff to achieve a shared vision
C. Using rewards and punishments to manage performance
D. Focusing solely on the day-to-day operations of the unit
Answer: B
Rationale: Transformational leaders focus on empowerment, vision, and inspiring
followers to exceed expectations for the sake of the organization.
