NUR 282 Leadership and Nursing Management Exam 3 2026/2027
Questions and Correct Answers with Rationale | Newest Update |
Galen College of Nursing
1. A nurse manager is implementing a new electronic health record system.
According to Lewin’s Change Theory, which action represents the ‘unfreezing’
stage?
A. Gathering data to demonstrate the inefficiencies of the current paper-based system.
B. Providing training sessions to staff on the new system.
C. Integrating the new system into the daily unit routine.
D. Updating the policy and procedure manual to reflect the new technology.
Answer: A
Rationale: The unfreezing stage involves creating awareness of the need for change and
breaking down the status quo. Gathering data to show current inefficiencies helps motivate
staff to accept change.
2. A nurse manager notices a conflict between two nurses regarding patient
assignments. The manager decides to use ‘avoiding’ as a conflict resolution
strategy. In which situation is this appropriate?
A. When a quick, decisive action is necessary.
B. When both parties need to be fully satisfied with the outcome.
C. When the issue is trivial and more important issues are pressing.
,D. When the goals are moderately important but not worth a major confrontation.
Answer: C
Rationale: Avoiding is appropriate when the issue is minor, there is no chance of winning,
or the potential damage of a confrontation outweighs the benefits.
3. Which task is most appropriate for a nurse to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after administering medication.
B. Measuring and recording intake and output for a stable patient.
C. Providing discharge instructions to a patient with a new diagnosis.
D. Adjusting the flow rate of an intravenous infusion.
Answer: B
Rationale: Tasks delegated to UAPs should be routine, non-invasive, and require minimal
clinical judgment. Measuring I&O for a stable patient fits these criteria.
4. What is the primary goal of Continuous Quality Improvement (CQI) in a
healthcare setting?
A. To identify and punish individuals responsible for errors.
B. To ensure that all nurses receive the same annual performance bonus.
C. To reduce the cost of supplies used on the nursing unit.
D. To improve processes and systems rather than focusing on individual blame.
, Answer: D
Rationale: CQI focuses on the system and process improvements to enhance patient
outcomes and safety, moving away from a culture of blame.
5. The nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with asthma who has a newly developed inspiratory wheeze.
B. A patient who is 1 day postoperative and reporting a pain level of 4/10.
C. A patient with a history of hypertension requesting a PRN headache medication.
D. A patient with a fractured femur who needs assistance to the bathroom.
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
asthma and a new wheeze takes priority as it indicates a potential breathing issue.
6. A nurse manager uses a ‘Transactional’ leadership style. Which behavior is
most characteristic of this style?
A. Inspiring staff with a vision for the future of the unit.
B. Building strong emotional connections with each team member.
C. Empowering staff to make independent clinical decisions.
D. Focusing on day-to-day operations and using rewards for performance.
Answer: D
Questions and Correct Answers with Rationale | Newest Update |
Galen College of Nursing
1. A nurse manager is implementing a new electronic health record system.
According to Lewin’s Change Theory, which action represents the ‘unfreezing’
stage?
A. Gathering data to demonstrate the inefficiencies of the current paper-based system.
B. Providing training sessions to staff on the new system.
C. Integrating the new system into the daily unit routine.
D. Updating the policy and procedure manual to reflect the new technology.
Answer: A
Rationale: The unfreezing stage involves creating awareness of the need for change and
breaking down the status quo. Gathering data to show current inefficiencies helps motivate
staff to accept change.
2. A nurse manager notices a conflict between two nurses regarding patient
assignments. The manager decides to use ‘avoiding’ as a conflict resolution
strategy. In which situation is this appropriate?
A. When a quick, decisive action is necessary.
B. When both parties need to be fully satisfied with the outcome.
C. When the issue is trivial and more important issues are pressing.
,D. When the goals are moderately important but not worth a major confrontation.
Answer: C
Rationale: Avoiding is appropriate when the issue is minor, there is no chance of winning,
or the potential damage of a confrontation outweighs the benefits.
3. Which task is most appropriate for a nurse to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s pain level after administering medication.
B. Measuring and recording intake and output for a stable patient.
C. Providing discharge instructions to a patient with a new diagnosis.
D. Adjusting the flow rate of an intravenous infusion.
Answer: B
Rationale: Tasks delegated to UAPs should be routine, non-invasive, and require minimal
clinical judgment. Measuring I&O for a stable patient fits these criteria.
4. What is the primary goal of Continuous Quality Improvement (CQI) in a
healthcare setting?
A. To identify and punish individuals responsible for errors.
B. To ensure that all nurses receive the same annual performance bonus.
C. To reduce the cost of supplies used on the nursing unit.
D. To improve processes and systems rather than focusing on individual blame.
, Answer: D
Rationale: CQI focuses on the system and process improvements to enhance patient
outcomes and safety, moving away from a culture of blame.
5. The nurse is prioritizing care for four patients. Which patient should the nurse
assess first?
A. A patient with asthma who has a newly developed inspiratory wheeze.
B. A patient who is 1 day postoperative and reporting a pain level of 4/10.
C. A patient with a history of hypertension requesting a PRN headache medication.
D. A patient with a fractured femur who needs assistance to the bathroom.
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
asthma and a new wheeze takes priority as it indicates a potential breathing issue.
6. A nurse manager uses a ‘Transactional’ leadership style. Which behavior is
most characteristic of this style?
A. Inspiring staff with a vision for the future of the unit.
B. Building strong emotional connections with each team member.
C. Empowering staff to make independent clinical decisions.
D. Focusing on day-to-day operations and using rewards for performance.
Answer: D
