YODER WISE LEADING AND MANAGING IN
CANADIAN NURSING NANCY WALTON EXAM
PREP 2026 STUDY GUIDE QUESTIONS AND
ANSWERS FULLY SOLVED GRADED A+
◉ 2. The nurse manager has been asked to implement an evidence-
based approach to teach ostomy patients self-management skills
postoperatively. The program is to be implemented across the entire
facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff
are available.
b. The current approach is continued because it is also evidence-
based and is more familiar to staff.
c. You decide to implement the approach at a later date because of
feedback from the RNs that the new approach takes too much time.
d. An RN who is already familiar with the new approach of
volunteers to take the lead in mentoring and teaching others how to
implement it. Answer: ANS: D
Followership occurs when there is acquiescence to a peer who is
leading in a setting where a team has gathered to ensure the best
clinical decision making, and actions are taken to achieve clinical or
organizational outcomes. Followership promotes good clinical
decisions and use of clinical resources.
TOP: AONE competency: Communication and Relationship-Building
,◉ 2. You overhear a new graduate RN telling a nurse colleague that
leadership and management belong to the unit manager, not to her.
As a nursing colleague, what do you know to be true in regard to the
statement?
a. The statement is correct. Leadership is not the role of the staff
nurse.
b. The new graduate would benefit from further understanding of
her role as a professional, whose influence may affect the decision
making of patients, colleagues, and other professionals.
c. The new graduate has been influenced by nurse leaders and
managers who leave for other positions.
d. The general perception is that nurse leaders and managers are not
satisfied in their jobs. Answer: ANS: B
Care coordination that involves the intersection of individual, family,
and community-based needs requires that nurses have self-
confidence, knowledge of organizations and health systems, and an
inner desire to lead and manage. There is often a view that
leadership is isolated to those holding managerial positions, and
that a direct care nurse is subject to following by adhering to the
direction of others. Such views fail to acknowledge that to be a nurse
requires each licensed individual to lead, manage, and follow when
practicing at the point-of-care and beyond.
TOP: AONE competency: Leadership
,◉ 12. The charge nurse walks into Mr. Smith's room and finds him
yelling at the LPN. He is obviously very upset. The charge nurse
determines that he has not slept for three nights because of
unrelieved pain levels. The LPN is very upset and calls Mr. Smith an
"ugly, old man." The charge nurse acknowledges the LPN's feelings
and concerns and then suggests that Mr. Smith's behavior was
aggressive but was related to lack of sleep and to pain. The charge
nurse asks, "Can you, together with Mr. Smith, determine triggers for
the pain and effective approaches to controlling his pain?" This
situation is an example of what?
a. Lack of empathy and understanding for Miss Jones
b. Concern with placating Mr. Smith
c. Leadership behavior
d. Management behavior Answer: ANS: C
The situation between Mr. Smith and Miss Jones is a complex
situation involving unrelieved patient symptoms and aggressiveness
toward a staff member. Providing engaged, collaborative guidance
and decision making in a complex situation where there is no
standardized solution reflects leadership.
TOP: AONE competency: Leadership
◉ 13. After assessing an older adult patient in long-term care who
has been slowly deteriorating for weeks, the nurse manager calls the
family and asks them to come in, as the patient is dying. What is the
most likely basis for the nurse manager's request?
a. An established clinical pathway
, b. Confirmatory scientific evidence
c. Unit protocol
d. Experience Answer: ANS: D
The nurse manager is employing knowledge and experience in
determining that the patient is dying, because the course of dying is
not standardized and cannot be determined by clinical pathways.
TOP: AONE competency: Knowledge of the Health Care Environment
◉ 14. Chart audits have revealed significant omissions of data that
could have legal and financial guideline ramifications. The unit
manager meets with the staff to discuss audit findings and to find
approaches that will address the gaps in charting and achieve
desired goals. What is the manager demonstrating?
a. Leadership
b. Management
c. Decision making
d. Vision Answer: ANS: B
The process of guiding others to meet established goals, outcomes,
and procedures is management. This can require collaborative
decision making to determine how best to reach predetermined
goals and follow established practices.
TOP: AONE competency: Knowledge of the Health Care Environment
CANADIAN NURSING NANCY WALTON EXAM
PREP 2026 STUDY GUIDE QUESTIONS AND
ANSWERS FULLY SOLVED GRADED A+
◉ 2. The nurse manager has been asked to implement an evidence-
based approach to teach ostomy patients self-management skills
postoperatively. The program is to be implemented across the entire
facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff
are available.
b. The current approach is continued because it is also evidence-
based and is more familiar to staff.
c. You decide to implement the approach at a later date because of
feedback from the RNs that the new approach takes too much time.
d. An RN who is already familiar with the new approach of
volunteers to take the lead in mentoring and teaching others how to
implement it. Answer: ANS: D
Followership occurs when there is acquiescence to a peer who is
leading in a setting where a team has gathered to ensure the best
clinical decision making, and actions are taken to achieve clinical or
organizational outcomes. Followership promotes good clinical
decisions and use of clinical resources.
TOP: AONE competency: Communication and Relationship-Building
,◉ 2. You overhear a new graduate RN telling a nurse colleague that
leadership and management belong to the unit manager, not to her.
As a nursing colleague, what do you know to be true in regard to the
statement?
a. The statement is correct. Leadership is not the role of the staff
nurse.
b. The new graduate would benefit from further understanding of
her role as a professional, whose influence may affect the decision
making of patients, colleagues, and other professionals.
c. The new graduate has been influenced by nurse leaders and
managers who leave for other positions.
d. The general perception is that nurse leaders and managers are not
satisfied in their jobs. Answer: ANS: B
Care coordination that involves the intersection of individual, family,
and community-based needs requires that nurses have self-
confidence, knowledge of organizations and health systems, and an
inner desire to lead and manage. There is often a view that
leadership is isolated to those holding managerial positions, and
that a direct care nurse is subject to following by adhering to the
direction of others. Such views fail to acknowledge that to be a nurse
requires each licensed individual to lead, manage, and follow when
practicing at the point-of-care and beyond.
TOP: AONE competency: Leadership
,◉ 12. The charge nurse walks into Mr. Smith's room and finds him
yelling at the LPN. He is obviously very upset. The charge nurse
determines that he has not slept for three nights because of
unrelieved pain levels. The LPN is very upset and calls Mr. Smith an
"ugly, old man." The charge nurse acknowledges the LPN's feelings
and concerns and then suggests that Mr. Smith's behavior was
aggressive but was related to lack of sleep and to pain. The charge
nurse asks, "Can you, together with Mr. Smith, determine triggers for
the pain and effective approaches to controlling his pain?" This
situation is an example of what?
a. Lack of empathy and understanding for Miss Jones
b. Concern with placating Mr. Smith
c. Leadership behavior
d. Management behavior Answer: ANS: C
The situation between Mr. Smith and Miss Jones is a complex
situation involving unrelieved patient symptoms and aggressiveness
toward a staff member. Providing engaged, collaborative guidance
and decision making in a complex situation where there is no
standardized solution reflects leadership.
TOP: AONE competency: Leadership
◉ 13. After assessing an older adult patient in long-term care who
has been slowly deteriorating for weeks, the nurse manager calls the
family and asks them to come in, as the patient is dying. What is the
most likely basis for the nurse manager's request?
a. An established clinical pathway
, b. Confirmatory scientific evidence
c. Unit protocol
d. Experience Answer: ANS: D
The nurse manager is employing knowledge and experience in
determining that the patient is dying, because the course of dying is
not standardized and cannot be determined by clinical pathways.
TOP: AONE competency: Knowledge of the Health Care Environment
◉ 14. Chart audits have revealed significant omissions of data that
could have legal and financial guideline ramifications. The unit
manager meets with the staff to discuss audit findings and to find
approaches that will address the gaps in charting and achieve
desired goals. What is the manager demonstrating?
a. Leadership
b. Management
c. Decision making
d. Vision Answer: ANS: B
The process of guiding others to meet established goals, outcomes,
and procedures is management. This can require collaborative
decision making to determine how best to reach predetermined
goals and follow established practices.
TOP: AONE competency: Knowledge of the Health Care Environment
