,NUR 282 Exam 1 | Leadership and Nursing Management (2026)
Q&A | Galen College
1. A nurse manager is preparing to delegate tasks to unlicensed assistive personnel (UAP) on
a medical-surgical unit. Which task is appropriate to delegate?
A) Assessing a patient's pain level
B) Teaching a patient about new medications
C) Bathing a stable postoperative patient
D) Developing a care plan for a newly admitted patient
Correct Answer: Bathing a stable postoperative patient
Rationale: Bathing a stable patient is a routine, non-invasive task within the UAP's scope of
practice. Assessment, teaching, and care plan development require professional nursing
judgment and cannot be delegated.
2. Which leadership style is characterized by the leader making decisions independently
without consulting the team?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Correct Answer: Autocratic
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control and giving orders to subordinates. Democratic leaders involve the
team, laissez-faire leaders provide minimal direction, and transformational leaders inspire
change.
,3. A nurse manager is implementing a new electronic health record system on the unit.
According to Lewin's Change Theory, which step occurs first?
A) Implementing the change
B) Evaluating the change outcomes
C) Recognizing the need for change
D) Planning the change strategy
Correct Answer: Recognizing the need for change
Rationale: Change begins with the "unfreezing" stage—the awareness that current practices
are inadequate. This recognition precedes planning, implementation, and evaluation in
Lewin's change theory.
4. Which conflict resolution strategy involves both parties giving up something to reach an
agreement?
A) Avoiding
B) Compromising
C) Collaborating
D) Competing
Correct Answer: Compromising
Rationale: Compromise involves mutual concessions where each party gives up something
to reach a middle ground. Avoiding ignores the conflict, collaborating seeks win-win
solutions, and competing pursues one's own goals at the expense of others.
5. A charge nurse is assigning a newly licensed RN to care for a patient with a complex
wound vac. Which action by the charge nurse best demonstrates effective delegation?
A) Assigning the patient to the new RN and walking away
B) Providing clear instructions and verifying the RN's competency
, C) Telling the RN to ask another nurse if they have questions
D) Completing the wound vac care themselves
Correct Answer: Providing clear instructions and verifying the RN's competency
Rationale: Effective delegation requires the charge nurse to assess the competency of the
delegatee, provide clear instructions, and ensure the task is within their scope of practice.
Simply assigning the task without support is not effective delegation.
6. A nurse manager notices increased conflict among staff on a medical-surgical unit. Which
leadership style is most effective initially to address this situation?
A) Laissez-faire
B) Autocratic
C) Transformational
D) Democratic
Correct Answer: Democratic
Rationale: Democratic leadership encourages staff participation in decision-making, which
helps resolve conflicts by addressing underlying issues collaboratively. Laissez-faire avoids
intervention; autocratic may increase resentment; transformational is long-term but less
focused on immediate conflict resolution.
7. Which leadership style focuses on inspiring staff toward a shared vision?
A) Laissez-faire
B) Transformational
C) Autocratic
D) Passive
Correct Answer: Transformational
Q&A | Galen College
1. A nurse manager is preparing to delegate tasks to unlicensed assistive personnel (UAP) on
a medical-surgical unit. Which task is appropriate to delegate?
A) Assessing a patient's pain level
B) Teaching a patient about new medications
C) Bathing a stable postoperative patient
D) Developing a care plan for a newly admitted patient
Correct Answer: Bathing a stable postoperative patient
Rationale: Bathing a stable patient is a routine, non-invasive task within the UAP's scope of
practice. Assessment, teaching, and care plan development require professional nursing
judgment and cannot be delegated.
2. Which leadership style is characterized by the leader making decisions independently
without consulting the team?
A) Democratic
B) Laissez-faire
C) Autocratic
D) Transformational
Correct Answer: Autocratic
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control and giving orders to subordinates. Democratic leaders involve the
team, laissez-faire leaders provide minimal direction, and transformational leaders inspire
change.
,3. A nurse manager is implementing a new electronic health record system on the unit.
According to Lewin's Change Theory, which step occurs first?
A) Implementing the change
B) Evaluating the change outcomes
C) Recognizing the need for change
D) Planning the change strategy
Correct Answer: Recognizing the need for change
Rationale: Change begins with the "unfreezing" stage—the awareness that current practices
are inadequate. This recognition precedes planning, implementation, and evaluation in
Lewin's change theory.
4. Which conflict resolution strategy involves both parties giving up something to reach an
agreement?
A) Avoiding
B) Compromising
C) Collaborating
D) Competing
Correct Answer: Compromising
Rationale: Compromise involves mutual concessions where each party gives up something
to reach a middle ground. Avoiding ignores the conflict, collaborating seeks win-win
solutions, and competing pursues one's own goals at the expense of others.
5. A charge nurse is assigning a newly licensed RN to care for a patient with a complex
wound vac. Which action by the charge nurse best demonstrates effective delegation?
A) Assigning the patient to the new RN and walking away
B) Providing clear instructions and verifying the RN's competency
, C) Telling the RN to ask another nurse if they have questions
D) Completing the wound vac care themselves
Correct Answer: Providing clear instructions and verifying the RN's competency
Rationale: Effective delegation requires the charge nurse to assess the competency of the
delegatee, provide clear instructions, and ensure the task is within their scope of practice.
Simply assigning the task without support is not effective delegation.
6. A nurse manager notices increased conflict among staff on a medical-surgical unit. Which
leadership style is most effective initially to address this situation?
A) Laissez-faire
B) Autocratic
C) Transformational
D) Democratic
Correct Answer: Democratic
Rationale: Democratic leadership encourages staff participation in decision-making, which
helps resolve conflicts by addressing underlying issues collaboratively. Laissez-faire avoids
intervention; autocratic may increase resentment; transformational is long-term but less
focused on immediate conflict resolution.
7. Which leadership style focuses on inspiring staff toward a shared vision?
A) Laissez-faire
B) Transformational
C) Autocratic
D) Passive
Correct Answer: Transformational
