,NUR 282 Exam 3 | Leadership and Nursing Management (2026)
Q&A | Galen College
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) Providing training sessions to staff on the new system
B) Integrating the new system into the daily unit routine
C) Gathering data to demonstrate the inefficiencies of the current paper-based system
D) Updating the policy and procedure manual to reflect the new technology
Correct Answer: Gathering data to demonstrate the inefficiencies of the current paper-
based system
Rationale: The unfreezing stage involves creating awareness of the need for change by
breaking down the status quo. Gathering data that shows current inefficiencies helps
motivate staff to accept change. The other options represent the "moving" and "refreezing"
stages of the change process.
2. A charge nurse is making patient assignments. Which patient should be assigned to the
most experienced registered nurse?
A) A patient with diabetes who needs a routine blood glucose check
B) A patient with a stage II pressure injury requiring a simple dressing change
C) A patient with heart failure who is newly started on a titratable dobutamine infusion
D) A patient with pneumonia who is stable and receiving scheduled IV antibiotics
Correct Answer: A patient with heart failure who is newly started on a titratable dobutamine
infusion
Rationale: A patient on a titratable, high-risk IV infusion like dobutamine requires the
advanced assessment and titration skills of an experienced RN. This complex, unstable
,patient should be assigned to the most skilled nurse. The other patients are stable or have
predictable care needs.
3. 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 approach most 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
Correct Answer: When the issue is trivial and more important issues are pressing
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. The other options describe
situations better suited for competing, collaborating, or compromising.
4. 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
Correct Answer: Measuring and recording intake and output for a stable patient
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. Assessment,
teaching, and adjusting IV rates require the specialized knowledge of a registered nurse.
, 5. 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
Correct Answer: To improve processes and systems rather than focusing on individual blame
Rationale: CQI focuses on system and process improvements to enhance patient outcomes
and safety, moving away from a culture of blame. It is not about punishment or cost
reduction, but about identifying and fixing systemic issues.
6. A 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
Correct Answer: A patient with asthma who has a newly developed inspiratory wheeze
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. The other
patients have stable or less urgent needs.
7. 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
Q&A | Galen College
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) Providing training sessions to staff on the new system
B) Integrating the new system into the daily unit routine
C) Gathering data to demonstrate the inefficiencies of the current paper-based system
D) Updating the policy and procedure manual to reflect the new technology
Correct Answer: Gathering data to demonstrate the inefficiencies of the current paper-
based system
Rationale: The unfreezing stage involves creating awareness of the need for change by
breaking down the status quo. Gathering data that shows current inefficiencies helps
motivate staff to accept change. The other options represent the "moving" and "refreezing"
stages of the change process.
2. A charge nurse is making patient assignments. Which patient should be assigned to the
most experienced registered nurse?
A) A patient with diabetes who needs a routine blood glucose check
B) A patient with a stage II pressure injury requiring a simple dressing change
C) A patient with heart failure who is newly started on a titratable dobutamine infusion
D) A patient with pneumonia who is stable and receiving scheduled IV antibiotics
Correct Answer: A patient with heart failure who is newly started on a titratable dobutamine
infusion
Rationale: A patient on a titratable, high-risk IV infusion like dobutamine requires the
advanced assessment and titration skills of an experienced RN. This complex, unstable
,patient should be assigned to the most skilled nurse. The other patients are stable or have
predictable care needs.
3. 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 approach most 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
Correct Answer: When the issue is trivial and more important issues are pressing
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. The other options describe
situations better suited for competing, collaborating, or compromising.
4. 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
Correct Answer: Measuring and recording intake and output for a stable patient
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. Assessment,
teaching, and adjusting IV rates require the specialized knowledge of a registered nurse.
, 5. 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
Correct Answer: To improve processes and systems rather than focusing on individual blame
Rationale: CQI focuses on system and process improvements to enhance patient outcomes
and safety, moving away from a culture of blame. It is not about punishment or cost
reduction, but about identifying and fixing systemic issues.
6. A 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
Correct Answer: A patient with asthma who has a newly developed inspiratory wheeze
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. The other
patients have stable or less urgent needs.
7. 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
