NURS 4581: PROFESSIONAL NURSING
LEADERSHIP AND MANAGEMENT
COMPREHENSIVE EXAM
1. A nurse manager is described as someone who inspires the team with a shared vision and
empowers them to reach their full potential. Which leadership style does this represent?
A. Transactional Leadership
B. Autocratic Leadership
C. Transformational Leadership
D. Laissez-faire Leadership
Answer: C
Conceptual Explanation: Transformational leadership focuses on vision and
empowerment, whereas transactional focuses on rewards and punishments, autocratic on
control, and laissez-faire on a hands-off approach.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), the Registered Nurse
(RN) remains accountable for which of the following?
A. The performance of the task by the UAP
,B. The decision to delegate and the final outcome
C. The UAP’s training and certification status
D. The hospital’s policy on delegation
Answer: B
Conceptual Explanation: The RN is accountable for the decision to delegate and the
overall outcome of the patient’s care, even though the UAP is responsible for the
performance of the task.
3. In Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. The need for change is recognized, and old habits are discarded.
B. Resistance to change is actively countered through education.
C. The change is integrated into the system’s permanent culture.
D. Strategies for the change are implemented in a pilot program.
Answer: A
Conceptual Explanation: Unfreezing involves creating readiness for change by helping
others realize that a current method is no longer effective.
4. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient reporting sharp chest pain radiating to the jaw.
B. A patient with a blood pressure of 148/92 mmHg who needs medication.
, C. A patient with a postoperative wound drainage of 50 mL.
D. A patient requesting discharge instructions for home care.
Answer: A
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) framework, chest
pain radiating to the jaw suggests a cardiac event (Circulation), which is a higher priority
than stable hypertension or post-op management.
5. Which ethical principle is being upheld when a nurse provides a patient with all the
necessary information to make an informed decision?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: A
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
making their own healthcare decisions based on complete information.
6. A nurse manager is handling a conflict between two nurses by encouraging them to find a
solution that satisfies both parties’ concerns. This is an example of which conflict resolution
strategy?
A. Avoiding
LEADERSHIP AND MANAGEMENT
COMPREHENSIVE EXAM
1. A nurse manager is described as someone who inspires the team with a shared vision and
empowers them to reach their full potential. Which leadership style does this represent?
A. Transactional Leadership
B. Autocratic Leadership
C. Transformational Leadership
D. Laissez-faire Leadership
Answer: C
Conceptual Explanation: Transformational leadership focuses on vision and
empowerment, whereas transactional focuses on rewards and punishments, autocratic on
control, and laissez-faire on a hands-off approach.
2. When delegating tasks to an Unlicensed Assistive Personnel (UAP), the Registered Nurse
(RN) remains accountable for which of the following?
A. The performance of the task by the UAP
,B. The decision to delegate and the final outcome
C. The UAP’s training and certification status
D. The hospital’s policy on delegation
Answer: B
Conceptual Explanation: The RN is accountable for the decision to delegate and the
overall outcome of the patient’s care, even though the UAP is responsible for the
performance of the task.
3. In Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. The need for change is recognized, and old habits are discarded.
B. Resistance to change is actively countered through education.
C. The change is integrated into the system’s permanent culture.
D. Strategies for the change are implemented in a pilot program.
Answer: A
Conceptual Explanation: Unfreezing involves creating readiness for change by helping
others realize that a current method is no longer effective.
4. A nurse is prioritizing care for four patients. Which patient should the nurse see first?
A. A patient reporting sharp chest pain radiating to the jaw.
B. A patient with a blood pressure of 148/92 mmHg who needs medication.
, C. A patient with a postoperative wound drainage of 50 mL.
D. A patient requesting discharge instructions for home care.
Answer: A
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) framework, chest
pain radiating to the jaw suggests a cardiac event (Circulation), which is a higher priority
than stable hypertension or post-op management.
5. Which ethical principle is being upheld when a nurse provides a patient with all the
necessary information to make an informed decision?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: A
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
making their own healthcare decisions based on complete information.
6. A nurse manager is handling a conflict between two nurses by encouraging them to find a
solution that satisfies both parties’ concerns. This is an example of which conflict resolution
strategy?
A. Avoiding
