Maryville NR 449 Nursing Leadership
& Management Exam 1 With Actual
120 Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
a. Focusing primarily on policy compliance
b. Delegating all decisions to staff without guidance
c. Closely monitoring staff performance with strict oversight
d. Inspiring staff by sharing a clear vision and motivating them toward goals
Rationale: Transformational leaders inspire and motivate staff through vision,
encouragement, and empowerment rather than strict control or passive delegation.
2. A charge nurse needs to assign tasks to a UAP. Which task is appropriate to delegate?
a. Assessing a new admission
b. Obtaining vital signs for a stable post-op client
c. Administering oral medications
d. Teaching a patient about insulin injections
Rationale: UAPs can collect stable patient data (like vital signs) but cannot assess,
teach, or administer medications.
3. A nurse is practicing evidence-based practice. Which example reflects this?
a. Implementing care using the best current research, clinical expertise, and patient
preferences
b. Relying only on traditional methods of care
c. Making decisions based on physician preference
d. Using personal experience as the primary guide for care
, Rationale: Evidence-based practice integrates research, expertise, and patient values
for optimal care.
4. Which management function involves monitoring outcomes and making necessary
corrections?
a. Planning
b. Organizing
c. Directing
d. Controlling
Rationale: Controlling ensures goals are met by evaluating outcomes and
implementing corrective actions.
5. A nurse manager is addressing conflict between two staff members. What is the best
initial approach?
a. Encourage both parties to discuss their perspectives and seek common ground
b. Avoid the situation until it resolves
c. Immediately reassign one nurse
d. Threaten disciplinary action
Rationale: The best first step in conflict resolution is open communication and
collaboration.
6. Which ethical principle requires the nurse to do good and promote the well-being of
others?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficence
Rationale: Beneficence is the ethical principle of promoting good and positive
outcomes for patients.
7. A nurse is using time management. Which action is most effective?
a. Completing tasks as they arise without prioritization
b. Organizing tasks by urgency and importance before starting the shift
c. Asking others to complete difficult tasks
d. Focusing only on routine tasks
Rationale: Prioritizing tasks by urgency and importance ensures effective time use.
8. A nurse manager uses democratic leadership. What is a characteristic of this style?
a. Makes all decisions independently
b. Involves staff in decision-making processes
c. Uses coercion to achieve goals
d. Avoids responsibility for outcomes
, Rationale: Democratic leaders encourage team participation and collaboration in
decision-making.
9. A staff nurse is overwhelmed with a heavy workload. What is the most appropriate
first action?
a. Prioritize care and delegate appropriate tasks
b. Refuse new assignments
c. Leave tasks incomplete
d. Work overtime without notifying the manager
Rationale: Prioritizing and delegating helps manage workload safely and efficiently.
10. Which patient care task should the RN perform rather than delegate to a UAP?
a. Ambulating a stable patient
b. Assisting with bathing
c. Assessing lung sounds after bronchodilator treatment
d. Collecting urine output
Rationale: Assessment is the RN’s responsibility and cannot be delegated to
unlicensed assistive personnel.
11. A nurse manager is planning staff assignments. Which principle of delegation must
be followed?
a. Assigning only tasks that the nurse does not want to do
b. Delegating tasks that are within the scope of the person’s role and competency
c. Assigning complex assessments to UAPs to save time
d. Delegating based on personal preference, not patient needs
Rationale: Delegation must be based on scope of practice, job description, and
demonstrated competency.
12. The charge nurse is implementing a quality improvement (QI) initiative. Which action
reflects QI?
a. Collecting data about patient falls to identify trends and implement changes
b. Assigning additional documentation duties to nurses
c. Reporting errors to the state board of nursing
d. Disciplining staff for making mistakes
Rationale: QI focuses on data collection, trend identification, and system
improvements rather than punishment.
13. A nurse refuses to float to another unit due to lack of competence. Which legal
concept applies?
a. Accountability
b. Justice
c. Veracity
d. Autonomy
& Management Exam 1 With Actual
120 Questions & Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse manager is using transformational leadership. Which action best
demonstrates this style?
a. Focusing primarily on policy compliance
b. Delegating all decisions to staff without guidance
c. Closely monitoring staff performance with strict oversight
d. Inspiring staff by sharing a clear vision and motivating them toward goals
Rationale: Transformational leaders inspire and motivate staff through vision,
encouragement, and empowerment rather than strict control or passive delegation.
2. A charge nurse needs to assign tasks to a UAP. Which task is appropriate to delegate?
a. Assessing a new admission
b. Obtaining vital signs for a stable post-op client
c. Administering oral medications
d. Teaching a patient about insulin injections
Rationale: UAPs can collect stable patient data (like vital signs) but cannot assess,
teach, or administer medications.
3. A nurse is practicing evidence-based practice. Which example reflects this?
a. Implementing care using the best current research, clinical expertise, and patient
preferences
b. Relying only on traditional methods of care
c. Making decisions based on physician preference
d. Using personal experience as the primary guide for care
, Rationale: Evidence-based practice integrates research, expertise, and patient values
for optimal care.
4. Which management function involves monitoring outcomes and making necessary
corrections?
a. Planning
b. Organizing
c. Directing
d. Controlling
Rationale: Controlling ensures goals are met by evaluating outcomes and
implementing corrective actions.
5. A nurse manager is addressing conflict between two staff members. What is the best
initial approach?
a. Encourage both parties to discuss their perspectives and seek common ground
b. Avoid the situation until it resolves
c. Immediately reassign one nurse
d. Threaten disciplinary action
Rationale: The best first step in conflict resolution is open communication and
collaboration.
6. Which ethical principle requires the nurse to do good and promote the well-being of
others?
a. Justice
b. Autonomy
c. Beneficence
d. Nonmaleficence
Rationale: Beneficence is the ethical principle of promoting good and positive
outcomes for patients.
7. A nurse is using time management. Which action is most effective?
a. Completing tasks as they arise without prioritization
b. Organizing tasks by urgency and importance before starting the shift
c. Asking others to complete difficult tasks
d. Focusing only on routine tasks
Rationale: Prioritizing tasks by urgency and importance ensures effective time use.
8. A nurse manager uses democratic leadership. What is a characteristic of this style?
a. Makes all decisions independently
b. Involves staff in decision-making processes
c. Uses coercion to achieve goals
d. Avoids responsibility for outcomes
, Rationale: Democratic leaders encourage team participation and collaboration in
decision-making.
9. A staff nurse is overwhelmed with a heavy workload. What is the most appropriate
first action?
a. Prioritize care and delegate appropriate tasks
b. Refuse new assignments
c. Leave tasks incomplete
d. Work overtime without notifying the manager
Rationale: Prioritizing and delegating helps manage workload safely and efficiently.
10. Which patient care task should the RN perform rather than delegate to a UAP?
a. Ambulating a stable patient
b. Assisting with bathing
c. Assessing lung sounds after bronchodilator treatment
d. Collecting urine output
Rationale: Assessment is the RN’s responsibility and cannot be delegated to
unlicensed assistive personnel.
11. A nurse manager is planning staff assignments. Which principle of delegation must
be followed?
a. Assigning only tasks that the nurse does not want to do
b. Delegating tasks that are within the scope of the person’s role and competency
c. Assigning complex assessments to UAPs to save time
d. Delegating based on personal preference, not patient needs
Rationale: Delegation must be based on scope of practice, job description, and
demonstrated competency.
12. The charge nurse is implementing a quality improvement (QI) initiative. Which action
reflects QI?
a. Collecting data about patient falls to identify trends and implement changes
b. Assigning additional documentation duties to nurses
c. Reporting errors to the state board of nursing
d. Disciplining staff for making mistakes
Rationale: QI focuses on data collection, trend identification, and system
improvements rather than punishment.
13. A nurse refuses to float to another unit due to lack of competence. Which legal
concept applies?
a. Accountability
b. Justice
c. Veracity
d. Autonomy
