D664 OBJECTIVE ASSESSMENT EXAM () ACTUAL
QUESTIONS AND REVISED ANSWERS WITH RATIONALES, (A+
GUARANTEE)
1.
A nurse manager notices recurring medication errors and decides to gather data,
identify root causes, and develop an action plan. Which leadership style is being
demonstrated?
A. Laissez-faire
B. Transformational
C. Autocratic
D. Transactional
Rationale: Transformational leaders inspire and motivate teams toward continuous
improvement and shared goals.
2.
Which of the following best describes emotional intelligence in nursing
leadership?
A. Using emotions to manipulate others
B. Recognizing and managing one’s own and others’ emotions
C. Controlling team members’ emotions during conflict
D. Avoiding emotional expression in professional settings
Rationale: Emotional intelligence combines self-awareness, self-regulation, and
empathy to build effective relationships.
3.
, 2
A nurse leader uses evidence-based research to change patient handoff procedures.
This demonstrates which leadership competency?
A. Ethical leadership
B. Systems thinking
C. Evidence-based decision making
D. Conflict management
Rationale: Evidence-based leaders apply the best available evidence to improve
quality and outcomes.
4.
Which communication technique promotes active listening?
A. Offering advice immediately
B. Interrupting to clarify points
C. Restating and summarizing key points
D. Changing the subject
Rationale: Restating ensures understanding and demonstrates attentiveness.
5.
A nurse leader delegates tasks to a team but remains responsible for outcomes. This
illustrates:
A. Accountability
B. Authority
C. Supervision
D. Empowerment
Rationale: Accountability cannot be delegated, even when responsibility is shared.
6.
A conflict arises between two nurses. The leader encourages both to share
perspectives and identify a mutually acceptable solution. Which conflict resolution
strategy is used?
, 3
A. Avoiding
B. Accommodating
C. Collaborating
D. Competing
Rationale: Collaboration seeks win–win outcomes through open communication
and problem solving.
7.
Which communication channel is most effective for delivering sensitive feedback
to a staff member?
A. Email
B. Face-to-face meeting
C. Text message
D. Public announcement
Rationale: Sensitive or emotional issues require personal, private, two-way
communication.
8.
Which leadership theory focuses on aligning individual and organizational goals
through inspiration?
A. Servant leadership
B. Transformational leadership
C. Situational leadership
D. Transactional leadership
Rationale: Transformational leaders inspire followers to achieve higher
performance and shared purpose.
9.
A nurse manager conducts performance appraisals and offers bonuses for meeting
unit goals. This represents:
, 4
A. Democratic leadership
B. Transformational leadership
C. Transactional leadership
D. Servant leadership
Rationale: Transactional leaders use rewards and consequences to drive
performance.
10.
During a patient safety meeting, a nurse leader asks open-ended questions to
involve all team members. This promotes:
A. Authoritarian communication
B. Shared decision-making
C. Passive communication
D. Directive leadership
Rationale: Open-ended questioning fosters inclusion, participation, and
collaboration.
11.
Which ethical principle is demonstrated when a nurse respects a patient’s right to
refuse treatment?
A. Autonomy
B. Justice
C. Beneficence
D. Fidelity
Rationale: Autonomy upholds a patient’s right to make informed choices.
12.
A nurse leader identifies that poor communication between shifts leads to errors.
What is the best first step?
A. Discipline staff