NURS 3325 Leading and Managing in
Nursing Exam Questions and Correct
Answers latest 2025–2026
As the nurse manager who wants to increase motivation by providing
motivating factors, which action would you select?
a. Collaborate with the human resource/personnel department to
develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package. -correct
answer C
Sarah wonders about the direction that you have given regarding
management of incontinent, confused patients. She brings you
evidence that she has found regarding incontinence interventions and
asks you if she and you could talk about the guidance that you have
given after you have had an opportunity to read the articles she has
given you. This is an example of (select all that apply):
a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination. -correct answer AB
As a leader on a rehab unit, you encourage all staff members to see
themselves as having a role in decision making and quality care. You
see your role as involving particular responsibilities in decision making
but not as a hierarchal role. This view of decision making and
leadership is consistent with:
a. Trait theories.
,b. Complexity theory.
c. Situated theory.
d. Emotional intelligence. -correct answer B
A dispute arises between an RN staff member and an LPN over a
patient issue. The tension between the two begins to affect other staff
members, who are drawn into the conflict; eventually, the team
becomes polarized toward either the RN or the LPN. This situation
might have been prevented through:
a. Expediency in responding to the initial dispute, once it became
apparent that it could not be resolved by the two parties themselves.
b. Asking other staff members what the real issues were in the
dispute between the RN and the LPN.
c. Reassigning one of the parties to another unit when it became
apparent that the two individuals could not resolve the dispute
themselves.
d. Calling a staff meeting at the onset of the dispute to allow the
team and the RN and LPN to discuss the initial dispute. -correct
answer A
According to the complexity theory, which of the following should be
the focus of measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
d. Staff morale and budgets -correct answer D
As a nurse, you are responsible for teaching ostomy patients self-
management skills postoperatively. Mr. Jones is 2 days postoperative
after an abdominal perineal resection. In spite of patient-controlled
analgesia, Mr. Jones acknowledges inadequate pain relief and rates
his pain as an 8, utilizing a 0-to-10 pain scale. When you approach him
,for teaching, he turns away and closes his eyes. Which approach
incorporating Maslow's hierarchy of needs motivational theory is most
appropriate in this situation?
a. Tell him you will let him rest today and see if he is feeling better
tomorrow.
b. Intervene to improve his pain management control and return later in
the day to reassess his readiness to learn.
c. Talk to the social worker about arranging home healthcare services
at discharge to assist with teaching.
d. Gently approach Mr. Jones and inform him of the importance of
participating in postoperative teaching today beca -correct answer B
You overhear a newly graduated RN telling one of your colleagues
that leadership and management belong to the unit manager and
not to her. As a nursing colleague, your response demonstrates
understanding that the perception of the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a
professional, whose influence may affect the decision making of
patients, colleagues, and other professionals.
c. Has been influenced by nurse leaders and managers who leave for
other positions.
d. Is related to the general perception that nurse leaders and managers
are not satisfied in their jobs. -correct answer B
You pull staff together to assess a situation in which the family of a
seriously ill patient is anxious and is absorbing a great deal of staff
time in consultation, discussion, and questioning of treatment
decisions. Staff members are becoming distanced from the family.
After inviting the concerns of staff, you explain that the organization
values patient-centered care and suggest that evidence supports that
acting as an advocate and a listener is helpful to families. You ask the
, staff for ideas as to strategies that are effectively patient-centered in
these situations. In this situation, you are taking on which role?
a. Leadership
b. Management
c. Follower
d. Visionary -correct answer A
In response to the situation in Question 15, you approach the unit
manager to apprise her of your concerns that the family dynamics of
the patient involved may lead to staff-family and patientfamily conflicts.
You suggest that the physician may need to discuss the treatment plan
with the family. The unit manager advises that he will arrange this
discussion. If, after the meeting with family members, this is identified
as a desired approach, you support the manager's decision. Your
actions indicate that you are acting in what role?
a. Leadership
b. Management
c. Follower
d. Evidence-based -correct answer C
Joan, the nursing unit manager, finds it difficult to work with Thomas,
a new graduate. Thomas has many ideas, and his manner of
presenting them irks Joan. After reflection and discussion with others,
Joan recognizes that she also feels threatened by his behavior. She
comes to understand that Thomas is trying to establish his own role
on the unit, is not trying to challenge her, and needs guidance,
coaching, and affirmation. Joan is demonstrating: a. A positive self-
concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence. -correct answer B
Nursing Exam Questions and Correct
Answers latest 2025–2026
As the nurse manager who wants to increase motivation by providing
motivating factors, which action would you select?
a. Collaborate with the human resource/personnel department to
develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package. -correct
answer C
Sarah wonders about the direction that you have given regarding
management of incontinent, confused patients. She brings you
evidence that she has found regarding incontinence interventions and
asks you if she and you could talk about the guidance that you have
given after you have had an opportunity to read the articles she has
given you. This is an example of (select all that apply):
a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination. -correct answer AB
As a leader on a rehab unit, you encourage all staff members to see
themselves as having a role in decision making and quality care. You
see your role as involving particular responsibilities in decision making
but not as a hierarchal role. This view of decision making and
leadership is consistent with:
a. Trait theories.
,b. Complexity theory.
c. Situated theory.
d. Emotional intelligence. -correct answer B
A dispute arises between an RN staff member and an LPN over a
patient issue. The tension between the two begins to affect other staff
members, who are drawn into the conflict; eventually, the team
becomes polarized toward either the RN or the LPN. This situation
might have been prevented through:
a. Expediency in responding to the initial dispute, once it became
apparent that it could not be resolved by the two parties themselves.
b. Asking other staff members what the real issues were in the
dispute between the RN and the LPN.
c. Reassigning one of the parties to another unit when it became
apparent that the two individuals could not resolve the dispute
themselves.
d. Calling a staff meeting at the onset of the dispute to allow the
team and the RN and LPN to discuss the initial dispute. -correct
answer A
According to the complexity theory, which of the following should be
the focus of measurement?
a. Cost per hospital day
b. Bed utilization
c. Infection rates
d. Staff morale and budgets -correct answer D
As a nurse, you are responsible for teaching ostomy patients self-
management skills postoperatively. Mr. Jones is 2 days postoperative
after an abdominal perineal resection. In spite of patient-controlled
analgesia, Mr. Jones acknowledges inadequate pain relief and rates
his pain as an 8, utilizing a 0-to-10 pain scale. When you approach him
,for teaching, he turns away and closes his eyes. Which approach
incorporating Maslow's hierarchy of needs motivational theory is most
appropriate in this situation?
a. Tell him you will let him rest today and see if he is feeling better
tomorrow.
b. Intervene to improve his pain management control and return later in
the day to reassess his readiness to learn.
c. Talk to the social worker about arranging home healthcare services
at discharge to assist with teaching.
d. Gently approach Mr. Jones and inform him of the importance of
participating in postoperative teaching today beca -correct answer B
You overhear a newly graduated RN telling one of your colleagues
that leadership and management belong to the unit manager and
not to her. As a nursing colleague, your response demonstrates
understanding that the perception of the new graduate:
a. Is correct. Leadership is not the role of the staff nurse.
b. Would benefit from further understanding of her role as a
professional, whose influence may affect the decision making of
patients, colleagues, and other professionals.
c. Has been influenced by nurse leaders and managers who leave for
other positions.
d. Is related to the general perception that nurse leaders and managers
are not satisfied in their jobs. -correct answer B
You pull staff together to assess a situation in which the family of a
seriously ill patient is anxious and is absorbing a great deal of staff
time in consultation, discussion, and questioning of treatment
decisions. Staff members are becoming distanced from the family.
After inviting the concerns of staff, you explain that the organization
values patient-centered care and suggest that evidence supports that
acting as an advocate and a listener is helpful to families. You ask the
, staff for ideas as to strategies that are effectively patient-centered in
these situations. In this situation, you are taking on which role?
a. Leadership
b. Management
c. Follower
d. Visionary -correct answer A
In response to the situation in Question 15, you approach the unit
manager to apprise her of your concerns that the family dynamics of
the patient involved may lead to staff-family and patientfamily conflicts.
You suggest that the physician may need to discuss the treatment plan
with the family. The unit manager advises that he will arrange this
discussion. If, after the meeting with family members, this is identified
as a desired approach, you support the manager's decision. Your
actions indicate that you are acting in what role?
a. Leadership
b. Management
c. Follower
d. Evidence-based -correct answer C
Joan, the nursing unit manager, finds it difficult to work with Thomas,
a new graduate. Thomas has many ideas, and his manner of
presenting them irks Joan. After reflection and discussion with others,
Joan recognizes that she also feels threatened by his behavior. She
comes to understand that Thomas is trying to establish his own role
on the unit, is not trying to challenge her, and needs guidance,
coaching, and affirmation. Joan is demonstrating: a. A positive self-
concept.
b. Deepening self-awareness.
c. Leadership.
d. Acquiescence. -correct answer B
