Leadership and Management in Nursing Solved Exam Questions
Course Introduction
This course explores the core principles and practices of leadership and management within the nursing profession. Students will examine theories of leadership, decision-making processes, and effective communication strategies tailored to healthcare environments. The course emphasizes the roles and responsibilities of nurse leaders in promoting patient safety, quality care, and fostering interdisciplinary collaboration. Topics include change management, conflict resolution, delegation, resource management, and ethical considerations in leadership. Practical assignments and case studies will prepare students to assume leadership roles and navigate complex healthcare systems with confidence and competence.
Recommended Textbook LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
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Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) A nurse who has been an LPN/LVN for 10 years is meeting with an advisor to discuss the possibility of taking classes to become an RN. The advisor interprets which statement by the nurse as the driving force for returning to school?
A) "I'll need to schedule time to attend classes."
B) "I'll have to budget for paying tuition."
C) "I'll have to rearranging my schedule."
D) "There is a possibility of advancement into administration."
Answer: D
Q2) There is a test on the cardiovascular system on Friday morning, and it is now Wednesday night. The student has already taken a vacation day from work Thursday night so that she can stay home and study. She is considering skipping her exercise class on Thursday morning to go to the library to prepare for the test. Which response best identifies the student's outcome priority?
A) Exercise class
B) Going to the library
C) Avoiding work by taking a vacation
D) Doing well on the test on Friday
Answer: D
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Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A student exclaims, "I have to make a 100% on this test because anything less is just like failing in my book. I either know it or I don't and if I don't know it now, I never will." This student is obviously stressed, and the statements represent:
A) awareness reduction.
B) cognitive distortions.
C) positive coping mechanisms.
D) acceptance of reality.
Answer: B
Q2) A nurse is working with a depressed youth on a psychiatric unit. She knows that her greatest strength is listening. The nurse's knowledge of herself describes: A) self-confidence. B) competence.
C) understanding.
D) self-awareness.
Answer: D
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Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Multiple incorrect options on a test are known as:
A) stems.
B) structured responses.
C) distractors.
D) negative indicators.
Answer: C
Q2) A student is reviewing new material for an upcoming test. She has decided to highlight so that she can come back later to easily review the material. How can she use highlighting to be successful?
A) She should highlight the first time she reads the material.
B) She should highlight no more than 20% of the material.
C) She should use only one method of highlighting.
D) She should highlight the entire chapter.
Answer: B
Q3) The five-step method of thoroughly studying is composed of which steps in order?
A) Scan, skim, survey, read, recite, review.
B) Scan, skim, read, recite, review, reread.
C) Survey, question, read, recite, review.
D) Survey, question, read, review, reread.
Answer: C
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Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
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Sample Questions
Q1) How many tablets of Zaroxolyn are in one dose?
Ordered: Zaroxolyn 0.005 gm PO q AM
Available: 2.5-mg tablets
Q2) What volume of Heparin is one dose?
Ordered: Heparin 12,000 units SC q12h
Available: Heparin 20,000 units/mL
Q3) Ordered: Dilantin 40 mg PO BID
Pediatric dose range: 5 to 7 mg/kg/day
Child's weight: 6.7 kg
Available: Dilantin 30 mg/5 mL susp
Q4) 1 L D5W to infuse in 8 hours
Q5) 100 mL Protonix to infuse over 2 hours
Q6) Ticar 500 mg IV q6h. Dilute in 75 mL D W and give over 45 minutes via Buretrol set with a drop factor of 60 gtt/mL.
Q7) Kefzol 500 mg in NS 75 mL over 30 minutes
Q8) What volume of aminophylline is one dose?
Ordered: aminophylline 175 mg IV q6h
Available: aminophylline ampule labeled 500 mg/20 mL
Q9) 500 mL D5LR to infuse in 4 hours Page 6
Q10) Heparin 22,000 units in 500 mL NS at 800 units/hr.
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Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Every 3 years the NCSBN conducts practice analysis to determine the expectations for entry level nurses who are newly licensed. The nurse manager understands and can state that nursing care activities are analyzed in relation to all of the following except:
A) frequency of performance.
B) time commitment.
C) impact on maintaining client safety.
D) client care setting where the activities are performed.
Q2) The use of Computer Adaptive Technology (CAT) has drastically changed the process of licensure testing. The graduate nurse understands this process when she makes which statements? (Select all that apply.)
A) "The implementation of CAT allows me to choose what study material to use when testing."
B) "CAT allows me to choose a testing center that is close to my home."
C) "CAT gives me the flexibility to select a testing time and date that fits into my work schedule."
D) "CAT implementation allows me to schedule multiple testing dates, in case I cannot make one."
E) "CAT ensures easier questions than the older written tests."
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Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse would assume the care provider role of educator during which action?
A) Leading a hand washing initiative to reduce infection rates
B) Answering a new mother's questions about breastfeeding
C) Working with colleagues to transfer a patient into a rehab center
D) Requesting more pain medications for a patient who is recovering from a total hip replacement
Q2) The RN understands that the National League for Nursing (NLN) delineates three professional roles of the associate degree nurse when she lists all of the following except:
A) manager of care.
B) team player.
C) provider of care.
D) member of profession.
Q3) An RN student is discussing formal role socialization with her nursing professor. The professor believes the RN student has a good understanding when she states that formal role socialization:
A) "can occur in any informal setting."
B) "occurs during patient teaching."
C) "does not occur in the classroom setting."
D) "only occurs spontaneously."
Page 9
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Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Which is the dominant focus of patient care in the current health care environment?
A) To increase cost to increase profit
B) To contain rising costs
C) To ignore rising costs
D) To manage care according to cost
Q2) What is the major social factor that has developed the role of nursing to what it is today?
A) Society's attitude toward the role of women
B) Society's lack of qualified health providers
C) Society's lack of resources to pay for health care
D) Society's lack of education about health care
Q3) _____ defined nursing as "that care which puts a person in the best possible condition for nature to restore or to preserve health, and to prevent or to cure disease or injury."
A) Barton
B) Nightingale
C) Breckenridge
D) Dix
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Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) The nurse accidentally administers the wrong dose of a medication. Her first action would be to:
A) notify the physician.
B) fill out an incident report.
C) assess the patient.
D) tell her supervisor.
Q2) A nurse manager is preparing a presentation on negligence to present at the next staff meeting. She would not consider which as a form of negligence?
A) Malfeasance
B) Nonmalfeasance
C) Misfeasance
D) Nonfeasance
Q3) For the RN to practice ethical decision-making, it is most important for him or her to:
A) base decision-making on whether an action is right or wrong.
B) base decision-making on possible consequences.
C) accurately assess a situation.
D) seek the assistance of an ethics committee.
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Chapter
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) The medical team determines that a patient needs to be transferred to another facility to continue receiving the most appropriate and beneficial care. The transfer process has been slow and difficult, and the nurse is struggling to care for the transferring patient along with her other assigned patients. What is the best action the nurse can take to improve her situation?
A) Continue to do the best that she can do for all of her patients.
B) Inform the medical team that the transfer will have to wait for the next shift.
C) Involve management so that the nurse can focus on patient care.
D) Ask her co-workers to manage her patient assignment.
Q2) On administering a medication, the RN realizes that she gave the incorrect amount. After assessing the patient, which action would not be appropriate for the nurse to take?
A) Report the incident to the patient's physician.
B) Immediately report the incident to her manager.
C) Keep the incident to herself and continue to monitor the patient.
D) Continue to reassess the patient.
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Page 12
Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The goal of Ida Jean Orlando's theory of effective nursing practice is to:
A) focus on relationships among the environment, nurse, and patient.
B) reduce the duration of hospital stays.
C) meet the immediate needs of the patient and relieve distress or discomfort.
D) integrate holism into nursing.
Q2) What skills would a nurse demonstrate if the nurse reached the "competent stage" of Patricia Benner's theory of skill acquisition?
A) Relies on more experienced nurses for guidance
B) Can multitask, set goals, and think analytically
C) Can see the whole picture and recognizes subtle changes in condition
D) Recognizes patterns and responds automatically
Q3) Which statement about nursing conceptual models is true?
A) Nursing conceptual models provide a broad explanation of the world.
B) Nursing conceptual models are composed of a defined and interrelated set of concepts.
C) Nursing conceptual models are abstract concepts that propose outcomes.
D) Nursing conceptual models are related constructs that broadly explain a phenomenon of interest.
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) An RN is making assignments on a medical-surgical unit. Which patient could the RN assign to a float RN from the maternity unit?
A) A 68-year-old female patient with COPD and viral pneumonia
B) A 60-year-old female patient with atrial fibrillation and a heart rate of 150
C) A 50-year-old male patient post open heart surgery whose blood pressure is 90/50
D) A 36-year-old male patient who is severely neutropenic awaiting chemotherapy
Q2) A nursing intervention directs the patient to be turned every 2 hours to prevent skin breakdown from immobility. Assessment findings on new reddened areas on the lateral aspects of the right knee and ankle are obtained. What is the most appropriate way for these findings to be used when the care plan is evaluated?
A) The information will be added to the relevant area of the electronic medical record. B) The nursing diagnosis will be changed from an actual problem to a potential problem.
C) The new intervention of calling the physician will be added to the care plan.
D) The intervention will change to have the patient turned every hour.
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14
Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Critical thinking is a purposeful, goal-directed process of inquiry that uses available facts, principles, theories, and abstractions. Which statement best describes the processes that are accomplished through critical thinking?
A) Make inferences, solve problems, arrive at decisions.
B) Persuade others, induce debate, use intuition.
C) Make inferences, reduce fractions, make decisions.
D) Solve problems, elevate issues, reflect actions.
Q2) An RN has been working with a patient on the nursing unit for a 12-hour shift. The nurse recognizes that each time the patient is turned to the left, the blood pressure drops 15 mm Hg. The same RN has seen this phenomenon in several other patients and makes the connection that patients with right-sided heart failure (the medical diagnosis) will experience a blood pressure drop if they are turned to their left side. This type of reasoning is called:
A) inductive.
B) deductive.
C) reductive.
D) reflective.
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Page 15
Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) Which question should the nurse ask in order to judge the validity of a research study?
A) What reliability information has been provided?
B) Are the instrument measures applied consistently?
C) Does the instrument measure what it is supposed to measure?
D) How much random error exists?
Q2) Nursing practice is guided by Carper's four fundamental patterns of knowing. Which of the four patterns of knowing supports the nurse's use of the evidence-based practice process?
A) Ethics
B) Personal knowing
C) Empirical knowing
D) Aesthetic knowing
Q3) Characteristics of a quantitative study include all of the following except:
A) clarifies underlying assumptions.
B) asks who, what, why, where, when, or how.
C) describes the relationship between variables.
D) is highly structured and controlled.
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16
Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) During the therapeutic relationship with a patient, which of the following is the primary focus of care?
A) Meeting the needs of the nurse
B) Medication administration
C) The patient's needs and problems
D) Self-care potential
Q2) An example of a communication blocker is:
A) silence.
B) eye contact.
C) advising.
D) clarifying.
Q3) The RN has assigned the nursing assistant (NA) a task. The NA becomes angry and begins yelling at the RN. What is the best approach for the RN to take?
A) Tell the NA that you will let her leave early if she will do this for you.
B) Ignore her and reassign the task.
C) Meet with the NA to explore his or her feelings and the reason for resistance.
D) Call the nursing supervisor and report the NA for insubordination.
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17
Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
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Sample Questions
Q1) Which item would most likely be a barrier to learning for a patient who must begin to wear an insulin pump?
A) Curiosity about new experiences and equipment
B) Tendency toward embarrassment about making mistakes and being seen with the pump
C) Ability to prioritize diabetes management
D) Understanding that the patient can promote his or her own well-being
Q2) An 18-year-old patient is scheduled for heart surgery tomorrow. To assess this patient's level of knowledge, the nurse would say:
A) "Tell me the name of the surgery you are going to have."
B) "Do you understand what the doctor is going to do to you?"
C) "Would you be willing to take a test for me?"
D) "Tell me what you know about what is going to happen tomorrow."
Q3) Which item would most likely be a barrier to learning for a patient who must begin to care for a large open wound at home?
A) Curiosity about the new experience and equipment
B) Tendency for uneasiness about making mistakes
C) Ability to prioritize tasks
D) Understanding that he can promote his own healing
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Page 18
Chapter 16: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse manager must confront an employee about excessive absenteeism. During the confrontation with this employee, which introductory statement is most appropriate?
A) "Is there something occurring in your life that is interfering with your attendance at work?"
B) "What is your understanding of our absenteeism policy and being placed on probation?"
C) "You are always calling in sick and leaving the staff in a real mess."
D) "Let's pull the policy manual out and read the absenteeism policy together."
Q2) Which patient should be assigned to an experienced LPN/LVN?
A) One day post-op coronary artery bypass graft (CABG) who is on telemetry with T 37.1° C, BP 95/50, P 92, R 18
B) Two day post-op appendectomy with T 36.8° C, BP 118/78, P 78, R 18
C) Snake bite 2 days prior with hematuria, melena, and blood seepage at the IV site with stable vital signs
D) One day post cerebral vascular accident (CVA) on a heparin drip experiencing increasing hemiplegia, with stable vital signs
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Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A program designed to increase exercise, reduce fat in a diet, and teach low-fat cooking methods to improve the health of a large population could be best described as:
A) supportive care.
B) rehabilitation.
C) diagnosis and treatment.
D) health promotion and health protective.
Q2) A patient has had no visitors for the 2 weeks he has been on your unit. The patient seems dejected and insists on having his few belongings in sight at all times. The nurse realizes that he may be experiencing what kind of need?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
Q3) Healthy People 2020 is a:
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of U.S. citizens.
D) set of national health mandates.
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Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is an example of a responsible resource manager in an acute care facility?
A) Listens to staff input about implementing a new procedure
B) Consumes foods and drinks kept on the unit for patients
C) Considers the unit's patient census when determining staffing
D) Uses supplies that are not accounted for
Q2) By allowing the ICU patient's family to visit as often as the patient's condition will allow, the nurse is considering which type of need within the patient and his family?
A) Trust
B) Social support
C) Environmental
D) Dependence
Q3) The health maintenance focus for the patient in tertiary care is to:
A) regain or attain as much independence as possible.
B) extend the time in tertiary care as long as possible.
C) ensure total independence with self-care.
D) avoid acquired infections while in the tertiary facility.
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Page 21
Chapter 19: Reflecting on Your Transition
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18 Verified Questions
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Sample Questions
Q1) Which of the following is an example of an anxiety-causing situation below that is potentially caused by a role transition from LPN/LVN to RN?
A) A shift assignment of four patients
B) Managing care based on your knowledge and skills
C) Changing work shifts from days to nights
D) Delegating tasks to LPNs/LVNs and medical assistants
Q2) If a patient refuses a medication or is undergoing a diagnostic test that results in a missed dose of medication, the nurse will document the omission on the medication administration record and:
A) discontinue the physician's order.
B) document why the dose was not given.
C) write an incident report.
D) double the dose at the next scheduled administration time.
Q3) It is 0800 and the nurse just received report. Which patient situation demands the nurse's immediate attention? The patient:
A) with a blood glucose of 200.
B) who needs a 0800 vancomycin level drawn.
C) receiving a blood transfusion who reports slight itching and chills.
D) with a serum potassium level of 4.3 mEq/dL who is receiving digoxin.
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