Nursing Administration Exam Materials
Course Introduction
Nursing Administration focuses on the principles and practices essential for effective leadership and management in healthcare settings. The course covers topics such as organizational structure, human resource management, healthcare policy, budgeting, quality improvement, communication, decision-making, and ethical considerations in administration. Students examine the roles and responsibilities of nurse administrators in planning, coordinating, and evaluating nursing services to ensure safe, efficient, and high-quality patient care. The course emphasizes critical thinking, leadership skills, and strategies for managing change within dynamic healthcare environments.
Recommended Textbook
Leading and Managing in Nursing 7th Edition by Yoder Wise
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31 Chapters
756 Verified Questions
756 Flashcards
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Page 2
Chapter 1: Leading, Managing, and Following
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The charge nurse walks into Mr.Smith's room and finds him yelling at the LPN.He is obviously very upset.The charge nurse determines that he has not slept for three nights because of unrelieved pain levels.The LPN is very upset and calls Mr.Smith an "ugly,old man." The charge nurse acknowledges the LPN's feelings and concerns and then suggests that Mr.Smith's behavior was aggressive but was related to lack of sleep and to pain.The charge nurse asks,"Can you,together with Mr.Smith,determine triggers for the pain and effective approaches to controlling his pain?" This situation is an example of what?
A) Lack of empathy and understanding for Miss Jones
B) Concern with placating Mr. Smith
C) Leadership behavior
D) Management behavior
Answer: C
Q2) According to the complexity theory,what would be the focus of measurement?
A) Cost per hospital day
B) Bed utilization
C) Infection rates
D) Staff morale and budgets
Answer: D
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Page 3
Chapter 2: Clinical Safety: The Core
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Sample Questions
Q1) What does the SBAR approach to patient safety encourage?
A) Consistency in assessment and practices
B) Continuing education
C) Multidisciplinary approaches
D) Patient feedback
Answer: A
Q2) Mary,an 85-year-old patient with cognitive impairment and gross instability,wanders continuously.Lately,she has fallen twice,and the family demands that she be restrained.As the unit manager,you have initiated a least restraint practice.What is an appropriate action in this situation?
A) Setting up a nursing team meeting to review practices
B) Calling the family to inform them of the practice
C) Initiating a multidisciplinary and family meeting to focus on Mary's needs
D) Restraining Mary to satisfy the family's wishes
Answer: C
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Chapter 3: Legal and Ethical Issues
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Sample Questions
Q1) One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery.The patient says that he won't sign because he doesn't understand the nature of the surgery.You advise that:
A) consent must not be coerced.
B) the patient has a right to choose not to consent.
C) the patient must sign the consent because the doctor wants him to sign.
D) witnessing a consent is related only to the voluntary nature of the signature.
Answer: A,B,D
Q2) The manager in the coronary care unit believes an important ethical consideration in performance evaluations is to include the employee's good qualities and give positive direction for professional growth.What ethical principle does this represent?
A) Justice
B) Fidelity
C) Beneficence
D) Nonmaleficence
Answer: D
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5
Chapter 4: Cultural Diversity and Inclusion in Health Care
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Sample Questions
Q1) As a nurse manager,you have to be effective in managing a culturally diverse staff.Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff?
A) Stereotyping of others
B) Respecting others
C) Understanding the importance of language
D) Encouragement of potential in all staff
E) Age bias
F) Disrespect for others
Q2) Mary joins 5W nursing unit.Mary is a new graduate who is anxious to fit in.She soon learns that some of her "book learning" is being criticized by her colleagues,so she adapts her practice to what others on the unit are doing.She is demonstrating:
A) cultural awareness.
B) cultural sensitivity.
C) acculturation.
D) cultural marginality.
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Chapter 5: Gaining Personal Insight: The Beginning of Being a Leader
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21 Verified Questions
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Sample Questions
Q1) The core of nursing leadership incorporates integration of unique qualities to include us as individuals.Which is not considered part of leadership integration?
A) Person
B) Leader
C) Nurse
D) Position
Q2) A staff nurse is the person on the unit everyone seeks for input and asks questions.What type of leadership position is the staff nurse displaying?
A) Position leadership
B) Informal leadership
C) Personal leadership
D) Formal leadership
Q3) Which of the following is an example of a formal leadership position on a nursing unit?
A) Staff nurse
B) Unit secretary
C) Unit manager
D) Nursing assistant
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Chapter 6: Being an Effective Follower
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10 Verified Questions
10 Flashcards
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Sample Questions
Q1) The nurse manager is working with a group of new nurses.The new nurses ask questions about leadership and the role of a manager in leading nursing.The manager shares the desire to have engaged staff nurses who participate in a team environment.What is the manager describing?
A) Effective follower
B) Effective leader
C) Ineffective follower
D) Ineffective leader
Q2) A staff nurse is taking leadership classes in an advanced degree program with a goal to become a nurse manager.The nurse is studying the leader-follower relationship.What has the nurse discovered as accurate part of the leader-follower relationship?
A) Leaders are also followers.
B) Followers need to linear structures.
C) Followers are submissive in nature.
D) Leaders should dictate to the group.
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Chapter 7: Managing Self: Stress and Time
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Sample Questions
Q1) Jeff,an RN in his 30s,has lost a parent,just purchased a new home,and is laid off with 6 months' severance pay.At the same time,Jerry,an RN in his 50s,is financially secure and is asked to take early retirement with a buyout.How will the two men react to the emotional and physical influences and the sequence of stress?
A) The younger man will feel more stress.
B) The two men may or may not feel the same amount of stress.
C) The older man will feel more stress.
D) Neither man will experience any stress.
Q2) A nurse manager has decided that she must institute some personal time-management steps to survive work and home life.Her first step should be to:
A) determine what takes up so much of her time and energy.
B) organize her personal and work spaces.
C) purchase a handheld personal digital assistant to help remind her of important meetings.
D) determine her personal and professional goals.
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Chapter 8: Communication and Conflict
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Sample
Questions
Q1) Mrs.Hill,aged 68,was hospitalized after a stroke.The speech therapist recommended that oral feeding be stopped because of her dysplasia.During visiting hours,Mr.Hill fed his wife some noodles.The nurse noticed this and stopped Mr.Hill from feeding his wife,telling him it was the doctor's decision.An hour later,the nurse returned and found Mr.Hill feeding his wife again.The nurse tried to stop him again.Mr.Hill refused and claimed that the clinical staff was trying to starve his wife; he also threatened to get violent with the nurse.The nurse decided to walk away and documented the event in Mrs.Hill's chart.The outcome as depicted by Thomas' conflict stages can be considered to be:
A) compromising.
B) confronting.
C) constructive.
D) destructive.
Q2) Factors that influence the ease with which conflict is resolved include all except which of the following?
A) Level of interdependence of the parties
B) Interprofessional collaboration
C) Expression of one's own needs and ideas
D) Avoidance of the issue or concern
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Chapter 9: Power,Politics,and Influence
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Sample Questions
Q1) The work group on Nursing Unit 23 is marked by apathy toward the ward's patients,high absenteeism,open conflict among team members,and high turnover of personnel,including managers.The underlying behavior in this situation may be characterized as:
A) powerlessness.
B) anger.
C) apathy.
D) oppression.
Q2) During a unit meeting,you notice that Vivian listens attentively when Mary is speaking and offers support and advice when Mary presents ideas to the group.You are surprised because Vivian has often confided that she does not like Mary.Vivian's behavior is best described as:
A) insincere.
B) networking.
C) politically sophisticated.
D) collegial.
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11
Chapter 10: Healthcare Organizations
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Sample Questions
Q1) What patients would most likely be covered under Medicare?
A) Jim, who lives on the street and has occasional infections
B) Alysha, who is on social assistance and has a 5-year-old daughter with frequent ear infections
C) Karen, a housewife, 45 years of age, whose husband recently abandoned the family
D) Dan, who is 68 years of age and in good health
Q2) To prepare for the orientation of newly hired nurses,the nurse manager plans a presentation outlining the concept of healthcare networks.Healthcare networks are:
A) units that provide only primary care services.
B) owned by the institutions.
C) a feature of all public institutions.
D) units that serve large populations.
Q3) As a nurse manager in a hospital,you would expect what to be the major contributor to funding and revenues in your organization?
A) The federal government
B) Medicare
C) Medicaid
D) Blue Cross/Blue Shield
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12
Chapter 11: Organizational Structures
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Sample Questions
Q1) At Orangetown Hospital,the nursing department is developing a mission statement for nursing.What would be a suitable mission statement?
A) "Nursing provides services for patients admitted to Orangetown Hospital."
B) "To participate fully in the professional services offered by Orangetown Hospital."
C) "To lead by the lamp; services for seniors."
D) "At Orangetown, the nursing department provides caring services that recognize the diversity of clients and promote optimal health with clients through partnership, education, and interprofessional collaboration."
Q2) Organizational culture includes:
A) norms.
B) traditions.
C) behaviors.
D) values.
Q3) In the Unity Healthcare organization,communication flows:
A) laterally.
B) bottom to top.
C) top to bottom.
D) intermittently.
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13
Chapter 12: Care Delivery Strategies
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Sample Questions
Q1) In a small rural nursing home,a director of nursing decides,because of a shortage of nurses,to implement a partnership model to help with basic tasks that comply with state rules regarding delegation.What type of design constitutes a partnership care delivery model?
A) RN and LPN/LVN
B) RN and RN
C) RN and medication assistants
D) RN and certified nurses' aides
Q2) When interviewing an applicant for an RN position,the nurse manager describes the unit's care delivery system as one in which the nursing assistants are cross-trained to perform specific tasks and the RNs complete all treatment,medication administration,and discharge teaching.The nurse applicant knows this nursing care delivery strategy to be:
A) the case method.
B) functional nursing.
C) primary nursing.
D) nurse case management.
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Chapter 13: Staffing and Scheduling
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Sample Questions
Q1) The difference between staffing and scheduling is that staffing:
A) puts the right person in the right position.
B) puts the right person in the right time and place.
C) refers to the number of nursing hours per patient per day.
D) looks after interpretation of benefits and compensation.
Q2) A strategy to increase RN staff retention at Valley Hospital includes:
A) better compensation and benefits.
B) clearer position descriptions.
C) lay-offs of nursing assistants.
D) adequate staffing to meet acuity levels.
Q3) Scheduling is a function of implementing the staffing plan by assigning unit personnel to work specific hours and specific days of the week.To retain nursing staff,the nurse manager must incorporate into the schedule plan:
A) all weekends off.
B) all holidays off.
C) a variety of scheduling options.
D) rotating shifts.
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Chapter 14: Work Force Engagement Through Collective
Action and Governance
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Sample Questions
Q1) A Magnet hospital surveys the staff about job satisfaction.This type of environment,in which nurses have authority and autonomy,is linked with:
A) client satisfaction with the healthcare organization.
B) organizations with a limited number of nurse managers.
C) private, specialty organizations in urban areas.
D) sophisticated academic health sciences universities.
Q2) The staff members in a local Emergency Department are experiencing stress and burnout as the result of excessive overtime.The staff decides to unionize to negotiate for better working conditions.The increase in unionization within health care may be attributed to the:
A) movement from being "blue-collar workers" to being "knowledge workers."
B) excess profits in health care.
C) level of risk that exists for health care.
D) number of people who are involved in health care.
Q3) Collective action is effective in:
A) ensuring that needs of nurses are placed ahead of other disciplines.
B) defining nursing as a profession.
C) advising patients of the needs of nurses.
D) amplifying the influence of individuals.
Page 16
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Chapter 15: Making Decisions and Solving Problems
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Sample Questions
Q1) The agency in which you are a nursing leader makes a decision to reduce the number of RN positions in favor of PN positions because agency data suggest that the clients in the agency can receive appropriate care from PN staff.Furthermore,the agency is facing a decline in funding and without restructuring,some clients might not receive services at all.You provide this information on this decision to the staff and ask them to advise you if they have any feedback,concerns,or alternative solutions.This decision-making style is known as:
A) paternalistic.
B) shared.
C) reasoned
D) informative.
Q2) A good nursing decision maker is one who:
A) uses various models to guide the process based on the circumstances of the situation.
B) adopts one model and uses it to guide all decision making.
C) decides not to use any models because they are all useless.
D) develops a new model each time a decision has to be made.
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Page 17
Chapter 16: The Impact of Technology
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Sample Questions
Q1) A primary care clinic in a small urban center sees a high volume of cardiology patients.Patients who attend the clinic have smart cards that they use at hospitals,clinics,and Emergency Departments within that region of the state.A primary benefit of the smart card for these patients would be:
A) rapid and accurate treatment in emergency situations.
B) reduced wait times to see specialists.
C) e-mail notification of test results.
D) readily available information regarding medications.
Q2) A rural-urban health consortium enables physicians in a rural remote setting to consult with specialists in care through electronic conferencing,which includes consultation using intranet radiology images.This system may be in which phase of electronic medical technology adoption,according to the Healthcare Information and Management Systems Society (HIMSS)?
A) 0
B) 1
C) 3
D) 6
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18
Chapter 17: Delegating: Authority, Accountability,
Responsibility in Delegation Decisions
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Q1) Sally is an experienced nurse on the unit and is very experienced with ICP monitoring.She is assigned David,a patient who has been admitted with a severe head injury.In communicating with Sally,what does is an appropriate action by the charge nurse?
A) Provide a detailed explanation of what she needs to do with ICP monitoring.
B) Tell her when she needs to provide an update about David's status.
C) Ask her to tell you what she knows about ICP monitoring and share expectations about reporting.
D) Advise her that you are available if she needs you.
Q2) The charge nurse is making patient assignments for the next shift on the unit.There is one critical patient on the unit,who is going to require more care than the other patients.Before delegating this patient in an assignment,what is the appropriate action by the charge nurse?
A) Delegate the admission assessment to the LPN.
B) Review the employee's performance assessment for the most recent period.
C) Assess the amount of guidance and support needed for the nursing care of the patient.
D) Create a task analysis of critical behaviors for the individual.
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Chapter 18: Leading Change
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Sample Questions
Q1) The wound care nurse decided to involve those to be affected by change early in the change management process.This can positively result in:
A) coordination.
B) resistance.
C) anticipation.
D) participation.
Q2) Resistance is most likely when change:
A) is not well understood.
B) involves many layers in an organization.
C) involves nonprofessional workers.
D) threatens personal security.
Q3) An example of one strategy to improve participation in the change process by staff fitting the behavioral descriptions of laggards,early majority,late majority,and rejecters is to:
A) encourage teamwork.
B) transfer to a different unit.
C) require attendance at staff meetings.
D) delegate the roles and tasks of change.
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20
Chapter 19: Building Effective Teams
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Sample Questions
Q1) Sally (RN)and Melissa (RN)have shared an ongoing conflict since the first day that Melissa worked on the unit.Sally has confided to another colleague that she doesn't even know why the conflict started or what it was about.This is an example of:
A) how expectations and objectives need to be made clear in team situations.
B) the need to encourage open discussion of disagreements in opinions.
C) the importance of involving all staff in discussions in group settings.
D) the enduring nature of first impressions.
Q2) You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace.To address deficits that may already be present in nursing curricula related to the workplace,you include more content and skills development related to:
A) therapeutic communication with patients.
B) effective communication in the workplace.
C) increased emphasis on sender-receiver dyads.
D) generational differences in communication.
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Chapter 20: Managing Costs and Budgets
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Sample Questions
Q1) Which of the following factors is not implicated in rising healthcare costs?
A) Rising expectations of consumers for cure and care
B) Marketing of drugs to consumers
C) Large administrative staffs to process medical billings
D) Rising Medicare costs
Q2) A staff nurse regularly works two 12-hour shifts each week and one 8-hour shift every other week.How many FTEs is this position?
A) 0.6
B) 0.7
C) 0.8
D) 1
Q3) A nurse manager discovers that the actual number of visits per patient in a home health service is 3.8 visits per day when the standard is 5 visits per day.Based on this information,the nurse manager:
A) concludes that the complexity of care in each visit has arisen.
B) concludes that patient volume has been decreased.
C) decides that more information is needed before a conclusion can be reached.
D) initiates a training session regarding the importance of ensuring that visits are made.
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Chapter 21: Selecting, developing, and Evaluating Staff
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Q1) Sue,a nurse manager,discusses her concerns about the hospital's employee appraisal system with her work group,noting that it includes only one rating scale and that it means nothing unless the manager has effective relationship skills.Sue's concerns reflect which best practices associated with performance appraisal?
A) Rating scales are too generalized to be considered valid or reliable.
B) The effectiveness of appraisal is enhanced by a combination of methods and effective communication skills.
C) BARS is considered superior to simple rating scales in terms of performance appraisal.
D) Rating scales need to be designed by users to be well accepted.
Q2) During a performance appraisal,Joanne,the nurse manager,indicates that Alysha has difficulty mentoring students on the unit.Alysha responds that this is not her responsibility.In responding to Alysha,Joanne needs to consider:
A) Alysha's level of confidence.
B) whether mentoring is included in the position description.
C) whether mentoring is an essential component of the position description.
D) whether mentoring can be accurately observed and measured.
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Page 23
Chapter 22: Person-Centered Care
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Q1) A nurse is admitted to a psychiatric unit.The staff expresses frustration with her because they have explained her medication regimen several times,and yet,when she leaves the unit with a pass,she fails to follow it.The staff believe that,as a nurse,she should be able to understand what is expected.The nurse's failure to follow the regimen indicates:
A) early cognitive impairment.
B) lack of motivation.
C) lack of health literacy.
D) worsening health state.
Q2) The complexity of the healthcare environment for consumers is increased by:
A) falling levels of education among the public.
B) increased levels of poverty.
C) complex compensatory systems and a variety of delivery systems.
D) increased numbers of uninsured or underinsured.
Q3) An example of a factor that would impede a patient's learning is:
A) poverty.
B) limited health insurance.
C) being an older adult.
D) heavy sedation.
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Page 24
Chapter 23: Managing Quality and Risk
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Q1) At Hospital Alpha,there has been a 20% increase in instruments and sponges being left in patients during surgery and surgeries on the wrong limbs.These are known as:
A) sentinel events.
B) medically sensitive events.
C) nurse-sensitive events.
D) Never Events.
Q2) The nurse manager is concerned about the negative ratings her unit has received on patient satisfaction surveys.The first step in addressing this issue from the point of view of quality improvement is to:
A) assemble a team.
B) establish a benchmark.
C) identify a clinical activity for review.
D) establish outcomes.
Q3) Patient perceptions are useful in:
A) determining disciplinary actions in QI.
B) establishing the competitive advantage of QI decisions.
C) providing one source of data for QI initiatives.
D) establishing blame for poor-quality care.
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Chapter 24: Translating Research Into Practice
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Q1) You are excited by evidence supporting the use of workstations on wheels (WOWs)at the bedside to improve documentation and patient outcomes.You have disseminated the information through discussions and e-mails and are now ready to begin the process of considering implementation on the unit.To develop positive attitudes toward the use and implementation of the technology,you would discuss your ideas with (Rogers' diffusion of innovations theory):
A) Harvey, RN, a technology guru, who enthusiastically tries on all new software.
B) Berta, RN, who thoughtfully considers evidence and regularly uses it to try new approaches in her practice.
C) Carol, LPN, who is positive about new ideas but looks to her friends for their ideas about whether or not to try something new.
D) Ben, a 10-year veteran of the unit, who wonders why technology should be used at all. He says that he will use it when there is no chance of security breaks.
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Chapter 25: Managing Personal and Personnel Problems
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Q1) A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident.Which of the following is best for documentation of personnel problems?
A) Use of the performance appraisal on an annual basis
B) Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up
C) A tally sheet of medication errors and other specific problems that will be used at annual review
D) Copies of reports, placed in his or her file, of all unusual occurrences involving the employee
Q2) The chief nursing officer understands that clinical incompetence is best prevented by a(n):
A) flexible protocol for evaluating competency skills.
B) standardized clinical skills checklist.
C) administration of personality tests and competency assessments at point of hire.
D) formalized competency program with established standards for practice.
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Chapter 26: Role Transition
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Q1) A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?
A) Formal commitment of the employment contract
B) Improving role performance
C) Touring the unit
D) Disillusionment about the expectations of the job
Q2) A nurse manager notices that Nathan,an RN who has been on the unit for approximately 3 years,has an interest in health technology and seems to be very enthused about working with software and hardware at home.She speaks with Nathan and asks him if he would lead investigation of software applications on the unit.This is an example of:
A) opportunity.
B) delegation.
C) role negotiation.
D) role transition.
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28
Chapter 27: Managing Your Career
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Q1) In preparing for a fair interview process as a hiring manager,you should:
A) put water out for the candidates.
B) ensure that you know the names of all candidates.
C) dress comfortably and professionally.
D) prepare a schedule of questions to be asked of all candidates.
Q2) A unit manager recently graduated as a clinical nurse specialist with a focus in gerontology.She applied to take a certification exam.Certification is designed to recognize:
A) basic knowledge in a specified area.
B) advanced practice in functional roles.
C) special knowledge beyond basic licensure.
D) continued competence as a registered nurse.
Q3) A well-written letter of resignation is critical to:
A) first announce your intent to resign.
B) formally signal discontent in your current position.
C) maintain a positive relationship with your former organization and colleagues.
D) fulfill your legal obligations as a departing employee.
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Chapter 28: Developing the Role of Leader
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Q1) A group of managers is meeting to discuss ideas related to the successful implementation of evidence-based practice on their units.Susan has been asked by the director of care to assume leadership of these discussion groups.After two such sessions,Susan expresses disappointment to her mentor that the group seems disinterested in her ideas and that they are listening to Ken,who has much less experience with leadership.In discussing this with Susan,the mentor understands that leadership:
A) is a designated role.
B) must be earned.
C) is more likely to be taken by someone who is more talkative.
D) rarely is taken over by someone with less experience.
Q2) The adage "leaders are born and not made" reflects which of the following ideas around leadership?
A) Management can be taught; leadership depends on abilities.
B) Mentorship is important in developing innate skills of leaders.
C) Leadership is a natural skill that cannot be refined or developed.
D) Succession planning and formal education related to leadership are ineffective.
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Chapter 29: Developing the Role of Manager
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Q1) The successful integration of informatics into healthcare settings is key to:
A) quality decision making related to management of resources and patient care.
B) accessing current information about business practices.
C) meeting the modern-day expectations of staff regarding technology use.
D) speeding up calculations and decisions in budget development.
Q2) Role theory has its underpinnings in management theory.Management theories influence managers' leadership styles.Which of the following styles would a nurse manager be most likely to follow when redesigning the staffing schedule?
A) Humanistic
B) Authoritarian
C) Flexibility
D) Participative
Q3) Budgeting and protection of revenues is a function of:
A) leadership.
B) management.
C) team leadership.
D) followers.
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Chapter 30: The Strategic Planning Process
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Q1) Shifts such as changes in the percentage of seniors in the population,governmental initiatives in health care,and the influence of income on health status are factors in the __________ environment.
A) public
B) macro
C) competitive
D) social
Q2) Northwestern Hospital has decided to implement peer review.As a clinical leader in the Emergency Department,you have overall responsibility for ensuring that this is in place by next month.The most important step in this process is to:
A) provide an educational session for staff on peer review.
B) revise the mission statement, objectives, and performance standards.
C) develop objectives and performance standards with employees.
D) implement objectives and performance standards.
Q3) To meet the social and human needs of a target market,it is critical to:
A) assess the needs and priorities of the target market.
B) revise the organization's mission statement to reflect external needs.
C) assess the internal culture and needs.
D) develop highly sophisticated media.
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Page 32
Chapter 31: Thriving for the Future
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Q1) In developing curricula that will address needs based on forecasts for the future,nursing educators need to contemplate:
A) prevention strategies.
B) leadership skills and knowledge.
C) violence de-escalation strategies.
D) strategies for job security.
Q2) You notice that wait times in your Emergency Department are growing longer,because of factors such as increases in the numbers of persons with chronic disorders,discharge of patients into the community at a higher level of acuity,and limited resources for transfer of inpatients.You begin to think about an application that would use your knowledge of the Emergency Department but also software and business applications and wonder if this would reduce wait times.You have not encountered anything similar to this idea.According to the Wise Forecast Model©,you are in what phase?
A) Wild thinking
B) Act widely
C) Think wildly
D) Learn widely
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