Nursing Administration Test Preparation
Course Introduction
Nursing Administration focuses on the theories, principles, and practices essential to effective leadership and management within healthcare settings. The course explores the roles and responsibilities of nurse administrators in planning, organizing, directing, and evaluating nursing services to ensure high-quality patient care. Topics include human resource management, budgeting, quality improvement, policy development, ethical and legal considerations, and the integration of evidence-based practice in decision-making. Students will develop critical thinking, communication, and leadership skills necessary for managing teams, resources, and organizational change in dynamic healthcare environments.
Recommended Textbook
Nursing Delegation and Management of Patient Care 2nd Edition by Kathleen Motacki RN MSN
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21 Chapters
433 Verified Questions
433 Flashcards
Source URL: https://quizplus.com/study-set/1687 Page 2
Chapter 1: Leadership and Management
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33413
Sample Questions
Q1) The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making.What might be seen in the decision-making process?
A)Organizing a meeting to address the problem
B)Establishing an alternate site within the hospital for these patients
C)Assigning experienced staff to implement care of these patients
D)Establishing the new area as a step-down unit
Answer: D
Q2) The student nurse, shadowing on a medical-surgical unit, observes the charge nurse.Which action would the student identify as a leadership quality in the nurse's actions?
A)Making patient care assignments distributed equally to staff
B)Sitting with a confused combative patient
C)Calling the nursing office for extra staff when an RN calls in sick
D)Assisting in a code
Answer: B
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3
Chapter 2: Organizational Structure of Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) In which health care delivery model would the nurse expect to see "point-of-care" decision making occur?
A)Primary care nursing
B)Team nursing
C)Functional nursing
D)Modular nursing
Answer: A
Q2) The fundamental element of any patient care delivery combines work allocation with
A)patient acuity.
B)leadership.
C)clinical decision making.
D)delegation.
Answer: C
Q3) Which action by the nurse indicates a primary care delivery model environment?
A)Development of the plan of care by primary RN to be used on all shifts
B)Calling the physician for clarification after an illegible order is written
C)The unit secretary takes off all orders initially.
D)The charge nurse makes all patient care assignments.
Answer: A
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Chapter 3: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33415
Sample Questions
Q1) A health care organization incorporates information from which group into their strategic plan?
A)Local community
B)Nursing research
C)Pharmaceutical research
D)Insurance companies
Answer: A
Q2) The strategic plan of an organization includes all stakeholders of the organization, including nurse managers.Which explains the benefit of including nurse managers in developing plans for the organization?
A)Nurse managers own stock in the business.
B)Nurse managers understand the clinical areas.
C)Nurse managers will be involved in implementing the changes.
D)Nurse managers have had business courses.
Answer: C
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Chapter 4: Financial Management in Health Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33416
Sample Questions
Q1) When developing a zero-based budget, nurse managers understand
A)the previous year's monies are applied to the current one.
B)all budget needs are justified annually.
C)no changes to patient care delivery can occur.
D)it does not reflect actual changes of the unit.
Q2) Which of the following would explain a nurse manager's use of position control in monitoring the budget?
A)Comparison of this year's turnover rate with last year's
B)Premium pay
C)Comparison of actual full-time employees and the number that was budgeted
D)Control of nurse manager to allocate pay raises
Q3) A proactive budget should incorporate which situation?
A)Patient acuity changes
B)Patient/nurse ratio changes
C)Projection of sick time
D)Equipment maintenance
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Chapter 5: Healthcare Regulatory and Certifying Agencies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33417
Sample Questions
Q1) The state regulatory agency may impose a fine on a hospital for which patient safety infraction?
A)A UAP ambulating a patient
B)A UAP checking a blood glucose level
C)Allowing only RN staff in the medication room
D)Leaving the medication room unlocked
Q2) The Food and Drug Administration ( FDA ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ).Which function would be expected of this department?
A)Regulation of herbal drugs
B)Control of the price of medications
C)Regulation of the safety and efficacy of medications
D)Licensing of nurses
Q3) The Joint Commission ( TJC ) measures the management of infections within the institution.By which method will TJC be able to measure the performance of the institution to manage infections?
A)Employment of an infection control nurse
B)Interviews with patients and families
C)Staff follow-up for prevention
D)Documentation of a patient's infection
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Chapter 6: Organizational Decision Making and Shared Governance
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/33418
Sample Questions
Q1) In a health care organization, equity is
A)a willingness to invest in decision-making and express ownership in those decisions.
B)the best method for integrating staff roles and relationships into structures and processes to achieve positive patient outcomes.
C)recognition and acceptance of the importance of everyone's work and of the fact that an organization's success is bound to individual performance.
D)linking health care providers and patients along all points in the system.
Q2) In a health care organization, ownership is
A)a willingness to invest in decision-making and express ownership in those decisions.
B)the best method for integrating staff roles and relationships into structures and processes to achieve positive patient outcomes.
C)recognition and acceptance of the importance of everyone's work and of the fact that an organization's success is bound to individual performance.
D)linking health care providers and patients along all points in the system.
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Chapter 7: Professional Decision Making and Advocacy
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/33419
Sample Questions
Q1) As a nurse and member of the Professional Practice Committee at your institution, you will be asked to review policies and to make suggestions for changes.The components of the review will include
A)evidence of the current practice, and a literature review to determine current best evidence.
B)a nursing literature review.
C)evidence of outcomes.
D)comparison studies.
Q2) How can nurses communicate their positions to help influence policy?
1)Ongoing representation on policy-making committees.
2)Committees or boards.
3)Lobbying.
4)Making new laws at the state level.
5)Meeting with people in positions of influence
A)1, 2, 4
B)1, 2, 5
C)1, 2, 3, 5
D)1, 2, 4, 5
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Page 9
Chapter 8: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33420
Sample Questions
Q1) A staff nurse complains to the nurse manager about an employee of another department constantly asking her out on a date even though she has told him she is not interested.Which action by the nurse manager is most appropriate?
A)Confront the employee and ask him to stay away from the staff nurse.
B)Observe future interaction to confirm the reported harassment.
C)Contact the supervisor to decide on the next step.
D)Review the personnel manual to decide on the next step.
Q2) Which exchange between the RN and the UAP requires intervention by the charge nurse?
A)"Take the patient's blood pressure every 15 minutes and inform me of the results."
B)"Check the patient's blood glucose before breakfast and lunch and inform me of the results."
C)"Ambulate the patient in 2210 as far as he can walk."
D)"Shave the patient in 2210.His beard is long."
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Chapter 9: Personnel Policies and Programs in the Workplace
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33421
Sample Questions
Q1) The role of the charge nurse is a relatively new role in nursing.What responsibilities would the nurse expect to see from the charge nurse? (Select all that apply.)
A)Making daily patient care assignments
B)Troubleshooting problems occurring during shift
C)Providing coverage for breaks
D)Taking turns floating to another unit
E)Assisting staff as needed
Q2) When analyzing the sources for conflict, the nurse manager may identify which of the following as one of the most likely sources?
A)Different attitudes
B)Different facts or perception of the event
C)Different incomes
D)Different ages
Q3) Which patient should be considered the highest priority by the charge nurse?
A)A patient who is complaining that no one answers his call light
B)A patient who is threatening to leave AMA with tubes and drains in place from a surgical procedure
C)A confused patient who is attempting to get out of bed
D)A patient who is asking for help to the bathroom
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Chapter 10: Professional Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/33422
Sample Questions
Q1) You are the charge nurse on a busy medical-surgical unit.You are also the preceptor to a novice nurse.What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient?
A)Nurse uses Doppler to obtain pulses on a patient with no palpable peripheral pulses
B)Reporting to the charge nurse that they cannot feel a patient's peripheral pulses and the blood pressure is only palpable
C)Nurse calls for help when she finds the patient with barely palpable blood pressure and hard to arouse
D)Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly
Q2) Clinical ladders for nurses are best used in what circumstance?
A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment
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Chapter 11: Professional Practice and Care Delivery Models and Emerging Practice Models
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/33423
Sample Questions
Q1) According to the Professional Practice Model (PPM) cited in the Clinical Corner section of this chapter, whose theory was used as the basis of the newly created PPM?
A)Newman
B)Nightingale
C)Parse
D)Watson
Q2) Which population does a Traditional Care Model (TCM) specifically target?
A)Pediatric
B)Elderly/geriatric
C)Maternal child
D)Young adult
Q3) Which author proposed that a nursing care delivery model should consist of five key dimensions?
A)Porter-O'Grady
B)Dubois
C)Watson
D)ANA
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Page 13
Chapter 12: Staffing and Scheduling
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33424
Sample Questions
Q1) A nurse working on a unit using the primary care delivery model would expect to observe which practice specific to primary care delivery?
A)The UAP measures blood sugar levels on all patients.
B)The RN administers medications to a team of patients.
C)The RN verifies a new order for patient started on an antihypertensive with a blood pressure of 100/60 mm Hg.
D)The RN holds the morning dose of insulin for a patient scheduled for surgery later that day.
Q2) Automated computerized staffing allows for which advantage to the staff?
A)It reduces the workload of the nurse manager.
B)Staff has many options on a first-come, first-served basis.
C)It provides for changes in daily patient acuity.
D)Weekend options are available.
Q3) Part-time staffing by nurses includes which advantages? (Select all that apply.)
A)Provides a backup
B)Maintains skills
C)Increases income
D)Provides life outside of family
E)Maintains education
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Page 14
Chapter 13: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/33425
Sample Questions
Q1) A nurse assesses a patient reported to have normal vital signs throughout the night and finds the patient in acute respiratory distress.What is the nurse's next best action?
A)Delegate vital signs to the UAP.
B)Ask another nurse to call the health care provider.
C)Call a code.
D)Start another peripheral IV line.
Q2) Which patients on an orthopedic unit should be assigned to a nurse from a cardiac unit?
A)A patient being transferred to an ECF for rehabilitation following a hip replacement
B)A patient following a hip replacement with a history of an acute MI 4 weeks ago
C)A patient with an external fixator
D)A patient to be started on a PCA pump requiring instructions
Q3) Which action by a UAP requires an immediate intervention by the nurse?
A)Encouraging a patient to use the incentive spirometer
B)Encouraging a patient to ambulate 2 days after surgery
C)Checking the pH of the gastric aspirate of a patient receiving tube feedings
D)Informing the RN that a patient requests a pain medication
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Chapter 14: Providing Competent Staff
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33426
Sample Questions
Q1) During unit orientation, a preceptor is used to provide learning and role modeling.What should the nurse expect from a preceptor during orientation? (Select all that apply.)
A)Orient to unit.
B)Teach organizational skills.
C)Teach medication actions.
D)Teach unfamiliar skills.
E)Teach prioritization skills.
Q2) What retention strategies should the nurse manager use when working with a new orientee?
A)Provide a safe practice environment
B)Encourage more time shadowing preceptor
C)Encourage early independence
D)Provide multiple preceptors for diverse learning
Q3) Which of the following best explains the use of career development strategies in health care institutions?
A)Encourages nurses to move into management
B)Reduces attrition
C)Reduces dissatisfaction
D)Reduces sick time
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Chapter 15: Group Management for Effective Outcomes
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/33427
Sample Questions
Q1) When a nurse manager leads a group meeting, which of the following guidelines should be practiced?
A)Allow group to set agenda.
B)Separate the group according to interests.
C)Facilitate problem-solving.
D)Coerce all members to interact.
Q2) Which of the following should be used to evaluate the staff's performance when deciding high, middle, or low? (Select all that apply.)
A)Never late
B)Teamwork
C)Communication
D)Knowledge and competence
E)Responsive to constructive criticism.
Q3) Active listening typically involves
A)active participation and respect for the speaker.
B)asking lots of questions.
C)judging what is being said.
D)agreeing with the speaker.
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17
Chapter 16: Hospital Information Systems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33428
Sample Questions
Q1) The nurse informatics (NI) specialist incorporates nursing science, computer science, and information science to support nursing in utilization of the data collection.Priorities for an NI specialist include
A)developing computer information systems for the hospital.
B)incorporating common nursing nomenclature into the system.
C)researching evidence-based practice.
D)developing restrictions of certain patient information to insurance companies.
Q2) Which observation requires an intervention with a new graduate nurse by his preceptor? (Select all that apply.)
A)Data entry on the wrong patient
B)Entry of I&O values at end of shift
C)Incomplete pain assessment
D)Notifying pharmacy of unavailability of a medication
E)Failing to complete an admission profile
Q3) Advantages to using the electronic health record (EHR) include that
A)hospitals no longer need to store medical records.
B)medical records are complete and easily accessible to health care providers.
C)unit secretaries can still call for "old records."
D)diagnostic tests are not available for direct visualization.
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Page 18
Chapter 17: Ethical and Legal Issues in Patient Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33429
Sample Questions
Q1) A nurse is caring for a patient who has developed MODS (multiorgan dysfunction syndrome) resulting from septic shock.The patient is ventilator dependent and on vasopressors to maintain a Doppler-measured blood pressure of 80 mm Hg.The family is resistant to permit terminal weaning.The best action by the nurse is to
A)insist that the family disconnect the patient from the ventilator.
B)ask the family to meet with the hospital's ethics committee.
C)seek a family member who does agree and have them sign the consent form.
D)arrange for the vasopressors to be turned off when the family is not present.
Q2) The International Council of Nurses (ICN) Code of Ethics for nurses is primarily a statement in support of
A)environmental protection.
B)professional membership.
C)everyday decision making.
D)collective bargaining.
Q3) Which measure can be used to avoid ethical dilemmas in the health care setting?
A)Advance directive or living will
B)Religious beliefs of the nurse
C)Designation of a durable power of attorney
D)Values of the care givers
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Page 19
Chapter 18: Improving Organizational Performance
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33430
Sample Questions
Q1) The National Patient Safety Goals of The Joint Commission ( TJC ) are established goals to reduce the risks for injuries to patients and provide a safe environment.Which practice has been instituted as a result of these goals established by TJC?
A)Use of the automatic medication dispenser equipment
B)Handwashing to prevent infections
C)Provision of patient information to the nurse covering for breaks
D)Use of two patient identifiers when providing care or treatments
Q2) The National Database of Nursing Quality Indicators (NDNQI) has established which of the following goals to assist nurses to make practice changes in order to benefit patients?
A)Patient satisfaction
B)Employee satisfaction
C)Unit-specific measures
D)Medication errors
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Chapter 19: Evidence-Based Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33431
Sample Questions
Q1) Which of the following would most likely present the most difficult step in research utilization?
A)Monitoring outcomes
B)Determining the research question
C)Instituting the change
D)Piloting the project
Q2) Harm to patients from medication errors is a component to initiation of research in which of the following ways?
A)Establishing a question
B)Establishing a solution
C)Establishing a population sample
D)Establishing a cost benefit
Q3) Which of the following would be considered a sentinel event?
A)Patient who has developed a fatal mediastinal infection 7 days after cardiac surgery
B)Patient who experiences a CVA during a cardiac catheterization
C)Patient who receives a double dose of a medication in error
D)Wrong patient scheduled for a chest radiograph
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21
Chapter 20: Monitoring Outcomes and the Use of Data for Improvement
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/33432
Sample Questions
Q1) Which are benefits to the organization are acquired from greater patient satisfaction?
A)Higher employee satisfaction
B)Lower acuity
C)Higher employee benefits
D)Fewer call lights to answer
Q2) Data provided by studies on patients with community-acquired pneumonia (CAP) have influenced the standards of practice for those patients.Which order should the nurse anticipate on the standard orders as a result of initiatives developed through clinical studies?
A)Obtaining blood cultures within 4 hours of arrival at the hospital
B)Administering antibiotics within 4 hours of arrival at the hospital
C)Administration of aspirin on arrival to the hospital
D)Administration of oxygen at 4 L per nasal prongs
Q3) What information obtained from hospital data collection can be used for patient improvement?
A)Infection rates
B)Employee satisfaction
C)Best practice
D)Overtime costs
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Chapter 21: New Graduates: the Immediate Future: Job
Interviewing, Nclex, and Continuing Education
Sample Questions
Q1) Which advice to the new graduate regarding their first nursing position is best?
A)Go on several interviews.
B)Accept a job where you currently work as a technician.
C)Accept a job in the intensive care unit.
D)Everything you need to know about the position will be provided at the interview.
Q2) Which is most appropriate for the new graduate when preparing for the first interview?
A)Bring a list of references that was quickly put together.
B)List membership as a CCRN in 1 year as a goal.
C)Provide a list of weaknesses.
D)List tardiness as a weakness identified in school and how it has been corrected.
Q3) In preparing for the interview, the new nurse should plan to do which of the following?
A)Dress as you would for work.
B)Obtain information about the institution so that you can ask informed questions.
C)Remember to ask about starting salary.
D)Send a thank-you letter after the interview to the manager.
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