Nursing Leadership and Management Exam Practice Tests - 628 Verified Questions

Page 1


Nursing Leadership and Management Exam Practice Tests

Course Introduction

Nursing Leadership and Management explores the principles and practices essential for effective leadership and managerial roles within healthcare settings. This course focuses on the development of skills in communication, critical thinking, decision-making, conflict resolution, and resource management to promote high-quality patient care. Emphasis is placed on organizational structure, change management, team dynamics, delegation, legal and ethical considerations, and evidence-based leadership strategies. Students learn to apply leadership theories in real-world scenarios, preparing them to guide healthcare teams, influence policy, and drive improvements in complex healthcare environments.

Recommended Textbook

Contemporary Nursing Issues Trends and Management 6th Edition by Barbara Cherry

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28 Chapters

628 Verified Questions

628 Flashcards

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Page 2

Chapter 1: The Evolution of Professional Nursing

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Sample Questions

Q1) A client asks the nurse, "Can you explain Medicare, an amendment to the Social Security Act?" The nurse responds that Medicare:

A) led to many hospital closings, along with a decrease in acute care hospital-based nursing care.

B) provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer.

C) provided preventive care for women, infants, and children.

D) ensured that individuals ages 65 and older and those with end-stage renal disease or permanent disabilities had health care insurance.

Answer: D

Q2) The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?

A) Prehistoric times and the Middle Ages

B) Civil War period and World War I

C) Renaissance and Reformation periods and the Colonial American period

D) Crimean War and Civil War periods

Answer: A

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3

Chapter 2: The Contemporary Image of Professional Nursing

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Sample Questions

Q1) Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?

A) Positions that historically required registered nurses will be filled by unlicensed personnel.

B) The job growth rate for RNs will surpass job growth in all other occupations.

C) The need for hospital nurses will dramatically decrease.

D) Hospitals will finally achieve the required RN workforce.

Answer: B

Q2) A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?

A) World War I

B) World War II

C) Spanish-American War

D) Vietnam War

Answer: D

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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education

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Sample Questions

Q1) A potential nursing student is visiting the website of some nursing programs and notes that the school states, "The curriculum is built on the Essentials of Baccalaureate Education to ensure that this nursing program meets the standards set for educating nurses at the baccalaureate level." Which organization oversees professional nursing programs and establishes these essentials?

A) American Association of Colleges of Nursing (AACN)

B) American Nurses Association (ANA)

C) National Council of State Boards of Nursing (NCSBN)

D) National League for Nursing (NLN)

Answer: A

Q2) The practice of nurses, nursing students, and faculty is affected by demographic changes due to:

A) the growing percentage of adults ages 50 to 55 years.

B) increasing numbers of obese children and adults.

C) changes by which families are becoming more nuclear.

D) social programs that are essentially eliminating poverty.

Answer: B

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Page 5

Chapter 4: Nursing Licensure and Certification

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Sample Questions

Q1) Who establishes the "rules" for nursing practice?

A) Individual State Boards of Nursing

B) Employer, based on area of practice

C) United States Department of Health and Human Services

D) Local health officials

Q2) Nurse practice acts:

A) are written and passed by legislators.

B) cannot be influenced by special interest groups.

C) reflect only the concerns of RNs.

D) are affected by the practice of dentists.

Q3) The first field of nursing to certify advanced practitioners was the field of:

A) adult nurse practitioners.

B) nurse-midwifery.

C) clinical nurse specialist.

D) nurse anesthesia.

Q4) The primary purpose of licensure is protection of the ___________.

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Chapter 5: Theories of Nursing Practice

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Sample Questions

Q1) A young child is having abdominal pain, and the doctor informs the parents that a computed tomography (CT or CAT) scan of the abdomen will be ordered. The doctor tells the child, "This CAT scan won't hurt you." The child is visibly upset because of a fear of cats. According to Mishel's uncertainty in illness theory, which stage of the framework is represented?

A) Stimuli frame

B) Appraisal stage

C) Initiation of coping mechanisms

D) Adaptation

Q2) Einstein's theory of relativity laid the groundwork for theories of mathematics, and Freud and Jung provided the basis for a philosophy of man. Which nursing theory served as the foundation for nursing science?

A) Rogers' science of unitary human beings

B) Nightingale's theory of practice

C) Watson's theory of human caring

D) King's theory of goal attainment

Q3) The basic ingredients of theory are ____________.

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Chapter 6: Nursing Research and Evidence-Based Practice

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Sample Questions

Q1) Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?

A) Ethnography

B) Pilot

C) Secondary data analysis

D) Phenomenology

Q2) A public health nurse is interested in determining which educational programs are needed in the aggregates served. The researcher personally interviews individuals who are walking on the streets in the community. This type of research design is:

A) quasi-experimental.

B) survey.

C) case study.

D) ethnography.

Q3) Development and validation of the body of knowledge and foundation on which practice is based is called ____________.

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Chapter 7: Paying for Health Care in America: Rising Costs and Challenges

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Sample Questions

Q1) A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?

A) Prospective payment system

B) Retrospective payment system

C) Single-payer system

D) Capitation

Q2) A patient is eligible to change health care providers and insurance and asks, "I am interested in health promotion activities; I walk, swim, and eat healthy. Which health insurance plan would support these activities rather than just pay for services when I am sick"? Which, if any, health insurance plan would best meet the needs of this patient?

A) Health Maintenance Organization (HMO)

B) Fee for Service

C) Preferred Provider Organization (PPO)

D) None, because health insurance plans currently cover only disease management, not preventive care.

Q3) The largest single payer of hospital charges in the United States is ___________.

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Page 9

Chapter 8: Legal Issues in Nursing and Health Care

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Sample Questions

Q1) A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?

A) Solicitation of illegal drugs

B) Stealing a car

C) Failing to report elder abuse

D) Billing Medicare for services not rendered

Q2) A nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:

A) negligence.

B) assault.

C) defamation of character.

D) tort.

Q3) When can a nurse detain a client by using restraints?

A) Staffing resources are insufficient to monitor a patient with hemiplegia.

B) The client is confused.

C) The family requests the restraints to prevent the client from leaving the facility.

D) There are current physician orders following a medical evaluation.

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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care

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Sample Questions

Q1) Ethics applied to nursing can best be defined as:

A) doing what is best for the client.

B) making good decisions about care.

C) care based on what should be done in keeping with the values of the client.

D) rules for providing competent care that is based on scientific principles.

Q2) When assessing an ethical issue, the nurse must first:

A) ask, "What is the issue?"

B) identify all possible alternatives.

C) select the best option from a list of alternatives.

D) justify the choice of action or inaction.

Q3) A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:

A) beneficence.

B) human dignity.

C) justice.

D) human rights.

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Page 11

Chapter 10: Cultural Competency and Social Issues in

Nursing and Health Care

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Sample Questions

Q1) A nurse is preparing to teach a class related to risk factors for cancer to a diverse ethnic group attending a health fair. The nurse should be aware:

A) that Hispanic women overestimate the prevalence of cancer and strictly following breast self-exam guidelines.

B) of the importance of risk factors such as smoking and alcohol consumption that increase esophageal cancer when speaking with African American.

C) that American-Indian women have a higher rate of ovarian cancer than the general population.

D) that cancer as well as heart disease and stroke are lower in ethnic groups.

Q2) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.

Q3) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.

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Chapter 11: Complementary and Alternative Healing

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Sample Questions

Q1) A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:

A) "Most insurance companies will pay for chiropractic treatment."

B) "Because chiropractors are not licensed in any state, all services must be paid for by the patient."

C) "Chiropractic medicine is a new CAM therapy that has not yet been recognized by insurance companies."

D) "Chiropractic medicine is more than 100 years old, but because it is preventive in nature, it is not covered by most insurance."

Q2) A patient who is pregnant has used the herb feverfew for a history of migraine headaches. The nurse should provide teaching related to a risk for:

A) uterine contractions resulting in possible miscarriage.

B) reduced fetal growth.

C) insomnia.

D) tiredness the following day.

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13

Chapter 12: Workforce Advocacy and the Nursing Shortage

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Sample Questions

Q1) According to the Needlestick Safety and Prevention Act (2000):

A) employers ask nurses in managerial positions to evaluate safe needle devices.

B) registered nurses who sustain a needle stick are required to pass a test before resuming medication administration.

C) each state must determine the type of safe needle devices to be used.

D) employers are required to document how and where a sharps injury occurred, including the brand of device that was involved.

Q2) The Institute of Medicine Report (2011):

A) recommended that only physicians have the legal privilege to prescribe medications.

B) called for increasing the number of baccalaureate-prepared nurses in the workforce to 80% by 2020.

C) called for a minimum staffing ratio be in place in no later than 10 years.

D) called for nurse technicians to provide care during the nursing shortage.

Q3) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.

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14

Chapter 13: Collective Bargaining and Unions in Todays Workplace

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Sample Questions

Q1) A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):

A) occupational union.

B) industrial union.

C) union shop.

D) right-to-work bargaining organization.

Q2) A hospital is seeking a 2.5% wage reduction for all nurses as part of a new balanced budget plan; however, the plan provides for raises for upper-level management. This plan resulted in a call for a union to protect the nurses. When the union representative arrives, what questions should the nurses ask? (Select all that apply.)

A) Will the dues be used to support charity care when clients are unable to pay?

B) How effective has the union been in representing nurses' best interest?

C) What percent of dues pays union personnel salaries?

D) Are dues used to promote research for terminally ill clients?

E) If arbitration is unsuccessful and a strike occurs, will nurses receive compensation during the strike?

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Chapter 14: Information Technology in the Clinical Setting

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Sample Questions

Q1) Consumers are concerned with security issues related to their confidential health information being placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:

A) more secure.

B) less secure.

C) equivalent.

D) not comparable with the paper-and-pencil record.

Q2) Software programs that process data to produce or recommend valid choices are known as ______________.

Q3) A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?

A) Quick and dirty

B) Advanced

C) Brute force

D) Link searching

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Page 16

Chapter 15: Emergency Preparedness and Response for

Todays World

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Sample Questions

Q1) A nurse is interested in learning the phases of the disaster continuum and realizes it has many similarities to the nursing process. To better understand the phases of a disaster, which is true when comparing the phases of the disaster continuum to the nursing process?

A) The preparedness phase of the disaster continuum is consistent with the assessment and planning steps of the nursing process.

B) The recovery phase of the disaster continuum is consistent with the planning step of the nursing process.

C) The recovery phase of the disaster continuum is consistent with the implementation step of the nursing process.

D) The response relief phase of the disaster continuum is consistent with the evaluation step of the nursing process.

Q2) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.

Q3) The emergency preparedness term that is used to describe the process of limiting the emergency situation within a well-defined area is ___________.

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Chapter 16: Nursing Leadership and Management

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Sample Questions

Q1) One difference between a leader and a manager is that a:

A) leader has legitimate authority.

B) manager motivates and inspires others.

C) manager focuses on coordinating resources.

D) leader focuses on accomplishing goals of the organization.

Q2) A nurse asks, "What is meant by 'internal' customers?" The correct response is:

(Select all that apply.)

A) Insurance companies

B) Accreditors such as The Joint Commission

C) X-ray technicians

D) Clinical pharmacist

E) Chief financial officer

Q3) The first step in the nursing process and in the problem-solving process is to:

A) identify the problem.

B) gather information.

C) consider the consequences.

D) implement interventions.

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Chapter 17: Budgeting Basics for Nurses

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Sample Questions

Q1) Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:

A) planned variances.

B) incremental budgets.

C) productivity metrics.

D) expected performance.

Q2) In a large health care facility, the executive administrative leaders set the budget goals to decrease full-time equivalents by 3%, eliminate the cost of agency nurses, reduce lost revenue from lost supplies by 1%, and provide a 0.5% hourly salary incentive for working on a float unit when the assigned unit has a low census. Nurse managers meet with nursing administrators to design their unit budgets to meet these established goals. The budget approach that is being used is the _____ approach.

A) top-down

B) participatory

C) iterative

D) incremental

Q3) The financial plan required for the distribution of resources and expenses is a

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Chapter 18: Effective Communication and Conflict Resolution

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Sample Questions

Q1) During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:

A) appeal to common practice.

B) confusing cause and effect.

C) ad hominem abusive.

D) red herring.

Q2) A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?

A) "Do you exercise?"

B) "Do you like to exercise?"

C) "When do you exercise?"

D) "What exercise practices do you participate in?"

Q3) The healthiest form of communication is the ________ style.

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Page 20

Chapter 19: Effective Delegation and Supervision

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Sample Questions

Q1) A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:

A) query the state nursing association to determine their stance on the role of LPNs.

B) ask the LPNs on the unit to list what tasks they routinely performed.

C) contact the state board of nursing to determine legal scope of practice for LPNs.

D) refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.

Q2) A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of the delegatee?

A) Actually observe the delegatee perform the assigned task.

B) Ask the delegatee how many times he/she has performed the task.

C) Ask the patient if the care provided was satisfactory.

D) Ask other nurses if they feel the delegatee is competent.

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Chapter 20: Staffing and Nursing Care Delivery Models

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Sample Questions

Q1) A patient is admitted with pneumonia. The case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:

A) patient classification system.

B) clinical pathway.

C) patient-centered plan of care.

D) diagnosis-related group (DRG).

Q2) A nursing unit is comparing team nursing to the partnership model and finds that:

A) with the partnership model, an RN does not have to be part of the mix.

B) leadership abilities of the RN is a major determinant of effectiveness of care for both models.

C) the RN teaches the LPN/LVN or unlicensed assistive personnel (UAP) how to apply the nursing process in team nursing.

D) with team nursing the RN cares for the patient while the team members work with the family or significant others.

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Chapter 21: Quality Improvement and Patient Safety

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Sample Questions

Q1) Quality is defined by the ____________.

Q2) The surgical team arrives in the operating room and one member states, "Everyone stop. Let's identify the patient and operative site. Now does anyone have any questions or concerns?" This process is known as:

A) time-out.

B) a critical pathway.

C) special cause variation.

D) lean methodology.

Q3) Regardless of the term used to describe high-quality health care, the focus of quality is:

A) what the consumer needs and wants.

B) economical care.

C) having the greatest technologic advancement.

D) services equally distributed among populations.

Q4) According to the Quality Chasm report:

A) health care providers should be proactive rather than reactive to patient needs.

B) common needs rather than individual preferences should be the priority.

C) medical information should be confined to the primary care provider.

D) specialized providers or case managers should control health care decisions.

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Chapter 22: Quality and Safety in Nursing Education in

Nursing: The QSEN Project

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Q1) While taking a shower, a patient pushes the emergency light. When the nurse arrives, the patient complains of feeling dizzy and unsteady. The nurse turns to reach for the patient's walker and the patient falls, hitting the right side of the face resulting in loss of vision in the right eye. This scenario represents a _______ event.

Q2) Which of the following occurrences would be classified as a sentinel event?

A) A postpartum patient who elects to breastfeed only twice daily develops mastitis.

B) A newly diagnosed diabetic patient self-injects insulin in the abdominal area rather than the upper thigh as instructed by the patient educator.

C) A nurse assisting with the delivery of twins places the "Twin 1" name tag on the second-born twin, causing the first-born twin to undergo surgery that was scheduled for the other twin.

D) A nurse administers 3 units of regular insulin rather than 3 units of NPH insulin subcutaneously, resulting in a drop in the patient's serum glucose from 160 mg to 100 mg.

Q3) The ability to clearly exhibit the knowledge, skills, attitudes, and professional judgment needed to practice safely and ethically in a designated role such as professional nurse is ___________.

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Page 24

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Sample Questions

Q1) A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act ( PPACA ) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (Select all that apply.)

A) determines which laws are constitutional, such as recently deciding the PPACA is constitutional because it is a form of taxation.

B) has the exclusive power to determine where federal dollars will be spent, such as supporting the PPACA.

C) consists of the Office of the President and 15 executive departments that supported the PPACA.

D) has the power to veto laws found constitutional by the Supreme court and therefore could veto the PPACA.

E) can override a Presidential veto, making it possible to amend the PPACA even without approval of the President.

Q2) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.

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Page 25

Chapter 24: Making the Transition from Student to Professional Nurse

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Q1) A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?

A) Read the procedure manual and follow the steps exactly.

B) Make an appointment at the skills laboratory of the former nursing school to practice.

C) Ask to observe the skill as it is being performed; then perform it under direct supervision.

D) Try to remember how the task was previously performed during a simulation.

Q2) Which nurse is more prone to burnout? The nurse who:

A) graduated last in the class.

B) is industrious and conscientious.

C) refuses to work an extra shift even though he or she needs the money.

D) volunteers to serve on only one committee and keeps in touch with schoolmates.

Q3) It is important for novice nurses to know that "self-esteem = self-confidence + self-______".

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Chapter 25: Managing Time: The Path to High

Self-Performance

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Sample Questions

Q1) When planning, a nurse should:

A) delay planning until the "first task of the morning" has been completed.

B) recognize that rewarding oneself has a negative consequence.

C) rotate between several tasks to stimulate creativity.

D) remember that most tasks take longer than anticipated to complete.

Q2) When using the ABC system of managing time, those items coded A include:

A) calling the pharmacy to see whether a drug insert is available for a patient.

B) checking to see why a ventilator is alarming.

C) organizing the medication cart.

D) writing memos to remind everyone to contribute to the boss's birthday gift.

Q3) An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?

A) Physical

B) Mental

C) Spiritual

D) Emotional

Q4) The most important step in time management is ____________.

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Chapter 26: Contemporary Nursing Roles and Career

Opportunities

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Sample Questions

Q1) In differentiating between interprofessional and multidisciplinary:

A) multidisciplinary refers to the care of many diverse patients by one discipline.

B) interprofessional involves members of many disciplines working together to provide patient care to a distinct population.

C) interprofessional refers to members of the same discipline working together to provide patient care to a distinct population.

D) interprofessional is the use of multiple interventions by nurses with varying levels of education.

Q2) Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (Select all that apply.)

A) clinical nurse leader.

B) nurse practitioner.

C) nursing administrator.

D) certified nurse-midwife.

E) clinical nurse specialist.

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Chapter 27: Job Search: Finding Your Match

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Sample Questions

Q1) Which message would be appropriate to leave on solve systems?

A) "You have reached 910-999-1212. Please leave your name and number and I look forward to returning your call as soon as possible."

B) Music that has messages that might be offensive to some callers downloaded as the response when applicant is unavailable.

C) "Hi, I'm not here. Sorry you missed me. Call again."

D) "I am interviewing for positions, hope to be home soon. If you are calling about an interview, please leave your name, number and possible positions available."

Q2) The key to a successful interview is being ____________.

Q3) A potential applicant reviews the application process and learns that preemployment physicals often include:

A) cholesterol screening.

B) pregnancy testing.

C) urine drug screening.

D) vision and hearing tests.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 28: NCLEX-RN Examination

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/10293

Sample Questions

Q1) "A patient with end-stage renal disease has a potassium level of 7.5 mEq/l. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?

A.Drowsiness, stimulate the patient every 30 minutes

B.Confusion, ask the patient to state their name and date of birth

C.Irregular heartbeat, evaluate the patient's capillary refill

D.Muscle cramps, elevate the affected limb"

The above question in italics addresses which category of the NCLEX-RN test plan and which level of Bloom's taxonomy?

A) Physiologic adaptation, application level

B) Pharmacologic and parental therapy

C) Integrated processes

D) Basic care

Q2) Computerized adaptive testing implies that:

A) the candidate must be computer literate.

B) competency is determined on the basis of difficulty of questions, knowledge of the nursing process, and the number of questions solve correctly.

C) testing facilities have been adapted for the physically challenged candidate.

D) questions cannot be adapted to the needs of the student.

To view all questions and flashcards with answers, click on the resource link above.

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