Nursing Leadership and Management
Exam Solutions
Course Introduction
This course explores the foundational principles and practical skills of leadership and management within the nursing profession. Emphasizing evidence-based strategies, students will examine the roles and responsibilities of nurse leaders and managers in diverse healthcare settings. Topics include communication, decision-making, team building, conflict resolution, resource allocation, delegation, and organizational change. The course also addresses ethical and legal considerations, quality improvement, and strategies for facilitating effective patient care and staff development. Through case studies and interactive exercises, students will develop competencies essential for leading and managing nursing teams in todays dynamic healthcare environment.
Recommended Textbook LPN to RN Transitions 3rd Edition by Lora Claywell
Available Study Resources on Quizplus
19 Chapters
398 Verified Questions
398 Flashcards
Source URL: https://quizplus.com/study-set/1117
2
Chapter 1: Honoring Your Past, Planning Your Future
Available Study Resources on Quizplus for this Chatper
11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) A nurse notices a posting for a management position for which she is qualified. If the nurse is in the moving phase of Lewin's Change Theory, which statement reflects the action she is most likely to take?
A) Does nothing to obtain the position
B) Applies for the position
C) Identifies that change is needed
D) Settles into the routine of her job
Answer: B
Q2) An LPN is talking with her clinical instructor about her decision to return to school to become an RN. The clinical instructor interprets the LPNs outcome priority based on which statement?
A) "My family wanted me to go back to school."
B) "I want to better my financial situation."
C) "I really enjoy school."
D) "I would like to advance to a teaching role someday."
Answer: B
To view all questions and flashcards with answers, click on the resource link above.
3
Chapter 2: Managing Time and Designing Success
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21949
Sample Questions
Q1) 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
Q2) The roommate of a nursing student buys tickets to the student's favorite play. The student realizes that the play is the night before her final exam. When the student turns down the tickets, the roommate interprets the student's dedication to school as:
A) dedication to the plan until other mounting responsibilities interfere.
B) total dedication, even in the face of other attractive opportunities.
C) total dedication until resolve begins to wane.
D) discipline to change the plan as needed.
Answer: B
To view all questions and flashcards with answers, click on the resource link above. Page 4
Chapter 3: Classroom Study Habits That Work
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21950
Sample Questions
Q1) A patient comes to the emergency department with complaints of crushing chest pain that radiates down his left arm. While reviewing his health history with the RN, the patient states that he has been getting over a cold. He also has seasonal allergies and is allergic to peanuts. The nurse interprets the major detail for the patient's ER visit as the patient:
A) has a peanut allergy.
B) is experiencing crushing chest pain.
C) is getting over a cold.
D) has seasonal allergies.
Answer: B
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
To view all questions and flashcards with answers, click on the resource link above.
Chapter 4: Basic Math Review: Preparing for Medication
Calculations
Available Study Resources on Quizplus for this Chatper
47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/21951
Sample Questions
Q1) Magnesium sulfate 5 gm in 100 mL D W to infuse over 3 hours
Q2) What volume of PCN G is in one dose?
Ordered: PCN G 1.25 mil units
Available: Multidose vial labeled 500,000 units/mL after reconstitution
Q3) Kefzol 500 mg in NS 75 mL over 30 minutes
Q4) 1 L D5W to infuse in 8 hours
Q5) Staphcillin 1 g in 100 mL D W over 45 minutes
Q6) How many tablets of Synthroid will you give for one dose?
Ordered: Synthroid 0.1 mg PO every morning
Available: 50 mcg Synthroid tablets
Q7) Ordered: Infuse nitroprusside 100 mg in 500 mL D W at 3 mcg/kg/min. Patient weighs 55 kg.
Q8) How many tablets of Zaroxolyn are in one dose?
Ordered: Zaroxolyn 0.005 gm PO q AM
Available: 2.5-mg tablets
Q9) What volume of aminophylline is one dose?
Ordered: aminophylline 175 mg IV q6h
Page 6
Available: aminophylline ampule labeled 500 mg/20 mL
Q10) 250 mL vancomycin to infuse over 2 hours
Q11) 0.45% NaCl 1000 mL over 6 hours
To view all questions and flashcards with answers, click on the resource link above.
Page 7
Chapter 5: Passing NCLEX-RN
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21952
Sample Questions
Q1) Studies have found that students tend to answer questions at a slower pace as they proceed through exams. With this in mind, students should be aware of _____ during school exams as practice for the NCLEX-RN.
A) what their classmates are doing
B) the amount of time they are spending on each question
C) the wording of each question.
D) which questions they answer first
Q2) A faculty member is discussing question types found on NCLEX. The faculty member knows that students need more teaching about question types if they select which question type?
A) Fill-in-the-blank
B) Multiple choice
C) Essay
D) Completing calculations
Q3) It is critical that students have _____ and believe that they can pass the NCLEX-RN exam.
A) good study habits
B) a positive attitude
C) a good support system
D) adequate sleep
To view all questions and flashcards with answers, click on the resource link above. Page 8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21953
Sample Questions
Q1) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
Q2) The registered nurse takes on different care provider roles in the health care setting. Which roles could the nurse assume when caring for a patient who has just been diagnosed with cancer? (Select all that apply.)
A) Counselor
B) Educator
C) Advocate
D) Collaborator
E) Medical power of attorney
To view all questions and flashcards with answers, click on the resource link above. Page 9
Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/21954
Sample Questions
Q1) Which action by the nurse shows the use of the nursing process?
A) The nurse works with the health care team to set outcomes and plan interventions for the patient.
B) The same nurse admits the patient and then discharges him the next day.
C) The nurse works with the patient to set outcomes and plan interventions.
D) The nurse sends the provider in for an immediate assessment of the patient.
Q2) _____ 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
Q3) It has been said that Florence Nightingale revolutionized nursing. Which example supports this statement?
A) She encouraged men to become nurses.
B) She encouraged nurses to serve physicians in order to learn from them.
C) She instituted changes that affected patient survival rates.
D) She organized nursing in America.
Page 10
To view all questions and flashcards with answers, click on the resource link above.
Chapter 8: Upholding Legal and Ethical Principles
Available Study Resources on Quizplus for this Chatper
30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) A nurse educator is preparing a presentation on professional negligence. The nurse determines that all of the following actions would be considered professional negligence except:
A) administering the wrong medication.
B) failure to obtain informed consent.
C) taking a picture of a patient without his or her consent.
D) refusing to permit the patient to walk without assistance.
Q2) The nursing student knows that ethics is a part of which branch?
A) Sociology
B) Law
C) Philosophy
D) Medicine
Q3) The nurse manager shows an understanding of preventable medical errors when she makes which statement?
A) "There are only a few deaths related to medical errors per year."
B) "Medical errors are made only by nurses who are not focused."
C) "About 20,000 patients die each year from preventable medical errors in the United States."
D) "Each year between 44,000 and 98,000 patients die from preventable medical errors."
To view all questions and flashcards with answers, click on the resource link above.
Page 11
Chapter
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) An RN has been practicing for 12 years in pediatrics. Peers often seek out this nurse to help them with complex problems. This experienced nurse is assigned the patients with the highest acuity, and the nurse accepts these assignments with confidence. This nurse is likely practicing at which skill level?
A) Novice
B) Competent
C) Proficient
D) Expert
Q2) The nurse is working on a busy cardiac floor. While preparing medications, the nurse is interrupted by a co-worker, who has a question about another patient. After administering the medication, the nurse realizes that she gave the medication to the wrong patient. Which action by the nurse would indicate accountability?
A) Shifting blame to the co-worker who interrupted her
B) Attempting to hide the medication error to avoid getting into trouble
C) Accepting partial responsibility for her own actions
D) Taking responsibility for her own actions and interventions by immediately assessing the patient and reporting the error to a physician
To view all questions and flashcards with answers, click on the resource link above.
Page 12
Chapter 10: Using Nursing Theory to Guide Professional Practice
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21957
Sample Questions
Q1) What changes in nursing practice did Florence Nightingale make to improve the personal care of patients?
A) Behaviors
B) Environment
C) Culture
D) Communication
Q2) 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.
Q3) What parts make up and work together in Imogene King's Theory of Goal Attainment? (Select all that apply.)
A) Creating a method to evaluate outcomes
B) Defining quality nursing care
C) Setting goals
D) Focusing on self-care
E) Maintaining a clean environment
To view all questions and flashcards with answers, click on the resource link above. Page 13
Chapter 11: Providing Patient-Centered Care Through the Nursing Process
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) Errors may occur with the use of data in formulating an appropriate nursing diagnosis. Based on what you know, which of the following represents the main source of errors in the nursing diagnosis process?
A) Making assumptions without supporting data
B) Placing data in incorrect categories
C) Not validating data with the patient
D) Relying on team members for data
Q2) Which outcome statement is a properly written goal?
A) "The patient will be free of pain."
B) "The patient will verbalize the importance of lifestyle changes."
C) "The patient will get up into the chair one time daily for 1 hour."
D) "The patient will demonstrate breathing techniques by the end of shift."
Q3) Which of the following would be an expected outcome for a patient who is 12 hours status post hip replacement?
A) Increase mobility and decrease pain.
B) Care for the catheter independently.
C) Walk without assistance.
D) Bathe daily in a tub.
To view all questions and flashcards with answers, click on the resource link above. Page 14
Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) Which statement best assists the nurse in planning care for the patient who is not adhering to the treatment regimen?
A) Patients' health attitudes directly affect behavior and therefore influence adherence.
B) Patients usually go to the hospital without preconceived ideas about what is wrong with them.
C) Most patients adhere to the advice of health care providers even if they do not believe that the treatment will work.
D) Noncompliance with prescribed treatment is irrational behavior.
Q2) Reasoned thought is characterized by the lack of:
A) reflection.
B) emotion.
C) parity.
D) contrast.
To view all questions and flashcards with answers, click on the resource link above. Page 15
Chapter 13: Practicing Evidence-Based Decision Making
Available Study Resources on Quizplus for this Chatper
25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) Which statement reflects an important principle to be applied by the nurse who is developing a relevant clinical question regarding a specific patient concern?
A) The type of question will determine which resources to access.
B) A systematic approach determines which questions will be asked.
C) The clinical question is formulated at the conclusion of the literature search.
D) Background questions are identified at the conclusion of the literature search.
Q2) A nurse evaluates the results of two different studies examining the relationship between time of day and sundowning in the geriatric setting. After 1 month, the nurse realizes that there is a difference of 1 hour in the instruments used for measurement. What conclusion can be drawn about the type of threat this causes the study?
A) Validity
B) Reliability
C) Causality
D) Truthfulness
To view all questions and flashcards with answers, click on the resource link above.
16
Chapter 14: Communicating With Patients and Co-Workers
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) The RN is documenting the patient's complaint of pain rated 6 on a scale of 0 to 10. Which chart entry would be the most appropriate, if made by the nurse?
A) Pt. complaining of pain. MD notified.
B) Pt complaining of pain rated at 6 on a scale of 0-10, states "My left leg is really hurting."
Pt. grimacing, voice elevated. MD notified.
C) Pt. complaining of pain rated at 6 on a scale of 0-10. Appears to be in pain. MD notified.
D) Pt. complaining of pain rated 6. Wants more pain medication; appears to be drug-seeking. MD notified.
Q2) A patient has just been informed by the physician that he will not be discharged today. The nurse brings in the patient's lunch tray and puts it on the overbed tray. The patient pushes it off onto the floor and shouts, "Get out of my room and leave me alone."
The nurse's most therapeutic response would be:
A) "Is there something wrong with your lunch tray?"
B) "You seem angry. Can you tell me about it?"
C) "Why are you angry? You seemed so much happier earlier today."
D) "I'll order you another lunch, and I'll be back when you're in a better mood."
To view all questions and flashcards with answers, click on the resource link above. Page 17
Chapter 15: Teaching Patients and Their Families
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21962
Sample Questions
Q1) 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."
Q2) A 78-year-old patient has shortness of breath on very slight exertion. The physician has written an order for her to be taught about a 2-gram sodium diet. Based on these data, which factor would be likely to interfere with diet teaching?
A) The patient's age
B) The patient's shortness of breath
C) The patient's reluctance to change
D) The chronic nature of the patient's illness
Q3) Which patient characteristic must a nurse consider when planning teaching?
A) Literacy level
B) Discharge instructions
C) Good lighting
D) Pain medication
To view all questions and flashcards with answers, click on the resource link above.
18
Chapter 16: Leading, Delegating, and Collaborating
Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21963
Sample Questions
Q1) While talking with the nursing supervisor, a graduate RN expresses frustration that a Mexican American client always has several family members at the bedside. The most appropriate action by the nursing supervisor to help the graduate RN become a patient advocate is to:
A) ask about the graduate RN's personal beliefs about family support during hospitalization.
B) remind the graduate RN that this cultural practice is important to the family and the patient.
C) suggest that the graduate RN ask family members to leave the room during patient care.
D) have the graduate RN explain to the family that too many visitors will tire the patient.
Q2) The RN is planning care for the day. Which would be the most appropriate task to assign to the nursing assistant?
A) Collecting a 24-hour urine specimen
B) Feeding the patient who has difficulty swallowing
C) Changing the dressing on an abdominal wound
D) Monitoring a tube feeding
To view all questions and flashcards with answers, click on the resource link above.
Chapter 17: Promoting Healthful Living in the Primary Care Setting
Available Study Resources on Quizplus for this Chatper
20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21964
Sample Questions
Q1) A nurse is caring for a non-English-speaking Asian patient whose cultural practices are not familiar to the nurse. The nurse is curious about practices regarding communication and eye contact. The nurse should:
A) tell the patient that it is cultural practice in the United States to maintain good eye contact when communicating with someone.
B) observe the behaviors and interactions between the patient and other members of the culture.
C) avoid all eye contact unless the patient establishes eye contact.
D) use eye contact and communication techniques that are most comfortable for the nurse.
Q2) The priority health promotion nursing diagnoses for an overweight, but not yet obese, patient who is learning about weight reduction may include:
A) the potential for obesity.
B) the potential for impaired mobility.
C) alteration in nutrition.
D) health-seeking behaviors or knowledge deficit.
To view all questions and flashcards with answers, click on the resource link above.
Chapter 18: Managing Care in Secondary and Tertiary
Health Care
Available Study Resources on Quizplus for this Chatper
15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) Discharge planning requires all of the following except:
A) assessing the patient's plan of care to determine whether the outcome criteria are met.
B) evaluation of whether the patient and family can continue with the necessary interventions or whether they need assistance.
C) obtaining specific orders from the physician to begin the process of discharge planning.
D) assessing the level of the patient's understanding with regard to his or her illness state and treatment regimen.
Q2) 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.
Q3) In the acute care environment, what is(are) the primary role(s) of the RN?
A) Ensure more independence in self-care ability.
B) Avoid complications as the patient progresses through the illness state.
C) Change the medical plan of care according to the RN's assessments.
D) Both a and b are correct.
Page 21
To view all questions and flashcards with answers, click on the resource link above.
Chapter 19: Reflecting on Your Transition
Available Study Resources on Quizplus for this Chatper
18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21966
Sample Questions
Q1) 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.
Q2) As a graduate nurse, which statement strongly suggests future success in the current nursing practice environment?
A) "I am really good at performing nursing skills."
B) "I always get my work done on time."
C) "When possible I attend all staff meetings."
D) "I am actively involved in decision-making on the unit."
Q3) A nurse notices that the respiratory therapist assigned to his unit frequently forgets to raise the bed rails after completing treatments. The nurse's best action is to:
A) ask other nurses whether they have noticed the same problem.
B) discuss the problem with the therapist.
C) report the problem to the nurse in charge.
D) report the problem to the director of respiratory therapy.
To view all questions and flashcards with answers, click on the resource link above.
Page 22