Nursing Leadership and Management Practice Questions
Course Introduction
Nursing Leadership and Management explores the foundational principles and practices that guide effective leadership and management within healthcare settings. This course covers topics such as leadership theories, styles, and strategies; ethical and legal considerations; communication and team building; conflict resolution; decision-making; delegation; and quality improvement. Students analyze case studies and real-world scenarios to develop critical thinking and problem-solving skills necessary for managing nursing teams, resources, and patient care delivery. Emphasis is placed on the role of nurse leaders in shaping organizational culture, promoting patient safety, and driving change in dynamic healthcare environments.
Recommended Textbook
Contemporary Nursing Issues Trends and Management 6th Edition by Barbara Cherry
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628 Verified Questions
628 Flashcards
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Chapter 1: The Evolution of Professional Nursing
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Sample Questions
Q1) A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (Select all that apply.)
A) The Ancient Egyptians were the first to use anesthesia in the operating room.
B) The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections.
C) The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses.
D) During the Renaissance, advances in nursing education, including surgery, were nonexistent.
E) Following World War II, nurses practiced in mobile army surgical hospitals, where medical and surgical techniques were further refined.
Answer: D,E
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3
Chapter 2: The Contemporary Image of Professional Nursing
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Sample Questions
Q1) What was the purpose of the Nurse Reinvestment Act of 2002?
A) Provided disability insurance to RNs who contract a life-threatening illness while on duty
B) Funded public service announcements that promote unlicensed caregivers as an alternative to professional nurses
C) Focused on nurse retention and safety enhancement grants
D) Provided pediatric nursing training grants
Answer: C
Q2) The demographics of the twenty-first century nursing population indicate that:
A) individuals entering nursing are second-degree students who average 45 years of age.
B) more white nurses enter and obtain graduate degrees than any other ethnic group.
C) the highest level of nursing education for most RNs is an associate degree.
D) the majority of nurses practice in hospitals.
Answer: D
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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education
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24 Verified Questions
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Sample Questions
Q1) An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:
A) educational mobility.
B) a traditional nursing program.
C) training for advanced practice nursing.
D) credit by examination.
Answer: A
Q2) One of the major trends that currently influences nursing education and practice is:
A) increased technology in the field of critical care.
B) a narrowing scope of practice for nurses.
C) incivility or disregard of others' rights in social interactions.
D) a decrease in ethnicity due to international programs allowing students to study from a distance.
Answer: C
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Chapter 4: Nursing Licensure and Certification
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Sample Questions
Q1) The primary purpose of licensure is protection of the ___________.
Q2) A nursing student is in the final term of an Associate Science of Nursing (ASN) program and is preparing for licensure. Prior to licensure the candidate must provide evidence of: (Select all that apply.)
A) graduation from a nursing program.
B) graduation from high school or high school equivalency.
C) evidence of current malpractice insurance.
D) evidence of plan to continue study to obtain a minimum of a BSN within 2 years.
E) validation of skills competence provided by a certifying agency.
Q3) Current trends in telecommunications and increased mobility of nurses have led to approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?
A) National League for Nursing (NLN)
B) National Council of State Boards of Nursing (NCSBN)
C) American Association of Colleges of Nursing (AACN)
D) Commission on Collegiate Nursing Education (CCNE)
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Page 6
Chapter 5: Theories of Nursing Practice
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Sample Questions
Q1) If a nurse applies Nightingale's theory to current practice, the nurse's first step will be to evaluate the hospital room's air quality and, second, to:
A) make certain that the volume of the television is not too loud.
B) consult the dietitian to check that essential nutrients are added to meet requirements noted on MyPyramid.
C) ask the client's family to bring family photographs and bright-colored throws for the bed.
D) arrange for the client to go outside, weather permitting, while keeping the room's window blinds open.
Q2) What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?
A) Theories
B) Constructs
C) Systems
D) Propositions
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) A nurse is reading an abstract about a study related to Rocky Mountain Spotted Fever. The purpose is stated as follows: "To examine the generalizability of two randomized placebo-controlled clinical trials in patients with Rocky Mountain Spotted Fever to determine whether steroid therapy resulted in the positive outcomes." The nurse knows generalizability refers to the:
A) conclusion that findings can be generalized from the sample to the entire population.
B) fact that the group of steroids used are from the same organic compounds.
C) possibility the subjects were carefully selected and that outside influence is thus suspected.
D) fact that the type of bacteria carried by ticks is universal.
Q2) The informed consent documents must include: (Select all that apply.)
A) an explanation of potential risks and benefits to participants in the study.
B) medical terminology rather than lay terms to prevent misunderstanding of the study.
C) a statement on how the anonymity and confidentiality of participants are protected.
D) explanation of the cost of the study.
E) details on how to contact the investigator.
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Chapter 7: Paying for Health Care in America: Rising Costs and Challenges
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Sample Questions
Q1) Which industrialized countries have a national health insurance system? (Select all that apply.)
A) France
B) Canada
C) United States
D) South Africa
E) Great Britain
Q2) Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA) based on religious beliefs that prohibit circumcision and blood transfusions. These individuals believe the PPACA is unconstitutional because it:
A) mandates that all U.S. and legal residents must secure health insurance.
B) replaces current Medicare and Medicaid plans.
C) requires all citizens to participate in offered preventive services.
D) prohibits use of health practices outside of Western medicine.
Q3) In the triad of health care, which would be considered the third-party payer?
A) Client
B) Health care provider
C) Insurance company
D) Government agency that sets reimbursement rules for services
Page 9
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Chapter 8: Legal Issues in Nursing and Health Care
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Sample Questions
Q1) A nurse is assigned to a unit other than the one she is normally assigned due to increased census on the alternate unit. She is assigned to care for seven patients and participates in walking rounds where the patient's condition and needs are discussed between oncoming and off-going shifts of the interdisciplinary team. The nurse carefully makes notes of all pending orders and prioritizes needs. The nurse enters the cafeteria later and the notes accidentally fall from her pocket, which contain the above information that contains patient sensitive data. The liabilities arising from this incident would be covered under:
A) the Health Insurance Portability and Accountability Act.
B) the ANA Scope and Practice Act.
C) affirmative duty failing to question order.
D) personal liability with floating and cross-training.
Q2) Which statement regarding informed consent is correct? Informed consent:
A) is mandated by federal but not state law.
B) must reveal expected benefits.
C) requires concealing any known risks.
D) allows the RN to communicate information needed so that informed consent can be provided.
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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care
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Sample Questions
Q1) Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. The ideal outcomes of these ongoing experiences with cultural decision making include: (Select all that apply.)
A) increased trustworthiness.
B)enhanced ability to take into consideration many aspects of ethical situations.
C)confidence to make decisions based on experience and ethical intelligence.
D)improved clinical decision making and advocacy for patient autonomy.
E)authority to make ethical decisions independently that meet personal moral beliefs.
Q2) In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:
A) veracity.
B) values.
C) utilitarianism.
D) autonomy.
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Chapter 10: Cultural Competency and Social Issues in
Nursing and Health Care
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Sample Questions
Q1) A nurse is submitting a grant application to improve access to health care and mortality for minority groups. The grant focuses on the six causes of death that are identified as priorities for minorities, which include:
A) chronic obstructive pulmonary disease.
B) malnutrition.
C) cirrhosis of the liver.
D) cancer.
Q2) A nurse plans to move to an area that is rich in immigrants from several countries and is concerned about respecting others' cultural beliefs. The nurse's first step to ensure cultural competence and sensitivity is to:
A) enroll in a nursing theories course to increase knowledge about transcultural practices.
B) become immersed in nursing literature about culturally diverse clients.
C) participate in continuing education that focuses on health assessment variations among cultural groups.
D) conduct a cultural self-assessment.
Q3) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.
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Chapter 11: Complementary and Alternative Healing
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Sample Questions
Q1) A patient has fallen at home and complains that joints are very painful when trying to climb stairs. The patient desires to use an alternative complementary medicine rather than pain medication. The practitioner begins treatment with touch consisting of rocking, rhythmical motions to loosen tense, sore muscles and joints. The patient is receiving which type of treatment?
A) Swedish massage
B) Rolfing
C) Trager approach
D) Reflexology
Q2) Complementary alternative medicine (CAM) is gaining popularity in Western society because: (Select all that apply.)
A) consumers want knowledgeable, trained physicians to control their care.
B) CAM consumers want personalized health care.
C) quantity, rather than quality, of life is most important in Western society.
D) consumers have access to evidence that support CAMs.
E) consumers want to remain indifferent to the health care provider.
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Chapter 12: Workforce Advocacy and the Nursing Shortage
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Sample Questions
Q1) The priority intervention to improve work-related quality of life for nurses is to:
A) provide safe harbors for unjust or unsafe work assignments.
B) improve nurse physician communications.
C) require professional development courses for bedside nurses.
D) determine strategies to improve vertical working relationships between staff nurses and nursing administration.
Q2) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.
Q3) A new graduate nurse is applying for the exciting first position and states, "I am only applying to Magnet hospitals because those work environments:
A) attract physicians who are the best health care providers to improve quality of care."
B) require all registered nurses to be certified in the area of practice."
C) not only attract but also retain professional nurses."
D) discourage nurses from advancing their current level of education and I don't want to return to school for many years."
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Chapter 13: Collective Bargaining and Unions in Todays Workplace
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Sample Questions
Q1) Nurses in a unionized hospital are paid "compensatory pay" when working holidays equal to the number of hours worked with no extra compensation. Although they have suggested changes during the annual survey of employee satisfaction, management refuses to consider another system for compensatory pay. A trained member listened to both nurses and management to make recommendations that were not legally binding. This type of settlement is termed:
A) picketing.
B) binding arbitration.
C) mediation.
D) grievance.
Q2) A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?
A) National Labor Relations Act
B) Right -to -Work law
C) National labor Relations Act
D) Taft - Hartley Act
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15
Chapter 14: Information Technology in the Clinical Setting
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Sample Questions
Q1) A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads, "infuse over 1 hour by portacath." The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:
A) electronic health records.
B) point of care technology.
C) data management.
D) telehealth.
Q2) The Institute of Medicine (IOM) (2003) recommends that EHR systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?
A) Health information and data capture
B) Results/data management
C) Provider order entry management
D) Clinical decision support
Q3) Software programs that process data to produce or recommend valid choices are known as ______________.
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Chapter 15: Emergency Preparedness and Response for
Todays World
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Sample Questions
Q1) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.
Q2) A nurse is informed that the Federal Bureau of Investigation has determined that a bomb has been detected and is in the possession of a known terrorist group. The government buildings in the local community are the target. This situation is termed a(n):
A) all-hazards approach.
B) biologic event.
C) credible threat.
D) natural disaster.
Q3) During the relief response phase of a disaster resulting from a "dirty bomb":
A) treatment for burns and poisoning is provided for victims.
B) emergency plans are coordinated between agencies.
C) reconstruction of destroyed facilities and homes begins.
D) food stores are collected for potential victims.
Q4) 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) An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?
A) Rewards
B) Coercion
C) Expert
D) Legitimate
Q2) A director of nursing (DON) asks the staff to list how their nursing unit can help the organization meet its goal to "provide quality patient care with attention to compassion and excellence." An ad hoc committee is formed to develop a timeline of identified actions. The DON coaches the committee to reach desired outcomes. This DON is demonstrating which other role of leadership and management?
A) Transactional
B) Clinical consultant
C) Corporate supporter
D) Autocratic
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Chapter 17: Budgeting Basics for Nurses
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Sample Questions
Q1) Place the following steps of the budget development process in the correct order in which they are performed. Put a comma and space between each solve choice (for example: a, b, c, d, e)
A)Project expected expenses on the basis of units of service.
B)Gather information about past budget results and combine with budget assumptions to set reasonable expectations about future performance.
C)Predict the units of service that will be provided during the budget period.
D)Identify the strategic goals and objectives of the organization.
E)Set budget assumptions on which to base budgeting decisions.
Q2) A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
A) Zero-based
B) Incremental
C) Labor
D) Operational
Q3) The financial plan required for the distribution of resources and expenses is a
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Page 19
Chapter 18: Effective Communication and Conflict Resolution
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Sample Questions
Q1) A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN is heard saying, "She'll try to tell everyone what to do because she makes more money. She'll sit at the desk and let us do all the work." This is an example of a(n):
A) interpretation.
B) context.
C) precipitating event.
D) preconceived idea.
Q2) A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad. How can you get cancer without smoking?" Which statement by the nurse represents empathy?
A) "Research is identifying many risk factors for cancer besides smoking."
B) "I understand how you could feel angry about the diagnosis."
C) "He is still a good husband."
D) "Why do you think he got cancer?"
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) Care delivery using the team-based approach is used on a telemetry nursing unit. The team consists of one registered nurse (RN), two licensed practical nurses (LPNs), and one unlicensed assistive personnel (UAP). Staff have been charged to improve quality of care while ensuring cost containment. Which assignments would meet both criteria?
A) The RN administers all medications to all patients.
B) The LPN performs sterile dressings and IV tubing changes on all central lines.
C) The experienced UAP places telemetry electrodes and attaches to cardiac monitor.
D) The RN administers an enema to a stable patient who has an order "administer fleet enema prn when no bowel movement in two days."
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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21
Chapter 20: Staffing and Nursing Care Delivery Models
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Sample Questions
Q1) A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG). According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:
A) patient outcome.
B) variance.
C) goal.
D) standard.
Q2) The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:
A) nurse manager.
B) case manager.
C) coordinator of patient-centered care delivery.
D) team leader in team nursing care delivery.
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22
Chapter 21: Quality Improvement and Patient Safety
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Sample Questions
Q1) A group of nurses is presenting the importance of high-quality care during a systemwide meeting of medical-surgical nurses. They point out a finding of the Quality Chasm that:
A) being insured has little effect on a person's longevity and the quality of care received.
B) lobbyists for the drug companies are able to gain permission for the use of new drugs within 1 year of their discovery.
C) although a greater number of lawsuits stem from medication errors, more people actually die from human immunodeficiency virus (HIV) and acquired immunodeficiency disease syndrome (AIDS).
D) medication-related errors place a tremendous financial burden on the U.S. health care system.
Q2) 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.
Q3) Quality is defined by the ____________.
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Chapter 22: Quality and Safety in Nursing Education in
Nursing: The QSEN Project
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Sample Questions
Q1) A nurse calls a physician and gives a brief statement about the situation, "The patient is having increasing chest pain and the ECG shows ST elevation." What component of SBAR communication would be used in the following statements: The nurse tells the physician that the patient's blood pressure is 190/100 and rates the pain as 9 on a scale of 10 (10 being most severe pain) with a nitroglycerin drip infusing at 5 mcg/min?
A) Situation
B) Background
C) Assessment
D) Recommendation
Q2) Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions. Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies?
A) Patient-centered care
B) Informatics
C) Teamwork
D) Quality improvement
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Page 24
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Sample Questions
Q1) Political action committees (PACs) are established for the purpose of:
A) financially supporting candidates.
B) persuading policymakers to support certain policies.
C) lobbying legislators.
D) recommending health care policy.
Q2) A nurse who is interested in graduate school wants to learn about recently passed legislation regarding changes in Medicare reimbursement for care provided by clinical nurse specialists. The best source for information on changes in federal programs is the ________________.
Q3) A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact the:
A) National Registry for Candidates.
B) American Nurses Association Nurses Strategic Action Team (N-STAT).
C) National League of Nurses.
D) National Council of State Boards of Nursing.
Q4) Another name for an eligible voter is a _________.
Q5) 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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Chapter 24: Making the Transition from Student to Professional Nurse
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Sample Questions
Q1) In orientation, a new graduate is surprised to learn of workplace violence in health care agencies and asks, "What kind of violence is common in hospitals?" The educator describes workplace violence as: (Select all that apply.)
A) care of patients admitted who are victims of domestic violence.
B) experienced nurses withholding pertinent information from co-workers to portray them as incompetent.
C) co-workers participating in an employee assistance program (EAP) to learn more about anger management for adult children living at home.
D) care of persons being held for treatment prior to be incarcerated for committing homicide.
E) statements such as "The new nurse has book sense but can't perform an admission physical without the help of everyone on the unit."
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.
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Page 26
Chapter 25: Managing Time: The Path to High
Self-Performance
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Sample Questions
Q1) A nurse is having difficulty keeping up with the six assigned patients and serving on the ethics committee. In order to take charge of both personal and work life, the nurse focuses on improving physical energy by: (Select all that apply.)
A) telling herself, "I provide safe quality care and will provide this level of care to all my patients."
B) taking a deep breath and remaining calm to develop patience.
C) keeping a bottle of water available to consume a minimum of 24 ounces each shift.
D) going into the nurse's break room every 90 minutes to eat a healthy snack and prioritize remaining care.
E) enrolling in the hospital's fitness program, Nurses Need Nurturing.
Q2) After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?
A) Responding to recurring crises at work or in one's personal life
B) Unsuccessful attempts to communicate with the unit manager
C) Talking with potential faculty candidates
D) Being given unclear job responsibilities
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Page 27
Chapter 26: Contemporary Nursing Roles and Career
Opportunities
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Sample Questions
Q1) A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?
A) Continue to study to keep skills current and wait for desired position.
B) Return to college until a position in labor or delivery opens.
C) Accept another nursing position and transfer into labor and delivery when a position is available.
D) Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer.
Q2) 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.
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Chapter 27: Job Search: Finding Your Match
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Sample Questions
Q1) A nurse who is applying for a position contacts an expert on writing resumes and cover letters and is told:
A) to use correction fluid sparingly.
B) that when an error is made, a single line should be used to cross through the mistake, and initials should be inserted above the error.
C) to limit margins to one half inch so that the page appears full of information.
D) to be concise, limit the resume to a single page.
Q2) To determine basic competency, the interview for a nursing position may include a test in:
A) pathophysiology.
B) correctly writing nursing diagnoses.
C) pharmacology.
D) computer skills.
Q3) When should a follow-up letter be written to a recruiter?
A) Before the interview to thank him/her for granting you the interview
B) Approximately 2 weeks after you did not get the job to inquire
C) A few days after the interview
D) When you are sure you got the position
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Chapter 28: NCLEX-RN Examination
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/10293
Sample Questions
Q1) A candidate who is taking the NCLEX-RN exam received only 75 questions before the test was stopped. She called her professor and stated, "I passed. I had to solve only 75 questions." The professor correctly responds by saying:
A) "You are now officially licensed; you solve the more difficult questions correctly."
B) "It is possible to receive only 75 questions and not be successful; however, we will keep a positive attitude."
C) "If you were given only 75 questions, you will have to retest because this is not enough to determine competency."
D) "You must have been extremely close to the passing standard because the computer shut off."
Q2) Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they:
A)pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN).
B)provide evidence of mental competency.
C) supply written proof of physical fitness.
D) have signed an employment contract with a health care facility.
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