Nursing Leadership and Management Practice Questions
Course Introduction
Nursing Leadership and Management explores the principles, theories, and practices essential for effective leadership and management in nursing. The course covers topics such as organizational structure, change management, decision-making, delegation, conflict resolution, and team building within healthcare settings. Students will examine various leadership styles and management strategies, analyze their impact on patient care and staff performance, and develop skills to lead interdisciplinary teams. By integrating evidence-based approaches, ethical considerations, and professional standards, this course prepares students to take on leadership roles and contribute positively to healthcare organizations and patient outcomes.
Recommended Textbook
LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
Source URL: https://quizplus.com/study-set/1117
Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows that LPN/LVNs who enter nursing school to become RNs come into the learning environment with prior knowledge and understanding. Which statement by the nursing advisor best describes her understanding of the effect experience may have on learning?
A) "Experience may be a source of insight or a barrier."
B) "Experience is usually a stumbling block for LPN/LVNs."
C) "Experience never makes learning more difficult."
D) "Once something is learned, it can never be truly modified."
Answer: A
Q2) A group of cardiac nurses with common experiences meet monthly for a staff meeting to discuss ways to improve patient care. This group is known as a: A) scheme.
B) cohort.
C) team.
D) unit.
Answer: B
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Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21949
Sample Questions
Q1) A student exclaims, "I have to make a 100% on this test because anything less is just like failing in my book. I either know it or I don't and if I don't know it now, I never will." This student is obviously stressed, and the statements represent:
A) awareness reduction.
B) cognitive distortions.
C) positive coping mechanisms.
D) acceptance of reality.
Answer: B
Q2) A student has a large reading assignment that must be completed in order to be prepared for the next class. Which action by the student would be ineffective in the planning process?
A) Put off the assignment until later so more content is remembered.
B) Examine your schedule to determine time frames for study sessions.
C) Determine a study environment fitting your learning style.
D) Divide the assignment into manageable chunks, and take notes as you read.
Answer: A
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Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21950
Sample Questions
Q1) A struggling student admits that she is reading the same paragraph over and over when she tries to read the text. The instructor recognizes this as inhibitory to her comprehension of the material. Which suggestion could the instructor make to the student to help correct the situation?
A) "Just keep trying. Maybe you need to read it over a few times to get it."
B) "Maybe you are waiting too late at night to study. Try studying earlier in the day."
C) "Try putting your finger under the words one at a time."
D) "If the words are a stumbling block, study them alone first, and then as you read, you will be less likely to stumble over them and regress."
Answer: D
Q2) Multiple incorrect options on a test are known as:
A) stems.
B) structured responses.
C) distractors.
D) negative indicators.
Answer: C
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Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/21951
Sample Questions
Q1) Kefzol 500 mg in NS 75 mL over 30 minutes
Q2) 1 L D5W to infuse in 8 hours
Q3) Aminophylline 250 mg in 500 mL. Infuse at 30 mg/hr.
Q4) 500 mL D5LR to infuse in 4 hours
Q5) Infuse D W 1 L q12h. Drop factor is 20 gtt/mL.
Q6) Ordered: Ibuprofen 40 mg PO q6h PRN temp higher than 101.8º F
Pediatric dose range: Child 6 mo to 12 yr, antipyretic: for temp lower than 102.5º F, 5 mg/kg/dose; for temp higher than 102.5º F, 10 mg/kg/dose
May be given q6-8h: max daily dose of 40 mg/kg/day
Child's weight: 7-month-old weighs 18.5 lb; temp is 102.4º F.
Available: Ibuprofen susp. 80 mg/5 mL
Q7) Ordered: Morphine sulfate 10 mg/hr continuous IV
Available: MS 50 mg in 100 mL NS
Q8) Administer 500 mL 0.45 NS over 4 hours. Drop factor is 10 gtt/min.
Q9) What volume of PCN G constitutes one dose?
Ordered: PCN G 750,000 units IV q6h
Available: PCN G vial labeled 200,000 units/mL after reconstitution Page 6
Q10) Oxacillin 400 mg in 100 mL D W over 40 minutes. Secondary set delivers 15 gtt/mL.
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Page 7
Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21952
Sample Questions
Q1) A student is studying the KATTS Framework in class. She has offered to tutor a friend who is struggling to grasp the concept of the framework. She knows that her teaching has been effective when her friend states that the KATTS Framework consists of all of the following,except:
A) knowledge base.
B) anxiety control.
C) time management skills.
D) test-taking skills.
Q2) A nursing student is giving a presentation on the different organizations that support nurses. She has an adequate understanding of the American Nurses Association when she states, "The American Nurses Association:
A) sets the guidelines for entrance into nursing programs."
B) represents and advocates for nurses."
C) evaluates and updates licensure exams."
D) determines who is eligible to take the NCLEX exam."
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8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21953
Sample Questions
Q1) An LPN/LVN in RN school is experiencing frustration because the expectations of her as a nurse at work are very different from her role as a student in nursing school, and fulfilling both is confusing at times. She has an appropriate understanding of her situation when she states that it is known as:
A) role conflict.
B) dissociative behavior.
C) coping mechanism.
D) license confusion.
Q2) The RN is caring for the following patients. Which patient and task are most appropriate to assign to the LPN/LVN?
A) A 34-year-old female patient who will need discharge teaching
B) A 40-year-old postoperative male patient who needs a dressing change
C) A 64-year-old female patient who needs a bed bath
D) A 79-year-old patient whose plan of care needs to be updated
Q3) The RN utilizes problem-solving skills to do all of the following except:
A) establish mutual goals with the patient and family.
B) formulate a care plan.
C) assist patients to achieve expected outcomes in the plan of care.
D) oversee implementation and evaluation of the plan.
Page 9
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Available Study Resources on Quizplus for this Chatper
12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/21954
Sample Questions
Q1) Which is the dominant focus of patient care in the current health care environment?
A) To increase cost to increase profit
B) To contain rising costs
C) To ignore rising costs
D) To manage care according to cost
Q2) What is the major social factor that has developed the role of nursing to what it is today?
A) Society's attitude toward the role of women
B) Society's lack of qualified health providers
C) Society's lack of resources to pay for health care
D) Society's lack of education about health care
Q3) A student is studying the history of nursing. Which statement made by the student would be correct if she had an adequate understanding of America's first trained nurse?
A) "America's first trained nurse reduced student nurses' working hours."
B) "As America's first trained nurse, Isabel Hampton Robb promoted licensure exams."
C) "America's first trained nurse worked to create associate degree programs."
D) "America's first trained nurse was Linda Richards."
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Page 10
Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) The nurse who respects the patient's right to refuse treatment is following which bioethical principle?
A) Justice
B) Beneficence
C) Autonomy
D) Fidelity
Q2) The nurse on a busy surgical floor is preparing her patient for surgery. The patient refuses to sign the surgical consent form because he has not spoken to the surgeon regarding the procedure. When the nurse speaks to the surgeon on the phone, he tells her that he is too busy to come to the floor. If the nurse were to insist that the patient sign the consent anyway, she would be violating which of the patient's rights?
A) Right to refuse treatment
B) Confidentiality
C) Right to informed consent
D) Right to privacy
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11
Chapter 9: Care and Safety Standards, Competence, and Nurse Accountability
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) While passing noon meds, an RN notes that one of her patients did not receive his 0600 dose of antibiotic during the prior shift. She calls the prior nurse to try to determine whether the medication was given or not, then fills out an occurrence or care aberrance report, and follows through as institutional policy indicates. What is the best explanation for why the RN who found the error took action?
A) Because the prior nurse needed to know she made an error
B) Because she is accountable for not contributing to the error by ignoring it
C) To keep the patient from suing the hospital
D) To keep herself out of trouble
Q2) The medical team determines that a patient needs to be transferred to another facility to continue receiving the most appropriate and beneficial care. The transfer process has been slow and difficult, and the nurse is struggling to care for the transferring patient along with her other assigned patients. What is the best action the nurse can take to improve her situation?
A) Continue to do the best that she can do for all of her patients.
B) Inform the medical team that the transfer will have to wait for the next shift.
C) Involve management so that the nurse can focus on patient care.
D) Ask her co-workers to manage her patient assignment.
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Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21957
Sample Questions
Q1) The nurse providing teaching on a weight loss program to the obese patient is applying which nursing model developed by Nola Pender?
A) Interpersonal relations
B) Health promotion
C) Conservation
D) Adaptation
Q2) A group of nursing students was discussing the functions of nursing theories. Which statement below would give the impression a student requires more review of the material?
A) "Nursing theories help guide professional practice by interpreting evidence."
B) "Nursing theories have little effect on decision-making in practice."
C) "Nursing theories are influenced by personal values and beliefs."
D) "Nursing theories influence professional behaviors."
Q3) The goal of Ida Jean Orlando's theory of effective nursing practice is to:
A) focus on relationships among the environment, nurse, and patient.
B) reduce the duration of hospital stays.
C) meet the immediate needs of the patient and relieve distress or discomfort.
D) integrate holism into nursing.
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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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) An RN is making assignments on a medical-surgical unit. Which patient could the RN assign to a float RN from the maternity unit?
A) A 68-year-old female patient with COPD and viral pneumonia
B) A 60-year-old female patient with atrial fibrillation and a heart rate of 150
C) A 50-year-old male patient post open heart surgery whose blood pressure is 90/50
D) A 36-year-old male patient who is severely neutropenic awaiting chemotherapy
Q3) Which of the following is true about collaborative problems?
A) Collaborative problems fall within the definition of nursing diagnoses.
B) Collaborative problems are managed using two physicians.
C) Collaborative problems require the nurse to monitor for changes in status.
D) Collaborative problems emphasize prevention, treatment, or health promotion.
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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) Which patient would the nurse see first at the start of the shift?
A) A patient admitted yesterday with osteomyelitis of the right arm with a T of 101.0°F
B) A patient with hepatic encephalopathy who is being rude to the nursing assistant
C) A patient with lupus who has been on long-term corticosteroids and whose blood sugar is 180
D) A patient with circumferential burns of the right leg who is complaining of numbness in the right foot
Q2) An RN has collected extensive data on a patient with attention deficit disorder. When weighing potential actions to help the patient and considering alternative solutions, which of the attributes of the critical thinker is the RN demonstrating?
A) Creativity
B) Rational thought
C) Reflection
D) Curiosity
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15
Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) Which of the following is an example of direct research utilization?
A) Advocating for a change in policy
B) Basing practice on current research available
C) Implementing new techniques for practice
D) Critiquing a research study
Q2) What are the problems with variables? (Select all that apply.)
A) Vary from subject to subject
B) Determined through statistics
C) Difficult to account for them
D) Challenging to explain in relation to the study topic
E) Testing whether a correlation exists between results
Q3) The nurse manager wants to determine the cause of an increase in medication errors over the past 6 months. This is an example of which type of research?
A) Experimental
B) Trial and error
C) Quality assurance
D) Scientific
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Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) When considering the creation of an environment for emotional support in a therapeutic relationship, the primary focus of the nurse should be:
A) removing stressors that cause anxiety and fear.
B) developing a trusting relationship.
C) encouraging the patient to become independent.
D) allowing the patient to be in control of medical decision-making.
Q2) The nurse and patient are discussing the patient's perceptions and feelings related to the patient's illness. The patient is emotional and tearful and expresses feelings of hopelessness. During which phase of the nurse-patient relationship does this typically occur?
A) Preorientation
B) Orientation
C) Working
D) Termination
Q3) An example of a communication blocker is:
A) silence.
B) eye contact.
C) advising.
D) clarifying.
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Page 17
Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21962
Sample Questions
Q1) Which item would most likely be a barrier to learning for a patient who must begin to care for a large open wound at home?
A) Curiosity about the new experience and equipment
B) Tendency for uneasiness about making mistakes
C) Ability to prioritize tasks
D) Understanding that he can promote his own healing
Q2) The nurse recognizes that, to be an effective teacher, communication must be clear. In an educational session for a patient newly diagnosed with congestive heart failure, which statements by the nurse would demonstrate barriers to teaching? (Select all that apply.)
A) "Furosemide will increase urination, so you take it every morning."
B) "To help reduce the risk of pulmonary edema, your sodium intake must be monitored."
C) "Just remember, no sodium!"
D) "Pulmonary edema can form if you have too much sodium."
E) "You will need to make sure you eat less salt to help prevent fluid from collecting in your lungs."
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Chapter 16: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21963
Sample Questions
Q1) The nurse is a very busy charge nurse with responsibilities for a unit with 24 acute care patients. An experienced nursing assistant is assigned to the unit. The nursing assistant notes that the IV pump is beeping because the tubing appears kinked. The assistant unkinks the tubing, and this resets the pump. The assistant reports the action to the nurse. It is most important that the nurse:
A) thank the nursing assistant for taking the initiative to correct the problem and to "keep up the good work."
B) provide the assistant with additional instructions on safety in IV management.
C) warn the other staff to watch out for the nursing assistant because she works beyond her scope.
D) explain that help is appreciated; however, legally the nursing assistant cannot perform the action.
Q2) Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
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Page 19
Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21964
Sample Questions
Q1) A patient has had no visitors for the 2 weeks he has been on your unit. The patient seems dejected and insists on having his few belongings in sight at all times. The nurse realizes that he may be experiencing what kind of need?
A) Health-deviation need
B) Developmental need
C) Universal need
D) Health continuum need
Q2) A homeless patient with severe anorexia, fatigue, jaundice, and hepatomegaly is diagnosed with viral hepatitis and has just been admitted to the hospital. In planning care of the patient, the nurse assigns the highest priority to the patient outcome of:
A) establishing a stable home environment.
B) maintaining adequate nutrition.
C) increasing activity level.
D) identifying the source of exposure to hepatitis.
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Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) In what way(s) do clinical pathways help nurses to manage patient care? (Select all that apply.)
A) Evaluate long-term care facilities.
B) Enable consistently safe care.
C) Manage the resources of the health care facility.
D) Define standard assessment data and frequency for data collection.
E) Review patient charts for quality improvement opportunities.
Q2) A nurse writes the diagnosis of "potential for infection" for a postoperative patient. The charge nurse makes certain not to place a patient with a diagnosed infection in the same room with the fresh postoperative patient. The nurse does this to manage which of the following?
A) The potential for noise in the room
B) The potential for patient complaints related to odors
C) The physical environment of the secondary health setting
D) The social environment within the secondary health setting
Q3) 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.
Page 21
D) avoid acquired infections while in the tertiary facility.
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Chapter 19: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21966
Sample Questions
Q1) The nurse enters the room of a sleeping patient to administer the 0200 dose of antibiotic that has been ordered every 6 hours. Which action would most effectively maintain a therapeutic blood level of this medication?
A) Administer the medication whenever the client awakens.
B) Omit this dose and chart the reason for doing so.
C) Awaken the patient and administer the medication.
D) Let the patient sleep and double the next dose.
Q2) 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.
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