Nursing Leadership and Management Practice Exam
Course Introduction
This course explores the principles and practices of leadership and management within the field of nursing, focusing on the development of essential skills for effective patient care delivery and team coordination. Students will examine various leadership theories, decision-making frameworks, and communication strategies, as well as learn to navigate challenges related to staffing, budgeting, quality improvement, and healthcare policy. Through case studies and practical exercises, the course prepares future nurse leaders to foster collaborative environments, promote ethical practice, and lead organizational change in diverse healthcare settings.
Recommended Textbook
Nursing Delegation and Management of Patient Care 1st Edition by Kathleen Motacki RN MSN
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21 Chapters
502 Verified Questions
502 Flashcards
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Page 2
Chapter 1: Patient Care Management
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/31640
Sample Questions
Q1) A nurse manager must exhibit qualities of efficiency and organization.Which nurse is demonstrating the qualities necessary for a manager?
A)A nurse becomes aware of increased infection rates following cardiac surgery.The nurse takes it upon herself to research the possible causes and prevention measures and to make suggestions to better protect patients.
B)A nurse acts quickly when a cardiac arrest is called on her patient.
C)A nurse notifies another staff member that she is being "pulled" today.
D)A nurse volunteers to work when another staff member must leave work because her child is ill.
Answer: C
Q2) Health care is seen and managed as a business today.Which skills are considered essential to managing health care as a business?
A)Ability to pressure staff to do what you want
B)Resource utilization
C)Cutting corners to make money
D)Providing bonuses to staff members who help the organization to save money
Answer: B
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3
Chapter 2: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) To avoid transcription errors,the current trend in hospitals is to use the Computerized Physician Order Entry (CPOE).Further instructions should be given to the nurses when which statement is made?
A)"I don't need to review the new orders for accuracy."
B)"The orders will go directly to the appropriate departments."
C)"The risk for transcription errors is less."
D)"I am still responsible for communicating the changes to the appropriate caregivers."
Answer: A
Q2) It is vital to communicate changes in patient condition to the physician.When using the SBAR process,the nurse knows that what should be included when communicating patient condition? Select all that apply.
A)Problem
B)Current medications
C)Assessment
D)Diagnosis
E)Documentation
F)Lab data
Answer: A,C,D,F
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Page 4
Chapter 3: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) When incorporating the five rights of delegation,the right communication is used when a patient's blood pressure is low in which of the following situations?
A)The RN tells the UAP to wait to give a patient a bath because her blood pressure is too low.
B)The RN tells a UAP to recheck the patient's blood pressure and report back to her before giving the patient a bath.
C)The UAP gives a bath to a patient with a low blood pressure.
D)The RN tells the UAP to give a patient a bath because they are unaware of the low blood pressure.
Answer: B
Q2) Which of the following delegations require an immediate intervention by the charge RN?
A)A UAP ambulates a patient 24 hours after a cardiac catheterization.
B)A UAP ambulates a patient 24 hours after a bronchoscopy.
C)A UAP ambulates a patient 24 hours after a pneumonectomy.
D)A UAP ambulates a patient 24 hours after an echocardiogram.
Answer: C
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Page 5
Chapter 4: Evidence-Based Practice
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Sample Questions
Q1) When providing care to patients,nurses understand that evidence-based practice supports the concept that:
A)To avoid atelectasis and pneumonia,use of an incentive spirometer has an outcome equal to coughing for a patient following surgery.
B)To avoid atelectasis and pneumonia,use of an incentive spirometer has a better outcome than coughing for a patient following surgery.
C)To avoid atelectasis and pneumonia,use of an incentive spirometer has a worse outcome than coughing for a patient following surgery.
D)Neither coughing nor use of an incentive spirometer will avoid atelectasis or pneumonia in postoperative patients.
Q2) Of the steps to implementation,research is not complete until which of the following steps is accomplished?
A)Synthesizing relevant research
B)Determining the sufficiency of the sample
C)Instituting the change
D)Monitoring the outcome
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Chapter 5: Management of Emergencies and Disasters
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Since the disaster in New Orleans following Hurricane Katrina,government agencies have established environment of care standards.The nurse understands these standards are important to both the patient and institution based on (select all that apply):
A)Fire and safety management.
B)Security management.
C)Hazardous waste management.
D)Availability of staff.
E)Transfer of staff.
Q2) Nurses must understand that during an emergency,such as a tornado,sometimes the presiding decision maker may have to make decisions based on the principle of the most good for the most people.What would be an appropriate action based on that principle? (Select all that all apply.
A)Moving only the ambulatory patients to safety
B)Potentially sacrificing staff to remain with the ventilated patients
C)Allowing staff members with families to leave
D)Asking visitors to move into the stairways
E)Refusing to allow any staff members to leave
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Chapter 6: Health Care
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Sample Questions
Q1) Which of the following is an example of the changes seen in health care delivery as a result of the introduction of managed care?
A)Employee Christmas parties can no longer be held on the unit.
B)Cyclical work schedules are used.
C)More UAPs have been hired and they have been allowed a wider scope of responsibilities.
D)RN salaries have gone up over the past 10 years.
Q2) Medicare Part B covers services and products not covered by Medicare Part A.Which of the following patients would the nurse expect Medicare Part B to cover?
A)A 67-year-old patient requiring a cane to walk who works as an attorney
B)A 67-year-old patient who has rheumatoid arthritis and needs assistive devices to independently ambulate
C)A 50-year-old women who requires a breast prosthesis
D)A 60-year-old who requires a new pair of glasses after cataract surgery
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Chapter 7: Healthcare Regulatory and Certifying Agencies
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20 Flashcards
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Sample Questions
Q1) The Joint Commission ( TJC )surveyors measure each institution's compliance by which of the following? Select all that apply.
A)Staff education documentation
B)Interviews with patients and staff
C)Review of medical records
D)Educational materials provided to patients and families
E)Review of employee records
Q2) In which situation should the SBAR (Situation-Background-Assessment Recommendation)tool most appropriately be used?
A)To reduce the risk of nosocomial infections
B)To improve response to changes in patient condition.
C)In hand-off communication
D)For accuracy of patient identification
Q3) The state regulatory agency may impose a fine on a hospital for which patient safety infraction?
A)A UAP ambulating a patient
B)A UAP checking a blood glucose level
C)Allowing only RN staff in the medication room
D)Leaving the medication room unlocked
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Chapter 8: Ethical Issues in Patient Care
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) A nurse renewing advanced cardiac life support is practicing which ethical principle?
A)Veracity
B)Fidelity
C)Nonmaleficence
D)Beneficence
Q2) The nurse is caring for a patient with heart failure resulting in irreversible kidney damage who decides to go home to die rather than accept hemodialysis.The nurse understands that the patient is practicing which ethical principle?
A)Autonomy
B)Beneficence
C)Justice
D)Veracity
Q3) A basis for ethical dilemma can result from a request for organ donation.Which factor may contribute to this conflict?
A)The patient is ventilator dependent.
B)The patient has signed her driver's license giving consent.
C)The patient has not previously expressed her wishes on organ donation.
D)The patient's religion is unclear about organ donations.
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Chapter 9: Developing Management Skills
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Sample Questions
Q1) The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the decision-making process?
A)Organizing a meeting to address the problem
B)Establishing an alternate site within the hospital for these patients
C)Assigning experienced staff to implement care of these patients
D)Establishing the new area as a step-down unit
Q2) Which of the following patients should the charge nurse admit to a room with a patient who is confused and incontinent of stool?
A)A postoperative patient
B)A patient with diabetes
C)A patient who is going to surgery later today
D)A patient from the cardiac catheterization lab who is going home in the morning
Q3) Which patient should be considered the highest priority by the new RN?
A)A patient who is requesting his pain medication
B)A patient who is reported by the UAP to be choking
C)A patient who is requiring suctioning per tracheostomy
D)A patient who is requiring discharge instructions who is waiting at the desk with her family
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Page 11
Chapter 10: Improving Organizational Performance
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A unit secretary mistakenly enters the wrong medication into the MAR when transcribing orders.After a root cause analysis,it is determined that the cause is the illegibility of the physician's order.Which measure should be taken to prevent future incidences?
A)The physician is required to carry a typewriter with him to type the orders onto the order sheet.
B)The physician must either write legibly or orders will not be transcribed.
C)The unit secretary must receive more training on transcribing orders.
D)Introduction of a computer entry system for all physician orders will be instituted.
Q2) The National Patient Safety Goals of The Joint Commission ( TJC )are established goals to reduce the risks for injuries to patients and provide a safe environment.Which practice has been instituted as a result of these goals established by TJC?
A)Use of the automatic medication dispenser equipment
B)Handwashing to prevent infections
C)Provision of patient information to the nurse covering for breaks
D)Use of two patient identifiers when providing care or treatments
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Chapter 11: Hospital Information Systems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The Nursing Minimum Data Set (NMDS)is a collection of established uniform standards for collecting data.It includes the North American Nursing Diagnosis Association International (NANDA-I)-approved list of nursing diagnoses as well as other sources of nursing language.What is the advantage of the NMDS to the patient?
A)Data can be entered from multiple sources into the patient's record.
B)Nurses must be able to speak and understand English.
C)Nurses must know all the NANDA diagnoses.
D)Patient receives a daily update of charges.
Q2) The electronic health record (EHR)provides information to all members of the health care team on their patients.The nurse manager and other team members recognize the advantages of the EHR,which include:
A)Being handy for patients to carry with them.
B)Protecting patient privacy.
C)Being easier for patients to read.
D)Making data available for research and continuous performance improvement.
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Chapter 12: Monitoring Outcomes and Use of Data for Improvement
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) Which of The Joint Commission ( TJC )core measures would the nurse expect to see used on a postoperative surgical area?
A)Standards for dressing changes
B)Standards for deep venous thrombosis prophylaxis
C)Standards for patient-controlled analgesia
D)Standards for atelectasis prevention
Q2) An example of The Joint Commission core measures would be for the prevention of deep venous thrombosis postoperatively.Which patient would not need prophylaxis postoperatively?
A)A postoperative open-heart surgery patient who is on a ventilator
B)A postoperative total-hip replacement patient who does not get out of bed
C)A postoperative liver transplant patient who is on bed rest because of pneumonia complication
D)A postoperative appendectomy patient who ambulates with his mother three times a day
Q3) What are the benefits to the organization from greater patient satisfaction?
A)Fewer malpractice suits
B)Lower acuity
C)Higher employee benefits
D)Fewer call lights to solve
Page 14
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Chapter 13: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which of the following could have an impact on strategic planning for a community hospital?
A)Change in primary orthopedic surgeon
B)Increased availability of flu shots
C)Health promotion by the local nursing school
D)Community health fairs
Q2) The patient satisfaction survey can influence strategic planning by using which factors? Select all that apply.
A)Strengths and weaknesses
B)Medication errors
C)Threats
D)Staffing shortages
E)Opportunities
Q3) The overall purpose for strategic planning in an organization includes which of the following?
A)Increases the chance of success
B)Frees the nurse manager from day-to-day supervision
C)Shows interest in the success of the organization
D)Avoids crisis management
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Page 15
Chapter 14: Financial Management
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20 Flashcards
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Sample Questions
Q1) When developing an incremental type budget,the nurse manager understands:
A)Yearly budgets are dependent on the previous year's budget.The budget must be recreated every year.
B)Anticipated changes are allowed.
C)All changes must be justified.
D)The yearly budget for the upcoming year will be less than for the present year.
Q2) In addition to determining the number of patient care hours needed,the nurse manager must also include which other labor costs?
A)Loss of staff positions
B)Vacations and holiday pay
C)Breaks
D)Changes in management
Q3) A new drug reference book is needed for a unit.The nurse manager would plan to pay for this from which budget?
A)Cash budget
B)Operating budget
C)Personnel budget
D)Capital budget
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16
Chapter 15: Management of Human Resources
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25 Flashcards
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Sample Questions
Q1) The nurse recruiter provides information about salary and benefits.Which of the following would be important for the nurse to relate to the recruiter during this interview?
A)Salary expectations
B)Specific clinical interests and reasons for those interests
C)Expected shifts
D)Expected holidays to work
Q2) It is most important to include which of the following when submitting a resume with an application for a nursing position? Select all that apply.
A)Professional work history
B)Education
C)Contact information
D)Hobbies
E)Leisure activities and interests
Q3) What preparations should the nurse manager take when interviewing an applicant?
A)Call references.
B)Develop a strategy.
C)Allow several applicants to arrive at the same time.
D)Attend a meeting to end exactly when the interview is scheduled to start.
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Chapter 16: Providing Competent Staff
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Sample Questions
Q1) In the first phase of the performance appraisal process,the nurse manager prepares for the interview with the nurse.What should the nurse manager plan in preparation for the performance appraisal?
A)Anecdotal notes from other staff
B)Complaints from patients and families
C)Documentation of examples of performance
D)Documentation of medication errors
Q2) Which of the following topics would the new nurse expect to review in the hospital's new employee orientation program? Select all that apply.
A)HIPAA
B)Safety standards
C)Infection control
D)ACLS
E)Order transcription
Q3) Performance appraisals provide the employee with which of the following?
A)Performance standards
B)Goals
C)Salary increases
D)Continuing education
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Page 18
Chapter 17: Personal and Workplace Safety
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Sample Questions
Q1) In what ways is the environment controlled by the hospital safety committee to prevent workplace violence? Select all that apply.
A)Emergency alarms
B)Cameras and videos
C)Assigned patrol for each unit
D)Security provided for visitors in parking lots,etc.
E)Respond only when called
Q2) What is a recommendation from the Occupational Health and Safety Administration for prevention of violence in the workplace?
A)Assign different shifts.
B)Provide training and education.
C)Point out the issues to the people involved.
D)Arrange for the people involved to meet and discuss the issues.
Q3) Family members who have access to hospitals may present risks to the staff when which of the following is most likely present?
A)Family members are not doing well.
B)Family members are in the intensive care unit.
C)Family members are under the influence of drugs or alcohol.
D)Family members are unable to visit regularly.
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Page 19
Chapter 18: Legal Issues in Healthcare
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Sample Questions
Q1) On admission the patient provides the nurse a copy of their living will.The nurse understands that this document will do which of the following?
A)Designate a family member to make health care decisions for him
B)Provide information regarding a medication error
C)Give directions regarding end-of-life care
D)Provide DNR instructions
Q2) A nurse is moving to another state where she plans to practice nursing.Which of the following should she do to legally practice in another state?
A)Take the NCLEX exam for that state.
B)Seek reciprocity in the state.
C)Present the previous state license at the time of hire.
D)Seek a different profession.
Q3) Which of the following would be considered negligent malpractice if performed by the nurse?
A)Delaying assessment of a patient whose previous blood pressure was reported as 70/40 mm Hg
B)Delegating blood glucose levels to a UAP
C)Notifying a health care provider of a patient's drop in blood pressure
D)Responding to a patient in respiratory distress
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Page 20
Chapter 19: Staffing and Scheduling
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Sample Questions
Q1) What is the best advantage to preference scheduling for nurses?
A)Institutional rules can be applied.
B)Staff decide shifts.
C)Scheduling is determine by first-come,first-served basis.
D)Blocks of time are predictable.
Q2) Automated computerized staffing allows for which advantage to the institution?
A)Reduces workload of nurse manager
B)Provides coverage on weekends
C)Uses part-time staff
D)Provides coverage for daily changes in acuity of patients
Q3) There are four major types of staffing plans.The centralized method of staff planning refers to which of the following?
A)The schedule is planned based on the core staff.
B)The schedule is planned on each individual unit.
C)The schedule is planned by the nurses themselves.
D)The schedule is planned by the nursing service.
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Chapter 20: Supervising and Evaluating the Work of Others
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Sample Questions
Q1) When leading a team,a low performing leader is seen as having which abilities?
A)A problem solver
B)Identifies cause when identifying problem
C)Communicates well with staff
D)Solves problems once identified
Q2) Teams are groups who must work cooperatively to achieve a goal.Which of the following would be considered part of a team on a typical nursing unit? Select all that apply.
A)Staff nurse
B)UAP
C)Case manager
D)Pharmacist
E)Unit secretary
F)Admission clerk
Q3) Active listening typically involves:
A)Active participation and respect for the speaker.
B)Asking lots of questions.
C)Judging what is being said.
D)Agreeing with the speaker.
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Page 22
Chapter 21: New Graduates: the Immediate Future
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Sample Questions
Q1) A new nurse has an appointment for an interview with the nurse manager of a medical/surgical unit.What should be an essential part of her plan for the interview?
A)Inquire about shift coverage.
B)Inquire as to how many new nurses are starting on that unit.
C)Inquire about the length of the orientation.
D)Inquire about the unit secretary's responsibilities.
Q2) Which is most appropriate for the new graduate when preparing for the first interview?
A)Bring a list of references that was quickly put together.
B)List membership as a CCRN in 1 year as a goal.
C)Provide a list of weaknesses.
D)List tardiness as a weakness identified in school and how it has been corrected.
Q3) When preparing for the NCLEX-RN exam,students should remember Maslow's hierarchy of needs.What best explains this concept?
A)Patient's physical needs are a priority to safety.
B)Psychosocial needs are a priority to safety.
C)Education is a priority to safety.
D)Psychosocial needs are a priority to physical needs.
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