Nursing Leadership and Management
Question Bank
Course Introduction
Nursing Leadership and Management explores the foundational principles, theories, and practical skills essential for effective leadership and management within healthcare settings. This course examines the roles and responsibilities of nurse leaders and managers, emphasizing critical thinking, decision-making, communication, conflict resolution, and team-building. Students will analyze contemporary issues affecting healthcare organizations, learn about resource management, budgeting, and quality improvement initiatives, and explore strategies for fostering positive work environments and influencing organizational change. The course prepares future nurse leaders to navigate complex healthcare systems, advocate for patients and staff, and ensure the delivery of high-quality, patient-centered care.
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 student nurse and the staff RN are discussing recent changes on the nursing unit. Which of the following are examples of change processes? (Select all that apply.)
A) Coercive
B) Collaborative
C) Technocratic
D) Planned
E) Organized
Answer: A, C, D
Q2) An RN is caring for a diabetic patient. The patient appears interested in changing her lifestyle and has been asking questions about eating better. The nurse can interpret this behavior as which stage of Lewin's Change Theory?
A) Moving
B) Unfreezing
C) Action
D) Refreezing
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 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
Q2) A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism?
A) Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself.
B) Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself.
C) Perfectionism is the only means by which we can truly improve.
D) Perfectionism is a character flaw and cannot be addressed.
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 student nurse feels that his reading skills are not adequate. Which action would he take in order to have effective reading skills?
A) Focus on improving reading speed.
B) Read slowly and thoroughly.
C) Ask his friends and family read to him.
D) Passively engage in reading.
Answer: A
Q2) The RN is performing an assessment on a patient being admitted for back pain. The nurse interprets which of the patient's statements as a minor detail?
A) The patient has not been able to void in 12 hours.
B) The patient ate 90% of his meal.
C) The patient reports being unable to walk.
D) The patient was involved in a car accident 2 days ago.
Answer: B
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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) Ancef 250 mg IV piggyback diluted in 100 mL NS over 30 minutes. Drop factor is 10 gtt/min.
Q2) Calcium gluconate 10% 16 mEq in 100 mL D W over 30 minutes
Q3) How many tablets of Zaroxolyn are in one dose?
Ordered: Zaroxolyn 0.005 gm PO q AM
Available: 2.5-mg tablets
Q4) Give 1000 mL D ½NS q6h. Drop factor is 15 gtt/mL.
Q5) 0.45% NaCl 1000 mL over 6 hours
Q6) Ordered: Nebcin 10 mg IM q8h
Pediatric dose: 2.5 mg/kg/dose
Neonate's weight: 4000 g
Available: Nebcin 40 mg/mL
Q7) 100 mL Protonix to infuse over 2 hours
Q8) How many milliliters of KCl will you give?
Ordered: KCl 15 mEq PO BID
Available: 20% KCl labeled 40 mEq/15 mL
Q9) 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 Page 6
Q10) Infuse D W 1 L q12h. Drop factor is 20 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 graduate nurse is submitting documentation so that she may take the NCLEX-RN within a few months. Which action shows an understanding of the content of the most updated test plan?
A) Spending additional study time reviewing health promotion and maintenance
B) Taking a cardiology course before the exam
C) Reviewing notes from previous nursing classes
D) Setting aside time to study pathophysiology of the brain
Q2) Students in a nursing class have just finished an exam on the KATTS Framework. The students should know that they can do which of the following, in order to strengthen the knowledge component of the KATTS Framework? (Select all that apply.)
A) Complete NCLEX-RN pretests.
B) Review past NCLEX-RN test plans.
C) Create a study plan, and then identify knowledge deficits.
D) Reread textbooks from nursing courses.
E) Focus studying on strong areas of knowledge.
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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) The RN understands that the National League for Nursing (NLN) delineates three professional roles of the associate degree nurse when she lists all of the following except:
A) manager of care.
B) team player.
C) provider of care.
D) member of profession.
Q2) A nurse manager is teaching a class about the different role elements of RNs. If she has an adequate understanding, she can state that a care provider is:
A) "a nurse who medically manages patients."
B) "an RN who carries out interventions that assist patients to meet positive outcomes."
C) "a nurse who seeks out new endeavors."
D) "a nurse who seeks out positive changes in the best interest of his or her patients."
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Chapter 7: The Nurses, Ideas, and Forces That Define the Profession
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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) Based on what you know, what events would you select to show the contributions that Isabel Hampton Robb made to nursing? (Select all that apply.)
A) Established a visiting nurse service
B) Reduced student working hours
C) Wrote a book on the history of nursing
D) Promoted licensure exams
E) Fought for women's rights and the right to vote
Q3) The nurse responsible for promotion of associate degree programs is:
A) Lavinia Dock.
B) Mildred Montag.
C) Linda Richards.
D) Lillian Wald.
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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) A nurse is working the night shift in the ICU. She notices cardiac alarms sounding for one of the patients, and on arriving to the patient's room, finds him in full cardiac arrest. It is later determined that the patient's assigned nurse was at the front desk sleeping. The nurse realizes the important of reporting this issue but does not want to face backlash from her co-worker. Which describes what the nurse is experiencing?
A) Decision-making
B) Ethical dilemma
C) Preconceived beliefs
D) Discrimination
Q2) The RN understands administrative law when she says, "Administrative law governs: A) federal treaties."
B) the operations of government."
C) the conduct of judges."
D) the United States Supreme Court."
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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) A new graduate has been working as an RN for 6 months and is no longer working with a preceptor. However, she still frequently checks with an experienced nurse to validate that she is following the rules and the policies she is still learning. The new graduate in this scenario exhibits the actions of what theoretical level of skill?
A) Expert
B) Competent
C) Proficient
D) Novice
Q2) 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
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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) 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
Q2) What example illustrates the conclusion that can be drawn from inductive reasoning?
A) Bachelors are unmarried men and Danny is unmarried; therefore, Danny is a bachelor.
B) Every eagle seen this week has dark feathers; therefore, all eagles have dark feathers.
C) Most Ford vehicles are reliable, so the Ford you just bought will be reliable, too.
D) All dogs have fleas; therefore, my dog has fleas.
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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) The nurse is planning care for an 82-year-old obese female patient with Alzheimer's dementia. The patient wanders, is unsteady on her feet, and is visually impaired. What should the nurse give priority to when developing the plan of care?
A) Laboratory results
B) Skin condition
C) Safety
D) Nutrition
Q2) Which of the following is an example of a measurable outcome for the patient who has undergone a surgical procedure with a pain rating of 7 on a scale of 0 to 10?
A) The patient's pain will be under control by Sunday.
B) The patient will have no pain by the end of this shift.
C) The patient's pain will decrease by the end of shift on (date).
D) The patient's pain will decrease to 2 or lower by the end of shift on (date).
Q3) 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."
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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) A novice RN is caring for a patient who is saying that something is wrong. Vital signs are normal and there are no new specific findings. The novice RN calls another, more experienced RN who briefly talks with the patient, calls the health care provider, and initiates a transfer to the ICU. Which statement is most likely true of the more experienced RN?
A) The experienced RN is an advanced beginner with better assessment skills than the novice nurse.
B) The experienced RN is proficient in assessment and the use of hospital protocol.
C) The experienced RN is an expert nurse with intuitive judgment that the experienced nurse cannot quite explain.
D) The experienced RN is arrogant, foolish, and likely to get in trouble for her assertive behavior.
Q2) Which of the following is the best example of an open-ended question regarding a patient's pain?
A) "For how many weeks have you been having this pain?"
B) "Does it feel like a burning pain?"
C) "Where on your body does the pain begin and end?"
D) "Can you describe your pain for me?"
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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) Research studies must be scrutinized to be deemed credible and trustworthy. Choose all the strategies that may be used to critically appraise a research study. (Select all that apply.)
A) Examine the validity of the research.
B) Look at the reference list of the study.
C) Look for criteria of inclusion.
D) Look for use of PICO format.
E) Examine the credentials of the authors.
F) Look for a proper sample size.
Q2) Can you explain how the nurse's use of PICO helps to formulate an effective clinical question?
A) PICO organizes the elements that guide the clinical question.
B) PICO formulates an answer to the clinical question.
C) PICO explains the hierarchy of evidence.
D) PICO identifies the strength of the evidence.
Q3) 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
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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) The physician orders a dose of morphine that the nurse considers excessive. The nurse should:
A) administer the medication.
B) ask another nurse to administer the medication.
C) call the supervisor.
D) contact the physician.
Q2) 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.
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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) A patient has been newly diagnosed with type 2 diabetes. The teaching begins in the hospital with an interdisciplinary approach and continues with outpatient classes. However, the patient continues to state, "I know I do not need to spend my time doing all this because I will be fine once I get out from under all this stress." The barrier to learning that the nurse recognizes and must deal with is the:
A) patient already knows all she needs to know, so more education is not necessary.
B) patient doesn't know what she doesn't know, so the circle will continue.
C) patient's blood sugar is keeping her from thinking clearly, so it is too soon to try to teach her.
D) patient is in denial and that will need to be dealt with before she will accept the diagnosis and thus the education related to it.
Q2) The nurse recognizes that new parents may be ready to learn about their newborn after the birth. What understanding leads the nurse to this conclusion?
A) The baby will not be discharged until the parents have the training.
B) The nurses on the mother-baby division do a better job of teaching baby care.
C) The parents now have the motivation to learn because the baby has been born.
D) The parents have no choice at this point.
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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) Nurse A is in conflict with Nurse B regarding holiday scheduling. Because Nurse A really wants to avoid being in this conflict, and because Nurse A just wants to fill the holiday schedule, Nurse A agrees to give up one favored holiday. This is an example of which type of conflict resolution?
A) Competition resolution
B) Win-win resolution
C) Sacrifice resolution
D) Active resolution
Q2) Which question or statement by the nurse is most helpful in ensuring that a nursing assistant new to the unit understands what is expected of the assistant?
A) "Are you ready to begin work now?"
B) "Now, repeat for me what I have just asked you to do."
C) "Do you know what I expect from you?"
D) "Let me know if you need any help."
Q3) 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 program designed to increase exercise, reduce fat in a diet, and teach low-fat cooking methods to improve the health of a large population could be best described as:
A) supportive care.
B) rehabilitation.
C) diagnosis and treatment.
D) health promotion and health protective.
Q2) 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
Q3) Healthy People 2020 is a:
A) new global action plan to prevent and treat disease.
B) prevention agenda for the nation.
C) national effort to improve lives of U.S. citizens.
D) set of national health mandates.
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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) A patient has been discharged home after being hospitalized for a fractured foot following a motor vehicle accident. The doctor has ordered physical therapy for the patient to help gain strength and flexibility after the cast can be removed. This patient will likely receive a referral for what tertiary service?
A) Respite care
B) Home health care
C) Wound care
D) Rehabilitation care
Q2) 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.
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.
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) 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) The patient reports intense pain and rates it 10/10. He is talking and laughing on the telephone but interrupts his conversion to request pain medication. The nurse would make a decision about the administration of medication based on which indicator of pain?
A) The patient's body language and emotional state
B) The patient's level of activity and interaction with others
C) The patient's subjective statements about the pain
D) The nurse's objective data regarding the physical characteristics of the pain
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