Nursing Roles and Responsibilities Exam Bank
Course Introduction
This course explores the diverse roles and responsibilities of professional nurses within healthcare systems. Emphasizing holistic and patient-centered care, students examine the scope of nursing practice, legal and ethical considerations, interprofessional collaboration, and leadership within clinical and community settings. The course also covers accountability, advocacy, evidence-based practice, patient safety, and quality improvement, preparing students to function effectively as members of healthcare teams while respecting cultural diversity and promoting health and wellness across the lifespan.
Recommended Textbook
Nursing Delegation and Management of Patient Care 2nd Edition by Kathleen Motacki RN MSN
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21 Chapters
433 Verified Questions
433 Flashcards
Source URL: https://quizplus.com/study-set/1687
Page 2
Chapter 1: Leadership and Management
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33413
Sample Questions
Q1) Middle-level managers are responsible for planning for changes of the unit.What activity would the nurse expect to see only from a middle-level manager?
A)Maintaining currency in profession
B)Planning for changes within the service line in the organization
C)Being responsible for activities on the unit 24/7
D)Supervising patient care delivery
Answer: B
Q2) Which nursing actions demonstrate the role of management in nursing?
A)Encouraging autonomous decision making
B)Observing the documentation of appropriate charges to patients
C)Assisting in a code
D)Asking the patient/family about advance directives
Answer: B
Q3) The fundamental element of any patient care delivery combines work allocation with
A)patient acuity.
B)leadership.
C)clinical decision making.
D)delegation.
Answer: C
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Chapter 2: Organizational Structure of Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) In interviewing for a new position, a nurse may want to inquire about the institution's views on autonomy in the workplace for nurses.The nurse concludes that autonomy is valued when told that the unit has
A)infrequent "floating."
B)self-scheduling.
C)cover of another nurse's assignment while she or he is on break.
D)hourly pay differential for the night shift.
Answer: B
Q2) In which health care delivery model would the nurse expect to see "point-of-care" decision making occur?
A)Primary care nursing
B)Team nursing
C)Functional nursing
D)Modular nursing
Answer: A
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4
Chapter 3: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33415
Sample Questions
Q1) When referring to the critical success factors (CSFs) that organizations use for developing their strategic plans, the term Community best describes which characteristic?
A)Community is society.
B)Community is the neighborhood surrounding the organization.
C)Community identifies the people served.
D)Community is the group of people working within the organization.
Answer: C
Q2) When an organization performs a strategic analysis, it is looking for ways to address the competition.Which environmental factor influences their decision making? (Select all that apply.)
A)Transfer of patients to a Level I trauma center
B)Changing demographics
C)Political climate
D)Economic considerations
E)Transfer of patients to an extended-care facility (ECF)
Answer: B, C, D
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Chapter 4: Financial Management in Health Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33416
Sample Questions
Q1) 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
Q2) A community health center leases space from the owner of the building.As the manager develops the budget, they understand this to be a fixed cost.From which of the following would the lease payment be paid?
A)Operating budget
B)Personnel budget
C)Capital budget
D)Cash budget
Q3) Indirect costs in a nurse manager's budget would include A)benefits.
B)expected raises.
C)shift differential.
D)travel.
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6
Chapter 5: Healthcare Regulatory and Certifying Agencies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33417
Sample Questions
Q1) The Joint Commission ( TJC ) is a voluntary accrediting agency that is nationally recognized for its performance standards.A hospital accredited by the agency will most likely experience which outcome?
A)Improved patient outcomes
B)Dedicated staff
C)Higher salaries
D)Loss of practicing physicians
Q2) During a convention at a large hotel, several attendees become very ill with respiratory symptoms for which they are diagnosed with Legionnaires' disease.Which regulatory agency is responsible for investigation of an outbreak of Legionnaires' disease?
A)Occupational Safety and Health Administration ( OSHA )
B)The Joint Commission ( TJC )
C)Centers for Disease Control and Prevention ( CDC )
D)National League of Nursing Accrediting Committee ( NLNAC )
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Chapter 6: Organizational Decision Making and Shared Governance
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) In a health care organization, equity is
A)a willingness to invest in decision-making and express ownership in those decisions.
B)the best method for integrating staff roles and relationships into structures and processes to achieve positive patient outcomes.
C)recognition and acceptance of the importance of everyone's work and of the fact that an organization's success is bound to individual performance.
D)linking health care providers and patients along all points in the system.
Q2) Nursing shared governance models have always focused on
A)physician groups controlling all practice models.
B)nurses and physicians making nursing practice decisions.
C)nurses controlling their professional practice.
D)national accreditors controlling nursing practice decisions.
Q3) Equity maintains a focus on which of the following?
A)Services, executive management and staff
B)Services, patients, and staff
C)Staff, the management team and services
D)Staff, patients and resources
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Page 8
Chapter 7: Professional Decision Making and Advocacy
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/33419
Sample Questions
Q1) Which of the following is a policy that pertains to the governing of workplaces?
A)Social
B)Health
C)Organizational
D)Institutional
Q2) Which of the following is a policy that pertains to the decisions that promote the welfare of the public?
A)Social
B)Health
C)Organizational
D)Public
Q3) The four major areas of political action in nursing are
A)the workplace, the government, professional organizations and the community.
B)the workplace, the educational institutions, professional organizations and the community.
C)the government, professional organizations and the state regulators, community boards.
D)the government, the community and nursing boards, education board.
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Chapter 8: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33420
Sample Questions
Q1) Which response by the patient following discharge teaching would require further teaching?
A)"I should weigh myself daily since I started on Lasix (furosemide) for my heart failure."
B)"I need to check my blood glucose after eating."
C)"I should take my Lanoxin (digoxin) with my morning medications."
D)"I need my blood checked frequently now that I am on Coumadin (warfarin)."
Q2) Formal communication in health care is used to properly inform staff of (Select all that apply.)
A)changes in CPR certification dates.
B)Christmas party celebration.
C)patient survey results.
D)girl Scout cookie order pick-up.
E)termination of an employee.
Q3) Which patient should the charge nurse direct the RN to see immediately after the shift report?
A)Patient with a blood sugar of 240 mg/dL
B)Patient complaining of burning on urination
C)Patient in a Posey vest who is trying to get out of bed
D)Patient with a temperature of 38°C who is scheduled for surgery later that day
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Page 10
Chapter 9: Personnel Policies and Programs in the Workplace
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33421
Sample Questions
Q1) Arrange in order of priority the nurse's actions when a patient admitted with an elevated ST-segment myocardial infarction on droplet precautions and oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.
1)Call the rapid response team (RRT).
2)Obtain a chest radiograph.
3)Obtain a 12-lead ECG.
4)Initiate a bronchodilator nebulizer treatment.
5)Increase the oxygen concentration 2 L.
6)Repeat the oxygen saturation in 10 minutes.
A)5, 3, 2, 4, 6, 1
B)1, 4, 2, 5, 6, 3
C)4, 5, 6, 3, 1, 2
D)5, 4, 3, 6, 2, 1
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.
Page 11
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Chapter 10: Professional Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/33422
Sample Questions
Q1) You are the charge nurse on a busy medical-surgical unit.You are also the preceptor to a novice nurse.What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient?
A)Nurse uses Doppler to obtain pulses on a patient with no palpable peripheral pulses
B)Reporting to the charge nurse that they cannot feel a patient's peripheral pulses and the blood pressure is only palpable
C)Nurse calls for help when she finds the patient with barely palpable blood pressure and hard to arouse
D)Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly
Q2) Clinical ladders for nurses are best used in what circumstance?
A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment
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Chapter 11: Professional Practice and Care Delivery Models and Emerging Practice Models
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/33423
Sample Questions
Q1) What is a Professional Practice Model (PPM)?
A)The conceptual framework and philosophy of nursing at a specific organization
B)Practice standards of an organization
C)A model of a specific theorist
D)Organizational philosophy
Q2) The professional practice model of an organization illustrates the alignment and integration of nursing practice with which of the following:
A)The mission, vision, and values of the organization and the nursing department
B)The mission and vision of the nursing department
C)The mission, vision, and values of the organization
D)The state nursing code of ethics
Q3) Which of the following guides the professional nurse as decision maker?
A)The American Nurses Association ( ANA ) Code of Ethics
B)The ANA Standards of the State Nursing Practice Act
C)State Titles
D)All of the above
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13
Chapter 12: Staffing and Scheduling
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33424
Sample Questions
Q1) Which ANA Principles for Nurse Staffing standards are applied to patient care?
A)Staffing levels that must be sufficient for providing quality patient care
B)Mandated staffing ratios
C)Recommended a new method for determining staffing needs
D)Staffing based on patient census
Q2) Automated computerized staffing allows for which advantage to the staff?
A)It reduces the workload of the nurse manager.
B)Staff has many options on a first-come, first-served basis.
C)It provides for changes in daily patient acuity.
D)Weekend options are available.
Q3) Overtime to cover shortages in staff coverage can be a daunting problem.Which of the following can be a short-term solution to a nursing shortage?
A)Increase length of shift.
B)Work a double shift.
C)Use an agency nurse.
D)Ask each shift to work 4 extra hours.
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Chapter 13: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/33425
Sample Questions
Q1) The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the LPN?
A)Vital signs on a patient about to arrive from the cardiac catheterization lab
B)Regulation of a patient's heparin drip based on the heparin nomogram
C)Regulation of a patient's nitroglycerin drip based on the level of pain
D)Administration of all oral medications for the team
Q2) When incorporating the five rights of delegation, the right task is used in which situation?
A)The UAP reinforces use of the incentive spirometer to a patient.
B)The UAP teaches the patient to use the incentive spirometer.
C)The UAP listens to breath sounds to encourage the patient to use the incentive spirometer.
D)The UAP is not allowed to work with the patient regarding use of the incentive spirometer.
Q3) Which action by a UAP requires an immediate intervention by the nurse?
A)Encouraging a patient to use the incentive spirometer
B)Encouraging a patient to ambulate 2 days after surgery
C)Checking the pH of the gastric aspirate of a patient receiving tube feedings
D)Informing the RN that a patient requests a pain medication
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Page 15
Chapter 14: Providing Competent Staff
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33426
Sample Questions
Q1) Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the ICU setting as mandated by accrediting agencies?
A)ACLS
B)Fire safety
C)HIPAA
D)Infection prevention
Q2) Orientation of new employees is a two-stage process.The first stage includes orientation to the hospital and its policies and expectations.What would the new nurse expect to accomplish at the time of the hospital orientation?
A)ECG interpretation
B)Critical care course
C)Medication test
D)BLS training
Q3) What is the nurse manager's primary role in a new nurse's orientation program?
A)Provides feedback
B)Acts as a role model
C)Orients to unit
D)Encourages shift changes
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Page 16
Chapter 15: Group Management for Effective Outcomes
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/33427
Sample Questions
Q1) When organizing a group meeting, what is an important consideration?
A)Arranging the time of the meeting to be most convenient to leaders
B)Seating according to seniority
C)Starting and ending on time
D)Addressing only the high performers
Q2) Attributes of ineffective teams include which of the following?
A)Respectfully listening
B)Consensus decision-making
C)Leadership is owned by a few who make most of the decisions.
D)Open discussion of disagreements
Q3) Which of the following are included in the guidelines for valuable, effective acknowledgement of each member's contribution to the team?
A)Acknowledgments should be made privately to avoid embarrassing the person.
B)Acknowledgments are best put into the minutes to be read at a later date.
C)Acknowledgments are best made in public and recognized as sincere.
D)Acknowledgments are not necessary; everyone recognizes what has been done.
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Chapter 16: Hospital Information Systems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33428
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) Hospitals beginning to use the electronic health record (EHR) for documentation of patient care are sometimes faced with many obstacles.What may be seen when the EHR system is first initiated?
A)Limited storage for records
B)Resistance from staff
C)Many "crashes" of the system
D)Many disruptions from the access of multiple users
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18
Chapter 17: Ethical and Legal Issues in Patient Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33429
Sample Questions
Q1) When nurses are confronted with ethical dilemmas that challenge their values and beliefs, what is the best source to rely on to make the right decision?
A)Personal religious beliefs
B)Hospital chaplain
C)Family interactions
D)Belief in patient advocacy
Q2) A nurse observes unsafe practice by a physician and reports it to the risk management department of the hospital.Which ethical principle does this represent?
A)Autonomy
B)Beneficence
C)Justice
D)Veracity
Q3) The International Council of Nurses (ICN) Code of Ethics for nurses is primarily a statement in support of
A)environmental protection.
B)professional membership.
C)everyday decision making.
D)collective bargaining.
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Chapter 18: Improving Organizational Performance
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What is the best method for hospitals to track patient satisfaction?
A)Family buys chocolates for each shift.
B)Family speaks to the charge nurse about how unhappy they are with a particular employee.
C)Family writes a letter to the unit and to the chief nurse officer to thank the staff for providing care and compassion even though their family member died.
D)Patient completes a patient survey after returning home from the hospital.
Q2) The National Database of Nursing Quality Indicators (NDNQI) has established which of the following goals to assist nurses to make practice changes in order to benefit patients?
A)Patient satisfaction
B)Employee satisfaction
C)Unit-specific measures
D)Medication errors
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Chapter 19: Evidence-Based Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33431
Sample Questions
Q1) When providing care to patients, nurses make patient care decisions based on which of the following? (Select all that apply.)
A)Resource availability
B)Nurse practice act
C)Shared governance
D)Managerial leadership style
E)Tradition
F)Clinical circumstances
Q2) When providing care to patients, nurses use evidence-based practice to avoid urinary tract infections whenever the insertion of a urinary catheter is performed by A)a UAP.
B)an RN.
C)an LPN.
D)a senior nursing student.
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21
Chapter 20: Monitoring Outcomes and the Use of Data for Improvement
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/33432
Sample Questions
Q1) What information obtained from hospital data collection can be used for staffing purposes?
A)Patient satisfaction
B)Staff competency
C)Best practice
D)Use of agency nurses
Q2) What are the benefits to the organization from greater patient satisfaction? (Select all that apply.)
A)Improvement in quality of patient care
B)Lower patient acuity
C)Lower mortality rates
D)Improved retention
E)Establishing benchmarks against other institutions
Q3) What information obtained from hospital data collection can be used for administrative purposes?
A)Unit-specific measures
B)Staffing ratios
C)Turnover
D)Evidence-based practice
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Interviewing, Nclex, and Continuing Education
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Sample Questions
Q1) When eligible, the new nurse is encouraged to sit for a certification exam in their specialty area.What is the best reason for "going this extra mile"?
A)To stay current
B)To provide added credentials for advancement
C)To provide CEUs
D)To receive monetary rewards from the facility
Q2) A résumé is different from a curriculum vitae in that
A)a résumé is a summary of academic and work history.
B)a curriculum vitae is a summary of academic and work history.
C)a résumé is usually used in academia.
D)a curriculum vitae is education and skills.
Q3) A nurse manager is legally not allowed to ask the following question:
A)Race
B)When you can begin
C)Past work history
D)University attended
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