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    Exam Review

    1. A manager observes a rise in medication errors following staffing changes. What approach should the manager consider to decrease errors?
      A)
      Motivate nurses who make medication errors to submit incident reports and include them in the patients’ records.
      B)
      Delegate the task by requesting another department to manage quality improvement.
      C)
      Work together with floor nurses to identify the causes of errors and develop solutions.
      D)
      Prevent errors by highlighting the punishments for making a medication mistake.
    2. To develop an effective staffing budget, the nurse manager should:
      A)
      Temporarily set aside upcoming organizational changes to concentrate exclusively on the unit’s requirements.
      B)
      Assess the unit’s workload and take into account the services it provides.
      C)
      Identify the services offered by competing healthcare organizations in nearby regions.
      D)
      Ensure that work schedules are prepared several months in advance.
    3. Which of the following approaches is best to determine the quality and strength of a research study?
      A)
      Discarding systematic reviews.
      B)
      Selecting only studies with meta-analyses since they are the weakest form of evidence.
      C)
      Evaluating the quality of studies with a sample size of at least 250 people.
      D)
      Accepting only studies that use a randomized controlled trial design.
      E)
      Evaluating studies against the standards for that type of research.
    4. A clinical instructor is evaluating a student nurse’s capability to promote patient engagement. Which of the student’s actions indicates a need for further teaching?
      A)
      The student assesses the patient’s level of understanding for each treatment option.
      B)
      The student advises the patient on which treatment options they should select.
      C)
      The student schedules a doctor’s visit for the patient and their family to aid them in making treatment decisions.
      D)
      The student explains the rationale for their interventions.
    Page 1 of 22

    Exam Review

    1. Which of the following are notable benefits and characteristics of debriefing? Select all that apply.
      (SATA)
      A)
      Debriefing promotes an examination of the consequences of actions.
      B)
      Self-guided exploration is the most effective approach to debriefing.
      C)
      Debriefing has the potential to lead to a cognitive shift.
      D)
      The skill of the debriefer can influence the success of the debriefing.
      E)
      Debriefing involves temporarily setting aside the significance of our actions to concentrate on the actions themselves.
    2. In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?
      A)
      The conflict can help nurses better identify their common values.
      B)
      Diverted attention and energy from patient care may potentially impact patient well-being.
      C)
      The policy change, being the correct choice, will improve the overall unit performance.
      D)
      When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group.
      E)
      Debriefing involves temporarily setting aside the significance of our actions to concentrate on the actions themselves.
    3. During a review of back injuries, a unit manager discovers a large number of injuries are occurring even though mechanical lifts are being used. It is also discovered that some of the mechanical lifts are outdated. In establishing a quality improvement plan, the unit manager should:
      A)
      File a grievance about inadequate funding and an unsafe work environment.
      B)
      Remind employees who experience back injuries that they are solely responsible for their actions.
      C)
      Copy and adopt the mechanical lift procedures implemented in neighboring hospitals.
      D)
      Review the correct procedure with staff members who use the mechanical lifts incorrectly.
    4. A nurse manager knows that the initial step in addressing an employee with a disciplinary issue usually involves:
      A)
      A verbal warning.
      B)
      Suspension with pay.
      C)
      A reminder of employment standards.
    Page 2 of 22

    Exam Review

    1. To develop an effective staffing budget, the nurse manager should:
      A)
      Temporarily set aside upcoming organizational changes to concentrate exclusively on the unit’s requirements.
      B)
      Assess the unit’s workload and take into account the services it provides.
      C)
      Identify the services offered by competing healthcare organizations in nearby regions.
      D)
      Ensure that work schedules are prepared several months in advance.
    2. The primary strategy a nurse should adopt when dealing with an emotionally distressed employee is to:
      A)
      Assist the employee in obtaining professional help.
      B)
      Adjust the standard of care to assist the employee.
      C)
      Adjust the employee’s work schedule to decrease stress.
      D)
      Act as a therapist for the employee.
    3. The nurse manager needs to create a patient satisfaction survey. What is one of the crucial factors to consider when choosing a patient satisfaction tool?
      A)
      The ability to utilize a uniform tool across all clinical units.
      B)
      Having the capability to assess patient satisfaction prior to a patient’s hospital discharge.
      C)
      Including items that are important from the patient’s perspective.
      D)
      Ensuring that the reading level does not exceed that of a third grader.
    4. In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?
      A)
      Clinical Decision Support
      B)
      Electronic Health Record
      C)
      WL Technology
      D)
      Computerized Provider Order
    Page 3 of 22

    Exam Review

    1. As a nurse manager, you observe that one of your new nurses has delivered exceptional care to a patient’s family. What would be the MOST effective method to recognize the nurse’s performance?
      A)
      Sending an email expressing gratitude to the nurse for their outstanding performance.
      B)
      Commending the nurse’s conduct during their upcoming performance evaluation.
      C)
      Shielding the nurse from potential embarrassment by expressing appreciation privately.
      D)
      Approaching the nurse after they leave the patient’s room and conveying specific aspects of their care that were valued.
    2. During annual performance evaluations of RNs, a nurse manager is assessing staff behaviors. Which of the following behaviors indicates INEFFECTIVE followership?
      A)
      The staff member asks for frequent clarification.
      B)
      The staff member speaks up when ethical issues arise.
      C)
      The team member openly communicates concerns.
      D)
      The team member depends entirely on leader direction.
    3. As the nurse manager, you are developing a patient education program aimed at offering guidance and supervision for patients with hypertension. To assist in your planning, you extract and present patient information from:
      A)
      Internet sources.
      B)
      Email.
      C)
      Biomedical technologies.
      D)
      A clinical database.
    4. Planning is intended to attain objectives in ever-changing, competitive settings. As a new manager, what is the most appropriate initial step in creating a strategic plan of action for a fall prevention program?
      A)
      Formulate a strategy in collaboration with an interdisciplinary team.
      B)
      Create a vision and mission statement for the upcoming challenge.
      C)
      Analyze the environment to identify its strengths, weaknesses, opportunities, and threats.
      D)
      Put into effect a plan of action that’s grounded in evidence.
    Page 4 of 22

    Exam Review

    1. A nurse is looking after a client who has signed an informed consent form for a procedure. Hours before the procedure, the client now says, “I’ve changed my mind and don’t want the procedure.” What should the nurse do in response?
      A)
      Explain why this procedure is necessary.
      B)
      Remind the client the consent form has already been signed.
      C)
      Inform the provider that the client is withdrawing consent.
      D)
      Discuss alternatives to the procedure.
    2. During a meeting of nurse managers, the chief nursing officer urges them to come up with ideas for cutting expenses. Nurse managers can have the most significant influence on cost reduction by effectively overseeing:
      A)
      Medication costs.
      B)
      Fixed costs.
      C)
      Staffing.
      D)
      Supplies.
    3. A manager plans to address the high turnover rate amongst RNs. Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
      A)
      Advocate for higher salaries.
      B)
      Frequently praise and recognize individual staff members for good work.
      C)
      Hire additional staff so individual workloads are lessened.
      D)
      Allow LPNs and CNAs to perform tasks beyond their scope of practice.
    4. When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is:
      A)
      The growing proportion of the population that will surpass the age of 65.
      B)
      Rising incidents of workplace violence.
      C)
      Increases in healthcare expenses.
      D)
      Changes in staffing patterns.
    Page 5 of 22

    Exam Review

    1. A Medical-Surgical unit reports an unusually high incidence of falls in the previous quarter. Which of the following interventions made by the manager best reduces the occurrence of falls?
      A)
      Recognizing that errors are solely the result of an individual’s mistakes.
      B)
      Punishing employees caring for patients who fall.
      C)
      Implementing a policy that restrains any patient at risk for falls.
      D)
      Providing safety and fall prevention education.
    2. A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
      A)
      Feel in control of her behavior.
      B)
      Make positive statements about improvements in body image.
      C)
      Identify changes within the family unit that promote the client’s autonomy.
      D)
      Gain 2 pounds of weight per week.
    3. Read the scenario below and highlight the statement that demonstrates shared governance. Select all that apply. A hospital committee engages in a strategic planning process for the implementation of a facility-wide change that especially affects resident nurses. The committee insists on hosting regular Town Hall meetings, in which affected staff members and stakeholders are encouraged to attend.
      A)
      Meeting minutes are made publicly available and are sent to anyone subscribed to the committee’s emailing list.
      B)
      After months of planning, the committee considers the feedback gathered and revises the implementation plan accordingly.
      C)
      In the weeks to follow, nurses discover new problems caused by the change. However, the committee has resolved that the change must be adhered to and has remained silent in response to the nurses’ feedback.
      D)
      In the weeks to follow, nurses discover new problems caused by the change. However, the committee has resolved that the change must be adhered to and has remained silent in response to the nurses’ feedback.
    4. In a performance evaluation, Nurse Manager Francis mentions that Raymond struggles with mentoring students on the unit. Raymond counters that it is not his job. When responding to Raymond, Francis must take into account:
      A)
      Whether mentoring is included in the position description.
      B)
      Raymond’s level of confidence.
      C)
      The potential biases of the students that Raymond has mentored.
      D)
      Whether mentoring can be accurately observed and measured.
    Page 6 of 22