NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. A hospital organization (not affiliated with the government) provides women's health services on an inpatient basis for short-term medical conditions (average stay of less than 30 days). This facility would likely be considered:
      A)
      acute care, specialized.
      B)
      tertiary care, long-term.
      C)
      primary care, specialized.
      D)
      public care, specialized.
    2. A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?
      A)
      “I will begin upon the client's admission to the facility."
      B)
      “I will begin 48 hr before the client's discharge."
      C)
      ‘I will begin once the client's insurance company approves discharge coverage."
      D)
      “I will begin once the client's discharge order is written."
    3. Which of the following are outcomes of a quality stamina (Select All that Apply.)
      (SATA)
      A)
      increased mortality rates.
      B)
      Decreased patient volume.
      C)
      improved job satisfaction.
      D)
      Optimal workload distribution.
      E)
      Enhanced nurse retention.
    4. A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
      A)
      To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full."
      B)
      To reduce cost, I should encourage clients to receive an annual flu immunization."
      C)
      To save money, I will re-use PPE after patient care as long as it is not visibly soiled."
      D)
      To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."
    Page 1 of 7

    Exam Review

    1. A nurse manager is conducting annual performance evaluations of the RNs on her floor. Which of the following staff behaviors demonstrates INEFFECTIVE followership?
      A)
      The staff member identifies key problems within an organization but does not offer solutions.
      B)
      The staff member recognizes their strengths and weaknesses.
      C)
      The staff member engages in open and honest communication.
      D)
      The staff member does not fear rejection or ridicule when exercising moral courage.
    2. An organization is developing a strategy to address recent staffing shortages. Which of the following interventions BEST secures patient safety and reduces cost?
      A)
      Recruiting volunteers to assist with collecting vital signs and providing basic care needs
      B)
      Developing a centralized staffing pool of float nurses.
      C)
      Assigning nurses from less busy units to understaffed ones, regardless of differences in patient acuity.
      D)
      Implementing a mandatory overtime policy compelling nurses to cover staffing shortages.
    3. A nurse manager at a home healthcare service has resigned to take a position at a local ambulatory care center. She has been in TIC accreditation. To initiate the changes, the nurse manager has to be knowledgeable about the differences an ambulatory care center, which is a primary care institution. Primary care institutions are facilities that provide
      A)
      first access to care.
      B)
      rehabilitative or long-term care.
      C)
      disease-restorative care.
      D)
      only outpatient services.
    4. The core of leadership is awareness. The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance p awareness. What is NOT one of the four agreements?
      A)
      Read the room.
      B)
      Do not make assumptions.
      C)
      Don't take anything personally.
      D)
      Be impeccable with your word.
    Page 2 of 7

    Exam Review

    1. As a new nurse manager, you understand that leadership:
      A)
      first begins when you are formally recognized by a higher authority.
      B)
      does not require any additional learning.
      C)
      is an innate quality that cannot be taught.
      D)
      is a lifelong process.
    2. A nurse is caring for a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?
      A)
      Arrange for the client to receive home health care services
      B)
      Write a prescription for the client's medications
      C)
      Perform nursing skills for the client such as dressing changes
      D)
      Provide education to the client about adverse effects of their medications
    3. A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?
      A)
      "You shouldn't make accusations. Your nursing care doesn't always set a good example."
      B)
      "What do you have against me? It must be something or you wouldn't be criticizing my care.
      C)
      “I am at a loss for words. I always do my best to give good care to my clients.
      D)
      " I feel as though I met the standard of care. Would you tell me more about your concerns?"
    4. Which of the following scenarios best exemplifies compromising?
      A)
      An RN asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system.
      B)
      The technology committee has recommended a clinical system for implementation on the nursing unit. Staff is anxious about the change. Tim, the head nurse. asks staff for ideas on how to meet the technology goals and to meet staff needs.
      C)
      During management meetings, George, the head nurse on nephrology, dominates meetings and decisions. Lee, the head nurse on the cardiac step-down unit. begins to miss the management meetings.
      D)
      Elizabeth the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit.
    Page 3 of 7

    Exam Review

    1. Lee the nurse manager, offers personalized coaching sessions for Jillian (a new graduate nurse) to help her develop interpersonal skills. However, Jillian's schedule conflicts with Lee's and is unable to meet. In order to work with Jillian's schedule. Lee sacrifices his personal time. Which of the following conflict management strategies is Lee demonstrating?
      A)
      accommodation
      B)
      avoiding
      C)
      compromising
      D)
      competing
    2. A Fars-speaking patient is admitted to the Medical unit due to complications related to uncontrolled diabetes. The staff expresses frustration because the patient is frequently readmitted, despite having been explained the medication regimen several times. The patient's failure to follow the regimen indicates
      A)
      worsening health state.
      B)
      lack of motivation.
      C)
      lack of health literacy.
      D)
      early cognitive impairment.
    3. A clinical instructor is assessing a student nurse's ability to promote patient engagement. Which of the following interventions made by the student suggests a NEED FOR FURTHER TEACHING?
      A)
      The student educates the patient about their diagnosis.
      B)
      The student advises the patient as to which treatment options they should choose.
      C)
      The student arranges for the doctor to visit the patient and the family to assist them in make treatment decisions.
      D)
      The student asks the patient about their preferences concerning treatment decisions.
    4. Your healthcare organization has a decentralized system for scheduling. As part of this process, after you have developed a draft schedule, you may need to
      A)
      negotiate the schedule with unit staff.
      B)
      seek budgetary approval.
      C)
      submit the schedule to a centralized staffing office for review.
      D)
      balance personal schedules against institutional needs
    Page 4 of 7

    Exam Review

    1. In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on healthcare delivery systems of the future is:
      A)
      escalations in the cost of health care.
      B)
      increasing reports of violence in the workplace.
      C)
      the increasing percentage of the population that will be over age 65.
      D)
      changes in staffing patterns.
    2. To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive time. When calculating paid nonproductive time, the nurse considers
      A)
      vacation time, holiday time, and sick time.
      B)
      paid hours minus meeting time.
      C)
      work time, educational time, and holiday time.
      D)
      paid hours minus worked hours.
    3. The nurse leader understands that gaining personal insight is one of the first steps to becoming a more effective leader. Which of the following statements about personal insight is true?
      A)
      We must know our strengths in order to understand how to best utilize our talents
      B)
      Moral courage compels us to "stand up for what is right unless our jobs are threatened.
      C)
      The final stage and ultimate goal of reflection is developing new values
      D)
      Emotional intelligence is NOT a significant predictor of personal excellence.
    4. Which of the following descriptions best describes a prototype evaluation system?
      A)
      is a patient classification system that groups patients into broad categories to predict patient care needs.
      B)
      It is an experimental, computer operated scheduling system that coordinates staffing plans using pre-programmed rules and algorithms.
      C)
      is a formula driven approach that calculates nursing productivity.
      D)
      a patient classification system that assigns each patient care activity with a rating that represents workload.
    Page 5 of 7

    Exam Review

    1. According to the Nursing intellectual Capital (NIC) Theory, which factor increases overall organizational improvement?
      A)
      implementation of nurse patient ratios
      B)
      implementation of centralized staffing to coordinate care across all departments
      C)
      an increase in knowledge, whether individual, group, or as an organization
      D)
      adherence to budget-based staffing
    2. A nurse manager in the pediatric intensive care unit understands that when providing information to parents of a critically ill child, the following should be performed FIRST:
      A)
      assessing the parents' preferences regarding the amount of information provided.
      B)
      arranging for a specialist to speak with the family.
      C)
      directing the family to online resources.
      D)
      making sure that patient education brochures explaining ICU protocols are readily available.
    3. A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?
      A)
      Critical pathways must be followed in the prescribed order to meet optimal outcomes.
      B)
      Critical pathways are utilized to guide health promotion activities.
      C)
      Critical pathways result in better client outcomes at a reduced cost.
      D)
      Critical pathways are developed by individual providers to direct the delivery of care for their clients.
    4. To develop an effective staffing budget, the nurse manager should:
      A)
      momentarily disregard upcoming organizational changes to focus solely on the needs of the unit.
      B)
      measure the amount of work performed by the unit and consider the services being offered.
      C)
      evaluating the services provided by competing healthcare organizations in neighboring areas.
      D)
      ensure that work schedules are prepared several months in advance.
    Page 6 of 7