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    Exam Review

    1. Which patients would be considered 'at risk' non-active healthcare consumers during a healthcare visit? (Select all that apply)
      (SATA)
      A)
      Clyde requires an anticoagulant. He tells the nurse about his medications. He neglects to mention he's taking an herbal supplement.
      B)
      Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy.
      C)
      Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not understand.
      D)
      George keeps a list of all medications, including OTC and natural remedies. Before every appointment, he makes a list of questions to bring and asks for clarification when he has conflicting information.
    2. To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk manager. Risk management is a process that attempts to identify potential hazards and:
      A)
      Supersede the need for staff members to file incident reports.
      B)
      Discipline staff members who have been involved in previous incident reports.
      C)
      Compensate for previous injuries.
      D)
      Eliminate these risks before anyone is harmed.
    3. The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:
      A)
      Analyze the cause of the problem.
      B)
      Define the problem.
      C)
      Measure the problem.
      D)
      Solve the root cause.
    4. A nurse manager is aware that which of the following is an internal factor that impacts staffing?
      A)
      Accreditation standards
      B)
      State regulations
      C)
      Availability of agency staff
      D)
      Patient acuity
    Page 1 of 15

    Exam Review

    1. A staff nurse has the goal of becoming a manager and is studying the leader-follower relationship.What has the nurse discovered as an accurate part of the leader-follower relationship?
      A)
      Followers do not question senior leaders.
      B)
      Leaders are also followers.
      C)
      Followers need linear structures.
      D)
      Leaders should provide detailed directions to the new staff.
    2. When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?
      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. Which of the following options best describes a Nursing outcome statement?
      A)
      Measurable and physician-sensitive
      B)
      Patient care-centered and non-measurable
      C)
      Measurable and nursing-sensitive
      D)
      non-measurable and nonphysician-sensitive
    4. In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?
      A)
      "Ms. S needs help to get into and out of her bathtub. Her bath will need to be completed by soon. When you are helping her to dry, please check between her toes and toenails, and phone me by 10:30 if you notice any discoloration or redness."
      B)
      "I am not sure that you know how to do this, but I am giving you Ms. S. She is quite obese and needs skin care."
      C)
      "You all need to help Mrs. S get into and out of her shoes. Ensure that you check the condition of her feet, and let me know if you have any concerns when you check in."
      D)
      "You will be taking care of Ms. S, who needs assistance with her bath."
    Page 2 of 15

    Exam Review

    1. A leader guides people towards a common goal and, in addition, the leader should:
      A)
      Actively make the decisions during the planning and implementation process.
      B)
      Allow control of decision-making to team members to create an active learning environment.
      C)
      Set the rules for planning how to reach the goal.
      D)
      Maintain close oversight to approve all decisions made by team members.
    2. A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:
      A)
      Functional structure.
      B)
      Transformational leadership.
      C)
      Matrix service line.
      D)
      Bureaucratic.
    3. A nurse manager working for a not-for-profit organization should be familiar with the regulations that impact the organization. Not-for-profit organizations:
      A)
      Have paid salaried employees.
      B)
      Pay no taxes but are mandated to provide some community services.
      C)
      Can refuse clients who are unable to pay.
      D)
      Pay dividends to stockholders.
    4. A clinic nurse developed objectives for a diabetic education program. The characteristics of well-written objectives include that they should be what? (Select all that apply)
      A)
      Understandable and specific
      B)
      Measurable
      C)
      Achievable
      D)
      People-oriented
      E)
      Meaningful
    Page 3 of 15

    Exam Review

    1. As a nurse manager, you want to institute point-of-care devices on your unit. The rationale that you provide to support the point-of-care devices includes (select all that apply):
      A)
      Immediate access to staffing schedules.
      B)
      Immediate documentation of care.
      C)
      Comparison of patient data with previous data.
      D)
      Reduction in incidents of medication error.
    2. A charge nurse explains a new procedure to a staff nurse. However, the staff nurse is upset about working understaffed. The charge nurse recognizes that which barrier to communication is influencing this dialogue?
      A)
      Emotions
      B)
      Space
      C)
      Structure
      D)
      Distracting noise
    3. At 3 AM, an individual walks into your emergency department pacing back and forth in the waiting area before approaching staff to ask if a family member is a patient in the ED. The family member is a patient on another unit. The individual speaks rapidly, has a flushed face, and glances around often with hands kept in a jacket pocket. The best initial response would be to:
      A)
      Assess your situation and your surroundings.
      B)
      Tell the individual to leave immediately.
      C)
      Ask what floor the family member is on and remind the individual that visiting hours are closed.
      D)
      Ask two or three staff to assist in confronting the individual.
    4. What is the appropriate term for the ability to transfer selected nursing activities in a given situation to a competent individual?
      A)
      Responsibility.
      B)
      Legal authority.
      C)
      Accountability.
      D)
      Supervision.
    Page 4 of 15

    Exam Review

    1. Emotional intelligence in a leader should inspire those who follow this leader. What is the best example that illustrates emotional intelligence?
      A)
      Manager who conducts rounds on the unit, makes eye contact with team members, and generally makes time to hear about the issues of the day.
      B)
      Manager writes down thoughts and puts them in an email, often very late at night, for their team or colleagues to read, expecting others to respond to them by the first meeting of the day.
      C)
      Manager holds meetings at the nurses' station to be able to respond to emergencies and phone calls, yet is rarely seen in scrubs helping at the bedside.
      D)
      Manager who holds the team accountable. However, the manager interrupts people frequently at meetings and raises their voice when disagreeing with them.
    2. After attending a regular monthly unit meeting, a nurse considers the impact of a new protocol on patient care delivery. Which of the following examples best describes a follower in action?
      A)
      Reliance on the manager to provide direct guidance on patient care management.
      B)
      Avoiding use of the new protocol until feedback from peers is obtained.
      C)
      Strict adherence to unit leaders' decisions.
      D)
      Self-awareness and the ability to speak up and voice opinions and concerns.
    3. One effect of a compatible relationship between a formal leader and informal leaders on a unit is:
      A)
      Decreased productivity related to redundancy.
      B)
      Competition for authority and recognition.
      C)
      Motivation of the team.
      D)
      Role confusion that hinders the manager's control.
    4. The nurse case manager is working with a client admitted for end-stage renal disease. The case managers major goal concerning the patient during this hospitalization is?
      A)
      supervise the nursing staff members who implement the care map.
      B)
      Reduce the clients financial cost.
      C)
      Prevent additional hospitalizations resulting from complications of the clients disease.
      D)
      Provide direct nursing care through out the hospitalization
    Page 5 of 15

    Exam Review

    1. The biggest challenge in the recruitment of staff is:
      A)
      Finding well-qualified candidates who can function well within your particular work culture.
      B)
      Screening out candidates who are unable to function well within a team.
      C)
      Recruiting individuals with the appropriate qualifications and experience.
      D)
      Determining if candidates have had previous negative experiences in a work environment.
    2. In determining the fit of a candidate with the culture of your unit, which of the following interview questions might be asked?
      A)
      "Tell us about your work and academic experiences and qualifications."
      B)
      "If we were to ask your references, what would they list as your strengths? Weaknesses?"
      C)
      "Could you review your resume for us, highlighting your certifications and experience?"
      D)
      "We have a number of older adult patients on this unit. If you noticed another staff member addressing one of these patients impatiently, how would you respond?"
    3. A nurse manager has decided that it is essential to institute some personal time management steps to balance work and home life. The manager's first step should be to:
      A)
      Purchase software to track time spent on all activities.
      B)
      Reorganize personal and work spaces.
      C)
      Determine what activities take up so much of the time and energy.
      D)
      Determine personal and professional goals.
    4. A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:
      A)
      Assist with follow-up documentation and offer access to counseling.
      B)
      Offer the nurse immediate education and training in self-defense.
      C)
      Encourage the nurse to view the incident as a normal part of care.
      D)
      Provide access to a lawyer so a formal complaint can be filed.
    Page 6 of 15