Multiple Choice Questions on Leadership and Management in Nursing | Objective Questions | Leadership and Management in Nursing Practice Quiz | MCQ
1 >>A nurse is told that the nursing model used in the nursing facility is a functional nursing approach. The nurse understands that planning care delivery will be based on which characteristic of this type of nursing model of practice? ?
- (A) a task approach methods is used to provide care to clients
- (B) a single registered nurse (RN) is responsible for providing nursing care to a group of clients
- (C) managed care concepts and tools are used in providing client care
- (D) nursing personnel are led by a RN in providing care to a group of clients
2 >>The nurse is triaging clients from a large disaster. Which client should receive care first? ?
- (A) client w/ lrg shard of glass piercing chest wall, RR 32
- (B) client w/ forearm disfigured w/ protruding bone, finger cap refill 2 seconds
- (C) child w/ 3-in. oozing laceration on leg
- (D) woman who is 2 months pregnant, partial-thickness burn on forearm
3 >>A nurse-manager appropriately behaves as an autocrat in which situation? ?
- (A) planning vacation time for staff
- (B) directing staff activities if a client has a cardiac arrest
- (C) evaluating a new medication administration process
- (D) identifying the strengths and weaknesses of a client education video
4 >>A nurse manager has identified a problem on the nursing unit and holds unit meetings for all shifts. The nurse manager presents an analysis of the problem and proposals for actions to team members and invites the team members to comment and provide input. Which style of leadership is the nurse manager specifically employing? ?
- (A) situational
- (B) laissez-faire
- (C) participative
- (D) authoritarian
5 >>A nurse manager has implemented a change in the method of documenting nursing care. A licensed practical nurse (LPN) is resistant to the change and is not taking an active part in facilitating the process of change. Which of the following would be the best approach in dealing with the LPN? ?
- (A) ignore the resistance
- (B) tell the LPN that the registered nurse will do all of the documentation
- (C) confront the LPN, and encourage verbalization of feelings regarding the change
- (D) tell the LPN that she must comply with the change
6 >>The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. A nursing assistant is resistant to the change and is not taking an active part in facilitating the process of change. Which of the following is the best approach in dealing with the nursing assistant? ?
- (A) ignore the resistance
- (B) exert coercion with the nursing assistant
- (C) provide a positive reward system for the nursing assistant
- (D) confront the nursing assistant to encourage verbalization of feelings regarding the change
Nursing Leadership and Management Quiz | Leadership and Management in Nursing Practice Test
7 >>The nurse-manager implements new processes to decreased the incidence of central IV line infection. What is the best indicator that the measures have resulted in improved outcomes? ?
- (A) a survey of the unit’s nurses indicates perceived improvement in results
- (B) a total decrease in the number of central line IV line infections on the unit has been identified
- (C) retrospective chart audits for infection rate show improvement in clients with central line IV lines
- (D) comparison of total number of IV ABX used b/w the two time periods has shown a decreased in ABX use
8 >>A nurse manager is planning to implement a change in the method of the documentation system for the nursing unit. Many problems have occurred as a result of the present documentation system, and the nurse manager determines that a change is required. The initial step in the process of change for the nurse manager is which of the following?� ?
- (A) plan strategies to implement the change
- (B) set goals and priorities regarding the change process
- (C) identify the inefficiency that needs improvement or correction
- (D) identify potential solutions and strategies for the change process
9 >>The nurse manager is planning to implement a change in the nursing unit from team nursing to primary nursing. The nurse anticipates that there will be resistance to the change during the change process. The primary technique that the nurse would use in implementing this change is which of the following? ?
- (A) introduce the change gradually
- (B) confront the individuals involved in the change process
- (C) use coercion to implement the change
- (D) manipulate the participants in the change process
10 >>The nurse-manager meets with a staff nurse to evaluate performance after a 6-month probationary period. As part of the evaluation process, the nurse-manager would ask the staff nurse to ?
- (A) accept the nurse-manager’s evaluation by signing in agreement
- (B) contribute a self-evaluation and suggested areas for future growth
- (C) have peers vouch for his or her performance
- (D) giver her perception of how the manager is performing
11 >>The nurse-manager notes an unacceptable rate of falls on the unit. Hourly rounds by nursing staff are initiated. What is the best method to determine that the change has made a difference? ?
- (A) Scores on client satisfaction surveys
- (B) surveys on staff’s perception of the effectiveness
- (C) comparing fall rates after the rounds are initiated
- (D) documentation that the rounds are completed as scheduled
12 >>A nurse notes that a postoperative client has not been obtaining relief from pain with the prescribed opioid analgesics when a particular licensed practical nurse (LPN) is assigned to the client. The appropriate action for the nurse to take is to: ?
- (A) reassign the LPN to the care of clients not receiving opioids
- (B) b) notify the physician that the client needs an increase in opioid dosage
- (C) review the client’s medication administration record immediately and discuss the observations with the nursing supervisor
- (D) confront the LPN with the information about the client having pain control problems and ask if the LPN is using the opioids personally
13 >>The nurse on the hospital quality improvement team has been asked to evaluate nursing care on the nurse’s assigned unit. After deciding to ask the nursing staff for assistance in this effort, what would be most appropriate for the nurse to initially ask the staff to do? ?
- (A) track the number of supplies used by the clients on the unit
- (B) document the time spent on direct client care
- (C) administer a client and family satisfaction survey
- (D) assess clients and report acuity daily
14 >>The nurse working in an acute care environment would utilize which strategies to reduce the risk of malpractice litigation? Select all that apply. ?
- (A) maintain expertise in practice
- (B) report unsafe staffing levels to supervisor
- (C) Both
- (D) None
15 >>A nursing student is developing a plan of care for a client with a chest tube that is attached to a Pleur-Evac drainage system. The nurse intervenes if the student writes which incorrect intervention in the plan? ?
- (A) position the client in semi-fowler’s position
- (B) add water to the suction chamber as it evaporates
- (C) tape the connection sites between the chest tube and the drainage system
- (D) instruct the client to avoid coughing and deep breathing
16 >>The nursing team consists of one RN, one LPN, and one UAP. What is the most appropriate assignment for the RN to delegate to the LPN? ?
- (A) pass the dinner trays
- (B) empty the Foley cath
- (C) admin morning daily meds
- (D) suction client who is one day postop after tracheostomy
17 >>On a busy med-surg unit, a winter storm has prevented most of the staff members from getting to work. One RN, two LPNs, and three UAPs have been able to get to work. What nursing care delivery system should be implemented in this situation? ?
- (A) team nursing
- (B) primary nursing
- (C) functional nursing
- (D) case management
18 >>A registered nurse assigns a new nursing graduate to care for a client with a diagnosis of active tuberculosis, and the registered nurse explains the use of a particulate respirator to the graduate. Which observation indicates that the new nursing graduate understands how the particulate respirator operates? ?
- (A) the nosepiece is readjusted if air is detected escaping around the nose
- (B) another particulate respirator is obtained if air is escaping around the nose
- (C) the new nursing graduate states that a fit check is not needed
- (D) the new nursing graduate states that a fit check is necessary only when putting on the respirator for the first time
19 >>A registered nurse has instructed a new nursing graduate about the procedure for weaning a client from a ventilator by using a T-piece. The registered nurse determines that the new nursing graduate nurse states which of the following to be part of the procedure? ?
- (A) removing the client from the mechanical ventilator for a short period
- (B) connecting the T-piece to the client’s artificial airway
- (C) providing supplemental oxygen through the T-piece at an Flo2 that is 10% higher than the ventilator setting
- (D) gradually decreasing the respiratory rate on the ventilator until the client takes over all of the work of breathing
20 >>A registered nurse is mentoring a new nurse hired to work in the nursing unit. The registered nurse determines that the new nurse is competent to provide safe effective care for a client on a ventilator when the registered nurse notes that the new nurse: ?
- (A) has the ventilator routinely assessed by the respiratory therapist
- (B) realizes that the ventilator readings provide information without human error
- (C) teaches family members how to reset controls during their visits if necessary
- (D) establishes a rest pattern before morning care