Nursing Leadership and Management Quiz | Leadership and Management in Nursing Practice Test
1 >>A registered nurse is observing a nursing student auscultate the breath sounds of a client. The registered nurse intervenes if the nursing student performs which incorrect action? ?
- (A) use the bell of the stethoscope
- (B) asks the client to sit straight up
- (C) places the stethoscope directly on the client’s skin
- (D) has the client breathe slowly and deeply through the mouth
2 >>A registered nurse is preceptor for a new nursing graduate and is observing the new nursing graduate organize the client assignment and daily tasks. The registered nurse intervenes if the new nursing graduate does which of the following? ?
- (A) provide time for unexpected tasks
- (B) lists the supplies needed for a task
- (C) prioritizes client needs and daily tasks
- (D) plans to document task completion at the end of the day
3 >>A registered nurse suspects that a colleague is substance impaired and notes signs of alcohol intoxication in the colleague. The Nurse Practice Act requires the registered nurse do which of the following? ?
- (A) talk with the colleague
- (B) call the impaired nurse organization
- (C) report the information to a nursing supervisor
- (D) ask the colleague to go to the nurse’s lounge to sleep for a while
4 >>Staff from two different dept. are disagreeing over the transfer process b/w there respective dept. Which is the best process to handle this disagreement? ?
- (A) ask director of nursing to establish a policy
- (B) allow the staff to handle the issue on their own without authoritative interference
- (C) Arrange managers from the dept. to determine a solution
- (D) set up a meeting of staff from the departments to identify key issues
5 >>A staff nurse at the nurse’s station answers the phone and is told there is a bomb in a client’s room. What action should the nurse take? ?
- (A) put call on hold and obtain charge nurse
- (B) transfer call to security
- (C) ask caller for details about the bomb placement
- (D) signal to staff to close the clients door
6 >>The team leader notices at the beginning of the shift that all of the IV ABX for a client are still in the medication room. Which action should the team leader take first? ?
- (A) ask client if client received the meds on previous shift
- (B) return meds to pharmacy so client does not get billed
- (C) ask nurse who cared for the client about the medications
- (D) notify the nurse-manager of the unit
7 >>There has been a large disaster, and nurses have been floated to help with the lrg influx of clients. Which client is most appropriate to assign to the nurse floated from the mother-baby unit? ?
- (A) One day postop hemicolectomy male with foley cath
- (B) women in pelvic traction who is 3 mo. pregnant
- (C) women in pelvic traction who is 3 mo. pregnant
- (D) male admitted for hearing command voices to kill himself
8 >>What is the most important aspect to determine when deciding which nursing care delivery system should be used? ?
- (A) staff preference
- (B) staff licensure
- (C) number of staff
- (D) experience of staff
9 >>When a nurse manager makes a decisions regarding the management of the nursing unit without input from the staff, the type of leadership style that the nurse manager is demonstrating is: ?
- (A) autocratic
- (B) situational
- (C) democratic
- (D) laissez-faire
10 >>Which action can the nurse be legally liable for? ?
- (A) administering 2 mg hydromorphone (Dilaudid) when the client is prescribed 1 to 2 mg q 4hrs
- (B) withholding digoxin (Lanoxin) when the client’s apical pulse is 56 bpm
- (C) withholding mononitrate (Imdur) when client’s BP is 80/40
- (D) Administering cephalosporin when the client has an allergy to penicillin
11 >>Which is an example of a staff nurse functioning in the role of an informal leader? ?
- (A) verifying adequate staff coverage for a shift
- (B) filling out a discipline form on a nursing assistant
- (C) encouraging a peer to join a committee
- (D) attending a hospital-wide policy meeting
12 >>Which is the best instructional guidance for the nurse-manager to include for the staff nurses when delegating the responsibility to revise the unit’s educational policies? ?
- (A) “Let me know if you need anything”
- (B) “Complete the tasks in six weeks”
- (C) “Give your suggestions and I’ll decide”
- (D) “Tell me what you think after looking at everything”
13 >>What statement is true regarding leadership? ?
- (A) It is an analysis of the situation
- (B) It is closely related to evaluation
- (C) it involves choosing between courses of action
- (D) it is dependent upon finding the cause of the problem
14 >>What is a weakness of the traditional problem- solving method? ?
- (A) its need for implementation time
- (B) its lack of a step requiring evaluation of result
- (C) its failure to gather sufficient data
- (D) its failure to evaluate alternatives
15 >>Which of the following statement are true regarding decision making? ?
- (A) scientific methods provide identical decisions
- (B) decisions are greatly influenced by each persons value system
- (C) personal beliefs can be adjusted
- (D) past experience has little to do with the quality of the decision
16 >>What influences the quality of a decision most often ?
- (A) the decision maker’s immediate superior
- (B) the type of decision that needs to be made
- (C) questions asked and alternatives generate
- (D) the time of day the decision is made
17 >>What does knowledge about good decision making lead one to believe ?
- (A) good decision makers are usually right brain, initiative thinkers
- (B) effective decision makers are sensitive to the situation and to others
- (C) good decisions are ususally made by left sided brain
- (D) good decision making requires analytic rather than creative process
18 >>What is the best definition of decision making ?
- (A) the planning process of management
- (B) the evaluation phase of the executive role
- (C) one step in problem solving process
- (D) required to justify the need for scarce items
19 >>If decision making is triggered by a problem with what does it end? ?
- (A) An alternative problem
- (B) A chosen course of action
- (C) An action that guarantees success
- (D) a restatement of the solution
20 >>Why do our values often cause personal conflict in decision making? ?
- (A) some values are not realistic or healthy
- (B) not all values are of equal worth
- (C) our values remain unchanged over time
- (D) our values often collide with one another