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RN Nursing School · Leadership · 134 questions

Leadership and Management Principles practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Leadership and Management Principles, practise in the app.

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  1. 1A client has provided informed consent for surgery and is being assessed by the nurse. What statement by the client should prompt the nurse to contact the surgeon?Answer →
  2. 2Which statistic best represents the average hospital length of stay (LOS) when the data are continuous and interval-level?Answer →
  3. 3A theory that is developed in another discipline that is applied to nursing is known as a borrowed or shared theory.Answer →
  4. 4A nurse working on a surgical unit receives a phone call from a client's neighbor who requests a postoperative update of the client's condition. Which of the following actions by the nurse is appropriate?Answer →
  5. 5Which of the following is an example of objective data?Answer →
  6. 6A nurse has begun working in a new health-care facility and is beginning to understand the organizational culture. When seeking to understand the organizational culture, the nurse should:Answer →
  7. 7Nursing's Social Policy Statement: (Choose all that are correct)Answer →
  8. 8Which graph can effectively show the relationship between a client's age and weight?Answer →
  9. 9Characteristics of a profession include: (select all that apply)Answer →
  10. 10What graphical tool would be best for illustrating the proportions of different types of medication errors on a unit?Answer →
  11. 11The nurse is working with a client who has a terminal diagnosis and who is facing difficult decisions around end-of-life care? How can the nurse best advocate for this client?Answer →
  12. 12A nurse is applying the ethical principle of justice when providing care for clients. What action best exemplifies this principle?Answer →
  13. 13A nurse educator is preparing to observe a new-grad RN set up a sterile field prior to inserting a urinary catheter for a client. Identify the sequence of steps the nurse grad should plan to follow.Answer →
  14. 14Nursing has been considered both a profession and an occupation. Which of the following supports the definition of nursing as a profession:Answer →
  15. 15A hospital is implementing leadership training for nursing supervisors. Which leadership style focuses on inspiring and motivating staff to improve patient outcomes?Answer →
  16. 16A nurse is preparing a client for a surgical procedure that requires informed consent. Which of the following actions is the nurse's primary responsibility regarding informed consent?Answer →
  17. 17Middle range nursing theories are: (select all that apply)Answer →
  18. 18A client is preparing to be discharged from the health-care facility and has told the nurse that he would like to read his medical record. What is the nurse's best initial action?Answer →
  19. 19A nurse wants to evaluate the distribution of systolic blood pressure readings in a population. Which graph should they choose?Answer →
  20. 20In order to recover damages in a malpractice case, what must a plaintiff prove? (Select all that apply)Answer →
  21. 21The most common reason why Registered Nurses are disciplined by the State Board of Nursing is practicing while ___.Answer →
  22. 22A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightly sue the nurse for which of the following?Answer →
  23. 23What graphical tool would be best for illustrating the proportions of different types of medication errors on a unit?Answer →
  24. 24When reviewing the core objectives related to social determinants of health, identify the goals for Healthy People 2030? Select all that apply.Answer →
  25. 25A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the manager?Answer →
  26. 26What statement by a leader most clearly demonstrates the Great Man theory of leadership?Answer →
  27. 27An AP threatens to tie a client down. What legal issue is this?Answer →
  28. 28What is the main difference between complementary and alternative therapies?Answer →
  29. 29A client decides to leave the hospital against medical advice (AMA). Which of the following actions by the nurse is most appropriate?Answer →
  30. 30According to Carper, what are the four fundamental patterns of knowing in nursing? Briefly describe each one.Answer →
  31. 31The clinic leader tends to make decisions independently and closely supervises and controls the practice of the nurses at the clinic. What type of leadership is being exemplified?Answer →
  32. 32What type of visual representation is best for evaluating the turnaround time for room cleaning on the unit?Answer →
  33. 33A nurse wants to review trends in client readmission rates over the last year. Which graph would be most effective?Answer →
  34. 34A subordinate has accused a manager of favoritism after the manager created the work assignment for the day. How should the manager best apply the principles of emotional intelligence?Answer →
  35. 35Which question best reflects a utilitarian perspective?Answer →
  36. 36A nurse-manager had to intervene in a conflict between a client and a staff member. The manager chose to make a decision "in the moment" rather than applying a methodical or deliberate decision-making tool. How should this manager's actions be best interpreted?Answer →
  37. 37In which situation would the nurse be justified in overriding a client's right to confidentiality?Answer →
  38. 38A nurse wants to review trends in client readmission rates over the last year. Which graph would be most effective?Answer →
  39. 39The purpose of concept analysis and development is to: (select all that apply)Answer →
  40. 40A patient files a lawsuit against a nurse for negligence. Which of the following must be proven to establish malpractice?Answer →
  41. 41Veracity is defined as:Answer →
  42. 42A client receives a wrong medication. The nurse who made the medication error should take which of the following actions? (Select all that apply.)Answer →
  43. 43The managers of a hospital unit have been approached by a nurse educator who wants to conduct research into a particular nursing intervention. In order to ensure that the rights of clients who may participate are protected, the managers should:Answer →
  44. 44Which provisions of the Code of Ethics for Nurses specifically address nurses' responsibility towards reducing the negative impact of social determinants of health on a population? (Select all that apply)Answer →
  45. 45A nursing unit wants to compare the frequency of falls among clients across various times of the day. Which graph should they use?Answer →
  46. 46A nurse is evaluating client responses to therapy over time. Which graphical tool would they use?Answer →
  47. 47A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment.Answer →
  48. 48Standards of nursing practice:Answer →
  49. 49The nurse's role in informed consent includes the following: (select all that apply).Answer →
  50. 50A nursing unit wants to compare the frequency of falls among clients across various times of the day. Which graph should they use?Answer →
  51. 51A nurse feels strongly that a proposed piece of legislation would be contrary to the interests of clients. How can the nurse most effectively oppose this legislation?Answer →
  52. 52The nurse has applied the MORAL decision-making model to a situation that involved an ethical dilemma. The nurse should complete the process by:Answer →
  53. 53A nurse applies restraints to a patient without a physician's order. What type of legal issue does this represent?Answer →
  54. 54A nurse has been hired to manage a busy medical-surgical unit. What actions should the nurse-manager perform to ensure compliance with legal issues? Select all that apply.Answer →
  55. 55The scope of nursing describesAnswer →
  56. 56A nurse is experiencing an ethical dilemma with a client. Which information indicates the nurse has a correct understanding of the primary cause of ethical dilemmas?Answer →
  57. 57A nurse on a medical-surgical unit is discussing Just Culture with a new nurse. Which statement by the new nurse requires further education?Answer →
  58. 58A nurse is evaluating client responses to therapy over time. Which graphical tool would they use?Answer →
  59. 59What are the five steps of the nursing process in order?Answer →
  60. 60According to nursing standards, which of the following is a characteristic of a nurse with a strong professional identity?Answer →
  61. 61A nurse is teaching a newly licensed nurse about reporting suspected dependent adult abuse. Which of the following statements indicates an understanding by the newly licensed nurse?Answer →
  62. 62Which action demonstrates the nurse's role as a patient advocate?Answer →
  63. 63What does "professional identity" in nursing primarily refer to?Answer →
  64. 64A nurse is assisting a provider with a sterile procedure and prepares to pour a solution onto a piece of gauze. Identify the sequence of steps the nurse should follow when pouring the solution.Answer →
  65. 65Which of the following is NOT a benefit of strong nursing leadership?Answer →
  66. 66Match the ethical principle to the scenario in which the nurse is demonstrating the behavior.Answer →
  67. 67The Code of Ethics for Nurses compels nurses to recognize the dignity, worth, and unique attributes of each person they care for, and to practice compassion and respect for all persons.Answer →
  68. 68A nurse in a provider's office returns a telephone call by the end of the day, as promised, to a client who is worried about the outcome of a laboratory test. The nurse is demonstrating which of the following ethical principles?Answer →
  69. 69A nurse manager on a mental health unit is discussing involuntary admissions during a staff meeting. Which of the following statements should the manager include in the discussion?Answer →
  70. 70The nurse is admitting a new client who is facing a serious health problem. The nurse can best apply the skills of advocacy when working with this client by:Answer →
  71. 71A nurse has been hired to oversee a day surgery clinic. What action will best ensure good outcomes for this nurse, the clients, and the employees of the clinic?Answer →
  72. 72According to Nursing's Scope and Standards (ANA, 2021), the definition of nursing is the following: "Nursing integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning: prevention of illness and injury, facilitation of healing; and alleviation of suffering through compassionate presence. Nursing is the diagnosis and treatment of human responses and advocacy in the care of individuals, families, groups, communities, and populations in recognition of the connection of all humanity."Answer →
  73. 73The client tells the nurse they are afraid to speak up regarding a desire to stop chemotherapy treatment and end future care for fear of upsetting family members. Which principle in the nursing code of ethics ensures that the nurse will support the client's decision?Answer →
  74. 74A mass casualty incident occurs after a chemical explosion. The nurse manager immediately begins assigning roles, directing nurses to specific patients, instructing others to set up decontamination areas, and making quick decisions due to the urgency of the situation. Which leadership style is the nurse manager demonstrating?Answer →
  75. 75Two nurses have approached the manager and have asked the manager to speak to a nurse on the unit who has a reputation for being difficult to get along with. How can the manager best implement authentic leadership?Answer →
  76. 76The nurse is faced with a situation that requires ethical decision making. What statement should guide the nurse's action?Answer →
  77. 77Complexity science, chaos theory, and complex adaptive systems are useful in understanding how healthcare organizations work.Answer →
  78. 78A registered nurse aims to maximize immediate influence on healthcare policy decisions. Considering the nurse's role in advocacy and policy development, which action should the nurse prioritize to have the greatest impact?Answer →
  79. 79The Foundations of Nursing documents include all but the following:Answer →
  80. 80A competent adult refuses a blood transfusion due to religious beliefs. What should the nurse do?Answer →
  81. 81It is easy to test the full scope of a grand theory in practice using research.Answer →
  82. 82The Code of Ethics for Nurses includes provisions that address which of the following (select all that are correct):Answer →
  83. 83The nurse practice act in each state accomplishes the following objectives: (Select all that are applicable)Answer →
  84. 84A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?Answer →
  85. 85A charge nurse wants to develop an effective leadership approach. Which characteristic is essential for fostering a positive and productive work environment?Answer →
  86. 86A nurse is integrating the code of ethics when making a decision about the best response to a challenging situation. What information will the nurse be able to obtain from this document?Answer →
  87. 87Which statistic best represents the average hospital length of stay (LOS) when the data are continuous and interval-level?Answer →
  88. 88A nurse is involved in a challenging clinical situation which requires the nurse to consider many people's interests. How can the nurse best implement Standard VII of the American Nurses Association (ANA) Scope and Standards of Practice?Answer →
  89. 89Which ethical principle is demonstrated when an adult child is legally given the right to make medical decisions for a cognitively impaired parent?Answer →
  90. 90A nurse is caring for a hospitalized client whose condition has suddenly worsened. After assessing the client and recognizing signs of hypovolemia, the nurse decides to contact the physician to obtain further orders for labs and fluid replacement. Which concept is the nurse demonstrating?Answer →
  91. 91Classification of nursing theories by scope differentiates them (Select all the apply)Answer →
  92. 92Which statement is true concerning critical thinking?Answer →
  93. 93Informed consent — nurse actions? (Select All that Apply.)Answer →
  94. 94A nurse-leader has set a goal of becoming a more transformational leader. What outcome will best indicate progress toward achieving this goal?Answer →
  95. 95Which statement best depicts leadership?Answer →
  96. 96A nurse failed to supervise a confused client, and the client fell while transferring to the bathroom. The client was unharmed, but the client's family has launched a malpractice suit, citing the nurse's breach of duty. What is the most likely outcome of this case?Answer →
  97. 97Which of the following is not a characteristic of an academic discipline?Answer →
  98. 98administer medication to a client with cancer. The client states, "I want to skip this dose of medication. I am too tired to take it." Which of the following actions should the nurse take?Answer →
  99. 99Which graph can effectively show the relationship between a client's age and weight?Answer →
  100. 100What type of visual representation is best for evaluating the turnaround time for room cleaning on the unit?Answer →
  101. 101As a patient advocate, the nurse's primary responsibility is to:Answer →
  102. 102Which type of concept is generally hardest to measure?Answer →
  103. 103A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that keeping this client from leaving would be considered which type of civil action by the nurse?Answer →
  104. 104Which response is most characteristic of a servant leader?Answer →
  105. 105Car seat safety teaching — which indicates understanding?Answer →
  106. 106The nurse-manager oversees the care of several dozen nurses. With which nurse should the manager review the provisions of the Health Insurance Portability and Accountability Act (HIPAA)?Answer →
  107. 107Nursing theories may be classified by theory purpose according to:Answer →
  108. 108Which order contains a "Do Not Use" abbreviation?Answer →
  109. 109A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z?Answer →
  110. 110Which of the following is not considered a grand nursing theory?Answer →
  111. 111A nurse is caring for multiple clients in the Emergency Department. Which of the following conditions should the nurse report to public health authorities?Answer →
  112. 112A nurse manager is working to improve teamwork among unit staff. Which approach best supports a collaborative work environment?Answer →
  113. 113Key strategies that nurses should practice to minimize risk of legal challenges includes the following: (select all that apply).Answer →
  114. 114A state Nurse Practice Act is an example of which source of law?Answer →
  115. 115A client is admitted to the hospital and states, "I already have an advance directive." Which of the following actions by the nurse is most appropriate?Answer →
  116. 116What statistical measure is best for assessing the dispersion of hospital length of stay across clients?Answer →
  117. 117A client declines receiving medication for anxiety and is utilizing guided imagery instead. This is an example of [blank1] therapy. A client utilizes massage therapy in addition to a prescribed pain medication. This is an example of [blank2] therapy.Answer →
  118. 118A nurse is reviewing a provider's prescriptions for four clients. Which of the following prescriptions is outside the legal scope of practice for the nurse?Answer →
  119. 119A nurse completes an incident report after discovering a medication error. What is the primary purpose of this documentation?Answer →
  120. 120A patient recovering from surgery refuses pain medication, stating, "I don't want to take anything that might make me feel loopy." The nurse administers the prescribed pain medication anyway. What legal concept has been violated?Answer →
  121. 121The nurse is reviewing unit data as part of a quality improvement (QI) initiative. Which of the following best describes the purpose of quality improvement benchmarks?Answer →
  122. 122What statistical measure is best for assessing the dispersion of hospital length of stay across clients?Answer →
  123. 123Theory evaluation identifies a theory's degree of usefulness to guide practice and to contribute to the generation of nursing knowledge. Criteria for theory evaluation often include the theory's origins, meaning, logical adequacy, usefulness, generalizability, and testability.Answer →
  124. 124A nurse receives a medication prescription that seems incorrect based on the client's diagnosis and contacts the provider for clarification. The nurse understands that this action is an example of which ethical principle?Answer →
  125. 125The nurse-manager is applying the MORAL decision-making model to a decision around a client's plan of care. The manager has engaged all the necessary stakeholders and collected as much data about the situation as possible. What should the manager do next?Answer →
  126. 126A hospital's risk management committee is implementing new patient safety protocols. What is the primary goal of risk management in healthcare?Answer →
  127. 127A family is requesting to review a client's medical records for an adult client, stating, "We are the parents and we have a right to know what is happening." What is the best action for the nurse to take?Answer →
  128. 128What is medical futility?Answer →
  129. 129A nursing student expresses frustration that their program rarely addresses health disparities or social determinants of health (SDOH) in clinical experiences. As a nurse educator aiming to empower the next generation of nurses to address health equity, which of the following actions is most appropriate?Answer →
  130. 130Informed consent must include which of the following: (select all that apply)Answer →
  131. 131A nurse wants to evaluate the distribution of systolic blood pressure readings in a population. Which graph should they choose?Answer →
  132. 132A nurse-manager demonstrates Level 5 leadership by performing what action?Answer →
  133. 133Which statement concerning the role of the most powerful individuals in organizational decision making is true?Answer →
  134. 134An experienced nurse-manager has been described as being a "right-brain thinker." This manager's decision-making process likely prioritizes what characteristic?Answer →