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1. Which leadership style involves the leader making decisions with little input from
staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
D. Autocratic
Rationale: Autocratic leaders make decisions independently, with minimal input
from others.
2. Evidence-based practice (EBP) primarily involves:
A. Following hospital policy exclusively
B. Using research and clinical expertise to guide care
C. Relying on intuition and experience alone
D. Deferring to senior staff judgment
B. Using research and clinical expertise to guide care
Rationale: EBP integrates the best available research with clinical expertise and
patient preferences.
3. Which type of conflict resolution involves a give-and-take approach?
A. Avoiding
B. Competing
C. Compromising
D. Accommodating
C. Compromising
, Rationale: Compromising seeks a middle ground where both parties give up
something to reach a solution.
4. Which leadership theory emphasizes rewards and punishments to influence staff
performance?
A. Transformational
B. Transactional
C. Servant
D. Situational
B. Transactional
Rationale: Transactional leaders focus on structure, rules, and reward/punishment
to achieve results.
5. Delegation in nursing is defined as:
A. Assigning tasks without accountability
B. Transferring responsibility for the performance of a task while retaining
accountability
C. Allowing staff to make all decisions independently
D. Sharing patient care responsibilities equally
B. Transferring responsibility for the performance of a task while retaining
accountability
Rationale: Nurses may delegate tasks but remain accountable for the outcomes.
6. The first step in the nursing process is:
A. Planning
B. Assessment
C. Evaluation
D. Implementation
B. Assessment
Rationale: Assessment involves gathering patient data to inform the nursing care
plan.
7. Which type of research design is used to determine cause-and-effect relationships?
A. Descriptive
B. Experimental
C. Qualitative
D. Correlational
B. Experimental
Rationale: Experimental research manipulates variables to establish causation.
8. Patient advocacy involves:
A. Ensuring patients receive information and support to make informed decisions
B. Making decisions for patients without their input
, C. Following physician orders exclusively
D. Avoiding involvement in patient concerns
A. Ensuring patients receive information and support to make informed decisions
Rationale: Advocacy empowers patients and protects their rights.
9. Which communication technique involves restating the patient’s message in your
own words?
A. Clarifying
B. Paraphrasing
C. Reflecting
D. Summarizing
B. Paraphrasing
Rationale: Paraphrasing confirms understanding by expressing the message in
different words.
10. A nurse practicing cultural competence should:
A. Apply the same care to all patients regardless of background
B. Understand and respect cultural differences in healthcare practices
C. Avoid asking about cultural preferences
D. Follow only Western medical guidelines
B. Understand and respect cultural differences in healthcare practices
Rationale: Cultural competence involves awareness, knowledge, and respect for
diverse patient backgrounds.
11. Which is an example of a SMART goal?
A. “Patient will feel better soon.”
B. “Patient will ambulate 50 feet without assistance by discharge.”
C. “Patient will try to eat more.”
D. “Patient’s pain will be reduced.”
B. “Patient will ambulate 50 feet without assistance by discharge.”
Rationale: SMART goals are Specific, Measurable, Achievable, Relevant, and Time-
bound.
12. The nurse manager wants to improve staff morale. Which strategy is most effective?
A. Increase staff workload
B. Recognize achievements and provide feedback
C. Limit staff autonomy
D. Ignore complaints
B. Recognize achievements and provide feedback
Rationale: Positive recognition and constructive feedback enhance morale and
motivation.