Nursing Leadership and Management
Chapter 1
1. A nurse enters the room of a client who is on contact precautions and finds the client lying on the
floor. Which of the following actions should the nurse take first?
A. Call the provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect for injuries
D. Instruct the client to ask for help if he needs to get out of bed
2. An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the
following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr. post procedure following a cardiac catheterization
B. Administer a unit of packed red blood cells (RBCs) to a client who has cancer
C. Instruct a client who is scheduled for discharge in the performance of wound care
D. Develop a plan of care for a newly admitted client who has pneumonia
3. A PN ending her shift reports to the RN that a newly hired AP has not calculated intake and output for
several clients. Which of the following actions should the RN take?
A. Complete an incident report
B. Delegate this task to the PN
C. Ask the AP if she needs assistance
D. Notify the nurse manager
4. A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following
information should the manager include in the plan? (Select all that apply.)
A. Skill proficiency B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture F. Facility policies and procedures
5. A nurse manger is providing information about the audit process to members of the nursing team.
Which of the following information should the nurse manager include? (Select all that apply.)
A. A structure audit evaluates the setting and the resources available to provide care B. An outcome
audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care
E. After data collection is completed, it is compared to a benchmark
6. A nurse is participating in a quality improvement study of a procedure frequently performed on the
unit. Which of the following information will provide data regarding the efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed
Nursing Leadership and Management
, 7. A nurse is hired to replace a staff member who has resigned. After working on the unit for several
weeks, the nurse notices that the unit manger does not intervene when there is a conflict between
members, even when it escalates. Which of the following conflict resolution strategies is the unit
manager demonstrating?
A. Avoidance
B. Smoothing
C. Cooperating
D. Negotiating
Chapter 2
1. A nurse is preparing to transfer an older adult client who is 72 hr. postoperative to a long-term care
facility. Which of the following information should the nurse include in the transfer report?(select all
that apply)
a. type of anesthesia used
b. advance directives status
c. vital signs on day of admission
d. medical diagnosis
e. need for specific equipment
2. A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord
injury. The client worked as a construction worker prior to his injury. Which of the following members
of the interprofessional team should participate in planning care for this client? (select all that apply) a.
physical therapist
b. speech therapist
c. occupational therapistd. psychologist
e. vocational counselor
3. A nurse manager is working with a committee of nurses to update policies for new employee
orientation. The nurse manager directs the team to collect as much data as possible and
recommend several options. Which of the following decision-making styles is the nurse manager
demonstrating a. decisive
b. flexible
c. hierarchical
d. integrative
4. A nurse who has just assumed the role of unit manager is examining her skills in interprofessional
collaboration. Which of the following actions support the nurse's interprofessional collaboration? (select
all that apply)
a. use aggressive communication when addressing the team
b. recognize the knowledge and skills of each member of the team
c. ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings
d. encourage the client and family to participate in the team meeting
e. support team member requests for referral
5. A nurse on a telemetry unit is caring for a client who was admitted 2 hr ago and has chest pain. The
client becomes angry and tells the nurse that there is nothing wrong with him and that he is going home
Nursing Leadership and Management
Chapter 1
1. A nurse enters the room of a client who is on contact precautions and finds the client lying on the
floor. Which of the following actions should the nurse take first?
A. Call the provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect for injuries
D. Instruct the client to ask for help if he needs to get out of bed
2. An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the
following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr. post procedure following a cardiac catheterization
B. Administer a unit of packed red blood cells (RBCs) to a client who has cancer
C. Instruct a client who is scheduled for discharge in the performance of wound care
D. Develop a plan of care for a newly admitted client who has pneumonia
3. A PN ending her shift reports to the RN that a newly hired AP has not calculated intake and output for
several clients. Which of the following actions should the RN take?
A. Complete an incident report
B. Delegate this task to the PN
C. Ask the AP if she needs assistance
D. Notify the nurse manager
4. A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following
information should the manager include in the plan? (Select all that apply.)
A. Skill proficiency B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture F. Facility policies and procedures
5. A nurse manger is providing information about the audit process to members of the nursing team.
Which of the following information should the nurse manager include? (Select all that apply.)
A. A structure audit evaluates the setting and the resources available to provide care B. An outcome
audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care
E. After data collection is completed, it is compared to a benchmark
6. A nurse is participating in a quality improvement study of a procedure frequently performed on the
unit. Which of the following information will provide data regarding the efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed
Nursing Leadership and Management
, 7. A nurse is hired to replace a staff member who has resigned. After working on the unit for several
weeks, the nurse notices that the unit manger does not intervene when there is a conflict between
members, even when it escalates. Which of the following conflict resolution strategies is the unit
manager demonstrating?
A. Avoidance
B. Smoothing
C. Cooperating
D. Negotiating
Chapter 2
1. A nurse is preparing to transfer an older adult client who is 72 hr. postoperative to a long-term care
facility. Which of the following information should the nurse include in the transfer report?(select all
that apply)
a. type of anesthesia used
b. advance directives status
c. vital signs on day of admission
d. medical diagnosis
e. need for specific equipment
2. A nurse is participating in an interprofessional conference for a client who has a recent C6 spinal cord
injury. The client worked as a construction worker prior to his injury. Which of the following members
of the interprofessional team should participate in planning care for this client? (select all that apply) a.
physical therapist
b. speech therapist
c. occupational therapistd. psychologist
e. vocational counselor
3. A nurse manager is working with a committee of nurses to update policies for new employee
orientation. The nurse manager directs the team to collect as much data as possible and
recommend several options. Which of the following decision-making styles is the nurse manager
demonstrating a. decisive
b. flexible
c. hierarchical
d. integrative
4. A nurse who has just assumed the role of unit manager is examining her skills in interprofessional
collaboration. Which of the following actions support the nurse's interprofessional collaboration? (select
all that apply)
a. use aggressive communication when addressing the team
b. recognize the knowledge and skills of each member of the team
c. ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings
d. encourage the client and family to participate in the team meeting
e. support team member requests for referral
5. A nurse on a telemetry unit is caring for a client who was admitted 2 hr ago and has chest pain. The
client becomes angry and tells the nurse that there is nothing wrong with him and that he is going home
Nursing Leadership and Management
