DIMENSIONS OF NURSING PRACTICE
CERTIFICATION FINAL TEST 2026 QUESTIONS
AND ANSWERS UPDATED
◉ Sinus bradycardia. Answer: Rate between 40-60 per minute. If it is
missing a P wave then it is not sinus rhythm. Bradycardia tends to be
more on the pathologic side. Treat with atropine and then if that
does not work then treat with external pacemaker. Caused by
vasovagal response, increased ICP, beta blockers.
◉ Rules for Sinus bradycardia. Answer: Rhythm normal, rate 40-
60m, P wave normal, PR interval normal, QRS complex normal
◉ Sinus arrhythmia. Answer: Discharges impulses irregularly. Can
have this with tachycardia or bradycardia. Arrhythmia is a normal
phenomenon for children and young adults whose HR is linked to
their respiratory rate, as their heart slows down during expiration
and gradually increases with inspiration
◉ Rules for Sinus arrhythmia. Answer: Rhythm irregular, rate 60-
100, P waves normal, PR interval normal, QRS complex normal
◉ Sinus arrest. Answer: A new rhythm on the other side of the pause
,◉ Sinus block. Answer: The same rhythm on the other side of the
pause
◉ Collaboration. Answer: participation in an interdisciplinary health
care team to promote safe, effective care and positive client
outcomes.
◉ Managers vs. Leaders. Answer: Manager- individual employed by
organization who is responsible for efficiently accomplishing goals
of organization
Clarify organizational structure
Choose means to achieve goals
Assign tasks
Evaluate outcomes and provide feedback
Leader- anyone who uses interpersonal skills to influence others to
accomplish a specific goal.
Obtain power through other means
Wider variety of roles
Emphasize interpersonal relationships
◉ Principles of Management. Answer: Authority- the right to direct
others and their activities
Accountability- the ability and willingness to assume responsibility
for behavior and accept consequences.
,Responsibility- obligation to obtain objectives and/or perform tasks
◉ Management Functions. Answer: Planning
Organizing
Directing
Controlling
◉ Planning. Answer: Establish goals
Evaluate present situation and future trends
Formulate planning statement
Convert plan into action statement
Contingency planning- identifies and manages problems that
interfere with work
Strategic planning- continual assessment, planning, and evaluation
to guide the future. Creates vision of desired future and designs
ways to make that a reality
◉ Organizing. Answer: The process of coordinating work to be done
Identifying work of organization
Dividing labor
Developing chain of command
Assigning authority
, ◉ Directing. Answer: Process of getting organizational work done
Requires:
Communication
Motivational techniques
Delegation skills
◉ Controlling. Answer: Comparing actual results with projected
results
Establishing standards of performance
Evaluating performance
Providing feedback
◉ Managing teams. Answer: Express purpose of team and role of
each member
Evaluate work
Effectiveness- measure of quality/quantity of services
Efficiency- measure of resources used
Productivity- performance of both effectiveness and efficiency
◉ Integrating leadership and management. Answer: Challenges
facing leader-managers in 21st century
CERTIFICATION FINAL TEST 2026 QUESTIONS
AND ANSWERS UPDATED
◉ Sinus bradycardia. Answer: Rate between 40-60 per minute. If it is
missing a P wave then it is not sinus rhythm. Bradycardia tends to be
more on the pathologic side. Treat with atropine and then if that
does not work then treat with external pacemaker. Caused by
vasovagal response, increased ICP, beta blockers.
◉ Rules for Sinus bradycardia. Answer: Rhythm normal, rate 40-
60m, P wave normal, PR interval normal, QRS complex normal
◉ Sinus arrhythmia. Answer: Discharges impulses irregularly. Can
have this with tachycardia or bradycardia. Arrhythmia is a normal
phenomenon for children and young adults whose HR is linked to
their respiratory rate, as their heart slows down during expiration
and gradually increases with inspiration
◉ Rules for Sinus arrhythmia. Answer: Rhythm irregular, rate 60-
100, P waves normal, PR interval normal, QRS complex normal
◉ Sinus arrest. Answer: A new rhythm on the other side of the pause
,◉ Sinus block. Answer: The same rhythm on the other side of the
pause
◉ Collaboration. Answer: participation in an interdisciplinary health
care team to promote safe, effective care and positive client
outcomes.
◉ Managers vs. Leaders. Answer: Manager- individual employed by
organization who is responsible for efficiently accomplishing goals
of organization
Clarify organizational structure
Choose means to achieve goals
Assign tasks
Evaluate outcomes and provide feedback
Leader- anyone who uses interpersonal skills to influence others to
accomplish a specific goal.
Obtain power through other means
Wider variety of roles
Emphasize interpersonal relationships
◉ Principles of Management. Answer: Authority- the right to direct
others and their activities
Accountability- the ability and willingness to assume responsibility
for behavior and accept consequences.
,Responsibility- obligation to obtain objectives and/or perform tasks
◉ Management Functions. Answer: Planning
Organizing
Directing
Controlling
◉ Planning. Answer: Establish goals
Evaluate present situation and future trends
Formulate planning statement
Convert plan into action statement
Contingency planning- identifies and manages problems that
interfere with work
Strategic planning- continual assessment, planning, and evaluation
to guide the future. Creates vision of desired future and designs
ways to make that a reality
◉ Organizing. Answer: The process of coordinating work to be done
Identifying work of organization
Dividing labor
Developing chain of command
Assigning authority
, ◉ Directing. Answer: Process of getting organizational work done
Requires:
Communication
Motivational techniques
Delegation skills
◉ Controlling. Answer: Comparing actual results with projected
results
Establishing standards of performance
Evaluating performance
Providing feedback
◉ Managing teams. Answer: Express purpose of team and role of
each member
Evaluate work
Effectiveness- measure of quality/quantity of services
Efficiency- measure of resources used
Productivity- performance of both effectiveness and efficiency
◉ Integrating leadership and management. Answer: Challenges
facing leader-managers in 21st century
