D030 NURS 5207
Leadership & Management in
Complex Healthcare
Objective Assessment Review
2025
1. The home health RN is planning for the day’s visits. Which client should be seen first?
a. The five-month-old discharged one week ago with pneumonia who is being treated with
amoxicillin liquid suspension.
b. The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes.
c. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a
centrally placed venous catheter.
d. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube.
2. Which statement accurately reflects leadership?
a. The position of a leader is always assigned.
b. Members of a group will follow a person in a leadership position only by choice.
c. A leader carries a legitimate source of power.
d. Being leader required meeting organizational goals.
3. A manager who use a rational-empirical change strategy understands which one of the following
to be relevant:
a. Peer pressure influences change
b. Reward-based incentives influence change
c. Information supports change
d. Punishment supports the acceptance of change.
4. You are the supervisor of a new RN graduate on your unit. What would be the most helpful
action for you to take to help the new RN adjust to the new role?
a. Tell the new RN to avoid confrontations with doctors whenever possible.
b. Advise the new RN that this is the real world, like it or not
c. Be alert to signs and symptoms of the shock phase of role transition.
d. Tell the new RN to let go of unrealistic nursing school values.
5. Which one of the following principles of effective time management is most important for a
charge nurse to remember about the use of a daily “to do” list?
a. It is a planning tool, and thus must have flexibility in its implementation
b. It should remain unchanged once initial planning is completed.
c. It should address short-term, intermediate, and long-term goals for the week.
, d. It should be highly structured, thus decreasing the possibility of procrastination.
6. What is the first step to developing an educational program for nursing staff?
a. Surveying the staff on what educational program they would like
b. Identifying the resources available to meet their needs.
c. Identifying the desired skills or knowledge the staff should have.
d. Assessing the staff’s willingness to learn new skills.
7. In relation to Kurt Lewin’s Change Theory, which statement is NOT true?
a. During unfreezing, the goal of a change agent is to make staff aware of a situation needing
change.
b. Refreezing often requires a change agent to stay involved over time to help stabilize and
support the change at the new level.
c. During the movement phase, it is important to keep the driving and restraining forces equal
to each other.
d. Changes should only be implemented for good reasons and include persons affected by the
change in the planning.
8. Which term best describes the stress a new graduate RN experiences during the socialization
process when transitioning from the student nurse role to the professional RN role?
a. Student burnout
b. Reality shock
c. Role redefinition
d. Role confusion
9. Good management in staffing nursing units in larger healthcare facilities usually includes all but
which one of the following practices:
a. Using a decentralized approach to ensure there is adequate staffing throughout the medical
center.
b. Ensuring that fair and uniform staffing and scheduling policies are in place.
c. Using an in-house registry/float pool to assist in covering sick calls, weekend shifts and
holidays.
d. Using traveling nurses wisely to fill longer term staff vacancies or leaves of absences.
10. According to the Stages of Change Model, which one of the following is NOT accurately
described?
a. Pre-contemplative: A patient asks his friends about local fitness centers.
b. Contemplative: A patient recognizes he needs more exercise.
c. Preparation: A patient researches and buys new exercise equipment
d. Action: A patient starts exercising 3 times/week with friends.
e. Maintenance: A patient gets up and goes to the gym, even though his friend cannot go with
him today.
11. After receiving a report from the night-shift RN, which of the following should the oncoming day-
shift RN assess first?
a. A 65-year-old man with a draining nasogastric tube who had a bowel resection the previous
day
b. A 55-year-old man with left-sided weakness who is asking for assistance to use a urinal.
c. A 48-year-old woman scheduled for a mastectomy who is complaining of chills.
d. A 32-year-old woman who is refusing magnesium hydroxide (Milk of Magnesia) prior to
breakfast.
12. A nurse educator is responsible for teaching staff members about the prevention of central line
associated bloodstream infection. To prevent infection, a central line dressing change procedure
, has been updated. The staff needs to be informed of the change in hospital procedure. Which
method of education would best enhance the staff’s retention of this information?
a. Vendor in-service program on new type of central line dressings available
b. In-service education training program on the new procedure
c. Brief educational “huddles” for staff conducted by each charge nurse at the change of shift.
d. An IV therapy refresher course for all staff RNs.
13. A RN working the evening shift has just finished receiving a report on the following clients.
Which client should the RN see first?
a. A 46-year-old male postoperative day 2 for an open cholecystectomy
b. A 52-year-old female who had a thyroidectomy and arrived on the unit 1 hour ago.
c. A 25-year-old female admitted 4 hours ago for nausea, vomiting, and nonspecific abdominal
pain.
d. A 60-year-old male with diagnosis of bleeding peptic ulcer disease (PUD) who completed a
blood transfusion 2 hours ago.
14. Which best describes mentorship?
a. The focus, intensity and duration of relationships are similar in mentorship and
preceptorship.
b. Staff are not usually assigned to be mentors. It is a role voluntarily chosen by the mentor.
c. Person being mentored must be willing to put aside their personal goals and beliefs in an
effort to identify more closely with their mentor.
d. Most nurses will have the opportunity for many mentor relationships during their careers.
15. The Hawthorne effect implies that:
a. People are inherently good and will seek out work.
b. Staff productivity will increase or decrease as the lighting in the work area is increased or
decreased.
c. Membership in small work groups becomes a form of social control.
d. Humans respond to the fact that they are being observed.
16. A nurse manager of a behavioral health unit is known for being very organized and focused when
managing unit tasks and daily patient care operations. He is comfortable in maintaining order,
adheres to the budget and maintains the status quo on the unit. By these behaviors, this leader
is demonstrating which one of the following leadership styles?
a. Interactional
b. Transformational
c. Transactional
d. authoritarian
17. What is critical thinking?
a. It requires reasoning and creative analysis
b. It is a simple approach to decision making
c. It is narrower in scope than decision making
d. It is synonym for the problem-solving process.
18. A RN preceptor is observing a newly hired registered nurse on the unit who is preparing to
administer a blood transfusion. Which of the following actions by the newly hired registered
nurse requires intervention by the RN preceptor?
a. Inserts a large-bore IV catheter into the client forearm.
b. Administer 0.9% sodium chloride IV.
c. Verifies blood compatibility and expiration date of the blood with an unlicensed assistive
personnel (UAP)
, d. Assesses for a history of blood transfusion reactions.
19. Which client should the RN team leader assess first after morning report?
a. A client with diabetes whose capillary blood glucose was 150 mg/dL before breakfast.
b. A client who has a heart rate of 110 beats per minute after an albuterol respiratory
treatment
c. A client with chronic kidney disease who has a creatinine level of 23
d. A client 2 days postoperative colon resection with an oral temperature of 103.6 degrees
Farenheit.
20. The most common mistake nurses make in regard to time management is:
a. Prioritizing poorly
b. Not using the nursing process
c. Failing to delegate
d. Not taking the time to plan
21. A RN working in the psychiatric unit receives a report on the following four clients. Which client
should the RN assess first?
a. A client who has paranoid schizophrenia and is pacing the halls
b. A client with severe agoraphobia who refuses to leave her room
c. A client who is socially withdrawn and refuses to eat
d. A client with stage 3 (severe) anxiety who is disoriented.
22. New IV pumps are being delivered to a medical-surgical floor. Which of the following training
options should the charge nurse use to best evaluate staff competency with the new
equipment?
a. Ask each nurse to read the procedure and sign an acknowledgement that they will follow the
procedure when using the new pump
b. Have the staff view a demonstration video of the new IV pump on the hospital website
c. Require each nurse to attend a required in-service that reviews all features of the new pump
d. Allow time during the workday for each nurse to demonstrate proficiency in using the new
pump
23. Which is the most important first step in the time management process?
a. Completing the highest priority task
b. Performing a personal time inventory
c. Setting aside enough time for sufficient daily planning
d. Delegating work that cannot be accomplished in a day
24. The triage RN at a busy urgent care center prioritizes clients for evaluation. The RN determines
that which of the following clients should be seen FIRST?
a. A women at 6 weeks’ gestation who complains of lower abdominal cramping and vaginal
bleeding
b. A toddler whose parents report nausea/mild vomiting for 1 hour and a fever of 101.4˚F
c. A patient diagnosed with renal disease who missed his dialysis appointment the day before
and who complains of swelling in his feet and ankles.
d. A preschool child who has a forehead laceration from a fall, no loss of consciousness, and
who is smiling and playing with his toys.
25. Which activity below is the most effective way of initially handling a very complex or
overwhelming task?
a. Plan ways to finish the task with minimal rest breaks
b. Delegate portions of the task to qualified staff
c. Break the task into smaller, less intimidating units
Leadership & Management in
Complex Healthcare
Objective Assessment Review
2025
1. The home health RN is planning for the day’s visits. Which client should be seen first?
a. The five-month-old discharged one week ago with pneumonia who is being treated with
amoxicillin liquid suspension.
b. The 50-year-old with multiple stage 3 & 4 pressure ulcers requiring dressing changes.
c. The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a
centrally placed venous catheter.
d. The 78-year-old who had a gastrectomy three weeks ago with a PEG tube.
2. Which statement accurately reflects leadership?
a. The position of a leader is always assigned.
b. Members of a group will follow a person in a leadership position only by choice.
c. A leader carries a legitimate source of power.
d. Being leader required meeting organizational goals.
3. A manager who use a rational-empirical change strategy understands which one of the following
to be relevant:
a. Peer pressure influences change
b. Reward-based incentives influence change
c. Information supports change
d. Punishment supports the acceptance of change.
4. You are the supervisor of a new RN graduate on your unit. What would be the most helpful
action for you to take to help the new RN adjust to the new role?
a. Tell the new RN to avoid confrontations with doctors whenever possible.
b. Advise the new RN that this is the real world, like it or not
c. Be alert to signs and symptoms of the shock phase of role transition.
d. Tell the new RN to let go of unrealistic nursing school values.
5. Which one of the following principles of effective time management is most important for a
charge nurse to remember about the use of a daily “to do” list?
a. It is a planning tool, and thus must have flexibility in its implementation
b. It should remain unchanged once initial planning is completed.
c. It should address short-term, intermediate, and long-term goals for the week.
, d. It should be highly structured, thus decreasing the possibility of procrastination.
6. What is the first step to developing an educational program for nursing staff?
a. Surveying the staff on what educational program they would like
b. Identifying the resources available to meet their needs.
c. Identifying the desired skills or knowledge the staff should have.
d. Assessing the staff’s willingness to learn new skills.
7. In relation to Kurt Lewin’s Change Theory, which statement is NOT true?
a. During unfreezing, the goal of a change agent is to make staff aware of a situation needing
change.
b. Refreezing often requires a change agent to stay involved over time to help stabilize and
support the change at the new level.
c. During the movement phase, it is important to keep the driving and restraining forces equal
to each other.
d. Changes should only be implemented for good reasons and include persons affected by the
change in the planning.
8. Which term best describes the stress a new graduate RN experiences during the socialization
process when transitioning from the student nurse role to the professional RN role?
a. Student burnout
b. Reality shock
c. Role redefinition
d. Role confusion
9. Good management in staffing nursing units in larger healthcare facilities usually includes all but
which one of the following practices:
a. Using a decentralized approach to ensure there is adequate staffing throughout the medical
center.
b. Ensuring that fair and uniform staffing and scheduling policies are in place.
c. Using an in-house registry/float pool to assist in covering sick calls, weekend shifts and
holidays.
d. Using traveling nurses wisely to fill longer term staff vacancies or leaves of absences.
10. According to the Stages of Change Model, which one of the following is NOT accurately
described?
a. Pre-contemplative: A patient asks his friends about local fitness centers.
b. Contemplative: A patient recognizes he needs more exercise.
c. Preparation: A patient researches and buys new exercise equipment
d. Action: A patient starts exercising 3 times/week with friends.
e. Maintenance: A patient gets up and goes to the gym, even though his friend cannot go with
him today.
11. After receiving a report from the night-shift RN, which of the following should the oncoming day-
shift RN assess first?
a. A 65-year-old man with a draining nasogastric tube who had a bowel resection the previous
day
b. A 55-year-old man with left-sided weakness who is asking for assistance to use a urinal.
c. A 48-year-old woman scheduled for a mastectomy who is complaining of chills.
d. A 32-year-old woman who is refusing magnesium hydroxide (Milk of Magnesia) prior to
breakfast.
12. A nurse educator is responsible for teaching staff members about the prevention of central line
associated bloodstream infection. To prevent infection, a central line dressing change procedure
, has been updated. The staff needs to be informed of the change in hospital procedure. Which
method of education would best enhance the staff’s retention of this information?
a. Vendor in-service program on new type of central line dressings available
b. In-service education training program on the new procedure
c. Brief educational “huddles” for staff conducted by each charge nurse at the change of shift.
d. An IV therapy refresher course for all staff RNs.
13. A RN working the evening shift has just finished receiving a report on the following clients.
Which client should the RN see first?
a. A 46-year-old male postoperative day 2 for an open cholecystectomy
b. A 52-year-old female who had a thyroidectomy and arrived on the unit 1 hour ago.
c. A 25-year-old female admitted 4 hours ago for nausea, vomiting, and nonspecific abdominal
pain.
d. A 60-year-old male with diagnosis of bleeding peptic ulcer disease (PUD) who completed a
blood transfusion 2 hours ago.
14. Which best describes mentorship?
a. The focus, intensity and duration of relationships are similar in mentorship and
preceptorship.
b. Staff are not usually assigned to be mentors. It is a role voluntarily chosen by the mentor.
c. Person being mentored must be willing to put aside their personal goals and beliefs in an
effort to identify more closely with their mentor.
d. Most nurses will have the opportunity for many mentor relationships during their careers.
15. The Hawthorne effect implies that:
a. People are inherently good and will seek out work.
b. Staff productivity will increase or decrease as the lighting in the work area is increased or
decreased.
c. Membership in small work groups becomes a form of social control.
d. Humans respond to the fact that they are being observed.
16. A nurse manager of a behavioral health unit is known for being very organized and focused when
managing unit tasks and daily patient care operations. He is comfortable in maintaining order,
adheres to the budget and maintains the status quo on the unit. By these behaviors, this leader
is demonstrating which one of the following leadership styles?
a. Interactional
b. Transformational
c. Transactional
d. authoritarian
17. What is critical thinking?
a. It requires reasoning and creative analysis
b. It is a simple approach to decision making
c. It is narrower in scope than decision making
d. It is synonym for the problem-solving process.
18. A RN preceptor is observing a newly hired registered nurse on the unit who is preparing to
administer a blood transfusion. Which of the following actions by the newly hired registered
nurse requires intervention by the RN preceptor?
a. Inserts a large-bore IV catheter into the client forearm.
b. Administer 0.9% sodium chloride IV.
c. Verifies blood compatibility and expiration date of the blood with an unlicensed assistive
personnel (UAP)
, d. Assesses for a history of blood transfusion reactions.
19. Which client should the RN team leader assess first after morning report?
a. A client with diabetes whose capillary blood glucose was 150 mg/dL before breakfast.
b. A client who has a heart rate of 110 beats per minute after an albuterol respiratory
treatment
c. A client with chronic kidney disease who has a creatinine level of 23
d. A client 2 days postoperative colon resection with an oral temperature of 103.6 degrees
Farenheit.
20. The most common mistake nurses make in regard to time management is:
a. Prioritizing poorly
b. Not using the nursing process
c. Failing to delegate
d. Not taking the time to plan
21. A RN working in the psychiatric unit receives a report on the following four clients. Which client
should the RN assess first?
a. A client who has paranoid schizophrenia and is pacing the halls
b. A client with severe agoraphobia who refuses to leave her room
c. A client who is socially withdrawn and refuses to eat
d. A client with stage 3 (severe) anxiety who is disoriented.
22. New IV pumps are being delivered to a medical-surgical floor. Which of the following training
options should the charge nurse use to best evaluate staff competency with the new
equipment?
a. Ask each nurse to read the procedure and sign an acknowledgement that they will follow the
procedure when using the new pump
b. Have the staff view a demonstration video of the new IV pump on the hospital website
c. Require each nurse to attend a required in-service that reviews all features of the new pump
d. Allow time during the workday for each nurse to demonstrate proficiency in using the new
pump
23. Which is the most important first step in the time management process?
a. Completing the highest priority task
b. Performing a personal time inventory
c. Setting aside enough time for sufficient daily planning
d. Delegating work that cannot be accomplished in a day
24. The triage RN at a busy urgent care center prioritizes clients for evaluation. The RN determines
that which of the following clients should be seen FIRST?
a. A women at 6 weeks’ gestation who complains of lower abdominal cramping and vaginal
bleeding
b. A toddler whose parents report nausea/mild vomiting for 1 hour and a fever of 101.4˚F
c. A patient diagnosed with renal disease who missed his dialysis appointment the day before
and who complains of swelling in his feet and ankles.
d. A preschool child who has a forehead laceration from a fall, no loss of consciousness, and
who is smiling and playing with his toys.
25. Which activity below is the most effective way of initially handling a very complex or
overwhelming task?
a. Plan ways to finish the task with minimal rest breaks
b. Delegate portions of the task to qualified staff
c. Break the task into smaller, less intimidating units
