NSG 441 FINAL QUESTIONS & ANSWERS
A nurse manager has a meeting with charge nurses to discuss how staff assignments
are made. Which statement by the charge nurse indicates an understanding of the
factors affecting staffing decisions? - answer -"we need to take into account the patient
acuity including the number of scheduled procedures along with the number of patients
for each nurse"
This organization sets quality and safety standards for patient care for hospitals and
healthcare facilities as well as contracts with health departments at the state level to
improve effectiveness of care - answer -cms (centers for medicare and medicaid
services)
The nurse manager focused on building an effective and productive team would
recognize the need for key components of: - answer -mutual trust, a strong team
identity, and a sense of team efficacy
The nurse manager asks for feedback from the staff on a potential policy change. Which
statement by staff indicates an effective follower? - answer -"i understand the need for
the change but i am concerned about how this will affect patient care"
What action does the nurse leader take to promote a culture of safety among their staff -
answer -remind staff that safety is part of everyone's responsibility
What action by the nurse manager may cause them legal concerns? - answer -allowing
one of their rns to work with an expired license
Which factors would a nurse manager consider when developing a staffing plan for their
unit - answer -a. Fte (full time equivalents) required for hours of operation
C. Ndnqi nurse sensitive data for the unit
F. Adc (average daily census) of the unit
A nurse leader responsible for quality improvement would begin the process by: -
answer -determining what care activities are not meeting established benchmarks
Which situation would the nurse leader recognize as a potential for malpractice -
answer -insulin administered instead of glucagon which led to the patient needing life
support
Which technology would the nurse recognize as an example of biomedical technology -
answer -the spo2 monitor with a reading of 98%
What federal organization may respond in a community disaster situation - answer -
federal emergency management agency (fema)
, What action related to budget is the responsibility of the nurse manager - answer -
examine variance between projected and actual budget
Which technology would the nurse teach the client to use to review their laboratory
results - answer -patient portal
What situation describes the most effective way to implement a performance appraisal -
answer -the manager requests a time to meet with the nurse at a time convenient for
both
A nurse in a busy inpatient oncology unit looks for a new job with a fixed staffing model
for more predictable hours. What setting might best fit their needs - answer -outpatient
infusion room
The nurse manager observes a bedside nurse who is sluggish with slurred speech.
What action by the nurse manager is the priority - answer -take the nurse aside,
express their concerns, and arrange for testing right away
The nurse manager reviewing the past quarter's unit outcomes would be most
concerned by which change? - answer -increase in number of patient falls
A nurse manager is discussing their unit budget with staff at their monthly staff meeting.
Which statement by staff would indicate understanding of the variable costs associated
with the unit operating budget? - answer -"if we pay attention to the supplies we are
using and not take unnecessary extras into the patient room, we can reduce our costs"
The nurse manager believes a new nurse orientee is not able to program pumps
independently and that the other nurses are covering for them. What tool does the
nurse educator suggest they use to assess the orientee's skill set? - answer -skills
checklist
The nurse at bedside acts as a manager of care through which action? - answer -
developing delegation skills
What action by the nurse manager best demonstrates understanding of meaningful
recognition - answer -they ask their staff what ways they would like to be recognized
What is the primary outcome of implementing the aacn's healthy work environment
standards on a nursing unit - answer -improved patient safety and outcomes
Which leadership actions promote cultural sensitivity hopefully leading to more robust
inclusion - answer -fostering a safe working environment and asking open-ended
questions of staff
Which staff request would the manager consider for the capital budget - answer -"could
the unit get a new patient lift?"
A nurse manager has a meeting with charge nurses to discuss how staff assignments
are made. Which statement by the charge nurse indicates an understanding of the
factors affecting staffing decisions? - answer -"we need to take into account the patient
acuity including the number of scheduled procedures along with the number of patients
for each nurse"
This organization sets quality and safety standards for patient care for hospitals and
healthcare facilities as well as contracts with health departments at the state level to
improve effectiveness of care - answer -cms (centers for medicare and medicaid
services)
The nurse manager focused on building an effective and productive team would
recognize the need for key components of: - answer -mutual trust, a strong team
identity, and a sense of team efficacy
The nurse manager asks for feedback from the staff on a potential policy change. Which
statement by staff indicates an effective follower? - answer -"i understand the need for
the change but i am concerned about how this will affect patient care"
What action does the nurse leader take to promote a culture of safety among their staff -
answer -remind staff that safety is part of everyone's responsibility
What action by the nurse manager may cause them legal concerns? - answer -allowing
one of their rns to work with an expired license
Which factors would a nurse manager consider when developing a staffing plan for their
unit - answer -a. Fte (full time equivalents) required for hours of operation
C. Ndnqi nurse sensitive data for the unit
F. Adc (average daily census) of the unit
A nurse leader responsible for quality improvement would begin the process by: -
answer -determining what care activities are not meeting established benchmarks
Which situation would the nurse leader recognize as a potential for malpractice -
answer -insulin administered instead of glucagon which led to the patient needing life
support
Which technology would the nurse recognize as an example of biomedical technology -
answer -the spo2 monitor with a reading of 98%
What federal organization may respond in a community disaster situation - answer -
federal emergency management agency (fema)
, What action related to budget is the responsibility of the nurse manager - answer -
examine variance between projected and actual budget
Which technology would the nurse teach the client to use to review their laboratory
results - answer -patient portal
What situation describes the most effective way to implement a performance appraisal -
answer -the manager requests a time to meet with the nurse at a time convenient for
both
A nurse in a busy inpatient oncology unit looks for a new job with a fixed staffing model
for more predictable hours. What setting might best fit their needs - answer -outpatient
infusion room
The nurse manager observes a bedside nurse who is sluggish with slurred speech.
What action by the nurse manager is the priority - answer -take the nurse aside,
express their concerns, and arrange for testing right away
The nurse manager reviewing the past quarter's unit outcomes would be most
concerned by which change? - answer -increase in number of patient falls
A nurse manager is discussing their unit budget with staff at their monthly staff meeting.
Which statement by staff would indicate understanding of the variable costs associated
with the unit operating budget? - answer -"if we pay attention to the supplies we are
using and not take unnecessary extras into the patient room, we can reduce our costs"
The nurse manager believes a new nurse orientee is not able to program pumps
independently and that the other nurses are covering for them. What tool does the
nurse educator suggest they use to assess the orientee's skill set? - answer -skills
checklist
The nurse at bedside acts as a manager of care through which action? - answer -
developing delegation skills
What action by the nurse manager best demonstrates understanding of meaningful
recognition - answer -they ask their staff what ways they would like to be recognized
What is the primary outcome of implementing the aacn's healthy work environment
standards on a nursing unit - answer -improved patient safety and outcomes
Which leadership actions promote cultural sensitivity hopefully leading to more robust
inclusion - answer -fostering a safe working environment and asking open-ended
questions of staff
Which staff request would the manager consider for the capital budget - answer -"could
the unit get a new patient lift?"
