RN 500 Exam 2 Questions With Complete Solutions
"I really wish that my supervisor would realize and acknowledge
all the things I do well..." In nursing, this has been identified as a
problem. Which statement is part of the solution? Focus on:
a. New staff.
b. Care assignments with which the individual is not familiar.
c. Making corrections.
d. The strengths of the individual rather than the weaknesses.
Correct Answer D
1. The most important approach that a nurse manager can take
with an emotionally troubled employee is to:
a. Act as a therapist for the employee.
b. Adjust the standard of care to assist the employee.
c. Assist the employee in obtaining professional help.
d. Adjust the employee's work schedule to decrease stress.
Correct Answer ANS: C
1. The risk manager informs the nurse manager of an orthopedic
unit that her unit has had an increase in incident reports about
patients falling during the 11-7 shift. The nurse manager knows
that the best way to resolve the problem is to:
a. Use creativity.
b. Obtain support from the 7-3 shift.
c. Use institutional research.
d. Identify the problem. Correct Answer ANS: D
10. A nurse manager must be familiar with the agency's policies
regarding termination. Termination procedures include which of
the following?
,a. Following specific procedures from other organizations
b. Having an attorney present at the termination meeting
c. Having adequate written documentation to support the action
d. Having a friend present during the termination meeting
Correct Answer ANS: C
10. An outpatient surgery manager is evaluating infusion pumps
for the operating room. The manager should:
a. Select the least expensive brand.
b. Use a decision-making tool to evaluate brands.
c. Ask the nursing staff which brand they prefer.
d. Select the vendor the institution usually buys from. Correct
Answer ANS: B
11. Nathan has been on the cardiac unit for 6 months and has
found it difficult to adjust to the expectations of his team. Which
of the following behaviors would most likely signal that Nathan
is intending to resign from his position on the unit?
a. Increased absenteeism over the past month
b. Increased attempts to discuss his concerns with his colleagues
c. Testing of workplace guidelines
d. Frequent defensiveness Correct Answer ANS: A
11. Select the statement that best defines the difference between
problem solving and decision making:
a. Decision-making skills require critical thinking; problem-
solving skills do not.
b. Problem-solving skills require critical thinking; decision-
making skills do not.
c. Decision making is a goal-directed effort; problem solving is
focused on solving an immediate problem.
,d. Problem solving is a goal-directed effort; decision making is
focused on solving an immediate problem. Correct Answer
ANS: C
12. All of the following are grounds for immediate dismissal
except:
a. Failing to pursue further medical help for a patient; patient
dies.
b. Selling narcotics obtained from the unit supply of narcotics.
c. Restraining a patient in bed for 7 hours, unsupervised, as
punishment for hitting a staff member.
d. Grabbing the unit manager and threatening further physical
harm after a poor performance appraisal. Correct Answer
ANS: A
12. Sue, a nurse manager, has a staff nurse that has been absent a
great deal for the past three months. A whistleblower gives some
information to Sue indicating that the staff nurse will be
resigning and returning to school. Because of this, Sue decides
to do which of the following?
a. Immediately fire the staff nurse.
b. Speak to the whistleblower and elicit more information.
c. Speak to the staff nurse and ask her to resign.
d. Do nothing. Correct Answer ANS: D
13. The maintenance department wishes to have the nursing
lounge renovated, so the lounge will be more "user-friendly."
The department asks the nursing staff to make a wish list of
everything that they would like to see in the new lounge. This
process is an example of which part of the decision-making
process?
, a. Assessment/Data collection
b. Planning
c. Data interpretation
d. Generating hypotheses Correct Answer ANS: A
13. The unit manager on 4E is concerned about the performance
of Jean, a staff nurse. She is not involved directly with Jean, so
she has not been able to determine whether the problem is one of
motivation, ability, or both. If Jean lacks ability, which of the
following strategies might the head nurse use?
a. Dismiss or transfer Jean.
b. Document all problem areas and then discuss with Jean.
c. Develop appropriate solutions and make recommendations to
Human Resources.
d. Smooth over the problems if they are minor in nature.
Correct Answer ANS: B
14. A good nursing decision maker is one who:
a. Uses various models to guide the process based on the
circumstances of the situation.
b. Adopts one model and uses it to guide all decision making.
c. Decides not to use any models because they are all useless.
d. Develops a new model each time a decision has to be made.
Correct Answer ANS: A
14. Nurses generally experience difficulty in identifying
behaviors and actions that could signal chemical dependency in
a co-worker. Which of the following is not a behavioral change
that occurs with chemical dependency?
a. Personality and behavioral changes
b. Job performance changes
"I really wish that my supervisor would realize and acknowledge
all the things I do well..." In nursing, this has been identified as a
problem. Which statement is part of the solution? Focus on:
a. New staff.
b. Care assignments with which the individual is not familiar.
c. Making corrections.
d. The strengths of the individual rather than the weaknesses.
Correct Answer D
1. The most important approach that a nurse manager can take
with an emotionally troubled employee is to:
a. Act as a therapist for the employee.
b. Adjust the standard of care to assist the employee.
c. Assist the employee in obtaining professional help.
d. Adjust the employee's work schedule to decrease stress.
Correct Answer ANS: C
1. The risk manager informs the nurse manager of an orthopedic
unit that her unit has had an increase in incident reports about
patients falling during the 11-7 shift. The nurse manager knows
that the best way to resolve the problem is to:
a. Use creativity.
b. Obtain support from the 7-3 shift.
c. Use institutional research.
d. Identify the problem. Correct Answer ANS: D
10. A nurse manager must be familiar with the agency's policies
regarding termination. Termination procedures include which of
the following?
,a. Following specific procedures from other organizations
b. Having an attorney present at the termination meeting
c. Having adequate written documentation to support the action
d. Having a friend present during the termination meeting
Correct Answer ANS: C
10. An outpatient surgery manager is evaluating infusion pumps
for the operating room. The manager should:
a. Select the least expensive brand.
b. Use a decision-making tool to evaluate brands.
c. Ask the nursing staff which brand they prefer.
d. Select the vendor the institution usually buys from. Correct
Answer ANS: B
11. Nathan has been on the cardiac unit for 6 months and has
found it difficult to adjust to the expectations of his team. Which
of the following behaviors would most likely signal that Nathan
is intending to resign from his position on the unit?
a. Increased absenteeism over the past month
b. Increased attempts to discuss his concerns with his colleagues
c. Testing of workplace guidelines
d. Frequent defensiveness Correct Answer ANS: A
11. Select the statement that best defines the difference between
problem solving and decision making:
a. Decision-making skills require critical thinking; problem-
solving skills do not.
b. Problem-solving skills require critical thinking; decision-
making skills do not.
c. Decision making is a goal-directed effort; problem solving is
focused on solving an immediate problem.
,d. Problem solving is a goal-directed effort; decision making is
focused on solving an immediate problem. Correct Answer
ANS: C
12. All of the following are grounds for immediate dismissal
except:
a. Failing to pursue further medical help for a patient; patient
dies.
b. Selling narcotics obtained from the unit supply of narcotics.
c. Restraining a patient in bed for 7 hours, unsupervised, as
punishment for hitting a staff member.
d. Grabbing the unit manager and threatening further physical
harm after a poor performance appraisal. Correct Answer
ANS: A
12. Sue, a nurse manager, has a staff nurse that has been absent a
great deal for the past three months. A whistleblower gives some
information to Sue indicating that the staff nurse will be
resigning and returning to school. Because of this, Sue decides
to do which of the following?
a. Immediately fire the staff nurse.
b. Speak to the whistleblower and elicit more information.
c. Speak to the staff nurse and ask her to resign.
d. Do nothing. Correct Answer ANS: D
13. The maintenance department wishes to have the nursing
lounge renovated, so the lounge will be more "user-friendly."
The department asks the nursing staff to make a wish list of
everything that they would like to see in the new lounge. This
process is an example of which part of the decision-making
process?
, a. Assessment/Data collection
b. Planning
c. Data interpretation
d. Generating hypotheses Correct Answer ANS: A
13. The unit manager on 4E is concerned about the performance
of Jean, a staff nurse. She is not involved directly with Jean, so
she has not been able to determine whether the problem is one of
motivation, ability, or both. If Jean lacks ability, which of the
following strategies might the head nurse use?
a. Dismiss or transfer Jean.
b. Document all problem areas and then discuss with Jean.
c. Develop appropriate solutions and make recommendations to
Human Resources.
d. Smooth over the problems if they are minor in nature.
Correct Answer ANS: B
14. A good nursing decision maker is one who:
a. Uses various models to guide the process based on the
circumstances of the situation.
b. Adopts one model and uses it to guide all decision making.
c. Decides not to use any models because they are all useless.
d. Develops a new model each time a decision has to be made.
Correct Answer ANS: A
14. Nurses generally experience difficulty in identifying
behaviors and actions that could signal chemical dependency in
a co-worker. Which of the following is not a behavioral change
that occurs with chemical dependency?
a. Personality and behavioral changes
b. Job performance changes
