1. Nurses can be leaders without being managers. Which nursing actions demonstrate
leadership?
a. Assisting a new nurse with enteral tube feedings
b. Counseling a new nurse regarding attendance
c. Adjusting assignments after a staff member calls in sick
d. Calling a physician for new order clarification
ANS: A
3. Much like a politician, a nurse manager must exhibit leadership that inspires and motivates. In
which instance is a nurse demonstrating leadership qualities?
a. A staff nurse becomes aware of increased infection rates following cardiac surgery.
The nurse takes it upon herself to research the possible causes and prevention
measures and to make suggestions to better protect patients.
b. A staff nurse acts quickly when a cardiac arrest is called on her patient.
c. A staff nurse notifies another staff member that she is being “pulled” today.
d. A new nurse volunteers to work when another staff member must leave work
because her child is ill.
ANS: A
10. Nurse managers can best be described as people who
a. develop institutional goals based on staff suggestions.
b. develop institutional goals based on a personal theory.
c. motivate staff to meet institutional goals through positional power.
d. inspire staff to meet institutional goals through personal power.
ANS: C
11. There are three levels of management in nursing. Which action by the nurse would indicate
the nurse is a first-line nurse manager?
a. Responding to a patient complaint
b. Deciding to incorporate walking rounds shift report hospitalwide
c. Reevaluating the nursing policy permitting IV push of certain medications by RNs
d. Designating assignment of new admissions
ANS: A
14. First-level managers are responsible for the day-to-day activities of the unit. Which activity
would the nurse expect to see only from a first-level manager?
a. Making daily staffing assignments
b. Managing the unit’s budget
c. Maintaining currency in profession
d. Making daily patient rounds
ANS: B
15. Middle-level managers are responsible for planning for changes of the unit. What activity
would the nurse expect to see only from a middle-level manager?
a. Maintaining currency in profession
b. Planning for changes within the service line in the organization
c. Being responsible for activities on the unit 24/7
d. Supervising patient care delivery
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ANS: B
3. An agency nurse is assigned to work on a unit that uses the team nursing model of health care
delivery. Which of the following would the nurse expect to experience in this environment?
a. UAP taking vital signs and giving baths
b. RN taking vital signs and giving baths
c. RN delegating patient care delivery to a group of patients
d. Charge nurse delegating care delivery
ANS: C
18. Nurse managers involved in the development of the action plan for a unit understand that
each
objective is individualized such that
a. each objective has an identified population.
b. each objective has an identified resource.
c. each objective has an identified goal.
d. each objective has been identified by the CEO.
ANS: C
5. Unit yearly budgets may change based on variances. What does the nurse manager understand
to be the cause of budget variances?
a. A change in patient census
b. An increase in staffing
c. Implementation of new responsibilities
d. New management
ANS: B
6. A positive budget variance can be identified by which situation?
a. A decrease in the budgeted expenditures
b. An increase in the budgeted expenditures
c. An increase in RN salaries
d. A decrease in patient ratios
ANS: A
10. Indirect costs in a nurse manager’s budget would include
a. benefits.
b. expected raises.
c. shift differential.
d. travel.
ANS: D
18. From which of the following would a nurse manager expect to receive revenue?
a. Failure of the nurse to correctly check in
b. Staff turnover
c. Unused sick time
d. Medicare
ANS: D
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1. The Joint Commission (TJC) is a voluntary accrediting agency that is nationally recognized
for its performance standards. A hospital accredited by the agency will most likely experience
which outcome?
a. Improved patient outcomes
b. Dedicated staff
c. Higher salaries
d. Loss of practicing physicians
ANS: A
8. During a convention at a large hotel, several attendees become very ill with respiratory
symptoms for which they are diagnosed with Legionnaires’ disease. Which
regulatory agency
is responsible for investigation of an outbreak of Legionnaires’ disease?
a. Occupational Safety and Health Administration (OSHA)
b. The Joint Commission (TJC)
c. Centers for Disease Control and Prevention (CDC)
d. National League of Nursing Accrediting Committee (NLNAC)
ANS: C
10. The Centers for Disease Control and Prevention (CDC) is a department headed by the
Secretary of the U.S. Department of Health and Human Services (HHS). Which of the
following situations would be expected to be investigated by this department?
a. Inaccessibility of the influenza shot
b. Toxic spill near a school
c. Outbreak of Salmonella
d. Rubella exposure of a pregnant woman
ANS: C
12. The Food and Drug Administration (FDA) is a department headed by the Secretary of the
U.S.
Department of Health and Human Services (HHS). Which function would be expected of this
department?
a. Regulation of herbal drugs
b. Control of the price of medications
c. Regulation of the safety and efficacy of medications
d. Licensing of nurses
ANS: C
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