1. Which council advances the practice of nursing and fosters the nursing role in patient
education through staff and development and evidence-based research initiatives?
a. Nursing Staff Development, Education and Research Council
b. Nurse executive council
c. Advanced practice nurse council
d. Nursing informatics and communication council
ANS: A
2. In a health care organization, ownership is
a. a willingness to invest in decision-making and express ownership in those
decisions.
b. the best method for integrating staff roles and relationships into structures and
processes to achieve positive patient outcomes.
c. recognition and acceptance of the importance of everyone’s work and of the fact
that an organization’s success is bound to individual performance.
d. linking health care providers and patients along all points in the system.
ANS: C
3. Equity maintains a focus on which of the following?
a. Services, executive management and staff
b. Services, patients, and staff
c. Staff, the management team and services
d. Staff, patients and resources
ANS: B
4. Which of the following are Centralized or self-governance interactions?
1. Position-based
2. Hierarchical communication
3. Synergistic work environment.
4. Separates responsibility/managers are accountable
5. We-they work environment
6. Direct communication
a. 1, 2, 3, 5
b. 2, 3, 5, 6
c. 1, 2, 4, 5
d. 1, 3, 5, 6
5. Which of the following are Decentralized or Shared governance interactions?
1. Hierarchical communication
2. Occurs at point of care/service
3. Direct communication
4. High staff input
5. Synergistic work environment
6. Collegiality, collaboration, partnership
a. 1, 2, 4, 5, 6
b. 1, 3, 4, 5, 6
c. 2, 3, 4, 5, 6
d. 1, 2, 3, 5, 6
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ANS: C
6. How can nurses communicate their positions to help influence policy?
1. Ongoing representation on policy-making committees.
2. Committees or boards.
3. Lobbying.
4. Making new laws at the state level.
5. Meeting with people in positions of influence
a. 1, 2, 4
b. 1, 2, 5
c. 1, 2, 3, 5
d. 1, 2, 4, 5
ANS: C
7. The four major areas of political action in nursing are
a. the workplace, the government, professional organizations and the community.
b. the workplace, the educational institutions, professional organizations and the
community.
c. the government, professional organizations and the state regulators, community
boards.
d. the government, the community and nursing boards, education board.
ANS: A
8. Which nursing professional organization represents the interests of nurses regarding many
issues, tracks nursing and health care related bills across all states and examines priority issues
and trends?
a. ANCC
b. Sigma Theta Tau International
c. ANA
d. CCNE
ANS: C
9. Which of the following is a policy that pertains to the governing of workplaces?
a. Social
b. Health
c. Organizational
d. Institutional
ANS: D
10. Which of the following is a policy that pertains to the decisions that promote the welfare of
the public?
a. Social
b. Health
c. Organizational
d. Public
ANS: A
11. A float nurse is assigned four patients on the day shift. Which of the following reports by the
float nurse would require immediate intervention by the charge nurse?
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a. “Dr. Smith, your patient, Mr. Jones is complaining of a headache.”
b. “Dr. Smith, this is nurse Sandy from xyz and your patient, Mr. Jones in 222,
admitted with hypertension, is complaining of a headache.”
c. “Dr. Smith, this is nurse Sandy from xyz and your patient, Mr. Jones in 222,
admitted with hypertension, is complaining of a headache but has just been started
on isosorbide (Isordil). What can I give him to relieve his headache?”
d. “Dr. Smith, this is nurse Sandy from xyz and your patient, Mr. Jones in 222, is
complaining of a headache but has just been started on isosorbide (Isordil). What
can I give him to relieve his headache?”
ANS: A
12. To avoid transcription errors, the current trend in hospitals is to use the Computerized
Physician Order Entry (CPOE). Further instructions should be given to the nurses when which
statement is made?
a. “I don’t need to review the new orders for accuracy.”
b. “The orders will go directly to the appropriate departments.”
c. “The risk for transcription errors is less.”
d. “I am still responsible for communicating the changes to the appropriate
care
givers.”
ANS: A
13. The end of shift report is vital for the coordination of patient care. Which of these statements
would require an intervention if overheard by the charge nurse during report?
a. “Mr. Smith is quite afraid of the outcome of his procedure today. I had to give him
an anti-anxiety medication.”
b. “Mr. Smith is quite afraid of the outcome of his procedure today. I called his
wife
to come in early.”
c. “Mr. Smith is quite afraid of the outcome of his procedure today. I called the
chaplain to see him and his wife today.”
d. “Mr. Smith is quite afraid of the outcome of his procedure today. I was in
the room
most of the day.”
ANS: D
14. Which of the following is an essential part of the shift report?
a. Patient’s ECG rhythm
b. Patient’s marital status
c. Patient’s occupation
d. Patient’s insurance status
ANS: A
15. Patients are complaining that they are not receiving pain medications on the night shift. The
night nurse has charted that they were given. What is the most appropriate action by the
charge nurse?
a. Notify the nurse manager.
b. Confront the nurse about the problem.
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c. Ask other nurses what they think.
d. Report the suspicion to the State Board of Nursing.
ANS: A
16. A nurse takes a telephone order from a physician. Which procedure is best for the nurse to
use
to avoid errors?
a. Ask another nurse to listen to the conversation on another telephone.
b. Repeat the order, write the order verbatim, and read the order back to the
physician.
c. Ask the physician to come to the unit to write the order.
d. Hold implementation of the order until the order is written by the physician.
ANS: B
17. Which of the following patients should be seen by the nurse first based on the information
provided during the shift report?
a. A patient admitted with hypertension complaining of back pain.
b. A patient admitted with mental status changes.
c. A patient complaining of incisional pain postoperatively.
d. A patient asking for assistance in getting back to bed.
ANS: A
18. Which patient should the charge nurse direct the RN to see immediately after the shift report?
a. Patient with a blood sugar of 240 mg/dL
b. Patient complaining of burning on urination
c. Patient in a Posey vest who is trying to get out of bed
d. Patient with a temperature of 38°C who is scheduled for surgery later that day
ANS: D
19. A UAP becomes sick at work and asks to leave. Which response by the charge nurse is most
appropriate?
a. “You can’t leave until all the baths are completed.”
b. “Write down what needs to be completed.”
c. “Tell me what responsibilities still need to be completed.”
d. “Be sure to call by 5 AM if you are still sick tomorrow.”
ANS: C
20. The nurse is admitting a patient who speaks very little English. What is the most appropriate
method to use to ensure the patient understands the instructions?
a. Obtain a hospital interpreter.
b. Ask a family member to interpret.
c. Ask other staff for help.
d. Incorporate sign language.
ANS: A
21. A patient is inappropriate when speaking to a UAP. What is the most appropriate action by
the
nurse?
a. Change the assignment.
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b. Ask the UAP what they did to precipitate this.
c. Explain to the patient how what they say is being interpreted.
d. Complain to the physician.
ANS: C
22. Family members who have access to hospitals may present risks to the staff when which of
the following is most likely present?
a. Family members are not doing well.
b. Family members are in the intensive care unit.
c. Family members are under the influence of drugs or alcohol.
d. Family members are unable to visit regularly.
ANS: C
23. When analyzing the sources for conflict, the nurse manager may identify which of the
following as one of the most likely sources?
a. Different attitudes
b. Different facts or perception of the event
c. Different incomes
d. Different ages
ANS: B
24. Employees who are dependent on drugs or alcohol will exhibit signs that should not be
ignored by the nurse manager and colleagues. Which of the following signs would alert the
nurse manager that the employee may have a dependency problem?
a. Changes in behavior or appearance
b. Requesting time off to be with a family member
c. Scheduled overtime
d. Dieting
ANS: A
25. A nurse is confronted by a visitor and is threatened to be hurt when she gets to her car. What
action is best for the nurse to take to protect herself?
a. Call security and notify them of the threat.
b. Ask security to escort you to your car.
c. Explain to the visitor that you carry a gun.
d. Assume that this was a joke.
ANS: A
26. The professional practice model of an organization illustrates the alignment and integration
of
nursing practice with which of the following:
a. The mission, vision, and values of the organization and the nursing department
b. The mission and vision of the nursing department
c. The mission, vision, and values of the organization
d. The state nursing code of ethics
ANS: A
27. The care delivery system is integrated into the professional practice model. What does the
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care delivery model describe?
a. The manner in which care is delivered, the context of care, and the expected
outcomes of care
b. The context of nursing care
c. The expected outcomes of care
d. Care delivery and outcomes
ANS: A
28. Which population does a Traditional Care Model (TCM) specifically target?
a. Pediatric
b. Elderly/geriatric
c. Maternal child
d. Young adult
ANS: B
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