Leading and Managing in
Nursing exam 1 QUESTIONS
AND VERIFIED CORRECT
ANSWERS 100%
GUARANTEED PASS
You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes visits also to check if she is
receiving positive effects from medication. for 3 weeks that Mrs. N. is using the inhaler and that
there is enough medication left. day of her last visit to Mrs. N. is admitted to hospital in severe
respiratory distress. When admitted, reports not been using inhaler for 4 weeks. - CORRECT
ANSWER-Failure to follow through.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most appropriate action of
the care coordinator would have been to: - CORRECT ANSWER-Ask Evelyn if she has worked
with inhalers before and to describe what she knows about them.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
,left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Determination of Evelyn's educational preparation and certification is
related to the concept of: - CORRECT ANSWER-Authority.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah's activity in the example described is
termed: - CORRECT ANSWER-Active delegation.
Functions such as "delegates tasks to assistive personnel" that are outlined in a position
description for an RN Team Leader would be considered: - CORRECT ANSWER-Passive
delegation.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague
with details regarding the patients to whom Colleen has been assigned on the day shift. This is
an example of: - CORRECT ANSWER-Assignment.
Leslie, a UNP, transfers a patient while using improper technique. The patient is injured, and as a
result, a suit is launched in which both Sarah (the delegator) and Leslie (the delegatee) are
named. Sarah is named in the suit because she: - CORRECT ANSWER-Retains accountability for
the outcomes of care for the patient.
Ali, an RN on your unit, is consistently late to work and makes remarks such as "Do you really
want me to do that?" when patients and care are assigned to her. You have spoken with her
frequently about her: - CORRECT ANSWER-Attitude.
,An example of a care activity that would likely not be delegated by an RN to a UNP is (select all
that apply): - CORRECT ANSWER-1.Teaching self-catheterization to a patient with paraplegia
who has limited English.
2.Basic care for a patient with a head injury who is rapidly deteriorating.
3.Assessment of patients being admitted through the Emergency Department.
1. The number of adverse events such as falls and pressure ulcers on your unit is increasing. An
ideal staffing plan to address this issue would include which of the following? Increasing the: -
CORRECT ANSWER-d.
Number of RNs and number of RNs with experience on the unit.
ANS: D
A number of studies have identified that adverse events such as falls and pressure ulcers can be
reduced by increasing the number of RNs on a unit (relative to other personnel) and utilizing
experienced RNs. Overtime and 12-hour shifts are linked to greater incidence of errors.
2. A small rural hospital has been designated as a critical access hospital. It has 40 beds and an
average occupancy of 34 beds. To prepare the staffing, the chief nursing officer computes the
occupancy as being: - CORRECT ANSWER-b.
85%.
ANS: B
A way to assess a unit's activity level is to calculate the percentage of occupancy. Formula: daily
patient census (rounded) divided by the number of beds in the unit
The occupancy level is calculated as 34/40, or 85%.
, 3. To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive time.
When calculating paid nonproductive time, the nurse manager considers: - CORRECT ANSWER-
c.
Vacation time, holiday time, and sick time.
ANS: C
Nonproductive hours are hours of benefit time and include vacation, holiday, and personal or
sick time.
4. An important aspect of managing the costs on a unit is to plan accurately for staffing needs.
Nurse managers use staffing plans to: - CORRECT ANSWER-c.
Outline the number of individuals by classification on a per-shift basis.
ANS: C
A nurse manager needs to manage financial resources by developing staffing plans. Staffing
plans plan for minimum number of professional nurses required on a unit at a given time or to
the amount of minimum staffing in an extended-care facility or prison, based on regulatory
guidelines.
5. A nurse manager must consider a number of external variables when preparing the personnel
budget and projecting the unit's staffing needs. An external variable to be considered is: -
CORRECT ANSWER-d.
Department of Health licensing standards.
Nursing exam 1 QUESTIONS
AND VERIFIED CORRECT
ANSWERS 100%
GUARANTEED PASS
You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes visits also to check if she is
receiving positive effects from medication. for 3 weeks that Mrs. N. is using the inhaler and that
there is enough medication left. day of her last visit to Mrs. N. is admitted to hospital in severe
respiratory distress. When admitted, reports not been using inhaler for 4 weeks. - CORRECT
ANSWER-Failure to follow through.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most appropriate action of
the care coordinator would have been to: - CORRECT ANSWER-Ask Evelyn if she has worked
with inhalers before and to describe what she knows about them.
You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler when Evelyn makes visits to
Mrs. N. and also to check whether Mrs. N. is receiving any positive effect from the medication.
Evelyn reports for 3 weeks that Mrs. N. is using the inhaler and that there is enough medication
,left in the device. The day of her last visit to Mrs. N., Mrs. N. is admitted to the hospital in severe
respiratory distress. When she is admitted, she tells the physician that she has not been using
the inhaler for 4 weeks. Determination of Evelyn's educational preparation and certification is
related to the concept of: - CORRECT ANSWER-Authority.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah's activity in the example described is
termed: - CORRECT ANSWER-Active delegation.
Functions such as "delegates tasks to assistive personnel" that are outlined in a position
description for an RN Team Leader would be considered: - CORRECT ANSWER-Passive
delegation.
County Hospital has position descriptions for all staff, including RN Team Leaders. Sarah, a team
leader on the rehab unit, assesses the needs of the patients in her area, assesses the skills and
backgrounds of each of the individuals on her team, and then assigns and delegates the
appropriate care provider to each patient and task. Sarah provides Colleen, her RN colleague
with details regarding the patients to whom Colleen has been assigned on the day shift. This is
an example of: - CORRECT ANSWER-Assignment.
Leslie, a UNP, transfers a patient while using improper technique. The patient is injured, and as a
result, a suit is launched in which both Sarah (the delegator) and Leslie (the delegatee) are
named. Sarah is named in the suit because she: - CORRECT ANSWER-Retains accountability for
the outcomes of care for the patient.
Ali, an RN on your unit, is consistently late to work and makes remarks such as "Do you really
want me to do that?" when patients and care are assigned to her. You have spoken with her
frequently about her: - CORRECT ANSWER-Attitude.
,An example of a care activity that would likely not be delegated by an RN to a UNP is (select all
that apply): - CORRECT ANSWER-1.Teaching self-catheterization to a patient with paraplegia
who has limited English.
2.Basic care for a patient with a head injury who is rapidly deteriorating.
3.Assessment of patients being admitted through the Emergency Department.
1. The number of adverse events such as falls and pressure ulcers on your unit is increasing. An
ideal staffing plan to address this issue would include which of the following? Increasing the: -
CORRECT ANSWER-d.
Number of RNs and number of RNs with experience on the unit.
ANS: D
A number of studies have identified that adverse events such as falls and pressure ulcers can be
reduced by increasing the number of RNs on a unit (relative to other personnel) and utilizing
experienced RNs. Overtime and 12-hour shifts are linked to greater incidence of errors.
2. A small rural hospital has been designated as a critical access hospital. It has 40 beds and an
average occupancy of 34 beds. To prepare the staffing, the chief nursing officer computes the
occupancy as being: - CORRECT ANSWER-b.
85%.
ANS: B
A way to assess a unit's activity level is to calculate the percentage of occupancy. Formula: daily
patient census (rounded) divided by the number of beds in the unit
The occupancy level is calculated as 34/40, or 85%.
, 3. To prepare staffing schedules, a nurse manager needs to calculate paid nonproductive time.
When calculating paid nonproductive time, the nurse manager considers: - CORRECT ANSWER-
c.
Vacation time, holiday time, and sick time.
ANS: C
Nonproductive hours are hours of benefit time and include vacation, holiday, and personal or
sick time.
4. An important aspect of managing the costs on a unit is to plan accurately for staffing needs.
Nurse managers use staffing plans to: - CORRECT ANSWER-c.
Outline the number of individuals by classification on a per-shift basis.
ANS: C
A nurse manager needs to manage financial resources by developing staffing plans. Staffing
plans plan for minimum number of professional nurses required on a unit at a given time or to
the amount of minimum staffing in an extended-care facility or prison, based on regulatory
guidelines.
5. A nurse manager must consider a number of external variables when preparing the personnel
budget and projecting the unit's staffing needs. An external variable to be considered is: -
CORRECT ANSWER-d.
Department of Health licensing standards.
