NR 446 EXAM PREP 2026 STUDY SHEET
SOLVED QUESTIONS AND SOLUTIONS
◉ The nurse manager is responsible for evaluating all employees
who work on the unit. The hospital has a process where all
employees are evaluated in the same month to take care of all
evaluations at one time. The manager must complete all the
evaluations in December. The nurse manager has been busy and has
not had the opportunity to keep monthly records of employee
performance. It is now December and the manager is evaluating all
employees in one day to catch up. During the observation day, the
manager makes many notations but realizes that not everyone was
observed. Because of the time constraints, the manager decides to
evaluate the employees not observed based on memories of events.
What cues from the nurse manager's behavior may lead to
performance appraisal errors? Select all that apply. Answer: Using
memory to evaluate employees the manager could not observe
Evaluating all employees in one day
Not keeping monthly records of employee performance
Being busy with other tasks
,◉ By evaluating staff in this way, what evaluator error might the
manager be making in the evaluation method? Answer: Recent
behavior bias
◉ The manager is reviewing the employee observations with
leadership at a nursing leadership meeting. All employees were
observed doing positive work and overall had a high appraisal
rating. A member of the leadership committee is concerned that the
manager has created errors by using a halo effect.
Click to indicate the actions that would support the hypothesis of a
halo effect evaluation error. Answer: *Halo Effect:*
Evaluating employees in a single setting
Positive action seen as high overall employee performance
*Not a Halo Effect:*
Negative action seen as poor overall employee performance
Year-long evaluation of employees
◉ The manager is given an extension of three additional months to
complete employee observations. Which is the best solution to
ensure the manager is not creating unfair or faulty performance
appraisals? Answer: Creating a schedule of rotating staff
observations for the next 3 months
,◉ The manager takes action by rotating staff observations on a
schedule for the next 3 months. The manager also wants to ensure
that they are not the only source for observation and input. Which
actions can the manager take to ensure input from others? Select all
that apply. Answer: Feedback from subordinate staff
360-degree evaluation
Peer review
Management by objectives
◉ Which outcomes would indicate that the manager was successful
in reducing evaluator errors for employee evaluations? Select all that
apply. Answer: Decrease in recent behavior bias
Decrease in prominent memory observations
Increase in observations
◉ The manager receives feedback that an employee feels their last
yearly performance evaluation was biased. Which response is most
appropriate? Answer: "I am working on developing awareness of my
own biases."
◉ Which comment by the nurse manager to the nurse is most
appropriate during a performance appraisal? Answer: "This
performance appraisal will be used to facilitate two-way
communication and I want your input."
, ◉ Which actions are the legal responsibility of a nurse leader? Select
all that apply. Answer: Create an environment of diversity and
inclusion
Practice within the scope of state nurse practice act
Reduce risk of organizational liability
Promote client safety
◉ During walking rounds with the charge nurse, a nurse manager
notices a staff nurse preparing medications for two clients at the
same time. Which ethical principles should guide the nurse
manager's next actions? Select all that apply. Answer: Fidelity
Nonmaleficence
Confidentiality
◉ For each example, indicate if the situation represents a nurse
advocating for clients or the nursing profession. Answer: *Client:*
Empowers others by increasing knowledge of self-practice
Volunteering at a clinic in an underserved area
Securing informed consent when needed
SOLVED QUESTIONS AND SOLUTIONS
◉ The nurse manager is responsible for evaluating all employees
who work on the unit. The hospital has a process where all
employees are evaluated in the same month to take care of all
evaluations at one time. The manager must complete all the
evaluations in December. The nurse manager has been busy and has
not had the opportunity to keep monthly records of employee
performance. It is now December and the manager is evaluating all
employees in one day to catch up. During the observation day, the
manager makes many notations but realizes that not everyone was
observed. Because of the time constraints, the manager decides to
evaluate the employees not observed based on memories of events.
What cues from the nurse manager's behavior may lead to
performance appraisal errors? Select all that apply. Answer: Using
memory to evaluate employees the manager could not observe
Evaluating all employees in one day
Not keeping monthly records of employee performance
Being busy with other tasks
,◉ By evaluating staff in this way, what evaluator error might the
manager be making in the evaluation method? Answer: Recent
behavior bias
◉ The manager is reviewing the employee observations with
leadership at a nursing leadership meeting. All employees were
observed doing positive work and overall had a high appraisal
rating. A member of the leadership committee is concerned that the
manager has created errors by using a halo effect.
Click to indicate the actions that would support the hypothesis of a
halo effect evaluation error. Answer: *Halo Effect:*
Evaluating employees in a single setting
Positive action seen as high overall employee performance
*Not a Halo Effect:*
Negative action seen as poor overall employee performance
Year-long evaluation of employees
◉ The manager is given an extension of three additional months to
complete employee observations. Which is the best solution to
ensure the manager is not creating unfair or faulty performance
appraisals? Answer: Creating a schedule of rotating staff
observations for the next 3 months
,◉ The manager takes action by rotating staff observations on a
schedule for the next 3 months. The manager also wants to ensure
that they are not the only source for observation and input. Which
actions can the manager take to ensure input from others? Select all
that apply. Answer: Feedback from subordinate staff
360-degree evaluation
Peer review
Management by objectives
◉ Which outcomes would indicate that the manager was successful
in reducing evaluator errors for employee evaluations? Select all that
apply. Answer: Decrease in recent behavior bias
Decrease in prominent memory observations
Increase in observations
◉ The manager receives feedback that an employee feels their last
yearly performance evaluation was biased. Which response is most
appropriate? Answer: "I am working on developing awareness of my
own biases."
◉ Which comment by the nurse manager to the nurse is most
appropriate during a performance appraisal? Answer: "This
performance appraisal will be used to facilitate two-way
communication and I want your input."
, ◉ Which actions are the legal responsibility of a nurse leader? Select
all that apply. Answer: Create an environment of diversity and
inclusion
Practice within the scope of state nurse practice act
Reduce risk of organizational liability
Promote client safety
◉ During walking rounds with the charge nurse, a nurse manager
notices a staff nurse preparing medications for two clients at the
same time. Which ethical principles should guide the nurse
manager's next actions? Select all that apply. Answer: Fidelity
Nonmaleficence
Confidentiality
◉ For each example, indicate if the situation represents a nurse
advocating for clients or the nursing profession. Answer: *Client:*
Empowers others by increasing knowledge of self-practice
Volunteering at a clinic in an underserved area
Securing informed consent when needed
