|WCU
1. A nurse manager functions as a transformational leader by which of the
following actions?
A. Focusing on day-to-day operations and administrative tasks
B. Using a system of rewards and punishments to manage performance
C. Motivating staff through a shared vision and intellectual stimulation
D. Maintaining a hands-off approach and allowing staff to work independently
Answer: C
Rationale: Transformational leaders inspire and motivate staff by creating a shared vision,
encouraging innovation, and fostering personal growth, whereas transactional leaders
focus on task completion and rewards.
2. Which element is considered a mandatory component of a PICO(T) question
in evidence-based practice?
A. Comparison of interest
B. Professional nursing values
C. Implementation strategy
D. Cost-benefit analysis
Answer: A
Rationale: PICO(T) stands for Patient/Population, Intervention, Comparison, Outcome,
and Time. A comparison is necessary to evaluate the effectiveness of the intervention
against the standard of care.
,3. In the context of nursing informatics, what is the primary purpose of Clinical
Decision Support Systems (CDSS)?
A. To automate all nursing assessments to save time
B. To replace the need for critical thinking by the RN
C. To track the location of medical equipment within the hospital
D. To provide clinicians with evidence-based information to enhance patient care
Answer: D
Rationale: CDSS tools provide evidence-based alerts and suggestions to help clinicians
make informed decisions, improving patient safety and quality of care.
4. A nurse is sued for negligence. Which of the following must the plaintiff prove
to establish a case of malpractice?
A. The nurse intended to cause harm to the patient
B. The patient was dissatisfied with the nursing care provided
C. The nurse was working outside of their job description
D. The nurse had a duty to the patient, breached that duty, and caused injury
Answer: D
Rationale: The four elements of negligence are duty, breach of duty, causation, and
damages. Malpractice is professional negligence that occurs when these criteria are met.
5. According to Benner’s stages of nursing proficiency, a ‘Competent’ nurse is
defined as one who:
A. Has no experience and relies on rules for performance
B. Has an intuitive grasp of every situation and operates with deep understanding
C. Perceives situations as wholes rather than in terms of chopped-up parts
D. Has been in the same clinical position for 2 to 3 years and can prioritize tasks
Answer: D
Rationale: The competent nurse has usually been in the same role for 2-3 years and
demonstrates conscious, deliberate planning and organization to achieve efficiency.
, 6. The ethical principle of ‘Nonmaleficence’ is best demonstrated by which
nursing action?
A. Avoiding the infliction of unnecessary pain or harm during a procedure
B. Ensuring that the benefits of a treatment outweigh the risks
C. Advocating for the patient’s right to refuse medication
D. Telling the truth to a patient about their diagnosis
Answer: A
Rationale: Nonmaleficence is the duty to ‘do no harm.’ It focuses on avoiding injury or
suffering to the patient during care.
7. Following a ‘never event,’ the hospital conducts a Root Cause Analysis (RCA).
What is the main goal of this process?
A. To identify underlying system failures that contributed to the error
B. To document the event for legal defense in a malpractice suit
C. To determine which staff member should be terminated
D. To calculate the financial loss associated with the medical error
Answer: A
Rationale: RCA is a structured process to analyze the systems and processes that allowed
an error to occur, aiming to prevent future occurrences rather than blame individuals.
8. Which level of evidence is considered the highest in the evidence-based
practice hierarchy?
A. Case reports and expert opinions
B. Single randomized controlled trials (RCTs)
C. Qualitative research studies
D. Systematic reviews and meta-analyses of RCTs
Answer: D
Rationale: Systematic reviews and meta-analyses synthesize results from multiple high-
quality studies, providing the strongest evidence for clinical decision-making.