NURS 6053 — INTERPROFESSIONAL ORGANIZATIONAL
AND SYSTEMS LEADERSHIP (QUARTER 3: 11 WEEKS)
COMPREHENSIVE EXAM QUESTIONS AND ANSWERS WITH
RATIONALES
Section 1: Interprofessional Collaboration (Questions 1–30)
1. Role blurring in interprofessional teams can lead to:
a) Improved efficiency
b) Increased patient satisfaction
c) Duplication of efforts and errors
d) Reduced need for meetings
Answer: c
Without clear role boundaries, tasks may be repeated or omitted, increasing the risk of medical
errors.
2. A nurse leader implements bedside interprofessional rounds. The primary benefit is: a) Faster
discharges
b) Patient and family inclusion in care decisions
c) Reduced nursing documentation
d) Increased physician autonomy
Answer: b
Bedside rounds allow the patient and family to hear the plan, ask questions, and participate in
real time, improving shared decision-making.
Page 1 of 58
,3. Which communication model is most effective during a rapid response call? a) CUS
b) SBAR
c) GRRRR
d) PACE
Answer: b
SBAR (Situation, Background, Assessment, Recommendation) provides a structured, concise
format for urgent interprofessional communication.
4. A pharmacist recommends vancomycin dose adjustment for renal function. The nurse’s best
response is:
a) “I’ll check with the attending first.”
b) “Please put that in your note, and I’ll pass it along.”
c) “Thank you, I will notify the provider for an order change.”
d) “That’s outside your scope.”
Answer: c
The nurse acknowledges the pharmacist’s expertise and takes appropriate action within the
interprofessional chain.
5. Interprofessional rounds are delayed because lab results are not ready. The systems issue is:
a) Individual laziness
b) Lack of role clarity
c) Process inefficiency
d) Poor interpersonal skills
Answer: c
This is a systems/process problem (e.g., phlebotomy timing, lab processing), not an individual
failure.
6. A team’s decision to use a structured communication tool during handoffs is an example of:
Page 2 of 58
,a) Micromanagement
b) Standardization for safety
c) Individual preference
d) Regulatory requirement only
Answer: b
Standardizing handoff communication reduces omitted information and improves patient safety
across shifts and disciplines.
7. A nurse leader is forming an interprofessional team to reduce hospital readmissions.
Which member is essential for discharge planning? a)
Respiratory therapist
b) Social worker
c) Phlebotomist
d) Chaplain
Answer: b
Social workers coordinate post-discharge resources, home care, and follow-up appointments,
directly impacting readmission rates.
8. During an interprofessional rounding session, a physician dismisses the pharmacist’s
suggestion. The nurse leader should:
a) Ignore the conflict to maintain peace
b) Redirect the discussion to the pharmacist and ask for evidence
c) Report the physician to the medical director
d) Cancel future rounds
Page 3 of 58
, Answer: b
The leader should validate each team member’s role and create psychological safety by ensuring
all voices are heard with supporting evidence.
9. Which of the following is a core competency of interprofessional collaborative practice?
a) Independent decision-making
b) Role clarification
c) Hierarchical communication
d) Siloed documentation
Answer: b
Role clarification ensures each professional understands their own and others’ scope of practice,
reducing duplication and errors.
10. A nurse leader notices tension between nursing and dietary staff. The best initial action is to:
a) Assign blame to both parties
b) Facilitate a joint meeting to discuss workflow
c) Report to human resources
d) Reassign dietary staff to other units
Answer: b
Open dialogue allows each group to express concerns and co-create solutions, which is central
to interprofessional conflict resolution.
11. Which tool is commonly used to assess interprofessional collaboration in healthcare teams?
a) SBAR
b) TeamSTEPPS
c) SWOT analysis
d) PDSA cycle
Page 4 of 58
AND SYSTEMS LEADERSHIP (QUARTER 3: 11 WEEKS)
COMPREHENSIVE EXAM QUESTIONS AND ANSWERS WITH
RATIONALES
Section 1: Interprofessional Collaboration (Questions 1–30)
1. Role blurring in interprofessional teams can lead to:
a) Improved efficiency
b) Increased patient satisfaction
c) Duplication of efforts and errors
d) Reduced need for meetings
Answer: c
Without clear role boundaries, tasks may be repeated or omitted, increasing the risk of medical
errors.
2. A nurse leader implements bedside interprofessional rounds. The primary benefit is: a) Faster
discharges
b) Patient and family inclusion in care decisions
c) Reduced nursing documentation
d) Increased physician autonomy
Answer: b
Bedside rounds allow the patient and family to hear the plan, ask questions, and participate in
real time, improving shared decision-making.
Page 1 of 58
,3. Which communication model is most effective during a rapid response call? a) CUS
b) SBAR
c) GRRRR
d) PACE
Answer: b
SBAR (Situation, Background, Assessment, Recommendation) provides a structured, concise
format for urgent interprofessional communication.
4. A pharmacist recommends vancomycin dose adjustment for renal function. The nurse’s best
response is:
a) “I’ll check with the attending first.”
b) “Please put that in your note, and I’ll pass it along.”
c) “Thank you, I will notify the provider for an order change.”
d) “That’s outside your scope.”
Answer: c
The nurse acknowledges the pharmacist’s expertise and takes appropriate action within the
interprofessional chain.
5. Interprofessional rounds are delayed because lab results are not ready. The systems issue is:
a) Individual laziness
b) Lack of role clarity
c) Process inefficiency
d) Poor interpersonal skills
Answer: c
This is a systems/process problem (e.g., phlebotomy timing, lab processing), not an individual
failure.
6. A team’s decision to use a structured communication tool during handoffs is an example of:
Page 2 of 58
,a) Micromanagement
b) Standardization for safety
c) Individual preference
d) Regulatory requirement only
Answer: b
Standardizing handoff communication reduces omitted information and improves patient safety
across shifts and disciplines.
7. A nurse leader is forming an interprofessional team to reduce hospital readmissions.
Which member is essential for discharge planning? a)
Respiratory therapist
b) Social worker
c) Phlebotomist
d) Chaplain
Answer: b
Social workers coordinate post-discharge resources, home care, and follow-up appointments,
directly impacting readmission rates.
8. During an interprofessional rounding session, a physician dismisses the pharmacist’s
suggestion. The nurse leader should:
a) Ignore the conflict to maintain peace
b) Redirect the discussion to the pharmacist and ask for evidence
c) Report the physician to the medical director
d) Cancel future rounds
Page 3 of 58
, Answer: b
The leader should validate each team member’s role and create psychological safety by ensuring
all voices are heard with supporting evidence.
9. Which of the following is a core competency of interprofessional collaborative practice?
a) Independent decision-making
b) Role clarification
c) Hierarchical communication
d) Siloed documentation
Answer: b
Role clarification ensures each professional understands their own and others’ scope of practice,
reducing duplication and errors.
10. A nurse leader notices tension between nursing and dietary staff. The best initial action is to:
a) Assign blame to both parties
b) Facilitate a joint meeting to discuss workflow
c) Report to human resources
d) Reassign dietary staff to other units
Answer: b
Open dialogue allows each group to express concerns and co-create solutions, which is central
to interprofessional conflict resolution.
11. Which tool is commonly used to assess interprofessional collaboration in healthcare teams?
a) SBAR
b) TeamSTEPPS
c) SWOT analysis
d) PDSA cycle
Page 4 of 58
