1
1. Progressive discipline is a strategy used by managers to deal with problem employees.
Which of the following is the usual order of steps in a progressive discipline process?
Verbal warning, written warning, suspension, dismissal.
2. Which of the following is true of a formal employee grievance process?
Usually an employee grievance follows a progressive lodging of complaints up the
formal organizational chain of command
3. The RN team leader, near the end of her shift, notices that a newly hired UAP has not
calculated the intake and output for several clients. Which of the following actions should
the RN take first?
Ask the UAP if assistance is needed to complete the intake and output records
4. An RN witnessed a maintenance worker in a paralyzed and unconscious pediatric
patient’s room inappropriately touching the patient’s genital area. What step of the
disciplinary process is most likely to be taken by the organization against this worker?
Termination
5. A member of the team reports that they have been given too much to do and are not going
to be able to complete the work on time. What action will the RN take to effectively
manage this situation?
Examine the workload and assist the individual in reprioritizing
6. An RN on a medical-surgical unit is making assignments at the beginning of the pm shift.
Which of the following tasks would be appropriate for the RN to delegate to the
LPN/LVN?
Obtain q 2 hour vital signs and pulse oximetry for a client who had an uncomplicated
bronchoscopy this morning
7. Which one of the following statements about conflict is true?
Inter-personal conflict can occur when there are value differences and unclear
expectations between 2 or more people
8. Which intervention for a patient with a sudden pulmonary embolism could be delegated
to the LPN/LVN on your patient care team?
Check/document vital signs, oxygen saturation (pulse oximetry), and the color of
sputum
9. Which method best provides a structured orderly approach to communicating accurate,
relevant information in emergent patient situations as well as routine handoffs?
SBAR tool
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:52:11 GMT -05:00
https://www.coursehero.com/file/30981008/Exam-3-Leaderdocx/
, 2
10. Periodically during the day the RN checks with his/her team members to determine
whether they are having any difficulty completing their assigned tasks. This primarily
describes which managerial role of the RN?
Quality control monitoring (EFFECTIVE DELEGATION)
11. Which behavior is a priority to minimize an RN’s risk for a malpractice claim?
Function within the state’s nursing practice act when delegating care activities to other
nursing team members
12. When delegating tasks to staff, which action by the charge nurse best demonstrates
appropriate delegation principles?
Communicate the work assignment in a clear and concise manner
13. A registered nurse is planning the client assignments for the day. Which of the following
is the most appropriate assignment for the certified nursing assistant?
A client requiring frequent re-orientation and assistance with ambulation
14. A nursing supervisor is responsible for conducting performance appraisals on all of his
unit’s night shift employees. Which of the following would not be an appropriate action
for the nursing supervisor when preparing and giving a performance appraisal to an
employee?
Use mostly peer input when writing the employee’s performance appraisal
15. A nursing staff member comes into the nurse manager’s office and complains about
another staff member who does not complete his/her work. The nurse manager should tell
the staff member to first:
Talk to the other person
16. A new graduate RN approaches a more experienced RN and says “I am having difficulty
speaking up to some of the physicians.” Which one of the following initial responses by
the experienced RN is best?
“What factors are causing difficulty when speaking with some physicians?”
17. A staff RN is asked to participate with a team of other nurses on a continuous quality
improvement (CQI) project to reduce the number of medication administration errors on
her unit. Which step below should the CQI project team initiate first?
Review events leading up to each medication administration error under review
18. An RN in the telemetry unit is caring for a client who has a tracheostomy and is receiving
frequent endotracheal suctioning. The client also has an indwelling catheter to gravity
drainage and a central venous catheter, and is on anticoagulant therapy for
thrombophlebitis of the left leg. Which of the following specimens collections can the
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:52:11 GMT -05:00
https://www.coursehero.com/file/30981008/Exam-3-Leaderdocx/
1. Progressive discipline is a strategy used by managers to deal with problem employees.
Which of the following is the usual order of steps in a progressive discipline process?
Verbal warning, written warning, suspension, dismissal.
2. Which of the following is true of a formal employee grievance process?
Usually an employee grievance follows a progressive lodging of complaints up the
formal organizational chain of command
3. The RN team leader, near the end of her shift, notices that a newly hired UAP has not
calculated the intake and output for several clients. Which of the following actions should
the RN take first?
Ask the UAP if assistance is needed to complete the intake and output records
4. An RN witnessed a maintenance worker in a paralyzed and unconscious pediatric
patient’s room inappropriately touching the patient’s genital area. What step of the
disciplinary process is most likely to be taken by the organization against this worker?
Termination
5. A member of the team reports that they have been given too much to do and are not going
to be able to complete the work on time. What action will the RN take to effectively
manage this situation?
Examine the workload and assist the individual in reprioritizing
6. An RN on a medical-surgical unit is making assignments at the beginning of the pm shift.
Which of the following tasks would be appropriate for the RN to delegate to the
LPN/LVN?
Obtain q 2 hour vital signs and pulse oximetry for a client who had an uncomplicated
bronchoscopy this morning
7. Which one of the following statements about conflict is true?
Inter-personal conflict can occur when there are value differences and unclear
expectations between 2 or more people
8. Which intervention for a patient with a sudden pulmonary embolism could be delegated
to the LPN/LVN on your patient care team?
Check/document vital signs, oxygen saturation (pulse oximetry), and the color of
sputum
9. Which method best provides a structured orderly approach to communicating accurate,
relevant information in emergent patient situations as well as routine handoffs?
SBAR tool
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:52:11 GMT -05:00
https://www.coursehero.com/file/30981008/Exam-3-Leaderdocx/
, 2
10. Periodically during the day the RN checks with his/her team members to determine
whether they are having any difficulty completing their assigned tasks. This primarily
describes which managerial role of the RN?
Quality control monitoring (EFFECTIVE DELEGATION)
11. Which behavior is a priority to minimize an RN’s risk for a malpractice claim?
Function within the state’s nursing practice act when delegating care activities to other
nursing team members
12. When delegating tasks to staff, which action by the charge nurse best demonstrates
appropriate delegation principles?
Communicate the work assignment in a clear and concise manner
13. A registered nurse is planning the client assignments for the day. Which of the following
is the most appropriate assignment for the certified nursing assistant?
A client requiring frequent re-orientation and assistance with ambulation
14. A nursing supervisor is responsible for conducting performance appraisals on all of his
unit’s night shift employees. Which of the following would not be an appropriate action
for the nursing supervisor when preparing and giving a performance appraisal to an
employee?
Use mostly peer input when writing the employee’s performance appraisal
15. A nursing staff member comes into the nurse manager’s office and complains about
another staff member who does not complete his/her work. The nurse manager should tell
the staff member to first:
Talk to the other person
16. A new graduate RN approaches a more experienced RN and says “I am having difficulty
speaking up to some of the physicians.” Which one of the following initial responses by
the experienced RN is best?
“What factors are causing difficulty when speaking with some physicians?”
17. A staff RN is asked to participate with a team of other nurses on a continuous quality
improvement (CQI) project to reduce the number of medication administration errors on
her unit. Which step below should the CQI project team initiate first?
Review events leading up to each medication administration error under review
18. An RN in the telemetry unit is caring for a client who has a tracheostomy and is receiving
frequent endotracheal suctioning. The client also has an indwelling catheter to gravity
drainage and a central venous catheter, and is on anticoagulant therapy for
thrombophlebitis of the left leg. Which of the following specimens collections can the
This study source was downloaded by 100000869267694 from CourseHero.com on 07-13-2023 02:52:11 GMT -05:00
https://www.coursehero.com/file/30981008/Exam-3-Leaderdocx/
