Nursing Administration explores the principles, practices, and challenges involved in leading and managing healthcare organizations from a nursing perspective. The course covers key topics such as leadership theories, strategic planning, healthcare policy, human resource management, budgeting, and quality improvement within nursing settings. Students will develop critical thinking and decision-making skills necessary for effective supervision, team building, and conflict resolution. Through case studies and practical exercises, this course prepares future nurse leaders to navigate the complexities of healthcare delivery systems and contribute to positive patient outcomes.
Recommended Textbook
Nursing Delegation and Management of Patient Care 1st Edition by Kathleen Motacki RN MSN
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21 Chapters
502 Verified Questions
502 Flashcards
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Page 2
Chapter 1: Patient Care Management
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/31640
Sample Questions
Q1) The student nurse,shadowing on a medical-surgical unit,observes the charge nurse.Which action would the student identify as a leadership quality in the nurse's actions?
A)Making patient care assignments distributed equally to staff
B)Sitting with a confused combative patient
C)Calling the nursing office for extra staff when an RN calls in sick
D)Assisting in a code
Answer: B
Q2) The student nurse learns about the advantages and disadvantages of various patient care delivery models.The student understands that besides an historical perspective of nursing practice,a patient delivery care model may need to be instituted to adapt to:
A)Alterations in available staff due to weather emergencies.
B)The financial environment of the patient population.
C)A wide range of ages among the staff.
D)A limited number of unlicensed staff on the unit.
Answer: A
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3
Chapter 4: Evidence-Based Practice
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25 Verified Questions
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Sample Questions
Q1) A student nurse is conducting a research project for school.Although this is a new assignment,she understands that the quickest and most dependable source of information is the Internet.Which resources require intervention by the instructor?
A)Wikipedia
B)CINAHL
C)MEDLINE
D)Online nursing journals
Q2) When providing care to patients,nurses understand that evidence-based practice supports the concept that:
A)To avoid atelectasis and pneumonia,use of an incentive spirometer has an outcome equal to coughing for a patient following surgery.
B)To avoid atelectasis and pneumonia,use of an incentive spirometer has a better outcome than coughing for a patient following surgery.
C)To avoid atelectasis and pneumonia,use of an incentive spirometer has a worse outcome than coughing for a patient following surgery.
D)Neither coughing nor use of an incentive spirometer will avoid atelectasis or pneumonia in postoperative patients.
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6
Chapter 5: Management of Emergencies and Disasters
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26 Verified Questions
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Sample Questions
Q1) A triage nurse in the emergency department is responsible for deciding who is seen first-the most unstable patient versus the patient who is merely uncomfortable.Which of the following patients should be seen first by the emergency physicians?
A)Patient scheduled to arrive by helicopter in acute chest pain with normal troponin levels at the originating hospital
B)Patient dropped off by "friends" following a night of alcohol and drug use
C)Patient who drove himself to the emergency department following a stab wound to the abdomen
D)Patient who arrives with gastrointestinal bleeding whose blood pressure is 85/40 mm Hg and heart rate is 120 beats/min.
Q2) Which of the following responses by the nurse is the most appropriate first action by the nurse when an employee is exposed to a caustic chemical on his arm?
A)Rinse the arm under water and then see a physician.
B)Report the incident to the safety committee.
C)Read the MSDSs about the next thing to do.
D)Call 911.
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Chapter 6: Health Care
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Sample Questions
Q1) The impact on the U.S.economy from the disproportionate number of uninsured or underinsured people is predicted to continue for many years to come.Which of the following is a potential result of this situation? Select all that apply.
A)People will exercise more.
B)People will seek medical care only in an emergency.
C)Hospitals will have to provide more charity care.
D)People will eat healthier.
E)People will become more religious.
Q2) The nurse understands that the patient who would most likely not qualify for admission to the hospital in today's health care climate is the patient with a(n):
A)Wrist fracture.
B)DKA.
C)Dehydration.
D)Acute myocardial infarction.
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Chapter 8: Ethical Issues in Patient Care
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Sample Questions
Q1) The institutional review board ( IRB )is responsible for overseeing biomedical research involving humans.Because most studies are randomized blind studies ( patients and providers are unaware of who is receiving treatment and who is receiving a placebo ),the risks for harm can be great.Which measure is taken to avoid harm to the subjects during biomedical research? Select all that apply.
A)The rights and welfare of subjects are protected.
B)The benefits of the study to the patient outweigh the risks.
C)The patient must agree to complete confidentiality about the study.
D)Prisoners are used as subjects because they have no right to sue.
E)Patients must sign informed consent forms.
Q2) A nurse renewing advanced cardiac life support is practicing which ethical principle?
A)Veracity
B)Fidelity
C)Nonmaleficence
D)Beneficence
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Chapter 9: Developing Management Skills
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Sample Questions
Q1) Which patient should be considered the highest priority by the new RN?
A)A patient who is requesting his pain medication
B)A patient who is reported by the UAP to be choking
C)A patient who is requiring suctioning per tracheostomy
D)A patient who is requiring discharge instructions who is waiting at the desk with her family
Q2) Which activity should be considered the highest priority by the RN?
A)Assessment of a stable patient ready for discharge
B)Administration of daily medications
C)Administration of STAT medications
D)Discharge teaching for a patient with heart failure
Q3) What step in the employment process may have been omitted when the staff appears to be nervous and overly cautious around a new nurse manager?
A)Involvement of human resources in the interview process
B)Involvement of the upper-level manager in the interview process
C)Involvement of the staff in the interview process
D)Involvement of the middle-level manager in the interview process
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Chapter 11: Hospital Information Systems
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25 Flashcards
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Sample Questions
Q1) All treatments and services for patients require two forms of patient identification prior to providing those services.Which would require an intervention if used by the nurse to identify a patient? Select all that apply.
A)Referring to the patient ID band
B)Asking the roommate
C)Asking another nurse on the unit
D)Asking the patient
E)Asking a family member
Q2) The electronic health record (EHR)provides a particular advantage to those patients with chronic diseases.Which of the following patients would most likely benefit from the use of an EHR by the health care provider?
A)A patient with diabetes,heart failure,and end-stage renal disease
B)A patient with heart failure following a myocardial infarction
C)A patient following an automobile accident with multiple fractures to the lower extremities
D)A patient with newly diagnosed hypertension
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Chapter 12: Monitoring Outcomes and Use of Data for Improvement
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27 Verified Questions
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Sample Questions
Q1) Which is a priority action by the nurse when a patient is admitted with a diagnosis of acute myocardial infarction?
A)Administration of antibiotics within 4 hours
B)Chest radiograph
C)Administration of aspirin on arrival
D)Administration of a beta-blocker on arrival
Q2) Which of the following data are most important for the nurse to consider when providing care to patients?
A)Best practice standards of care
B)The nurse's personal beliefs and practices
C)Physician specific standing orders
D)Outcomes from previous similar patients
Q3) What measure should be taken when patient satisfaction survey results are not as good as expected?
A)Understand there has been a lot of turnover recently.
B)Involve staff in decision-making changes for improvement.
C)Fault the bad weather last quarter that affected staffing.
D)Explain that the physician surgical outcomes were less than expected.
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Chapter 13: Strategic Management and Planning
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Sample Questions
Q1) The overall purpose for strategic planning in an organization includes which of the following?
A)Increases the chance of success
B)Frees the nurse manager from day-to-day supervision
C)Shows interest in the success of the organization
D)Avoids crisis management
Q2) When interviewing for a position at a new facility,the nurse managers ask to review the mission,vision,and values statements because they understand that these statements provide information about the organization's:
A)Fiscal responsibility.
B)Direction and purpose.
C)Concern for uninsured.
D)Specific actions to be taken.
Q3) Action planning is a process by which organizations develop and implement both short-term and long-term goals.What would be expected in these plans?
A)Identification of the strengths and weaknesses for each objective
B)Identification of the impact on the community
C)Specific responsibilities and timelines for each objective
D)Specific patient population for each objective
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Page 15
Chapter 14: Financial Management
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20 Flashcards
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Sample Questions
Q1) Indirect costs in a nurse manager's budget would include:
A)Benefits.
B)Expected raises.
C)Shift differential.
D)Travel.
Q2) To determine staffing needs,the nurse manager needs to:
A)Determine supplies needed.
B)Determine shift differential.
C)Determine the daily census.
D)Determine overtime needed.
Q3) Which of the following would explain a nurse manager's use of position control in monitoring the budget?
A)Comparison of this year's turnover rate with last year's
B)Premium pay
C)Comparison of actual full-time employees and the number that was budgeted
D)Control of nurse manager to allocate pay raises
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Chapter 16: Providing Competent Staff
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Sample Questions
Q1) Clinical ladders for nurses are best used in what circumstance?
A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment
Q2) What retention strategies should the nurse manager use when working with a new orientee?
A)Provide a safe practice environment
B)Encourage more time shadowing preceptor
C)Encourage early independence
D)Provide multiple preceptors for diverse learning
Q3) The Joint Commission ( TJC )has set standards for employee ongoing education in which situations? Select all that apply.
A)Must occur after the end of orientation
B)Must occur whenever responsibilities change
C)To increase knowledge of work-related issues
D)All staff must participate whenever an event occurs
E)When and how to report adverse events
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18
Chapter 17: Personal and Workplace Safety
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Sample Questions
Q1) In what ways is the environment controlled by the hospital safety committee to prevent workplace violence? Select all that apply.
A)Emergency alarms
B)Cameras and videos
C)Assigned patrol for each unit
D)Security provided for visitors in parking lots,etc.
E)Respond only when called
Q2) What methods can the nurse manager use to address horizontal violence in the workplace? Select all that apply.
A)Provide training to staff.
B)Pick a side so that the assaults do not include you.
C)Name the problem "horizontal violence."
D)Observe and analyze the culture of the workplace.
E)Have the victim file a grievance.
Q3) What methods can administration use for the prevention of workplace violence?
A)Separate staff entrance
B)Staff ID badges
C)Separate parking for staff
D)Visual presence of security at all times
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Page 19
Chapter 18: Legal Issues in Healthcare
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Sample Questions
Q1) The advance medical directive and the living will are confused by patients and staff.Which of the following explains the difference?
A)A living will designates the person to make their health care decisions if the patient is no longer able to.
B)An advance directive designates do not resuscitate directives.
C)The advance directive details the wishes of the patient while he is still competent.
D)The living will is signed by two nonrelated people and can never be altered.
Q2) A nurse driving on the highway comes upon a crash that has just occurred.There are no paramedics on the scene and the damage indicates that people inside the cars may have incurred life-threatening injuries.Which of the following is the most appropriate action by the nurse?
A)Stop and provide comfort only because you can be held liable for that care provided.
B)Stop and provide help.The Good Samaritan laws protect you.
C)Do not stop to provide help.Call 911 to send help.
D)Do not stop;you can put your license at risk.
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20
Chapter 19: Staffing and Scheduling
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) There are four major types of staffing plans.The self-scheduling method of staff planning refers to which of the following?
A)The schedule is planned based on the central or core staff.
B)The schedule is planned on each individual unit by the nurse manager.
C)The schedule is planned by the nurses themselves.
D)The schedule is planned by nursing service.
Q2) The best determinant of staffing needs is based on which factor?
A)Patient acuity
B)Productive time
C)Nonproductive time
D)Nurse/patient ratio
Q3) When calculating for staffing needs,what should be considered?
A)Weekend option
B)Hourly salary of employee
C)Productive versus nonproductive hours of an employee
D)Vacation time accrued
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21
Chapter 20: Supervising and Evaluating the Work of Others
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Sample Questions
Q1) Which of the following are some of the qualities found in a team player? Select all that apply.
A)Competence
B)Dependability
C)Enthusiasm
D)Being on time
E)Being friendly
Q2) Active listening typically involves:
A)Active participation and respect for the speaker.
B)Asking lots of questions.
C)Judging what is being said.
D)Agreeing with the speaker.
Q3) Team players show many positive characteristics.Which of the following characteristics should be expected of a good team player when asked to participate in a continuing education class for the unit?
A)"Sure,but my schedule is full right now."
B)"I did this last time.Let's give someone else a chance."
C)"Sure,I will need to make some changes to my schedule."
D)"Sure.How about next month?"
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Chapter 21: New Graduates: the Immediate Future
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) When studying for the NCLEX-RN exam,the new graduate should be able to determine which tasks to delegate to which employee.Which tasks are appropriately delegated to the LPN?
A)Dressing change on a wound requiring packing
B)Vital signs on a new admission
C)Post cardiac catheterization vital signs
D)IVP medications
Q2) The NCLEX-RN CAT exam tests the new graduate on critical thinking skills.Which level of questions does the student want to see most when taking the exam?
A)Recall
B)Knowledge
C)Comprehension
D)Application/analysis
Q3) When taking the NCLEX-RN exam,the new graduate realizes that most of the questions will address nursing in which unit?
A)Psychiatric
B)Pediatric
C)Medical/surgical
D)Obstetrics and gynecology
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