Nursing Administration Exam Preparation Guide
Course Introduction
Nursing Administration is a specialized course that focuses on the principles and practices of effective leadership and management within healthcare organizations. It covers topics such as organizational behavior, resource management, staff supervision, policy development, quality improvement, and strategic planning. The course aims to equip nursing professionals with the skills necessary to oversee nursing staff, manage budgets, implement health policies, ensure high standards of patient care, and navigate the complexities of modern healthcare systems. Through case studies, practical exercises, and theoretical frameworks, students develop the competencies required for administrative roles in hospitals, clinics, and community health settings.
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
Source URL: https://quizplus.com/study-set/1593 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) Nurse managers can best be described as people who:
A)Develop institutional goals based on staff suggestions.
B)Develop institutional goals based on a personal theory.
C)Motivate staff to meet institutional goals through positional power.
D)Inspire staff to meet institutional goals through personal power.
Answer: C
Q2) A nurse who is interested in developing clinical decision-making skills would look for a unit that practices which model for health care delivery?
A)Primary nursing
B)Team nursing
C)Functional nursing
D)Case management
Answer: A
Q3) Nurses can be leaders without being managers.Which nursing actions demonstrate leadership?
A)Assisting a new nurse with enteral tube feedings
B)Counseling a new nurse regarding attendance
C)Adjusting assignments after a staff member calls in sick
D)Calling a physician for new order clarification
Answer: A
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Chapter 2: Communication in the Work Environment
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Sample Questions
Q1) SBAR is a convenient tool to use when notifying physicians of a change in patient condition.In which of the following situations could it also be appropriately used?
A)Communication with radiology scheduling
B)Communication with case manager
C)Transferring patient
D)Change of shift report
E)Rapid response team (RRT)
Answer: C,D,E
Q2) Which response by the patient following discharge teaching would require further teaching?
A)"I should weigh myself daily since I started on Lasix (furosemide)for my heart failure."
B)"I need to check my blood glucose after eating."
C)"I should take my Lanoxin (digoxin)with my morning medications."
D)"I need my blood checked frequently now that I am on Coumadin (warfarin)."
Answer: B
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4
Chapter 3: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Which delegation should a UAP consider to have the highest priority?
A)Obtaining a routine blood glucose level from a patient with diabetes
B)Giving a bath to a patient scheduled for a colonoscopy
C)Feeding a patient who needs assistance doing so.
D)Helping an elderly patient to the bathroom
Answer: D
Q2) Which patients on an orthopedic unit should be assigned to a nurse from a cardiac unit?
A)A patient being transferred to an ECF for rehabilitation following a hip replacement
B)A patient following a hip replacement with a history of an acute MI 4 weeks ago
C)A patient with an external fixator
D)A patient to be started on a PCA pump requiring instructions
Answer: B
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5
Chapter 4: Evidence-Based Practice
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Sample Questions
Q1) When providing care to postoperative patients,nurses use evidence-based practice whenever they:
A)Continue bedrest after surgery until the pain level is 1 on a scale of 1 to 10.
B)Continue bedrest after surgery until the pain level is 2 on a scale of 1 to 10.
C)Ambulate patients as soon as possible after surgery.
D)Ambulate patients as soon as they are awake from anesthesia.
Q2) Which responses by nurses incorporate reasons for resistance to research utilization?
A)"I want to see the outcomes for the patients."
B)"I believe that patients will not benefit from this change."
C)"I've grown tired of doing it the same way."
D)"I'm ready for a change."
Q3) When making clinical practice changes,nurses should make permanent changes based on:
A)Reviewing other unit practices
B)Reviewing case reports
C)Obtaining expert opinions
D)Implementing piloting changes
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Chapter 5: Management of Emergencies and Disasters
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Sample Questions
Q1) Security concerns have forced hospitals to develop publicly announced emergency color codes.Although the actual color may differ from institution to institution,the nurse must be ready to participate in staff response for which emergencies? Select all that apply
A)Medication errors
B)Infant delivery
C)Fire
D)Infant abductions
E)Hazardous weather
Q2) When obtaining a patient's blood pressure using an automatic monitoring device,the nurse notices that the reading is not consistent with previous readings for that patient.What is the priority action by the nurse?
A)Replace the device with a different device and recheck the blood pressure.
B)Take a manual blood pressure measurement in the other arm.
C)Increase the IV drip rate.
D)Decrease the IV drip rate.
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Chapter 6: Health Care
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Sample Questions
Q1) Which factors have influenced the U.S.health care delivery system? Select all that apply.
A)Cultural diversity
B)For-profit health insurance
C)Co-pays
D)Fee-for service
E)Economic interests of the parties
Q2) A new employee asks about reducing health care costs to the hospital.What would help to reduce health care costs in the clinical setting? Select all that apply.
A)Frequent handwashing
B)Delegating taking of vital signs of a new admission to the UAP
C)Turning at-risk patients frequently
D)Discharging patients before their lab results are back
E)Instituting early ambulation of patients after surgery
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Chapter 7: Healthcare Regulatory and Certifying Agencies
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Sample Questions
Q1) The Food and Drug Administration ( FDA )is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ).Which function would be expected of this department?
A)Regulation of herbal drugs
B)Control of the price of medications
C)Regulation of the safety and efficacy of medications
D)Licensing of nurses
Q2) A goal of The Joint Commission ( TJC )is prevention of health care-associated pressure ulcers.In which situation would the institution fail in complying with that goal?
A)Charting of the Braden Risk Assessment Scale
B)Utilization of the Braden Risk Assessment Scale to prevent pressure ulcers from developing
C)Documentation of stages of pressure ulcers to determine appropriate action to take D)Turning at-risk patient every 2 hours
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Chapter 8: Ethical Issues in Patient Care
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Sample Questions
Q1) The nurse is caring for a patient with heart failure resulting in irreversible kidney damage who decides to go home to die rather than accept hemodialysis.The nurse understands that the patient is practicing which ethical principle?
A)Autonomy
B)Beneficence
C)Justice
D)Veracity
Q2) A nurse decides to use the ethical principle of teleology to make clinical decisions.This principle is based on the premise that actions are determined by their consequences.Which situation would most likely cause an ethical dilemma for this nurse?
A)Assisting with a laparoscopy for a tubal pregnancy
B)Refusal of a patient to take his medications
C)Patient reconsiders surgery for cancer
D)Woman refuses to terminate her pregnancy even knowing the fetus has non-life-sustaining defects
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10
Chapter 9: Developing Management Skills
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Sample Questions
Q1) Upper-level managers are responsible for the management of the nursing organization of the institution.What activity would the nurse expect to see only from an upper-level manager?
A)Supervising patient care delivery
B)Establishing strategic goals for nursing
C)Maintaining currency in profession
D)Being responsible for activities on the unit 24/7
Q2) A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.Which action by the RN is best?
A)Increase the oxygen concentration.
B)Ask respiratory therapy to administer an albuterol treatment.
C)Notify the health care provider.
D)Determine if anxiety could be causing the shortness of breath.
Q3) 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
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Page 11
Chapter 10: Improving Organizational Performance
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Sample Questions
Q1) A nurse has administered the wrong medication to a patient.In investigating the root cause of the error,it is discovered that the nurse was unfamiliar with the medication and that the Pyxis was incorrectly loaded with the wrong medication.What should be the outcome of this process?
A)The nurse should be educated on this medication.
B)Pharmacy should develop a second check of medications prior to loading in the Pyxis.
C)The nurse will not be allowed to pass medications without supervision until deemed safe.
D)An incident report will be completed.
Q2) What benchmarks might be expected to be measured for hospital performance? Select all that apply.
A)Average length of hospital stay for cardiac surgery
B)Total admissions for cardiac surgery
C)Infection rates for cardiac surgery
D)Length of surgery
E)Deaths by surgeon
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Chapter 11: Hospital Information Systems
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) To practice as a nursing informatics specialist,what must the nurse accomplish first?
A)Pass the NCLEX exam.
B)Be actively involved in research.
C)Demonstrate practice by working for a minimum of 2 years in an intensive care unit.
D)Achieve certification from the ANCC.
Q2) Health care facilities are incorporating the use of electronic health records (EHRs),and nurses are responsible for entering data on their patients.Nurses understand that there are many advantages to this new form of charting.Which of these factors make the electronic EHR an advantageous health care record for the nurse?
A)Record keeping is safe and accurate.
B)Documentation is timely.
C)Corrections to the record can be made at the end of the shift.
D)Coordination of vital signs to prescribed medications is automatic.
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Chapter 12: Monitoring Outcomes and Use of Data for Improvement
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Sample Questions
Q1) Nurses recognize that the use of beta-blockers within 24 hours of emergency department arrival for a patient with acute myocardial infarction is a standard of care established by health care regulating agencies based on which known action of this medication?
A)Beta-blockers are antihypertensives.
B)Beta-blockers reduce the workload of the heart.
C)Beta-blockers reduce the heart rate.
D)Beta-blockers reduce the patient's chest pain.
Q2) Which hospital data collection result will most likely affect nursing practice?
A)Changes in staffing patterns
B)Changes in patient acuity
C)Introduction of the needleless system
D)Changes to the interview process
Q3) The best method for providing information regarding patient satisfaction surveys to the staff is by:
A)Emailing results to all employees.
B)Making an announcement at the next staff meeting
C)Providing results from the most current survey.
D)Providing comparison of current results with previous performance results.
Page 14
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Chapter 13: Strategic Management and Planning
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Sample Questions
Q1) When referring to the critical success factors (CSFs)that organizations use for developing their strategic plans,the term Financial best describes which characteristic?
A)Financial indicates the economic benefits achieved.
B)Financial indicates the expertise of the financial manager.
C)Financial indicates the cost to the patient.
D)Financial indicates the cost to the community.
Q2) When referring to the critical success factors (CSFs)that organizations use for developing their strategic plans,the term Growth best describes which characteristic?
A)Growth is the expansion of the specific disease.
B)Growth is the aging of the population served.
C)Growth is difficult-to-access health care.
D)Growth is the expansion of the organization.
Q3) Strategic goals are developed as a result of which information source?
A)Environmental scan
B)Electronic medical record
C)Changes in nursing practice
D)Changes in staff ratios
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15
Chapter 14: Financial Management
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Sample Questions
Q1) A positive budget variance can be identified by which situation?
A)A decrease in the budgeted expenditures
B)An increase in the budgeted expenditures
C)An increase in RN salaries
D)A decrease in patient ratios
Q2) A new drug reference book is needed for a unit.The nurse manager would plan to pay for this from which budget?
A)Cash budget
B)Operating budget
C)Personnel budget
D)Capital budget
Q3) When using the gathering and planning phase of developing a budget,the nurse manager would expect to find:
A)Financial objectives of the organization.
B)Environmental assessment.
C)Scheduled budget items.
D)Monitoring of progress.
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Chapter 15: Management of Human Resources
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Sample Questions
Q1) It is most important to include which of the following when submitting a resume with an application for a nursing position? Select all that apply.
A)Maiden name
B)Age
C)Special skills such as computer use
D)Professional affiliations
Q2) In the behavior-based interview,the nurse manager asks questions about which of the following?
A)The nurse's future goals
B)How the nurse responded in a specific clinical scenario
C)How the nurse reacted to an event in the past
D)How the nurse worked with UAPs in the past
Q3) The nurse recruiter provides information about salary and benefits.Which of the following would be important for the nurse to relate to the recruiter during this interview?
A)Salary expectations
B)Specific clinical interests and reasons for those interests
C)Expected shifts
D)Expected holidays to work
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Chapter 16: Providing Competent Staff
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Sample Questions
Q1) In what ways can hospitals meet The Joint Commission goals of adequate competent staffing? Select all that apply.
A)Using contract nurses
B)Training and educating staff
C)Promoting "best nurses"
D)Salary inequities
Q2) 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
Q3) Performance appraisals provide the employee with which of the following?
A)Performance standards
B)Goals
C)Salary increases
D)Continuing education
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18
Chapter 17: Personal and Workplace Safety
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Sample Questions
Q1) Personal and financial issues,as well as drugs or alcohol,can impair employees and can precipitate violence.The nurse manager and all staff must be aware of the signs of drug or alcohol use.Which of the following indicators should concern the nurse manager in an employee when addressing violence in the workplace? Select all that apply.
A)Recent divorce
B)Troubled adolescent
C)Tremors of the hands
D)House foreclosure
E)Religious counseling
Q2) Which of the following is a risk factor for hospital workplace violence?
A)Unlimited security coverage
B)Public availability 24 hours a day
C)Insecure medication access
D)Semiprivate rooms
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 nurse manager is responsible for ensuring that all nurses are licensed and that they are properly renewed.When a nurse's license is being investigated for possible disciplinary action,the nurse manager must take which of the following actions?
A)Allow the nurse to continue to work until the SBON decides on an action.
B)Terminate the nurse.
C)Allow the nurse to take a leave of absence until a decision is made by the SBON.
D)Refuse to allow the nurse to work until the SBON has decided on an action.
Q2) State Boards of Nursing (SBON)grant licensure to nurse who successfully pass the NCLEX exam.They also regulate the practice of nursing with the Nurse Practice Act of each state.What is the primary purpose of the SBON?
A)Grant licenses
B)Protect the public
C)Defend the nurse
D)Establish nurse/patient ratios for the state
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Chapter 19: Staffing and Scheduling
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Sample Questions
Q1) The process of determining daily staffing incorporates which factor?
A)Competency of staff
B)Nursing degree of staff
C)Acute change in patient acuity
D)Emergency department admissions
Q2) Most institutions use one or more types of future scheduling in their planning.Which of the following provides advantages for the organization's scheduling policies?
A)Pattern scheduling
B)Preference scheduling
C)Rules scheduling
D)Self-scheduling
Q3) Which ANA Principles for Nurse Staffing standard is applied to the organization?
A)Nursing ratios are mandated.
B)The need for documented competencies for all nurses delivering patient care is supported.
C)That nursing budgeted positions are not filled in a timely manner is accepted.
D)The needs of the staff nurse are secondary to the patient's needs.
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21
Chapter 20: Supervising and Evaluating the Work of Others
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Sample Questions
Q1) When organizing a group meeting,what is an important consideration?
A)Arranging the time of the meeting to be most convenient to leaders
B)Seating according to seniority
C)Starting and ending on time
D)Addressing only the high performers
Q2) Unique attributes of nurse managers when supervising staff include which of the following?
A)Evaluate each worker as a team member
B)Provide guidance and role modeling
C)Stimulate workers to carry a heavy patient load
D)Encourage staff to learn a second language so they can become interpreters
Q3) Guidelines for performance ratings should meet what criteria?
A)Patient satisfaction comments
B)Quantity of care
C)Mastery of skills
D)Behavioral expectations
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22
Chapter 21: New Graduates: the Immediate Future
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Sample Questions
Q1) In preparing for the interview,the new nurse should plan to do which of the following?
A)Dress as you would for work.
B)Obtain information about the institution so that you can ask informed questions.
C)Remember to ask about starting salary.
D)Send a thank-you letter after the interview to the manager.
Q2) When interviewing with the nurse manager,the new nurse should be prepared to ask about:
A)Availability of on-site banking.
B)Timing of evaluations.
C)Benefits.
D)Parking.
Q3) When preparing for the NCLEX-RN exam,students should remember Maslow's hierarchy of needs.What best explains this concept?
A)Patient's physical needs are a priority to safety.
B)Psychosocial needs are a priority to safety.
C)Education is a priority to safety.
D)Psychosocial needs are a priority to physical needs.
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