Nursing Management Practice Exam
Course Introduction
Nursing Management explores the principles, theories, and practices of leadership and administration within nursing. The course focuses on developing effective management skills critical for nurse leaders, including planning, organizing, staffing, directing, and controlling within healthcare settings. Students will examine topics such as resource allocation, conflict resolution, team building, quality improvement, ethical decision-making, and communication strategies. Case studies and real-world scenarios are integrated to prepare students for supervisory roles and to ensure quality patient care and effective collaboration with multidisciplinary teams.
Recommended Textbook
Leadership and Nursing Care Management 6th Edition by Diane Huber
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Page 2
Chapter 1: Leadership and Management Principles
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Sample Questions
Q1) A quality improvement team is working to enhance teamwork among the staff in a newly developed Alzheimer's program. Which of the following statements would be an expected behavior that illustrates quantum leadership?
A) "After the meeting today, each member on this team will be a role model of good communication techniques to other staff members."
B) "How would you describe an ideal collaborative practice environment?"
C) "What do you think about sharing our opinions today in a mutually respectful manner as we move around the table?"
D) "You folks are highly motivated and smart enough to develop a plan on your own. I'll support you as needed."
Answer: B
Q2) Which of the following is true of management activities?
A) Inspiring a vision is a management function.
B) Management is focused on task accomplishment.
C) Management is more focused on human relationships.
D) Management is more important than leadership.
Answer: B
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3
Chapter 2: Change and Innovation
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Sample Questions
Q1) A small critical care unit forms a team of nurses to implement bedside rounds at shift change. The nurses have researched the efficacy of bedside rounds and have determined that this evidence-based practice will lead to improved communication of patient status. Which type of change does this demonstrate?
A) Transforming care at the bedside
B) Second-order change
C) Emergent change
D) Organizational change
Answer: A
Q2) The development of new practices in response to new evidence is called:
A) altered direction.
B) organizational flux.
C) planned change.
D) status revision.
Answer: C
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Chapter 3: Organizational Climate and Culture
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Q1) Why is it important for nursing staff to have insight into the culture of their unit? (Select all that apply.)
A) So they can understand religious practices
B) To allow time for peers to access the Internet more often
C) To enable nurses to understand staff behaviors
D) To improve staff communication
E) To allow nursing staff insight into expectations and norms
Answer: C, D, E
Q2) Characteristics of a Magnet hospital include:
A) multidisciplinary collaboration.
B) nursing leader authority.
C) physician control.
D) social worker retention.
Answer: A
Q3) Climate is best defined as the:
A) health and well-being of the structure of a facility.
B) perceptions that individuals have about an environment.
C) style in which individuals treat each other.
D) temperature in the nursing units of an institution.
Answer: B
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Chapter 4: Managerial Decision Making
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Sample Questions
Q1) Which of the following scenarios is an example of clinical reasoning?
A) A nurse ignores a client's requests to stop his dialysis.
B) A nurse is scheduled to work over the weekend, and she has a family outing to attend.
C) A nurse is counseling a woman with breast cancer about terminating her pregnancy and receiving chemotherapy or completing the pregnancy and possibly not surviving.
D) A nurse has been offered an exciting new position with a dramatic increase in salary, but she would have to move out of state, away from her ailing parents.
Q2) Utilizing the DECIDE acronym for the process of decision making, what are the first and final steps in the process? (Select all that apply.)
A) Develop and implement an action plan for problem solution.
B) Establish criteria for what you want to accomplish.
C) Define the problem and determine why anything should be done about it.
D) Evaluate the decision through monitoring, troubleshooting, and feedback.
E) Determine the best choice or alternative.
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Chapter 5: Managing Time and Stress
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Sample Questions
Q1) Conflict and stress in the workplace can be managed through building relationships. Organizations can foster the building of relationships through: (Select all that apply.)
A) social media.
B) informal social gatherings.
C) mentoring.
D) confidential meetings.
Q2) What are some methods that nursing staff can use to manage personal stress levels? (Select all that apply.)
A) Take personal time each day.
B) Take on extra shifts to keep the mind occupied.
C) Get enough sleep.
D) Pay attention to diet and exercise.
E) Have a strong support network of friends and family.
Q3) Creating a safe, empowering, and satisfying work environment can be accomplished through implementation of:
A) Institute of Medicine Coalitions.
B) health care reform.
C) the Troubled Asset Relief Program.
D) Healthy Work Environment (HWE) standards.
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Page 7
Chapter 6: Legal and Ethical Issues
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Sample Questions
Q1) A staff nurse came in to work the 7 PM to 7 AM shift. She had met her friends for "happy hour" earlier in the evening. Her breath smells of alcohol. If this nurse is allowed to provide care for patients, she may be at risk for:
A) maleficence.
B) melange.
C) nonmaleficence.
D) nonmelange.
Q2) Which ethical principle is violated when the RN tells the hospital accountant that the patient is HIV-positive? (Select all that apply.)
A) Beneficence
B) Veracity
C) Confidentiality
D) Autonomy
E) Fidelity
Q3) The major responsibility for upholding patient care standards belongs to the:
A) chief executive officer of the facility.
B) nurse manager.
C) on-call physician.
D) staff nurse providing patient care.
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Page 8
Chapter 7: Communication Leadership
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Sample Questions
Q1) Unspoken affective or expressive behaviors best describe which type of communication?
A) Effective communication
B) Ineffective communication
C) Non-verbal communication
D) Verbal communication
Q2) Effectiveness and sustainability of change is based on the skilled communication of leadership and stakeholders endorsing the change process. What are some barriers that can interfere with change? (Select all that apply.)
A) Inwardly focused cultures
B) Transformational leadership
C) Fear of the unknown
D) Arrogant attitudes
E) Safety culture
Q3) The transformational leader engages staff by:
A) punishing errors.
B) sharing vision and decision making.
C) taking a top-down approach to leadership.
D) making unilateral decisions for the team.
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Page 9
Chapter 8: Team Building and Working With Effective Groups
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Sample Questions
Q1) Some of the major disadvantages to group decision making are negativity, individual focus, and:
A) autonomous conclusion.
B) disruptive conflicts.
C) group synergy.
D) inaccurate data interpretation.
Q2) Why is an interdisciplinary, team-based approach essential in health care? (Select all that apply.)
A) Reimbursement protocols and government regulations require them.
B) Diverse team's enhanced ability to adapt to continuous or sudden change.
C) A collective pool of thinking styles allows for greater exchange of information, ideas, and problem solving.
D) Rapid information dissemination is most efficient with multidisciplinary teams.
E) Engaging teams in this process allows for diverse points of view, creativity, and innovation.
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Chapter 9: Delegation in Nursing
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Sample Questions
Q1) When making a decision to delegate a nursing task, which of the following factors are assessed? (Select all that apply.)
A) Potential for harm
B) Complexity of the task
C) Amount of problem solving required
D) Predictability of the outcome
E) Level of patient interaction
Q2) The nurse manager determines that communication style is contributing to problems with delegation on her unit. What tool is used to teach principles of communication, leadership, situation monitoring, and mutual support?
A) American Nurses Association (ANA)
B) Agency for Healthcare Quality and Research (AHRQ)
C) Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)
D) Institute for Healthcare Improvement (IHI)
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11
Chapter 10: Power and Conflict
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Sample Questions
Q1) What are the two major content dimensions of power? (Select all that apply.)
A) Influence
B) Integrity
C) Authority
D) Dominance
E) Control
Q2) A staff nurse frequently is providing positive comments to get the manager in a good mood before asking about additional vacation time. This influence tactic is known as:
A) consultation.
B) ingratiation.
C) inspiration appeals.
D) rational persuasion.
Q3) Subunit or _____ power refers to relationships across departments.
A) vertical
B) organizational
C) horizontal
D) exertional
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Chapter 11: Workplace Diversity
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Sample Questions
Q1) A White nurse from the United States is assigned to care for a Vietnamese woman who speaks little English, had a baby 2 months ago, and is 1 day postoperative after fibroid removal. The nurse knows that traditional Vietnamese women will avoid drinking or eating "sour" foods such as lime Jell-O or other citrus types of liquids after surgery. She confirms her patient's values and beliefs. The nurse is exhibiting characteristics of:
A) cultural competence.
B) ethnic sensitivity.
C) stereotyping.
D) nonjudgmental behavior.
Q2) The nurse manager of a nursing unit is a White, female working with a high percentage of Middle Eastern nursing staff. Which of these statements are true about the communication and leadership style of a low-context culture? (Select all that apply.)
A) Rules are clear and tend to be followed.
B) Low-context cultures require extensive, detailed explanations.
C) Verbal communication is less explicit.
D) Decisions are made in face-to-face conversations.
E) Decisions are focused around tasks.
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Page 13
Chapter 12: Organizational Structure
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Sample Questions
Q1) Managers apply their leadership skills to their reporting relationships to release energy and talents of people in a manner that adds value to the work they perform. What are some examples of the effects of added value? (Select all that apply.)
A) Increased compensation
B) Improved productivity
C) Organizational commitment
D) Organizational citizenship behaviors
Q2) The ways in which work is divided and coordinated among members and the resulting network of relationships, roles, and work groups is the:
A) organization.
B) organizational social structure.
C) structure.
D) formal relationship.
Q3) The structure of authority in an organization is known as the: A) authority.
B) centralization.
C) bureaucracy.
D) hierarchy.
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14
Chapter 13: Decentralization and Shared Governance
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Sample Questions
Q1) Nurses' involvement in shared governance is an important component of:
A) practice models.
B) Magnet recognition.
C) increased reimbursement.
D) physician satisfaction.
Q2) An employee satisfaction survey is conducted annually and shows that nurses in a particular unit are committed to their jobs and feel that they make positive contributions. These nurses are:
A) engaged.
B) disengaged.
C) unproductive.
D) at retirement age.
Q3) In organizations that practice shared governance, the nurse manager's role is to: (Select all that apply.)
A) hire new employees.
B) mentor the nursing staff.
C) train new nurses in patient care.
D) support the decisions of the nursing team.
E) enable the staff to become effective leaders.
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Page 15
Chapter 14: Strategic Management
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Sample Questions
Q1) In a written strategic plan, the _______ contains all the documentation related to the strategic planning process so that the reader obtains a sense of the background information used by the strategic planners in order to arrive at the strategic plan.
Q2) The concept of strategic management includes strategic planning and the implementation of:
A) core values.
B) strategy.
C) tactics.
D) objectives.
Q3) A competitive move or business approach designed to produce a successful outcome is called _______.
Q4) For organizational strategy to be implemented successfully it must be: (Select all that apply.)
A) specific and inflexible.
B) applied in a timely manner.
C) agreed upon by all stakeholders.
D) executed proficiently and efficiently.
E) aligned with the organizational culture.
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Page 16
Chapter 15: Professional Practice Models
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Sample Questions
Q1) The conceptual framework and philosophy under which the method of delivery of nursing care is a component is known as:
A) core values.
B) mission statement.
C) care delivery model.
D) professional practice model (PPM).
Q2) Which of the following is true about team nursing?
A) It includes only registered nurses (RNs) and licensed practical/vocational nurses (LPN/LVNs).
B) Each team member has his or her own patient assignments.
C) Team members must have dual degrees.
D) The nurse with a bachelor's of science in nursing degree is the leader of the team.
Q3) Disadvantages of private duty nursing include: (Select all that apply.)
A) private duty nurses have a great degree of autonomy.
B) private duty being a costly model.
C) job security being tenuous and irregular.
D) the nurse's focus being entirely on one client's needs.
E) nurses maintaining close relationships with colleagues.
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17
Chapter 16: Case and Population Health Management
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Sample Questions
Q1) Nursing outreach programs are the core element of:
A) population health management.
B) disease management.
C) case management.
D) care management.
Q2) The hospital's disease management program has gathered data collected from health assessments in order to categorize patients into like groups with the intention of providing population management interventions. This practice or strategy is referred to as:
A) analogizing.
B) stratification.
C) comparing.
D) data exchanging.
Q3) The Collaborative Care Model of CM is best used for:
A) patients with co-occurring physical and mental health needs.
B) individuals and small systems.
C) hospital-based case management programs focusing on episodic care.
D) the transition of high-risk clients from acute care to community or long-term care settings.
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Page 18
Chapter 17: Evidence-Based Practice: Strategies for Nursing Leaders
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Q1) Strategies for building a strong organizational context of evidence-based practice include: (Select all that apply.)
A) linking quality improvement and patient safety.
B) periodically evaluate the infrastructure and context for EBP in their organization.
C) development of a mission, vision, and strategic plan inclusive of EBP language.
D) inclusion of EBP components in performance appraisals across all job classifications.
E) incorporating evidence-based practice into organizational information systems.
Q2) Components of a systematic review include:
A) publication of study data.
B) assessment of a study.
C) determination of statistical tests.
D) development of research guidelines.
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Chapter 18: Quality and Safety
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Sample Questions
Q1) Mercy Hospital compares its surgical site infection rate to General Heart Hospital, which is known as a best-in-class hospital for its surgical site infection rates. Mercy Hospital studies General Heart Hospital's methods for reducing surgical site infection rates and uses that information to improve its own performance. This quality performance method is called:
A) benchmarking.
B) evidence-based practice.
C) enterprise risk management.
D) continuous quality improvement.
Q2) A successful enterprise risk management (ERM) program will: (Select all that apply) A) identify risks.
B) improve quality.
C) prevent damage.
D) control occurrences.
E) control legal liability.
Q3) _____ is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.
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Chapter 19: Measuring and Managing Outcomes
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Sample Questions
Q1) The results people care about most when seeking treatment is known as a(n):
A) achieved benefit.
B) benchmark.
C) expected response.
D) outcome.
Q2) The process of managing outcomes includes five steps. List the five steps below in the correct order.
A) Variances are investigated.
B) Data are collected about outcomes.
C) Trends are identified from data analysis.
D) Changes are implemented and reevaluated.
E) Appropriate service delivery changes are determined.
Q3) The field in health care that aims at a better understanding of the end results of health care practices and interventions is called:
A) patient safety.
B) risk management.
C) outcomes research.
D) quality management.
Q4) A(n) _____ is the result or results obtained from the efforts to accomplish a goal.
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Chapter 20: Prevention of Workplace Violence
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Sample Questions
Q1) A nurse executive is a member of a collaborative committee assigned to revise the violence prevention program. After reviewing the program, the committee has determined that the following components already were included in the existing program: a written plan available to all employees, a system for tracking work-related assaults, and specific strategies for reducing the severity of violent injuries. A primary revision recommended by the committee should be the inclusion of a:
A) detailed description of last year's injuries.
B) list of preferred work injury health care providers.
C) method for evaluating the effectiveness of the program.
D) way to determine whether an employee is at fault.
Q2) An evaluation of a specific threat of violence and an evaluation of the person making the threat is conducted by ______.
Q3) The most prevalent source of violence against nurses is from:
A) a current or former employee.
B) customers, clients, or patients.
C) criminals with no other connection to the workplace but who simply intend to commit a crime.
D) someone who is not employed at the workplace but has a personal relationship with an employee.
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Page 22
Chapter 21: Confronting the Nursing Shortage
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Sample Questions
Q1) Factors that affect supply include nursing education factors, work environment factors, and _____ factors.
A) demographic
B) geographic
C) socioeconomic
D) psychological
Q2) The failure to retain an employee who is performing at or above a satisfactory level is:
A) selection.
B) transfer.
C) voluntary turnover.
D) termination.
Q3) Nursing jobs need to be developed that increase nurses' professional:
A) autonomy.
B) behavior.
C) culture.
D) salaries.
Q4) _____ is the process in which the application is reviewed before determining whether the nurse meets the preestablished criteria for the position.
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Chapter 22: Staffing and Scheduling
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Q1) The process of providing and measuring the correct full-time equivalent (FTE), or complement, to adequately staff a given area is known as:
A) scheduling.
B) position control.
C) forecasted workload.
D) demand management.
Q2) Evaluation of the effect of nurse staffing on quality patient, financial, and organizational outcomes is known as:
A) patient acuity.
B) staffing effectiveness.
C) nurse-to-patient ratio.
D) nursing workload.
Q3) The amount of work performed by a unit is referred to as its _____.
Q4) The workload standard commonly used in nursing when calculating staffing patterns is:
A) patient days.
B) patient acuity system.
C) average length of stay.
D) nursing care hours per patient day.
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Chapter 23: Budgeting, Productivity, and Costing Out Nursing
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Q1) A staff nurse's accurate recording of all services and supplies used to provide care to each client in her assignment is necessary for determining calculations used in which of the following budgets?
A) Expense
B) Gross
C) Inpatient
D) Revenue
Q2) The key advantage of activity-based costing is:
A) workload is determined based on the required hours of nursing care.
B) it reflects what it costs to provide services and identifies why costs were incurred.
C) data can be used in constructing a personnel budget because it is linked to the volume indicator of patient days.
D) the judgment of an expert nurse clinician must override an empirical system and be based on patient's needs in real time.
Q3) A measure of the severity of illness of an individual patient or the aggregate patient population on a unit is called _____.
Q4) A(n) _____ is the difference between the budgeted and the actual amounts.
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Chapter 24: Performance Appraisal
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Q1) A performance appraisal bias that occurs when all members of the team receive the same satisfactory rating is:
A) halo.
B) recency.
C) similar-to-me.
D) leniency.
Q2) The ability to measure performance is challenging, and despite significant advancements, measurements continue to be imperfect. Inaccuracy in measurement in favor of or against a group is known as:
A) validity.
B) objectivity.
C) reliability.
D) bias.
Q3) Performance appraisals provide information that is critical to human resources planning. Having a sense of the current skills of the workforce is crucial for:
A) compensation administration.
B) job analysis.
C) being prepared for future needs.
D) structuring educational programs for staff.
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Page 26
Chapter 25: Emergency Management and Preparedness
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Q1) In a disaster, it is most important that the:
A) clients are sent home quickly.
B) medications and supplies are secure.
C) nurses and their families feel safe.
D) security department increases its workforce.
Q2) Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster? (Select all that apply.)
A) Which clinical leader will make the decision about distribution of scarce resources
B) Criteria to determine which patients receive aggressive treatment and which will receive palliative care
C) Which nursing staff will be the first to report to the hospital in the event of a disaster
D) How prophylactic pharmaceuticals will be distributed to protect staff and their families
E) Who will be primarily responsible for external communication
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Chapter 26: Data Management and Clinical Informatics
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Q1) Nursing's data needs fall into four domains. Which of the following statements accurately describe the sources for data in each of the domains? (Select all that apply.)
A) Client data is located in the client's health care record.
B) Provider data refers to physicians and is located within the medical board.
C) Administrative data is located in registry and regulatory performance data.
D) Research data is only available with informed consent.
E) Existing and newly gathered data can be a source of obtaining research information.
Q2) Nurse managers utilize outcomes data to make decisions about nursing care effectiveness. Which NMMDS data elements would be most effective in evaluating nursing care? (Select all that apply.)
A) Nursing diagnosis
B) Turnover
C) Population served
D) Client accessibility
E) Intensity of nursing care
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28
Chapter 27: Marketing
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Sample Questions
Q1) What are the attributes of patient-centeredness in health care? (Select all that apply.)
A) Patient satisfaction
B) Cost and transparency of care
C) Patient engagement
D) Patient experience of care
E) Shared decision making
Q2) Hospitals in recent years have become more motivated to focus their marketing strategies on patient care excellence. What are some of the drivers of this focus? (Select all that apply.)
A) Heightened patient scrutiny
B) Heightened media scrutiny
C) Organizational transparency about error reporting
D) Frequent media accounts of medical errors
E) Increased litigation
Q3) The marketing mix of an organization is:
A) an individualized blend of tactics used to achieve goals.
B) guidelines that outline plans to market specific services.
C) patient education materials that also highlight services.
D) various television commercials used to advertise goods.
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