Question 1

The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the planning step of the process?
A)Identifying the problem of the lack of ICU beds
B)Organizing a meeting to address the problem
C)Establishing an alternate site within the hospital for these patients
D)Assigning experienced staff to implement care of these patients

Accepted Answer

Planning involves identifying the problem or issue that needs to be addressed and determining the best course of action to achieve the desired outcome. Option A describes the identification of a problem, which is a key step in the planning process. Options B-D describe actions that may be taken after the planning process is complete, such as organizing a meeting, establishing an alternate site or assigning staff.

Question 2

The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the decision-making process?
A)Organizing a meeting to address the problem
B)Establishing an alternate site within the hospital for these patients
C)Assigning experienced staff to implement care of these patients
D)Establishing the new area as a step-down unit

Accepted Answer

Decision-making involves making choices and establishing a plan of action. Establishing the new area as a step-down unit is a clear decision that provides a plan of action for addressing the problem. A, B, and C involve steps in the process of addressing the problem but do not necessarily represent a firm decision.

Question 3

The role of the charge nurse is a relatively new role in nursing.What responsibilities would the nurse expect to see from the charge nurse? Select all that apply.
A)Making daily patient care assignments
B)Troubleshooting problems occurring during shift
C)Providing coverage for breaks
D)Taking turns floating to another unit
E)Assisting staff as needed

Accepted Answer

Options A, B, and E are responsibilities of the charge nurse.Options C and D do not apply to the charge nurse.

Question 4

Which of the following patients should the charge nurse admit to a room with a patient who is confused and incontinent of stool?
A)A postoperative patient
B)A patient with diabetes
C)A patient who is going to surgery later today
D)A patient from the cardiac catheterization lab who is going home in the morning

Accepted Answer

A patient from the cardiac cauterization lab who is going home in the morning is at the least risk for acquiring an infection from the exposure.The other patients are at high risk for acquiring an infection from the exposure.

Question 5

There are three levels of management in nursing.Which action by the nurse would indicate the nurse is a first-line nurse manager?
A)Responding to a patient complaint
B)Deciding to incorporate walking rounds shift report hospitalwide
C)Reevaluating the nursing policy permitting IV push of certain medications by RNs
D)Designating assignment of new admissions

Accepted Answer

The first-line manager is the nurse manager and would be responsible for responding to patient complaints.Option B is incorrect because middle-level managers set short- and long-term goals.Option C is incorrect because reevaluating the nursing policy permitting IV push of certain medications by RNs is a responsibility of upper-level management to forecast trends in nursing.Option D is incorrect because designating assignment of new admissions would be the responsibility of the charge nurse.

Question 6

The nurse manager receives a telephone call from an RN saying she will be late because of traffic due to an accident.The charge nurse needs to make arrangements for the care of that nurse's team of patients until her arrival.What is the best action to take to ensure the management of those patients until the RN arrives?
A)Distribute the patients evenly to each of the other nurses.
B)The charge nurse will take the assignment until the RN's arrival.
C)Ask the nurse manager to assume care temporarily.
D)Ask the night nurse to stay until the RN's arrival.

Accepted Answer

The best action is to evenly distribute the patients so that no single nurse is overwhelmed and the charge nurse can continue to function in her role.The other actions would not provide for the best care to patients.

Question 7

A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes.What is the next best action by the RN is best?
A)Call the patient's wife to have her sit with him to calm him.
B)Ask the UAP to obtain a blood glucose level.
C)Call the Rapid Response Team.
D)Ask the charge nurse to check on the other patients.

Accepted Answer

The patient is presenting with continued shortness of breath, which could indicate worsening of their condition. As the patient is already admitted with an ST-segment myocardial infarction, calling the Rapid Response Team would be the safest choice to ensure prompt evaluation and treatment. A and D are not appropriate actions as they do not address the patient's current symptoms, and B may not be a priority at the moment.

Question 8

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

Accepted Answer

The upper-level manager may have been omitted from the process.Human resources must be involved in the employment process.Staff members would not intimidate the new employee.The middle-level manager is key in the process.

Question 9

Arrange in order of priority the nurse's actions when a patient admitted with an elevated ST-segment myocardial infarction on droplet precautions and oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.
1)Call the rapid response team (RRT).
2)Obtain a chest radiograph.
3)Obtain a 12-lead ECG.
4)Initiate a bronchodilator nebulizer treatment.
5)Increase the oxygen concentration 2 L.
6)Repeat the oxygen saturation in 10 minutes.
A)5,3,2,4,6,1
B)1,4,2,5,6,3
C)4,5,6,3,1,2
D)5,4,3,6,2,1

Accepted Answer

The first step should be to try a bronchodilator first, then increase the oxygen concentration, repeat the oxygen saturation for changes, then obtain a 12-lead ECG to rule out evolving myocardial infarction, call the RRT for their consult, and then obtain a chest radiograph to see if that explains the change in condition.The other options do not present the steps in the correct order.

Question 10

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

Accepted Answer

Establishing strategic goals for nursing is a responsibility that falls solely on upper-level managers, while supervising patient care delivery and being responsible for activities on the unit 24/7 are responsibilities of frontline/charge nurses. Maintaining currency in the profession is a responsibility shared by all levels of nursing management.

Question 11

A patient admitted with an elevated ST-segment myocardial infarction (MI)on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.Respiratory therapy administers an albuterol treatment that provides no change in the oxygen saturation.What is the next best action by the RN is best?
A)Obtain a 12-lead ECG.
B)Notify the health care provider.
C)Call the patient's wife to have her sit with him to calm him.
D)Ask the UAP to obtain a blood glucose level.

Accepted Answer

Because this patient was admitted with an MI, evolution of the MI should be ruled out as the source of the shortness of breath.Notifying the health care provider should be taken after obtaining all the information necessary.The other options do not address the possible underlying problem.

Question 12

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

Accepted Answer

Administration of STAT medications should always be the highest priority as it involves medications that are essential for the patient's immediate well-being and requires timely administration. Assessing stable patients, administering daily medications, and conducting discharge teaching are important but can be performed after the administration of essential medications.

Question 13

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%.The albuterol treatment provides no relief.What is the next best action by the RN?
A)Increase the oxygen concentration and recheck the saturation after 10 minutes.
B)Obtain a 12-lead ECG.
C)Notify the health care provider.
D)Call the patient's wife to have her sit with him to calm him.

Accepted Answer

Increasing the oxygen concentration will provide more oxygen to the tissues, but the saturation should be rechecked to determine effect.Obtaining a 12-lead ECG is appropriate as the next action but not before increasing the oxygen concentration.Notifying the health care provider is an appropriate step after answers A and B are instituted.Calling the patient's wife is not a priority.

Question 14

The nurses are complaining about how busy they are this shift.The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts?
A)Take responsibility for a team of patients.
B)Delegate care to the UAPs.
C)Assist the RNs to prioritize their patients and their responsibilities.
D)Call the supervisor for more staff.

Accepted Answer

It is important for the charge nurse to assist the RNs to prioritize their patients and responsibilities. This will ensure safety and quality of care for the patients. Delegating care to UAPs may not be appropriate for certain tasks and responsibilities. Taking responsibility for a team of patients may add to the workload and not help in managing the current workload. Calling the supervisor for more staff may take time and may not be an immediate solution for the current situation.

Question 15

First-level managers are responsible for the day-to-day activities of the unit.Which activity would the nurse expect to see only from a first-level manager?
A)Making daily staffing assignments
B)Managing the unit's budget
C)Maintaining currency in profession
D)Making daily patient rounds

Accepted Answer

Managing the unit budget is the sole responsibility of the nurse manager and first-level manager.The other activities are not specific to first-level managers.

Question 16

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.

Accepted Answer

The respiratory therapist should administer a bronchodilator as the first action to assess the patient's response before determining the next action.Increasing the oxygen concentration should be delayed until assessing any change after the bronchodilator administration.Notifying the health care provider should be delayed until assessing any change after the bronchodilator administration.Determining if anxiety could be causing the shortness of breath is probably not responsible for the change in condition.

Question 17

Which patient should be considered the highest priority by the nurse manager?
A)A patient who attempts suicide
B)A patient who attempts to escape from the hospital
C)A patient who refuses to eat
D)A patient who refuses her medications

Accepted Answer

A patient who attempts suicide is the highest priority because their life is in immediate danger and the nurse manager must take swift action to ensure the patient's safety.

Question 18

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

Accepted Answer

The patient who is reported by the UAP to be choking should be considered the highest priority as this is a life-threatening emergency that requires immediate action. The other tasks can be prioritized after ensuring the safety of the choking patient.

Question 19

Which patient should be considered the highest priority by the charge nurse?
A)A patient who is complaining that no one solve  his call light
B)A patient who is threatening to leave AMA with tubes and drains in place from a surgical procedure
C)A confused patient who is attempting to get out of bed
D)A patient who is asking for help to the bathroom

Accepted Answer

A patient who is threatening to leave AMA with tubes and drains in place from a surgical procedure is the highest priority as they are at risk for harm to themselves and could require immediate intervention. The other patients can be addressed and assisted after ensuring the safety of the patient at high risk.

Question 20

Middle-level managers are responsible for planning for changes of the unit.What activity would the nurse expect to see only from a middle-level manager?
A)Maintaining currency in profession
B)Planning for changes within the service line in the organization
C)Being responsible for activities on the unit 24/7
D)Supervising patient care delivery

Accepted Answer

Middle-level managers are responsible for planning for changes within a specific service line or unit of the organization. Maintaining currency in profession is the responsibility of all nurses, regardless of level of management. Being responsible for activities on the unit 24/7 falls under the responsibility of frontline managers, while supervising patient care delivery can be done by both frontline and middle-level managers.

Quiz 9: Developing Management Skills

The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the planning step of the process?

The management process consists of six functions: planning,staffing,organizing,directing,controlling,and decision making.What might be seen in the decision-making process?

The role of the charge nurse is a relatively new role in nursing.What responsibilities would the nurse expect to see from the charge nurse? Select all that apply.

Which of the following patients should the charge nurse admit to a room with a patient who is confused and incontinent of stool?

There are three levels of management in nursing.Which action by the nurse would indicate the nurse is a first-line nurse manager?

A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes.What is the next best action by the RN is best?

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?

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?

Which activity should be considered the highest priority by the RN?

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%.The albuterol treatment provides no relief.What is the next best action by the RN?

The nurses are complaining about how busy they are this shift.The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts?

First-level managers are responsible for the day-to-day activities of the unit.Which activity would the nurse expect to see only from a first-level manager?

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?

Which patient should be considered the highest priority by the nurse manager?

Which patient should be considered the highest priority by the new RN?

Which patient should be considered the highest priority by the charge nurse?

Middle-level managers are responsible for planning for changes of the unit.What activity would the nurse expect to see only from a middle-level manager?