SAMPLE BOARD EXAM QUESTIONS: LEADERSHIP AND MANAGEMENT IN NURSING

1. In order to organize and deliver nursing care to patients, it was mentioned that good assignment to staff is always a priority in the institution. The following are true about good assignment except one: a. Should be related to the individuals previous experience b. Should provide for new learning experience c. Should be within the individuals ability to complete d. Should be easy and avoid challenging tasks 2. A small number of people with complementary skills who work towards accomplishment of common goals for which they hold themselves mutually accountable. a. Team b. group c. organizing d. management 3. The ability to exert influence in the organization beyond authority, which is derived from position. a. power b. empower c. authority d. instruction 4. Choosing the most appropriate mode of organizing patient care is important. Adrian assigned in the Intensive Care unit has only 1 patient and he assume total responsibility for giving all care to patients during their time on duty is called? a. Case method nursing b. team nursing c. Functional nursing d. primary nursing 5. The obligation to correctly perform ones assigned duties is: a. Delegation b. Assignment c. Responsibility d. Accountability 6. Faye, one of the staff nurses on the area, was assigned to give the medications of Mr. Huni, a patient with UGIB. Mr. Huni questions Faye about the medication she will be giving. Faye explains to him the use of the drug and the importance of it to his care. Faye, utilized which of the following type of influence? a. Sanction b. Rationality c. Exchange d. Assertiveness 7. Tina, is new in the ward, he approached Mr. Tan to give her directions so she could also help in the area. Mr. Tan as the head nurse of the unit gives Tina the tasks needed for her to finish. In order for Mr. Tan to properly delegate task, his manner of giving directions should be? 1. Clear, concise and complete 2. Understandable 3. Given in a low and fast voice 4. Must be one at a time a. b. c. d. 1,2,3, 1,2,4 2,3,4 All of the above

8. Ms. Angel delegates less task to her colleagues, because she fears that everything will go out of control. Because of this belief, she misses out on which of the following? a. Rids her of routine task b. Increases the motivation of her staff

c. A and B are true d. None of the above 9. Which of the following statement best describes an interpersonal conflict? a. Conflict within oneself b. Conflict with colleagues c. Conflict with another team d. None of the above

10. As a head nurse of the unit, which of the following sources should you take into consideration when making effective assignments for the next shifts? a. Seniority preferences b. Recent performance evaluation c. Personality traits d. Client classification data 11. Nurses working in the 35 bed female medical unit were noted to implement new and innovative client care activities long before other units in the hospital. Which of the following leadership characteristics exhibited by the nurse manager best describes this strength? a. Communication skills b. Knowledge and skills c. Vision and passion d. Interpersonal abilities 12. Olga is receiving D5W 1 liter regulated at 30 drops per minute to be consumed in 8 hours. It was started at 8am. At 10 am, her relative informed you that the bottle is empty. Which of the following will you do first? a. Refer to nurse manager b. Assess Olga and check level of fluid left in the bottle c. Discontinue IV and assess Olga d. Replace IVF with prescribed follow up 13. Which of the following factors is most important in determining the success of relationships used in delivering nursing care? a. Type of illness of the client b. Transference and counter transference c. Effective communication d. Personality of the participants 14. In conflict management, the win-win approach occurs when: a. There are two conflicts and the parties agree to each one b. Each party gives in on 50 percent of the disagreements making up the conflict c. Both parties involved are committed to solving the conflict d. The conflict is setteled out of court so the legal system and parties win 15. The use of interpersonal decision making, psychomotor skills, and application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety is an example of: a. Delegation b. Supervision c. Responsibility d. Competence 16. When one person allows the conflict to be resolved at his or her own expense, this is referred to which type of conflict management: a. Losing b. Winning while losing c. The lose-win approach d. Win-lose approach 17. o foster growth and development among the organization, staff development is done. The following best describes the benefit of staff development, except?

a. b. c. d.

Improves personnel effectivity and efficiency It produces improvement of staff Improves personnel outlook in life and improves work Means of degrading the skill and growth of the personnel

18. Staff development can be done through in-service (IS) training and continuing education (CE). The following statements are true when the two are compared,except? a. In service promotes skill development while CE promotes professional growth b. IS can be done in short period of time compared to that of CE that takes a longer time c. IS is done within the organization after assessment of a need, while CE done outside after the persons realizes the need for improvement d. IS is given to and paid by employees working in the company while CE is done and shouldered by the agency you are working 19. The nurse managers most important communication skill is: a. Questioning b. Affirmation c. Assertiveness d. Listening 20. All of these are the advantages of peer review EXCEPT: a. Demands accountability for nursing actions b. Has possibility of enhancing intra professional respect c. It requires the development of standards for quality care d. Provide an evaluation of the nurses abilities 21. The nurse expressed increase feelings of dissatisfaction. The supervising nurse intervenes therapeutically by taking the role of: a. Administrator by relieving her responsibilities b. Therapist by delivering into the nurse internal conflicts c. Counselor by active listening d. Educator by reorienting her role as a nurse 22. An order for a client was given and the nurse in charge of the client reports that she has no experience of doing the procedure before. Which of the following is the most appropriate action of the nurse supervisor? a. Assign another nurse to perform the procedure b. Ask the nurse to find way to learn the procedure c. Tell the nurse to read the procedure manual d. Do the procedure with the nurse 23. Nursing audit aims to: a. Provide research data to hospital personnel b. Study clients illness and treatment regimen closely c. Compare actual nursing done to establish standards d. Provide information to health care providers 24. Rio chose to talk to Ms. Angel about her problem on her management of the unit. Ms. Angel was angry at her and kept telling her that there is no better way of handling the unit besides how she handles it. Rio commented on some ways on how to make things better, but Ms. Angel keep pursuing her belief. The conflict management that Ms. Angel is utilizing is which of the following? a. Avoiding b. Accomodating c. Compromising d. Forcing 25. Delegation is an important skill that every nurse leader/manager must master. Nurse Jing should learn what can and cannot be delegated. Which of the following is correct. a. A manager can give away the overall responsibility, authority, and accountability for the completion of all activities in the area b. Delegation of duties may not always be based on policies

c. Making final evaluation and disciplining of staff can be delegated by managers d. Although every staff must be accountable for her own performance, the manager must accept accountability for the final results.

26. Essentially, assertiveness in nursing involves: a. Setting goals and communicate clearly b. Acting on goals in clear and consistent manner c. Taking responsibility for the consequences of one actions d. All of the above Situation: Errors while providing nursing care to patients must be avoided and minimized at all time. Effective management of available resources enables the nurse to provide safe quality patient care. 27. In the hospital where you work, increased incidence of medication error was identified as the number one problem in the unit. During the brainstorming session of the nursing service department, probable causes were identified as the number one problem identified. Which of the following is process related? a. Interruptions b. Use of unofficial abbreviations c. Failure to identify the client d. Lack of knowledge 28. Miscommunication of drug orders was identified as a probable cause of medication errors. Which of the following is safe medication practice related to this? a. Maintain meducation in its unit dose package until point of actual administration b. Note both generic and brand name of the medication in the Medication Administration Method c. Only officially approved abbreviations maybe used in prescription orders d. Encourage clients to ask question about their medication 29. The hospital has an ongoing assurance program. Which of the following indicates implementation of process standards? a. The nurse check clients identification band before giving medications b. The nurse reports adverse reaction to drugs c. Average waiting time for medication administration is measured d. The unit has well ventilated medication room Situation: While working in a tertiary hospital, you are assigned in the Medical Unit . 30. Your client, Rovi, is concerned that she cannot pay hospital bills and professional fees. You refer her to a: a. Social worker b. Nurse supervisor c. Bookkeeping department d. Physician 31. Ms. F has lung cancer and is going through chemotherapy. She is referred by the oncology nurse to a selfhelp group of clients with cancer to: a. Receive emotional support b. To be a part of a research study c. Provide financial assistance d. Assist with chemotherapy

32. A diabetic hypertensive client, Mrs. Lablab, needs a change in diet to improve her health status. She should be referred to a: a. Nutritionist b. Dietitian c. Physician d. Medical pathologist

33. When collaborating with other health team members, the best description of Nurse Ricas role is: a. Encourages the clients involvement in his care b. Shares and implements orders of the health team to ensure quality care c. She listens to the individual views of the team members d. Helps client set goals of care and discharge 34. Nurse Kim is successful in collaborating with health team members about the care of Mr. Lee. This is because she has the following competencies: a. Communication, trust and decision making b. Conflict management, trust, negotiation c. Negotiation and decision making d. Mutual respect negotiation and trust 35. This is regarded as the most effective means of resolving conflict. Heading out to face the dilemma with a goal to resolve the conflict through knowledge and reason is called? a. Stonewalling b. Assertiveness c. Confrontation d. Negotiation 36. Nurse Eduardo also recalls that organizing is necessary because people accomplish more work than could be done individually. The number of people reporting to him as nurse supervisor represents his: a. Unity of command b. span of control c. Scope of responsibility d. degree of authority 37. The hospital will be conducting their yearly interdepartment Christmas party, the different heads of each department conducted a meeting to plan for this event. In this situation which type of communication is used? a. Authoritative b. Logical c. Consultative d. Grapevine 38. The principle of organization wherein it states that recurring decisions should be handled in a routine manner by lower-level managers whereas problems involving unusual matters should be referred to higher levels. a. Unity of Command b. Homogenous Assignement c. Span of control d. Exemption Principle 39. Because large organizations are so complex, communication, channels used by a manager may involve downward, upward, horizontal, or through the grapevine. Which of the following is considered the most informal communication network that flows rapidly and is subject to error distortion? a. Upward communication b. Horizontal communication c. Downward communication d. Grapevine communication 40. Putting your plans into action is: a. Planning b. Organizing c. Directing d. Controlling Situation: Recored contain those comprehensive descriptions of patients health conditions and needs and att the same time serve as evidences of every nurses accountability in the care giving process. Nursing records normally differ from institution to institution nonetheless they follow similar patterns of meeting needs for specific types of information. The following pertains to documentation and records management.

41. This special form is used when the patient is admitted to the unit. The nurse completes the information in this record particularly his or her basic personal data, current illness, previous health history, health history of the family, emotional profile, environmental history as well as physical assessment together with nursing diagnoses on admission. What do you call this record? a. Nursing kardex b. Nursing health history and assessment worksheet c. Medicine and treatment record d. Discharge summary 42. These are sheets/ forms which provide an efficient and time saving way to record infomaton that must be obtained repeatedly at regular and/or short intervals of time. This does not replace the progress notes, instead this record of information on vital signs, intake and output, treatment, postoperative care, postpartum care, and diabetic regimen etc. This is used whenever specific measurements or observations are needed to be documented repeatedly. What do you call this particular record? a. Nursing kardex b. Graphic flow sheets c. Discharge summary d. Medicine and treatment record 43. These records show all medications and treatments provided on a repeated basis. What do you call this record? a. Nursing kardex b. Nursing health history and assessment worksheet c. Medicine and treatment record d. Discharge summary

44. Most nurses regard this conventional recording of the date, time, and mode by which the patient leaves a healthcare unit, but this record includes importantly, directs of planning for discharge that starts soon after the person is admitted to a healthcare institution. It is accepted that collaboration or multidisciplinary involvement of all members of the health tem in discharge results in comprehensive care. What do you call this? a. Nursing kardex b. Nursing health history and assessment worksheet c. Medicine and treatment record d. Discharge summary 45. What role do you play when you hold all clients information entrusted to you in the strictest confidence? a. Patients advocate b. Educator c. Patients liaison d. Patients arbiter 46. As a nurse, you can help improve the effectiveness of communication among health care givers by: a. Use of reminders of what to do b. Using standardized list of abbreviations, acronyms and symbols c. One-on-one oral endorsement d. Text messaging and email 47. As a nurse, your primary focus in the workplace is the clients safe ty. However, personal safety is also a concern. You can communicate hazards to your co-workers through the use of the following except: a. Formal training b. Posters c. Posting implementing rules in the bulletin board d. Use of labels and signs 48. As a nurse, you protect yourself and co-workers from misinformation and misrepresentations through the following except: a. Provide information to clients about a variety of services that can help alleviate the clients pain and other conditions

b. Advising the client, by virtue of your expertise that which can contribute to the clients well -being c. Health education among clients and significant others regarding the use of chemical disinfectant d. Endorsement through trimedia to advertise your favorite disinfectant solution 49. To guarantee an improved delivery of nursing services, the nurse manager revised the sysTyem for the delivery of nursing care which is referred to as: a. Patient classification system b. Pattern of nursing care c. Variable staffing d. Scheduling 50. Which nursing care system is considered as the system used for assigning the work of private duty nurses? a. Case method b. Functional method c. Team nursing d. Primary nursing 51. Nurse Mel is assigned to take care of 5 to 6 patients from admission to discharge. Which nursing modality refers to this? a. Primary nursing b. Nursing case management c. Team nursing d. Modular nursing 52. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication. Which of the following will provide this information? a. Organizational structure b. Policy c. Guidelines d. Job description e. Manual of procedures 53. Which behavior would indicate that Nurse San uses consultative theory? a. Involves the members in making specific policy decisions b. Uses fear and punishment in motivating the team c. Allows specific policy decisions at her level only d. Permits information flow in all levels 54. A new nurse manager is trying to determine the best way to implement client teaching in her outpatient surgical center. She decides to gather data from other surgical centers and compare their teaching method to her centers method. Which quality improvement process is she utilizing? a. Bench marking b. Risk management c. Performance improvement d. Quality management 55. Nurse Pipaw gave her team full trust and confidence and allowed them to share their suggestions how to develop the program. Which management behavior did she adopt?? a. Participative b. Consultative c. Exploitive- authoritative d. Benevolent-authoritative 56. Nurse Pipaw who is the chair of the Program Committee, explains to Dionisia the details of her proposed programs and the reasons behind his proposal. Which influence tactic did she employ? a. Upward appeal b. Rationality c. Blocking d. Exchange

57. Nurse K clarifies his decisional roles as a leader which includes the following except: a. Negotiator b. Resource allocator c. Figure head d. Entrepreneur 58. Nurse K was able to motivate the group by shifting the authority, responsibility, and accountability to point of care. Which of the following theories refer to this type of situation presented? a. Servant leadership b. Transformational leadership c. Participative d. Shared excellence 59. Nurse Glenda assists a group of nursing personnel in the surgical intensive unit of Region 1 Medical Center to resolve their conflict with the hospital administrator regarding their salary by defining the goals openly in an environment of trust and commitment. The approach utilized by Nurse Glenda is: a. Compromise b. Integrative problem solving c. Majority rule d. Dominance- suppression techniques 60. As a nurse supervisor in Pangasinan Provincial Hospital, Nurse Auring is concerned with the day to day management of the trauma unit towards administration of quality care client services. The type of decision making process style is concerned with is: a. Personal b. Operational c. Professional d. Strategic 61. Nurse Bulding, a nursing supervisor in a Burn Unit is conducting a 6-month performance review session with a team leader. Which of the following actions is appropriate? a. Team leader chooses a nurse to attend the session as a witness b. Nurse Bulding appoints a third person to attend the session c. The session is private between the two nurses d. The session is open to all staff members of the other units 62. She likewise wants to consider shifting to transformational leadership. Which one is the essence of this type of leadership? a. Processes b. Vision c. Policies d. Rules

Situation: Nurse Jethro is a head nurse of the Cardiovascular Unit of Region 1 Medical Center. He plans to develop a continuing education program for his staff 63. He plans to use a planning and controlling model that identifies all aspects of a complex project, assigns time frame for each of the task that needs to complete before the target date. Which planning model refers to this? a. Gantt chart b. PERT c. Critical path method d. Decision tree

64. He appoints the members of the working committee. He instructs them to report only to him. Which of the following principles did he apply? a. Unity of direction b. Span of control c. Unity of command d. Scalar chain 65. As a manager, Nurse Jethro is responsible for the care that is rendered by the nurses in the unit. Which of principle refers to this? a. Span of control b. Command responsibility c. Discipline d. Unity of direction 66. Nurse Beng knows that some leaders show little or no trust on their subordinate, which refer to: a. Benevolent-authoritative b. Exploitive- authoritative c. Consultative d. Participative 67. Nurse Beng delegates effectively if she has authority to act, which is best defined as : a. Having responsibility to direct others b. Being accountable to the organization c. Having legitimate right to act d. Telling others what to do 68. When the situation calls for compliance of the followers to ensure success of the activity, the best leadership style that Nurse Beng will use is: a. Laissez-faire b. Democratic c. Autocratic d. Authoritative 69. To effectively manage time, the nurse should avoid which of the following barriers? a. Setting limits b. Procrastination c. Realistic personal expectations d. Practical planning

70. The organizational chart tells the nurse the following: 1. Leadership and subordinates in the organization 2. Positions in the organization 3. Exact number of individuals in the organization 4. Location in the hierarchical level a. 1,2,3 b. 2,3,4 c. 1,2,4 d. All 71. Dotted or broken lines on the organizational chart represent: 1. Staff positions 2. Advisory positions 3. Chain of Command 4. Line positions a. 1,2 b. 1,2,3 c. 1,3 d. 1,3,4

72. Nurse Supervisor Rosalinda of Manny Pacquiao Memorial Hospital assigned Nurse Dionisia to do the reading of the Central Venous Pressure Line and later on gave guidance to her in executing the task. The managerial function is best exemplified in: a. Staffing b. Organizing c. Directing d. Controlling 73. A form of communication that travels from the staff and continues up the organizational hierarchy is: a. Upward b. Horizontal c. Downward d. Grapevine 74. The conceptual skill of a nurse manager is best depicted in her ability to: a. Select and motivate her subordinates b. Integrate and coordinate activities c. Determine and analyze nature of circumstances d. Exercise nursing procedures 75. One of the staff nurses remarked her colleague, You seem to have lost weight, didnt you? before she asked the latter to exchange her day off with her. What influence did she use in this case? a. Sanction b. Ingratiation c. Exchange d. Assertiveness

76. The staff nurses verbalized that they are already beginning to feel tired of the long duty hours and the heavy workload assigned to them. They decided to talk with Gracia because they want to protect the rights of the patients to safe and quality care. Which influence tactic refers to this situation? a. Coalition b. Ingratiation c. Blocking d. Rationality Situation: Nurses use a variety of ways to communication information about their clients. The more nurses know about the client, the better prepared they are to render high quality care. 77. Which of the following are general guidleines that must be followed to ensure quality documentation and reporting? 1- factual and accurate 2- complete and current 3- organized and confidential 4- computerized and coded a. 2 3 4 b. 1 2 3 c. 1 2 4 d. 1 3 4 78. Which of the following is the appropriate purpose/ use of health care records when the nurse reviews client chart to assist her in planning patient care during her shift? a. Communication b. Education c. Auditing d. Assessment 79. Medical records that is organized into separate sections for data from doctors and nurses is known by which of the following?

a. b. c. d.

SOAPIE record Source record Modified problem oriented record Problem oriented record

80. Which of the following utilizes therapeutic communication? a. Arguing with patients regarding unexplained hospital bills b. Changing the subject when the patient begun to show anger c. Giving information about the patients course of illness d. Convincing the patient to take a bath in the evening 81. Which of the following describes the therapeutic use of self? a. Ability to observe the 5 rights in administering medication and treatment b. The ability to effect change in the patients daily health habits c. Being resourceful in carrying out treatment and nursing procedure d. The ability to consciously structure nursing intervention and establish relatedness

82. The hospital where you are working is celebrating its golden jubilee. Three of the nurse supervisors were assigned by the over-all chairman to head different committees. The principle of management used here is: a. Delegation of responsibility b. Channel of communication c. Unity of command d. Command responsibility 83. In order to organize and deliver nursing care to patients, it was mentioned that good assignment to staff is always a priority in the institution. The following are true about good assignment except one: a. Should be related to the individuals previous experience b. Should provide for new learning experience c. Should be within the individuals ability to complete d. Should be easy and avoid challenging tasks 84. Choosing the most appropriate mode of organizing patient care is important. Adrian assigned in the Intensive Care unit has only 1 patient and he assume total responsibility for giving all care to patients during their time on duty is called? a. Case method nursing b. team nursing c. Functional nursing d. primary nursing 85. The nurse supervisor plans to revisit the organization chart of the department. She plans to create new position of a Patient Educator who has coordinating relationship with the head nurse in the unit. Which of the following will most likely depict this organizational relationship? a. Box b. Solid line c. Broken line d. Dotted line 86. To guide the nurse in the professional relationship with other organization, she must be aware of the organizational structure of her institution. Which of the following are the purposes of an organizational structure? 1-- outlines administrative flow of command 2- used for policy making and planning 3- shows relationships with other departments and agencies 4- used to evaluate strengths and weaknesses of the organizational structure 5- used to orient new personnel to the organization a. 1 3 4 b. 3 only c. 2 4 5 d. All of the above

87. A type of adhocracy organizational model which sees to it that all departments are represented accordingly: a. Matrix organization b. Project organization c. Collegial management d. Free form 88. A type of organizational chart which defines the relationship between and among the different levels in the organization is the: a. Concentric structure b. Vertical structure c. Horizontal structure d. Circular 89. Marilyn is responsible for the number of personnel reporting to her. Which principle refers to this? a. Span of control b. Unity of command c. Decentralization d. Decentralization e. Esprit d corps 90. She observed that two of the nurses are not talking to each other. This condition refers to which of the following? a. Stress b. Conflict c. Span of control d. Unity of command 91. What method was used when two groups agreed to divide the house? a. Compromise b. Collaboration c. Majority rules d. Restriction 92. The nurse manager wishes to implement a new way of determining the vacation schedule for staff. Senior staff nurses oppose the change while newer staff nurses seem to be more of accepting the change. An effective strategy for resolving these differences in acceptance would be: a. Provide extensive and detailed rationale for the proposed exchange b. Explain that the change will occur as designed, regardless of the staffs pr eference c. Tell the staff if the really dont want the change,, it will not be implemented d. Encourage each sided to share view with each other 93. You have been promoted as head nurse in a new burn unit which of the following action is best for you to do? a. Establish authority by sounding firm and knowledgeable b. Delegate responsibility to staff nurses according to their ability c. Talk to the team leader of the staff nurses and give her the best schedule d. Avoid seeking the advise of the staff nurse 94. Having to deal with a lot of people, the nurse managers most important communication skill is which of the following? a. Questioning b. Assertiveness c. Affirmation d. Listening 95. In directing, Nurse D is concerned with the technical aspects such as those listed below. Which does not fit in the category? a. Work flow b. Equipments and supplies c. Procedures d. Job dissatisfaction

96. Many managers distribute biweekly newsletter of ongoing unit or health care agency activities and post minutes of committee meetings in an accessible location for all staff to read. This is an example of: a. Problem solving committee b. Nurse/ physician collaborative practice c. Interdisciplinary collaboration d. Staff communication 97. Which of the following is true about directing? a. It is influencing others behavior through motivation, communication and group dynamic b. It is the third step in the management process c. Directing deals with the steps a manager takes to get subordinates and others to carry out plans. d. None of the above 98. The characteristic of directing that means as long as the organization exist, directing is present a. Pervasive function b. Creativity function c. Continuous activity d. Human factor 99. If without directing, resources are misused and mishandled and personnel are stagnant is embodied in which of the following? a. Pervasive function b. Creativity function c. Continuous activity d. Human factor 100. A homeless person has been admitted to the hospital with multiple health care problems. The nurse manager, physician, social worker, and clinical dietician are working together to care for the patient. This interdisciplinary interaction is referred to as: a. cooperation b. consultation c. continuity d. collaboration 101. A small number of people with complementary skills who work towards accomplishment of common goals for which they hold themselves mutually accountable. e. Team f. group g. organizing h. management 102. The ability to exert influence in the organization beyond authority, which is derived from position. a. power b. empower c. authority d. instruction 103. It is the type of power that is gained over persons life wherein it comes with maturity, integrity and security a. Reward b. Legitimate c. Expert d. Self 104. By virtue of his organizational position, Nurse Eduardo has the recognized authority over others. The type of power that he has is called. a. Reward power b. Expert power c. Coarcive power d. legitimate power 105. When a subordinate recognizes his superiors advanced skill or knowledge and follow his orders because of his belief that his superior knows best, that superior is said to have: a. Legitimate power b. referent power

c. Reward power d. expert power 106. Which is true about requisite authority?

a. b. c. d.

One person is to one boss Managers for unusual things, workers for routine task Delegated tasks includes authority over resources One is accountable for his actions