1.

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
2. The nurse manager’s most important communication skill is:
a. Questioning
b. Affirmation
c. Assertiveness
d. Listening

3. 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 nurse’s abilities

4. 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

5. 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

6. Nursing audit aims to:

a. Provide research data to hospital personnel
b. Study client’s illness and treatment regimen closely
c. Compare actual nursing done to establish standards
d. Provide information to health care providers

7. 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
8. 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.
9. 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

10. 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

11. 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

12. Ms. F has lung cancer and is going through chemotherapy. She is referred by the oncology nurse to a
self-help 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
13. When collaborating with other health team members, the best description of Nurse Rica’s role is:
a. Encourages the client’s 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

14. 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
15. 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

16. 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
17. 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

18. 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
19. 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

20. Putting your plans into action is:

a. Planning
b. Organizing
c. Directing
d. Controlling

21. 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

22. 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

23. What role do you play when you hold all client’s information entrusted to you in the strictest confidence?
a. Patient’s advocate
b. Educator
c. Patient’s liaison
d. Patient’s arbiter

24. 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

25. 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

26. 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

27. 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
28. 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

29. 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 center’s method. Which quality improvement process is she utilizing?
a. Bench marking
b. Risk management
c. Performance improvement
d. Quality management

30. 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

31. 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

32. Nurse K clarifies his decisional roles as a leader which includes the following except:
a. Negotiator
b. Resource allocator
c. Figure head
d. Entrepreneur

33. 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
34. 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
35. 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

36. 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

37. 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

38. 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

39. 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

40. 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

41. 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
42. 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

43. 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

44. 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

45. 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

46. 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

47. A form of communication that travels from the staff and continues up the organizational hierarchy is:
a. Upward
b. Horizontal
c. Downward
d. Grapevine

48. 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

49. One of the staff nurses remarked her colleague, “You seem to have lost weight, didn’t 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

50. 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
51. 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

52. Medical records that is organized into separate sections for data from doctors and nurses is known by
which of the following?
a. SOAPIE record
b. Source record
c. Modified problem oriented record
d. Problem oriented record

53. 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 patient’s course of illness
d. Convincing the patient to take a bath in the evening

54. 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 patient’s daily health habits
c. Being resourceful in carrying out treatment and nursing procedure
d. The ability to consciously structure nursing intervention and establish relatedness
55. 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

56. 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 individual’s previous experience
b. Should provide for new learning experience
c. Should be within the individual’s ability to complete
d. Should be easy and avoid challenging tasks

57. 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

58. 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

59. 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

60. 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
61. 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

62. 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

63. 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

64. What method was used when two groups agreed to divide the house?
a. Compromise
b. Collaboration
c. Majority rules
d. Restriction

65. 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 staff’s preference
c. Tell the staff if the really don’t want the change,, it will not be implemented
d. Encourage each sided to share view with each other

66. 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

67. Having to deal with a lot of people, the nurse manager’s most important communication skill is which
of the following?
a. Questioning
b. Assertiveness
c. Affirmation
d. Listening
68. 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

69. 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
70. 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

71. 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

72. 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

73. 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

74. 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

75. The ability to exert influence in the organization beyond authority, which is derived from position.
 a. power
b. empower
c. authority
d. instruction
76. It is the type of power that is gained over person’s life wherein it comes with maturity, integrity and
security
a. Reward
b. Legitimate
c. Expert
d. Self
77. 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

78. When a subordinate recognizes his superior’s 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
79. Which is true about requisite authority?

a. One person is to one boss

b. Managers for unusual things, workers for routine task
c. Delegated tasks includes authority over resources