Title WORKBOOK - LM (SC) ✅

COMPREHENSIVE PHASE WORKBOOK LEADERSHIP MANAGEMENT NOVEMBER 2025 Philippine Nurse Licensure Examination Review 1. Nurse Polita is a member of the ethics review committee. Which of the following is the purpose of ethical review committee? A. Decrease public security of health care provider's action B. Increase individual's responsibility C. Enhance health care provider's liability D. Promote implementation of general standards 2. Nurse Belinda is currently in the station receiving endorsements. While endorsing a patient to Nurse Delia, you detected an odor of alcohol on the attendant’s breath. You should plan to: A. Report to the senior nurse on duty B. Warn the nursing attendant that he should stay away from the clients C. Monitor his performance closely D. Tell the nursing attendant that he should go home immediately 3. Nurse Fely observed that Nurse Yellie administered the antibiotic drip several hours after scheduled time. Nurse Yellie just charted as if the medication was given on time. You reported to your senior nurse and expected the following steps will be done. Arrange the following steps in chronological order using all options. i. The senior nurse will schedule a private meeting to discuss the observation ii. The concerned staff nurse will be encouraged to take responsibility iii. The senior nurse will clearly inform the concerned staff that her behavior is unethical iv. If with resistance, the charge nurse will be informed v. The senior nurse will approach the concerned staff in a calm and professional manner A. 5, 3, 2, 1, 4 B. 5, 1, 3, 2, 4 C. 3, 2, 1, 5, 4 D. 2, 3, 5, 1, 4 4. Patient XYZ was discharged post-craniotomy. During your discharge planning, he informed you that he took the remote control, as their souvenir. The appropriate thing for you to do is to: A. Implement hospital policy accordingly B. Ignore the situation C. Call the security to deal with the case D. Instruct the client to pay the item the cashier 5. Patient XYZ has been waiting for six hours for his wife to fetch him. He told you that he wants to go home alone. Your FIRST appropriate action would be to: A. Inform the surgeon B. Prepare for ambulance conduction C. Refer the client’s case to the head nurse D. Allow him to go after signing a waiver 6. Nurse Yumi is a charge nurse in the surgical unit. She suspects that a male nursing attendant is abusing chemicals while on duty. Irregular reports on narcotics medications sheet are noted when she is on duty. Which of the following should be the appropriate action of the nurse? A. Report to the nurse supervisor in a confidential manner B. Pretend not to know the situation C. Personally call her attention in private D. Write an incident report and submit to administration 7. In order to confirm Nurse Yumi’s suspicion that the male nursing attendant has a substance abuse disorder. It is imperative for the nurse to assess which of the following substance abuse indicators? i. Defensive when questioned on the discrepancies in the narcotic control sheet ii. Excessive work-related tardiness, absences, and accidents iii. Accurate but sloppy documentation iv. Social Isolation A. 1, 2, 3 and 4 B. 2 and 4 C. 1 and 3 D. 1, 2 and 4 8. Mr. Greg Larrazabal, a patient with end stage renal disease, signed a DNR. In this situation, which of the following should be the responsibility of the nurse? A. Know and follow the patients wishes regarding resuscitation and the application of life support system B. Ascertain that a written order DNR from the physician is in place C. Explain to the family the consequence of DNR D. Follow strictly the physician’s order 9. Student nurse Marielle has been assigned to Mr. Larrazabal. You are currently conducting a ward class and is currently discussing about Mr. Larrazabal’s DNR. You discuss which of the following that the nurse take into consideration when the client has DNR order? A. The DNR order is not separate from other aspects of client’s care B. The order of the physician is final and not subjected to explicit discussion C. The competent client’s values and choices should always be given the highest priority D. Consider the views of the family who are against DNR 10. The chief nurse has asked the head nurses of the different wards to send a list of staff nurses who shall attend the EBP seminar organized by the nursing division. Which of the following refers to this type of program? A. Seminar workshop in evidence-based practice B. Continuing education in evidence-based practice C. In-service education program D. Scientific forum in evidence-based practice SITUATION: Due to the shortage of nurses, some nurses need to float to other units in order to augment the workforce. Which patient is more appropriate to be assigned to the following nurses? 11. Nurse Terry is from Psychiatric Ward and will float to the Emergency Department. A. Client with PICC line B. Client with end stage renal disease C. Client with GCS:3 D. Confused drunk client 12. Nurse Maricel is from OB Ward and will float to the Oncology Ward. TOP RANK REVIEW ACADEMY, INC. Page 1 | 7


Ms. Reyes wants which type of system of nursing care delivery? A. Primary Nursing B. Nursing case management C. Team Nursing D. Case Method 43. You are currently holding an orientation for the new nurses in the hospital. In order One of the new staff nurses wants to understand the channel of communication, span of control and lines of communication. A. Organizational structure B. Job description C. Policy D. Manual procedures 44. Nurse Yuri is a new nurse and is currently anxious about lawsuits. Which of the following conditions would prevent Yuri from a malpractice suit? A. She performs her duty as prescribed in her job description B. Her action resulted to an injury resulted from non-compliance to the standard of care C. The participation of the child’s parents resulted to an injury to the chilD. D. She is aware of the possibility of the injury to the patient 45. As a nurse manager, budgeting is one of your concerns. Which of the ff. articles is an example of operational budgets? A. Fee for the Internet Service Provider B. Purchase of a ventilator C. Additional locker room for OR D. New electrocautery machine 46. The Forty-Hour Week Law (Republic Act 5901), provides that employees will work only 40 hours a week provided that they are working in hospitals with a minimum of how many bed capacity: A. 50-bed capacity B. 75-bed capacity C. 100-bed capacity D. 150-bed capacity 47. Nurse Genna transitions to another form of care delivery. It is the most common delivery system where the nursing staff is divided into teams who are responsible for the care of a group of patients. A. Primary Nursing B. Functional Nursing C. Total Patient Care D. Team Nursing 48. Nurse Lilith wants to predict the future in which the plan will be executed. She should do: A. Setting Policies and Procedures B. Budgeting C. Forecasting D. Program Scheduling 49. A kind of nursing planning that includes the analysis of strengths, weaknesses, opportunities and strengths is also known as: A.Strategic Planning B. SWOT Planning C. Fiscal Planning D. Contingency Planning 50. Nurse Yule is the new nurse administrator of the hospital and during the long term planning, he suggested that one of the goals is “to expand and upgrade the hospital infrastructure to deliver quality care”. The hospital CEO becomes aware of the hospital needs and therefore allots a larger portion of the budget for the upgrades. Nurse Yule was able to successfully achieve what component of SWOT analysis? A.Strengths B. Weaknesses C. Opportunities D. Threats 51. Nurse Jellie introduced Theory Y during the ward conference. It is correctly described by all, but one, of the following statements: A. Applicable for people who enjoy work and have self-control B. Uses threats as a prime motivator C. Uses praise and recognition as the key motivators D. A guide for managers to develop the potential of each person 52. Chief Nurse Subillo is trying to implement a new style of staffing in the cancer unit. Nurses are now required to render 6 day workweeks instead of the usual 5 days a week. The nurse supervisor can effectively implement this change by choosing which course of action? A. Explain the purpose of the change and reinforce management decision B. Postpone the implementation of the new schedule to let the antagonistic feelings of the staff “cool down” C. Conduct a dialogue with the nursing staff and head nurses and involve them in planning the new schedule D. Avoid discussing the issue with the staff and implement the new schedule as planned 53. Nurse Marina is currently evaluating the. nursing staff nurses for their atitude and ethics. The manager determines that her staff nurse shows work accountability when the staff nurse: A. Performs tasks based on her job description B. Follows the standards of safe nursing practice C. Directs the work of her fellow nurses D. Answers for the consequences of her own decisions 54. Nurse Estudillo suggests following the principles of Total Quality Management. She emphasizes that it is the responsibility of which group to identify quality improvement opportunities? A. Administration B. Medical practitioners C. Nurse D. All health care personnel 55. As a part of the quality improvement program, process standards should be well-defined. Which of the following is NOT a process standard? A. Initial assessment shall be done to all patients within twenty four hours upon admission. B. Informed consent shall be secured prior to any invasive procedure C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital. D. Patient education about their illness and treatment shall be provided for all patients and their families. 56. Yannie is a fresh graduate of nursing. She was informed about the need for continuing professional development units to renew her license. The objectives of continuing professional education programs in nursing are the following, EXCEPT: A. Protect and promote the general welfare of the public by attaining the highest standards and quality in the practice of profession B. Make the professional globally competitive by maintaining capability for delivering professional services C. Augment the nurse educational preparation for admission to the practice of his profession D. Make available latest trends in the profession brought by scientific and technological advancement in the profession 57. Nurse Lilibeth is a nurse manager. According to her performance evaluation, she has low concern for services and high concern for staff. Which style of management refers to this? A. Organization Man B. Impoverished Management TOP RANK REVIEW ACADEMY, INC. Page 4 | 7