Title WORKBOOK - LM (KEY) ✅

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 TOP RANK REVIEW ACADEMY, INC. Page 1 | 7
12. Nurse Maricel is from OB Ward and will float to the Oncology Ward. A. Post-hysterectomy client for discharge this morning B. Client with Crohn’s disease C. Client with greenstick fracture D. Client with breast cancer receiving granulocyte therapy 13. Nurse Graziella is from Medical-Surgical Unit floated to the Labor Room A. Patient on precipitous labor B. Patient on prolonged labor C. Patient with fetus on sacral presentation D. Patient on eclampsia 14. Nurse Danielle is an OB nurse floated to the Central ICU. A. Client with hyperglycemic hyperosmolar state B. Client receiving pRBC transfusion C. Client receiving medications through CVAD D. Client who had undergone colon surgery, having dysrrhythmias 15. Nurse Veronica from the Medical Surgical Unit floated to the ER. A. Client with acute abdominal pain due to appendicitis B. Client with widely dilated pupils and apnea C. Pediatric client with ARDS in respiratory distress D. Client with chronic heart failure NYHA Classification: Class IV 16. Nurse Arizona from the Pediatric Unit floated to OB Department A. Postpartum client who has an inverted nipple B. Postpartum client who has Raynaud’s phenomenon C. Postpartum client who had vaginal birth D. Postpartum client who had anti-phospholipid syndrome 17. Nurse Jean is a chief nurse in the hospital. Along with other administrators, they are discussing about the creation of a strategic plan. Which of these statements is true about a strategic plan? A. Requires focus on the mission and vision of the organization B. Should not be done during financial crises C. Requires an assessment of the environment for opportunities D. Needs to be revisited periodically 18. Nurse Maya is demonstrating to students how a collaborative role is performed in the hospital. She shows it by showing that: A. The nurse plans care with the patient B. The nurse works with other members of the health care team from other units. C. The nurse initiates nursing action with co-workers D. The nurse defends rights of patients. 19. Mr. Fred Hallare reports to the station at 2 am that he has difficulty sleeping because of the noises in the hallway. When evaluating the effect the setting has on the quality of care provided to the client evaluation being done is called: A. Quality assurance B. Quality improvement C. Structure Evaluation D. Outcome Evaluation 20. Upon admission, the patient’s history was assessed, admitting orders were carried out wherein a tepid sponge bath was given, neuro vital signs were monitored q1h, and medications were given. The evaluation care provided to him by the nurse is referred to as: A. Nursing audit B. Process evaluation C. Outcome evaluation D. Quality improvement 21. Nurse Carmencita, as a chief nurse, has a critical role in planning, implementing and evaluating patient care outcomes. All of the following are beneficial to the management of patient care in the hospital, except: A. Integration of patient information management into the system B. Assess patient acuity and prepare appropriate care C. Focus of care in patient population rather than individual patient D. Equal allocation of resources in all service units 22. Nurse Cathy is a new nurse in the unit and her performance appraisal is coming up. She feels anxious about it. She asks Nurse Gerry, her senior, about the performance appraisal. Which of the following statements is true? A. Informing the staff about the specific impressions of their work help improve their performance. B. A verbal appraisal is an acceptable substitute for a written report C. Patients are the best source of information regarding personnel appraisal. D. The outcome of performance appraisal rests primarily with the staff. 23. Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who take care of patients with the same disease conditions and are located geographically near each other? A. Case method B. Modular nursing C. Nursing case management D. Team nursing 24. Nurse Nenita goes in an outing with other medical interns on her days off. What type of organizational structure is this? A. Formal B. Informal C. Staff D. Line 25. Nurse Kelly, as an administrator, develops the standards to be followed. Among the following standards, which is considered as a structure standard? A. The patients verbalized satisfaction of the nursing care received B. Rotation of duty will be done every four weeks for all patient care personnel. C. All patients shall have their weights taken recorded D. Patients shall answer the evaluation form before discharge 26. Nurse Jasmine has been newly promoted as the nursing division chief. One function of management that she needs to focus on is on controlling and optimizing quality. The following are basic steps in the controlling process of the department. Which of the following is NOT included? A. Measure actual performance B. Set nursing standards and criteria C. Compare results of performance to standards and objectives D. Identify possible courses of action 27. Nurse Xeena is attending an orientation regarding the patient care delivery system in her unit. She was told that the nursing model is a team nursing approach. A. a task approach method is used to provide care to clients B. managed care concepts and tools are used in providing client care C. an RN leads nursing personnel in providing care to a group of clients D. a single RN is responsible for providing nursing care to a group of clients 28. During Nurse Xeena’s orientation, the critical path was introduced. Which of the following statements, if made by TOP RANK REVIEW ACADEMY, INC. Page 2 | 7