Tiêu đề 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

B. they provide an effective way of monitoring care and for reducing or controlling the length of hospital stay for the client C. they are developed based on appropriate standards of care D. they are nursing care plans and use the steps of the nursing process 29. Nurse Miranda plans to shift the care delivery from functional nursing to primary nursing. A form of resistance is expected. Which technique should the nurse use in implementing this change? A. introduce the change gradually B. confront the individuals involved in the change process C. use coercion to implement the change D. manipulate the participants in the change process 30. Elisa J complains of 10/10 pain despite opiod medications whenever Nurse Rebecca is the one in charge of administering the medication. The appropriate action for the nurse to take is to: A. Reassign the nurse to the care of clients not receiving opioids B. notify the physician that the client needs an increase in opioid dosage C. Review the client's medication administration record immediately and discuss the observations with the nursing supervisor D. Confront the nurse with the information about the client having pain control problems and ask if the nurse is using the opioids personally 31. Nurse Mandy is monitoring the performance of a new nurse in the ward. Which of the following would indicate the need for further action and analysis? A. A client can perform wound cleaning on post-op site B. Purulent drainage is noted from a postoperative wound incision C. A 1-day postoperative client has a temperature of 98.8F D. A client newly diagnosed with hypertension monitors his BP 32. Nurse Helen advises her colleague to consider shifting to transformational leadership to boost performance of the team. Which of the following statements best describes this type of leadership? A. The leader uses visioning as the essence of leadership. B. The leader serves the followers rather than being served. C. The leader maintains full trust and confidence in the subordinates. D. The leader possesses innate charisma that makes others feel good in his presence. 33. Despite shifting to transformational leadership, the staff still underperforms. Nurse Helen introduced the Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory? A. Recognizes staff for going beyond expectations by giving them citations B. Challenges the staff to take individual accountability for their own practice C. Admonishes staff for being laggards. D. Reminds staff about the sanctions for non-performance. 34. Nurse Sandra was newly recruited into the hospital as a staff nurse. The organization mission is “Quality is priority”. Which of the following statements support this mission? A. Requiring competence and diligence in meeting the goals of the organization. B. Making the smallest error or overlooking details can have negative impact on quality. C. Performing one’s job to the best of one’s ability guided by principles. D. Contributing to quality improvement throughout the organization to highest degree 35. Nurse Heidi is in the middle level management. Planning is one of her functions. She knows it involves analyses of both external and internal factors affecting the process. External factors include: A. Strength B. Strength and weakness C. Opportunities D. Opportunities and threats 36. The staff of a local hospital have formed a task force to develop new protocol for safe evacuation during an earthquake. However, this protocol haven’t been reviewed, approved or shared with all personnel. When a intensity 6.5 earthquake hit the area, the task force members push for evacuating the unit using the new procedures. Which action should the nurse-manager take? A. Determine that the procedures currently in place must be followed and direct staff to follow them without question. B. Tell staff members to use whatever procedures they feel are best C. Ask staff members to quickly meet among themselves and decide what procedures to follow D. Tell staff members to assemble in the staff lounge; there the nurse-manager will quickly gather opinions about evacuation procedures before deciding what to do. 37. Primary nursing is the care delivery system currently used by Nurse Grace’s hospital. Which of the following activities is NOT done by a primary nurse? A. Collaborates with the physician B. Provides care to a group of patients together with a group of nurses C. Provides care for 5-6 patients during their hospital stay. D. Performs comprehensive initial assessment 38. Functional nursing is being advocated to be used in Nurse Je’s hospital due to staff shortage. Which of the following is a barrier to its implementation? A. Psychological and sociological needs are emphasized. B. Great control of work activities. C. Most economical way of delivering nursing services. D. Workers feel secure in dependent role 39. Team nursing is the current care delivery system in the unit. Nurse Teresita and her team need to assess the priority of care for a group of patients, which of the following should be a priority? A. Each patient as listed on the chart B. Patients who needs minimal care C. Patients who need transfusion D. Patients who need the most care 40. Nurse Adrian is currently looking at the hospital organizational chart. He expects to see all of the following EXCEPT.: A. Who has the legitimate power to make decisions B. It shows both formal and informal relationships in an organization. C. Suggests consistency in making decisions D. Dotted or broken lines on the organization chart represent staff positions. 41. Nurse Renesmee wants to revise the current process standards in nursing.The nurse manager prepares the process standards. Which of the ff. is NOT a process standard and therefore should be revised? A. Initial assessment shall be done to all patients within 24 hours upon admission B. Informed consent shall be secured prior to any invasive procedure C. Patient shall fill up the customer’s feedback prior to discharge D. Patient education about illness and treatment shall be provide for all patients and their families 42. Ms. Selena Reyes wants to have a single nurse to take care of her from the time of admission and even after discharge. TOP RANK REVIEW ACADEMY, INC. Page 3 | 7