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TOP RANK REVIEW ACADEMY, INC. Page 1 | REFRESHER PHASE EVALUATIVE EXAMINATION LEADERSHIP MANAGEMENT Prepared By: Dr. Aleni Iray NOVEMBER 2025 Philippine Nurse Licensure Examination Review SITUATION 1: Planning is defined as predetermining a course of action in order to arrive at a desired result. 1. A value statement of the principles and beliefs that direct the organization’s behavior is called: a. Mission b. Philosophy c. Purpose d. Strategic plan 2. Most organizations have mission statements that address the following: a. Educating professionals b. Promoting research c. Providing quality of care d. Providing care 3. The pivotal value of strategic planning is that it requires an organization to focus on: a. Internal environments b. External environments c. Change d. Mission 4.  One of the purposes of a strategic plan is: a. Various ideas are accepted b. Resources are available c. Diverse visions are accepted d. Process varies 5. When planning for expenses that are directly associated with patient care, it is known as: a. Fixed costs b. Indirect expenses c. Direct expenses d. Variable costs 6. 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 7. Nurse Andrea, a nurse manager, is preparing a budget plan for the year 2012. Costs like equipment depreciation, utilities, fringe benefits, and salaries are considered: a. Fixed costs b. Variable costs c. Direct expenses d. Indirect expenses 8. Sick time, vacation time, and holiday time is considered: a. Productive time  b. Unproductive time  c. Direct expenses  d. Variable costs 9. Which of the following accounts for approximately 50%- 60% of operational costs: a. Supplies b. Equipment c. Salaries and benefits d. Pharmaceuticals 10. Doing phase of management Process; a. Leadership   b. Planning c. Directing d. Management 11. As a nurse manager, which of the following best describes this function? a. initiate modification on client’s lifestyle b. protects client’s life c. coordinate the activities of other members of the health care team in managing patient care d. provide in service education program, use accurate nursing audit, formulate philosophy and vision of the institution 12. Lelian a nurse manager observes that her employees are lazy and can’t work independently. Base on motivational theory where can we classify this set of employees? a. Theory A b. Theory B c. Theory Y d. Theory X 13. These are nursing intervention that requires knowledge, skills and expertise of multiple health professionals a. dependent b. independent c. interdependent d. intradependent 14. Knowing that these are the characteristic of her subordinates what leadership style would she use? (Refer to question 4 for the situation.) a. authoritarian b. democratic c. laisez faire d. leadership style 15. our head nurse in the unit believes that the staff nurses are not capable of decision making so she makes the decisions for everyone without consulting anybody. This type of leadership is a. Democratic leadership b. Autocratic leadership c. Managerial Leadership d. Laissez Faire Leadership SITUATION 2: For nurses, knowledge of the management process assures them of the smooth functioning of their units to attain their goal of quality care through the judicious use of available human and material resources within specified periods. 16. Managing conflict among staff members would occur in which part of the management process? a. Planning b. Organizing c. Directing d. Evaluating 17. Chief Nurse Donna is concerned on developing and emphasizing definite and consistent policies and procedures in dealing with the staff nurses. This action by chief nurse Donna reflects which of the three-fold concept of management? a. System of authority b. An economic resource c. Elite class * NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH
TOP RANK REVIEW ACADEMY, INC. Page 2 | d. A level of coordination 18. According to Hospital Licensure Law defines the term hospital as a place devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment, and care of individuals suffering from illness, diseases or deformity, or in need of obstetrical or other medical and nursing care. This law is otherwise known as: a. RA 4226 b. RA 7160 c. RA 4236 d. RA 7060 19. Nurse Nimfa is applying as a staff nurse at a local community hospital. The chief nurse hired Nimfa and told her that she can start. The chief nurse demonstrated which basic role in management? a. Informational role b. Decisional role c. Liaison role d. Interpersonal role 20. Chester Barnard’s acceptance theory of authority is described as: a. Naturally forming social groups that can become contributors to an organization b. An individual worker who is the source of control, motivation, and productivity in an organization c. People who have free will and choose to comply with orders they are given d. People who benefit and are productive when they participate in decisions about their work 21. The theory that includes maintenance and motivation factors is: a. Maslow’s hierarchy of needs b. Herzberg’s two-factor theory c. McGregor’s theory X and theory Y d. Ouchi’s theory Z 22. An example of a management function of a nurse is: a. directing and evaluating the staff nurse b. Performing nursing procedures for clients c. Teaching patient do breathing and coughing exercises d. Preparing for a surprise party to the client 23. They may or may not have official appointment a. Appointment b. manager c. Leader d. Officially appointed 24. Father of modern management: a. Henri Fayol  b. Max Weber c. Elton Mayo d. Douglas McGregor 25. A statement that identify the reason of an organization: a. Philosophy b. mission c. objectives  d. Organizing SITUATION 3: A nurse leader who has a considerable amount of work experience would select a leadership and Management style that would work best in any circumstance. 26. A nurse manager has the reputation of being an autocratic leader. Which of the following statements by this manager would support that reputation? a. "I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit" b. "The new work schedule is posted for the next 6 weeks" c. "I put the new procedure manual out. Please add your comments to the blank sheet of paper attached to the front "d. "I'd like to hear from you (addressing the staff) what your ideas are for promoting better morale in this unit" 27. The nurse manager who practices the leadership style that is leader-focused is demonstrating which type of leadership style? a. Democratic b. Laissez-faire c. Autocratic d. Synergistic 28. The leader of a work group acts as a facilitator, serves as a resource person, and encourages members to actively participate. This leadership style would be described as: a. Democratic b. Laissez-faire c. Autocratic. d. Synergistic. 29. Which of the following statements about situational or contingency leadership theory is true? a. High relationship behavior is much more essential to a good manager than high task behavior. b. This leadership model is effective in bureaucratic organizations because it is task focused. c. Management should be consistent in different situations so workers understand what is expected of them. d. The leadership style chosen by a manager should reflect the task/relationship behavior of those being managed. 30. Which of the following statements depicts leadership? a. A leadership position is assigned. b. A leadership position carries a legitimate source of power. c. Members of a group will only follow a person in a leadership position by choice. d. Leadership requires meeting organizational goals. 31. Joedel nurse manager observes that her employees ca work independently. Base on motivational theory where can we classify this set of employees? a. Theory A b. Theory B c. Theory Y d. Theory X 32. Bruce was chosen as one of the leaders in their community. He observed that his subordinates are not responding well to him and that they are all passive. He then changed his leadership style from democratic to authoritarian form of leadership. What theory did he use, base on leadership theories. a. The great man theory b. Trait Theory c. Contingency Theory d. Situational Theory SITUATION 4: A manager alone cannot perform all the tasks assigned to him. In order to meet the targets, the manager should delegate authority. 33. One of the five rights of delegation is: a. Right group  b. Right concept  c. Right subordinate  d. Right circumstance 34. A nurse is legally liable for her actions and is answerable for the overall nursing care of patients. This is the definition of: a. Responsibility  b. Authority  c. Delegation  d. Accountability 35. The only phase of the Nursing Process that may be delegated to unlicensed assistive personnel (UAPs) is: a. Assessment  b. Planning  c. Implementation  d. Evaluation 36. A factor to consider prior to delegation is: a. Simplicity of task  b. Predictability  c. Level of staff interaction  d. Potential for harm 37. Which of the following is characteristic of theory Z? a. Nonconsensus decision making b. Fitting employees to their jobs c. Rapid career promotions d. Authoritative problem solving 38. Employees has one supervisor and there is one plan for a group of activities with the same objectives only to one supervisor a. Unity of command

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