Tiêu đề 2. FC PALMR (Atty. Capili) - SC ✅

1 | Page FINAL COACHING PROFESSIONAL ADJUSTMENT, LEADERSHIP & MGT., & RESEARCH Prepared by: Atty. Arlene Carampel-Capili, RN November 2025 Philippine Nurse Licensure Examination Review NAME: DATE: SCORE: _____ “FIRST TAKER AKO, AT LAST TAKE KO NA ‘TO! Situation: A professional nurse is assumed to update herself about the profession to maintain competence in practice. The nursing management process is a topic for both staff and head nurses. 1. This major function of the management process establishes formal authority. It defines qualifications and also includes staffing: A. Planning B. Organizing C. Directing D. Controlling 2. On the other hand, this major function of the management process actuates efforts towards the accomplishment of goals. It includes updating policies and procedures: A. Planning B. Organizing C. Directing D. Controlling 3. She noticed that policies and standard operating procedures (SOP’s) are strictly implemented in the hospital. What management function is this? A. Planning B. Organizing C. Controlling D. Directing 4. The management function that involves determining the objectives of an organization and tasks needed to complete objectives is A. Staffing B. Directing C. Planning D. Controlling 5. The purpose of organizational structure is to: A. Have a written plan of organizational structure of her governing bodies B. Explain to each member the line of authority C. Inform all her staff members of the philosophy and goals of the institution D. Provide mechanism through which tasks are distributed among members for goal realization Situation: Jun is the new supervisor of the medical- surgical unit with 40 bed capacity. 6. A critical component of the supervisory process is delegation. Which of the following is the most empowering to the staff? A. Delegation starts at top management B. Delegation frees the manager to do other task C. Effective delegation requires the nurse manager to determine the abilities of the staff D. Delegation enables the staff to improve competence and confidence 7. Which task can be delegated to the nursing aid when the patient is stable? A. Administering tap water enema B. Incorporating potassium chloride intravenously C. Teaching patient to administer insulin D. Taking CVP 8. A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit. There were three patients assigned to the RN. Which of the following patients should not be assigned to the floated nurse? A. A 9-year-old child diagnosed with rheumatic fever B. A young infant after pyloromyotomy C. A 4-year-old with VSD following cardiac catheterization D. A 5-month-old with Kawasaki disease 9. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the following task could the registered nurse safely assigned to a UAP? A. Monitor the I&O of a comatose toddler client with salicylate poisoning B. Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall C. Check the IV of a preschooler with Kawasaki disease D. Give an oatmeal bath to an infant with eczema 10. A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely assign to the float nurse? A. A child who had multiple injuries from a serious vehicle accident B. A child diagnosed with Kawasaki disease and with cardiac complications C. A child who has had a nephrectomy for Wilms’ tumor D. A child receiving an IV chelating therapy for lead poisoning 11. As the supervisor, you plan to implement change in the nursing unit from team nursing to primary nursing. You anticipate that there will be resistance to change. In order to avoid such, which of the following should be done? A. Determine the need for change B. Confront the staff individually C. Develop the change one step at a time D. Use coercion to implement change 12. The supervisor has implemented to change. A nurse aide seems to be resistant to the change. Which of the following should be done? A. Ignore the resistance B. Utilize coercion C. Give reward to the nursing assistant D. Talk to the nurse assistant and encourage verbalization of feelings 13. As a medication nurse, you are tasked to give digoxin to a patient with arrhythmia. You noticed that the heart rate is 40 beats per minute and the potassium level is below normal. The physician orders digoxin STAT. An assertive response of the nurse should be: A. “I think we have first to monitor the patient’s cardiac rate before giving the drug.” B. “I don’t want to carry out your order” * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *

3 | Page 33. When conflicts arise in the unit, the best thing that the unit manager should do is: A. Discuss with the situation with the group and make a move to resolve it. B. Ignore the situation C. Give warning to staff D. Recommend shifting of the staff 34. Desirable goals for a nurse manager include all of the following EXCEPT: A. Select a style of leadership that works best for the individual and to practice it exclusively B. Use a style of leadership that promotes high – level work performance C. Use a style of leadership that creates the least amount of disruption D. Adopt a leadership style that best suits the task to be accomplished 35. Katherine tells one of the staff, “I don’t have time to discuss the matter with you now. See me in my office later” when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use? A. Smoothing B. Compromise C. Avoidance D. Restriction 36. She notes that there is an increasing unrest of the staff due to fatigue brought about by shortage of staff. Which action is a priority? A. Evaluate the overall result of the unrest B. Initiate a group interaction C. Develop a plan and implement it D. Identify external and internal forces. 37. Kathleen knows that one of her staff is experiencing burnout. Which of the following is the best thing for her to do? A. Advise her staff to go on vacation. B. Ignore her observations; it will be resolved even without intervention C. Remind her to show loyalty to the institution. D. Let the staff ventilate her feelings and ask how she can be of help. 38. St. Raphael Medical Center just opened its new Performance Improvement Department. Ms. Valencia is appointed as the Quality Control Officer. She commits herself to her new role and plans her strategies to realize the goals and objectives of the department. Which of the following is a primary task that they should perform to have an effective control system? A. Make an interpretation about strengths and weaknesses B. Identify the values of the department C. Identify structure, process, outcome standards & criteria D. Measure actual performances 39. Ms. Valencia 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 C. All patients shall have their weights taken recorded D. Patients shall answer the evaluation form before discharge 40. She knows that performance appraisal consists of all the following activities EXCEPT: A. Setting specific standards and activities for individual performance. B. Using agency standards as a guide. C. Determine areas of strength and weaknesses D. Focusing activity on the correction of identified behavior. 41. Which of the following statements is NOT true about performance appraisal? 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. 42. There are times when Katherine evaluates her staff as she makes her daily rounds. Which of the following is NOT a benefit of conducting an informal appraisal? A. The staff member is observed in natural setting. B. Incidental confrontation and collaboration are allowed. C. The evaluation is focused on objective data systematically. D. The evaluation may provide valid information for compilation of a formal report. 43. When she presents the nursing procedures to be followed, she refers to what type of standards? A. Process B. Outcome C. Structure D. Criteria 44. Ms. Valencia prepares the process standards. 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. 45. Nurse Mary is the head nurse and tells Nurse Fatima her staff nurse what to do. What kind of communication is this? A. Upward communication B. Downward communication C. Lateral communication D. Diagonal communication 46. Nurse Jane is coordinating with the OR department for a scheduled surgery of one of her patients. This kind of communication is? A. Upward Communication B. Grapevine C. Diagonal Communication D. Lateral Communication 47. When responsibilities have to be delegated to the member, the manager must: A. Ensure that the member is capable of doing the task B. Supervise the new members all the time C. Perform the task based on the acceptable standard D. Let the member write an accident report in case of mistakes 48. He was asked how the staff will be evaluated. He probably will show them the following EXCEPT: A. Performances Evaluation sheet B. Performance Checklist C. Ranking Device D. Nursing Audit Situation: Jun just received his appointment paper as permanent employee. He was told by the head nurse that it was his loyalty, commitment, competence, and caring attitude that contributed to his present appointment. 49. Which response describes Jun as an assertive person? A. “I am used to this. I am born a winner.” B. “I don’t know why I became permanent. Probably they like me.” C. “Thank you. I hope I will be able to contribute to the goals of the department.” D. “I expected this to happen. I know I did my best.” 50. The nurse revised the system for the delivery of nursing care which is referred to as: A. Patient Classification system B. Variable staffing C. Pattern of nursing care D. Scheduling 51. A new nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the facility. The nurse is told that the nursing model is team nursing approach. The nurse understands that planning of care