1.

Katherine is a young Unit Manager of the Pediatric

Ward. Most of her staff nurses are senior to her, very
articulate, confident and sometimes aggressive.
Katherine feels uncomfortable believing that she is the
scapegoat of everything that goes wrong in her
department. Which of the following is the best action
that she must take?
A. Identify the source of the conflict and understand the
points of friction
B. Disregard what she feels and continue to work
independently
C. Seek help from the Director of Nursing
D. Quit her job and look for another employment.
2. As a young manager, she knows that conflict occurs
in any organization. Which of the following statements
regarding conflict is NOT true?
A. Can be destructive if the level is too high
B. Is not beneficial; hence it should be prevented at all
times
C. May result in poor performance
D. May create leaders
3. Katherine tells one of the staff, I dont 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
4. 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.
5. 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.
6. 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.
7. 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 is allowed.
C. The evaluation is focused on objective data
systematically.
D. The evaluation may provide valid information for
compilation of a formal report.

8. She conducts a 6-month performance review session

with a staff member. Which of the following actions is
appropriate?
A. She asks another nurse to attest the session as a
witness.
B. She informs the staff that she may ask another nurse
to read the appraisal before the session is over.
C. She tells the staff that the session is managercentered.
D. The session is private between the two members.
9. Alexandra is tasked to organize the new wing of the
hospital. She was given the authority to do as she
deems fit. She is aware that the director of nursing has
substantial trust and confidence in her capabilities,
communicates through downward and upward channels
and usually uses the ideas and opinions of her staff.
Which of the following is her style of management?
A. Benevolent authoritative
B. Consultative
C. Exploitive-authoritative
D. Participative
10. She decides to illustrate the organizational
structure. Which of the following elements is NOT
included?
A. Level of authority
B. Lines of communication
C. Span of control
D. Unity of direction
11. She plans of assigning competent people to fill the
roles designed in the hierarchy. Which process refers to
this?
A. Staffing
B. Scheduling
C. Recruitment
D. Induction
12. She checks the documentary requirements for the
applicants for staff nurse position. Which one is NOT
necessary?
A. Certificate of previous employment
B. Record of related learning experience (RLE)
C. Membership to accredited professional organization
D. Professional identification card
13. Which phase of the employment process includes
getting on the payroll and completing documentary
requirements?
A. Orientation
B. Induction
C. Selection
D. Recruitment
14. She tries to design an organizational structure that
allows communication to flow in all directions and
involve workers in decision making. Which form of
organizational structure is this?
A. Centralized
B. Decentralized
C. Matrix
D. Informal
15. In a horizontal chart, the lowest level worker is
located at the
A. Left most box
B. Middle
C. Right most box
D. Bottom
16. She decides to have a decentralized staffing
system. Which of the following is an advantage of this
system of staffing?
A. greater control of activities

B. Conserves time
C. Compatible with computerization
D. Promotes better interpersonal relationship
17. Aubrey thinks about primary nursing as a system to
deliver care. 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
18. 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
19. 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
20. 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 care personnel.
C. All patients shall have their weights taken recorded
D. Patients shall answer the evaluation form before
discharge
21. When she presents the nursing procedures to be
followed, she refers to what type of standards?
A. Process
B. Outcome
C. Structure
D. Criteria
22. 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
23. Which of the following statements refers to criteria?
A. Agreed on level of nursing care
B. Characteristics used to measure the level of nursing
care
C. Step-by-step guidelines
D. Statement which guide the group in decision making
and problem solving

24. She wants to ensure that every task is carried out

as planned. Which of the following tasks is NOT
included in the controlling process?
A. Instructing the members of the standards committee
to prepare policies
B. Reviewing the existing policies of the hospital
C. Evaluating the credentials of all nursing staff
D. Checking if activities conform to schedule
25. 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.
26. Which of the following is evidence that the
controlling process is effective?
A. The things that were planned are done
B. Physicians do not complain.
C. Employees are contended
D. There is an increase in customer satisfaction rate.
27. Ms. Valencia is responsible to the number of
personnel reporting to her. This principle refers to:
A. Span of control
B. Unity of command
C. Carrot and stick principle
D. Esprit d corps
28. 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.
29. Kevin is a member of the Nursing Research Council
of the hospital. His first assignment is to determine the
level of patient satisfaction on the care they received
from the hospital. He plans to include all adult patients
admitted from April to May, with average length of stay
of 3-4 days, first admission, and with no complications.
Which of the following is an extraneous variable of the
study?
A. Date of admission
B. Length of stay
C. Age of patients
D. Absence of complications
30. He thinks of an appropriate theoretical framework.
Whose theory addresses the four modes of adaptation?
A. Martha Rogers
B. Sr. Callista Roy
C. Florence Nightingale
D. Jean Watson
31. He opts to use a self-report method. Which of the
following is NOT TRUE about this method?
A. Most direct means of gathering information
B. Versatile in terms of content coverage
C. Most accurate and valid method of data gathering
D. Yields information that would be difficult to gather
by another method
32. Which of the following articles would Kevin least
consider for his review of literature?
A. Story-Telling and Anxiety Reduction Among Pediatric
Patients
B. Turnaround Time in Emergency Rooms

C. Outcome Standards in Tertiary Health Care

Institutions
D. Environmental Manipulation and Client Outcomes
33. Which of the following variables will he likely
EXCLUDE in his study?
A. Competence of nurses
B. Caring attitude of nurses
C. Salary of nurses
D. Responsiveness of staff
34. He plans to use a Likert Scale to determine
A. degree of agreement and disagreement
B. compliance to expected standards
C. level of satisfaction
D. degree of acceptance
35. He checks if his instruments meet the criteria for
evaluation. Which of the following criteria refers to the
consistency or the ability to yield the same response
upon its repeated administration?
A. Validity
B. Reliability
C. Sensitivity
D. Objectivity
36. Which criteria refer to the ability of the instrument
to detect fine differences among the subjects being
studied?
A. Sensitivity
B. Reliability
C. Validity
D. Objectivity
37. Which of the following terms refer to the degree to
which an instrument measures what it is supposed to
be measure?
A. Validity
B. Reliability
C. Meaningfulness
D. Sensitivity
38. He plans for his sampling method. Which sampling
method gives equal chance to all units in the
population to get picked?
A. Random
B. Accidental
C. Quota
D. Judgment
39. Raphael is interested to learn more about
transcultural nursing because he is assigned at the
family suites where most patients come from different
cultures and countries. Which of the following designs
is appropriate for this study?
A. Grounded theory
B. Ethnography
C. Case study
D. Phenomenology
40. The nursing theorist who developed transcultural
nursing theory is
A. Dorothea Orem
B. Madeleine Leininger
C. Betty Newman
D. Sr. Callista Roy
1. Ms. Castro is newly-promoted to a patient care
manager position. She updates her knowledge on the
theories in management and leadership in order to
become effective in her new role. She learns that some
managers have low concern for services and high
concern for staff. Which style of management refers to
this?
a. Organization Man
b. Impoverished Management

c. Country Club Management

d. Team Management
2. Her former manager demonstrated passion for
serving her staff rather than being served. She takes
time to listen, prefers to be a teacher first before being
a leader, which is characteristic of
a. Transformational leader
b. Transactional leader
c. Servant leader
d. Charismatic leader
3. On the other hand, Ms. Castro notices that the Chief
Nurse Executive has charismatic leadership style.
Which of the following behaviors best describes this
style?
a. Possesses inspirational quality that makes followers
gets attracted of him and regards him with reverence
b. Acts as he does because he expects that his
behavior will yield positive results
c. Uses visioning as the core of his leadership
d. Matches his leadership style to the situation at hand.
4. Which of the following conclusions of Ms. Castro
about leadership characteristics is TRUE?
a. There is a high correlation between the
communication skills of a leader and the ability to get
the job done.
b. A manager is effective when he has the ability to
plan well.
c. Assessment of personal traits is a reliable tool for
predicting a managers potential.
d. There is good evidence that certain personal
qualities favor success in managerial role.
5. She reads about 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.
6. One leadership theory states that leaders are born
and not made, which refers to which of the following
theories?
a. Trait
b. Charismatic
c. Great Man
d. Situational
7. She came across a theory which states that the
leadership style is effective dependent on the situation.
Which of the following styles best fits a situation when
the followers are self-directed, experts and are matured
individuals?
a. Democratic
b. Authoritarian
c. Laissez faire
d. Bureaucratic
8. She surfs the internet for more information about
leadership styles. She reads about shared leadership as
a practice in some magnet hospitals. Which of the
following describes this style of leadership?
a. Leadership behavior is generally determined by the
relationship between the leaders personality and the
specific situation
b. Leaders believe that people are basically good and
need not be closely controlled

c. Leaders rely heavily on visioning and inspire

members to achieve results
d. Leadership is shared at the point of care.
9. Ms. Castro learns that some leaders are transactional
leaders. Which of the following does NOT characterize a
transactional leader?
a. Focuses on management tasks
b. Is a caretaker
c. Uses trade-offs to meet goals
d. Inspires others with vision
10. She finds out that some managers have
benevolent-authoritative style of management. Which
of the following behaviors will she exhibit most likely?
a. Have condescending trust and confidence in their
subordinates
b. Gives economic or ego awards
c. Communicates downward to the staff
d. Allows decision making among subordinates
11. Harry is a Unit Manager I the Medical Unit. He is not
satisfied with the way things are going in his unit.
Patient satisfaction rate is 60% for two consecutive
months and staff morale is at its lowest. He decides to
plan and initiate changes that will push for a
turnaround in the condition of the unit. Which of the
following actions is a priority for Harry?
a. Call for a staff meeting and take this up in the
agenda.
b. Seek help from her manager.
c. Develop a strategic action on how to deal with these
concerns.
d. Ignore the issues since these will be resolved
naturally.
12. She knows that there are external forces that
influence changes in his unit. Which of the following is
NOT an external force?
a. Memo from the CEO to cut down on electrical
consumption
b. Demands of the labor sector to increase wages
c. Low morale of staff in her unit
d. Exacting regulatory and accreditation standards
13. After discussing the possible effects of the low
patient satisfaction rate, the staff started to list down
possible strategies to solve the problems head-on.
Should they decide to vote on the best change
strategy, which of the following strategies is referred to
this?
a. Collaboration
b. Majority rule
c. Dominance
d. Compromise
14. One staff suggests that they review the pattern of
nursing care that they are using, which is described as
a:
a. job description
b. system used to deliver care
c. manual of procedure
d. rules to be followed
15. Which of the following is TRUE about functional
nursing?
a. Concentrates on tasks and activities
b. Emphasizes use of group collaboration
c. One-to-one nurse-patient ratio
d. Provides continuous, coordinated and comprehensive
nursing services
16. Functional nursing has some advantages, which
one is an EXCEPTION?

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
17. He raised the issue on giving priority to patient
needs. Which of the following offers the best way for
setting priority?
a. Assessing nursing needs and problems
b. Giving instructions on how nursing care needs are to
be met
c. Controlling and evaluating the delivery of nursing
care
d. Assigning safe nurse: patient ratio
18. Which of the following is the best guarantee that
the patients priority needs are met?
a. Checking with the relative of the patient
b. Preparing a nursing care plan in collaboration with
the patient
c. Consulting with the physician
d. Coordinating with other members of the team
19. When Harry uses team nursing as a care delivery
system, he and his 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 worksheet
b. Patients who needs least care
c. Medications and treatments required for all patients
d. Patients who need the most care
20. She is hopeful that her unit will make a big
turnaround in the succeeding months. Which of the
following actions of Harry demonstrates that he has
reached the third stage of change?
a. Wonders why things are not what it used to be
b. Finds solutions to the problems
c. Integrate the solutions to his day-to-day activities
d. Selects the best change strategy
21. Julius is a newly-appointed nurse manager of The
Good Shepherd Medical Center, a tertiary hospital
located within the heart of the metropolis. He thinks of
scheduling planning workshop with his staff in order to
ensure an effective and efficient management of the
department. Should he decide to conduct a strategic
planningworkshop, which of the following is NOT a
characteristic of this activity?
a. Long-term goal-setting
b. Extends to 3-5 years in the future
c. Focuses on routine tasks
d. Determines directions of the organization
22. Which of the following statements refer to the
vision of the hospital?
a. The Good Shepherd Medical Center is a trendsetter
in tertiary health care in the Philippines in the next five
years Goal
b. The officers and staff of The Good Shepherd Medical
Center believe in the unique nature of the human
person
c. All the nurses shall undergo continuing competency
training program.
d. The Good Shepherd Medical Center aims to provide a
patient-centered care in a total healing environment.
23. The statement, The Good Shepherd Medical
Center aims to provide patient-centered care in a total
healing environment refers to which of the following?
a. Vision
b. Goal
c. Philosophy

d. Mission
24. Julius plans to revisit the organizational chart of the
department. He plans to create a new position of a
Patient Educator who has a coordinating relationship
with the head nurse in the unit. Which of the following
will likely depict this organizational relationship?
a. Box
b. Solid line
c. Broken line
d. Dotted line
25. He likewise stresses the need for all the employees
to follow orders and instructions from him and not from
anyone else. Which of the following principles does he
refer to?
a. Scalar chain
b. Discipline
c. Unity of command
d. Order
26. Julius orients his staff on the patterns of reporting
relationship throughout the organization. Which of the
following principles refer to this?
a. Span of control
b. Hierarchy
c. Esprit d corps
d. Unity of direction
27. He emphasizes to the team that they need to put
their efforts together towards the attainment of the
goals of the program. Which of the following principles
refers to this?
a. Span of control
b. Unity of direction
c. Unity of command
d. Command responsibility
28. Julius stresses the importance of promoting esprit
d corps among the members of the unit. Which of the
following remarks of the staff indicates that they
understand what he pointed out?
a. Lets work together in harmony; we need to be
supportive of one another
b. In order that we achieve the same results; we must
all follow the directives of Julius and not from other
managers.
c. We will ensure that all the resources we need are
available when needed.
d. We need to put our efforts together in order to raise
the bar of excellence in the care we provide to all our
patients.
29. He discusses the goal of the department. Which of
the following statements is a goal?
a. Increase the patient satisfaction rate
b. Eliminate the incidence of delayed administration of
medications
c. Establish rapport with patients.
d. Reduce response time to two minutes.
30. He wants to influence the customary way of
thinking and behaving that is shared by the members
of the department. Which of the following terms refer
to this?
a. Organizational chart
b. Cultural network
c. Organizational structure
d. Organizational culture
31. He asserts the importance of promoting a positive
organizational culture in their unit. Which of the
following behaviors indicate that this is attained by the
group?
a. Proactive and caring with one another

b. Competitive and perfectionist

c. Powerful and oppositional
d. Obedient and uncomplaining
32. Stephanie is a new Staff Educator of a private
tertiary hospital. She conducts orientation among new
staff nurses in her department. Joseph, one of the new
staff nurses, wants to understand the channel of
communication, span of control and lines of
communication. Which of the following will provide this
information?
a. Organizational structure
b. Policy
c. Job description
d. Manual of procedures
33. Stephanie is often seen interacting with the medical
intern during coffee breaks and after duty hours. What
type of organizational structure is this?
a. Formal
b. Informal
c. Staff
d. Line
34. She takes pride in saying that the hospital has a
decentralized structure. Which of the following is NOT
compatible with this type of model?
a. Flat organization
b. Participatory approach
c. Shared governance
d. Tall organization
35. Centralized organizations have some advantages.
Which of the following statements are TRUE?
1. Highly cost-effective
2. Makes management easier
3. Reflects the interest of the worker
4. Allows quick decisions or actions.
a. 1 & 2
b. 2 & 4
c. 2, 3& 4
d. 1, 2, & 4
36. Stephanie delegates effectively if she has authority
to act, which is BEST defined as:
a. having responsibility to direct others
b. being accountable to the organization
c. having legitimate right to act
d. telling others what to do
37. Regardless of the size of a work group, enough staff
must be available at all times to accomplish certain
purposes. Which of these purposes is NOT included?
a. Meet the needs of patients
b. Provide a pair of hands to other units as needed
c. Cover all time periods adequately.
d. Allow for growth and development of nursing staff.
38. Which of the following guidelines should be least
considered in formulating objectives for nursing care?
a. Written nursing care plan
b. Holistic approach
c. Prescribed standards
d. Staff preferences
39. Stephanie considers shifting to transformational
leadership. Which of the following statements best
describes this type of leadership?
a. Uses visioning as the essence of leadership.
b. Serves the followers rather than being served.
c. Maintains full trust and confidence in the
subordinates
d. Possesses innate charisma that makes others feel
good in his presence.

40. As a manager, she focuses her energy on both the

quality of services rendered to the patients as well as
the welfare of the staff of her unit. Which of the
following management styles does she adopt?
a. Country club management

b. Organization man management

c. Team management
d. Authority-obedience management