SITUATION 2: Miss Aquino is the new
PART 2 LMR MASTERY
TEST
SITUATION 1: Miss Trillanes is the
newly-promoted head nurse of the
ambulatory care unit.
1. As the head of the unit, she noticed
increasing incompetency among the
members. The first action that she
should do is:
A. bring the group together and discuss the
problem
B. ignore the problem, it’s a minor issue
C. present the problem to the chief nurse
D. discuss the problem with the other unit
managers
2. Which of the following can best
motivate her staff when such conflict
arise?
A. strict enforcement of rules
B. encouraging good interpersonal relationship
C. maintaining an open communication
D. providing guidelines in doing procedures
3. Decision-making occurs at many
levels. Which from among the following
is the most empowering to the staff
members?
A. The supervisor makes decision without
consulting anyone
B. The supervisor ask reports to decide on the
solution of the problem
C. The supervisor makes decision after
convening a task force to analyze the issues
D. The supervisor makes decision after the
report has been presented
nurse supervisor of the medical-surgical
unit with 40 bed capacity. She wants to
update her knowledge about nursing
leadership and management to become
more effective.
4. To be an effective and efficient
leader, she must know that:
1. She should be able to understand the strengths
and weaknesses of her staff
2. She should understand the basic ingredients of
leadership and management
3. Systematic use of self to do the right thing at
the right time.
4. Establish a good working relationship
A. 1,2,3,4
B. 2,4
C. 2,3
D. 1,4
5. Effective communication technique is
essential for supervisors. Which is an
example of an open-ended
communication?
A. “It sounds you are having difficulty
performing your task.”
B. “You look very puzzled Miss Cruz, do you
need help?”
C. “Please continue what you are saying.”
D. “How do you describe your first days in this
hospital?”
6. She remembers that her former
supervisor demonstrated passion for
serving her staff. She takes time to listen
and allows time to verbalize this
concern. This characterizes:
A. Transformational leader
B. Transactional leader
C. Servant leader
D. Autocratic leader
7. She knows that in planning for the
staffing pattern of the unit, the ideal ratio
between the professional/registered
nurse to non- professional/ licensed
practical nurse is:
A. 70:30
B. 60:40
C. 55:45
D. 80:20
8. As the unit supervisor, she plans to
implement change in the nursing unit
from team nursing to primary nursing.
She anticipated 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
9. When some changes were
implemented in the unit, she noticed that
there are some staff who are resistant.
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
10. The goal of leader and manager
may be the same but how the power is
used may differ. Which power is utilized
when the manager reprimands the staff
for acts of negligence?
A. Legitimate
B. Coercive
C. Referrent
D. Reward
11. Dorothy was assigned as the
medication nurse of the shift. One of the
drugs she has to give is digoxin. She
noticed that the heart rate of the patient
is 40 beats per minute and the
potassium level is below normal. The
physician orders give 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.”
C. “Don’t you know the precaution for giving
this drug?”
D. “Yes doctor. I will give it right now.
SITUATION 3: Ms. Leviste is the unit
manager of the hemodialysis unit with
10 beds and 5 beds for patients positive
for Hepatitis B.
12. As the head of the unit, she has the
right to be respected by her staff. This
is:
A. power
B. authority
C. influence
D. responsibility
13. When she orients her staff she
emphasized that they should receive
order only from her. This is:
A. chain of command
B. span of control
C. unity of command
D. delegation
14. She also emphasized that each of
them has respective role to play. Some
of them will be assigned to give
medication. Others will do bedside
activities. This is:
A. division of work
B. span of control
C. scalar chain
D. command responsibility
15. One of the staff nurses said: “There
are so many patients to handle but we
have only few nurses in duty”. This will
violate the principle of:
A. unity of command
B. span of control
C. authority
D. accountability
16. When problem arise in the unit, the
staff nurse should first discuss it to the
head nurse before bringing the issue to
the supervisor. This is the principle of:
A. chain of command
B. span of control
C. channel of communication
D. division of work
17. Each and everyone should be
treated equally. When errors are
committed, corresponding sanctions
must be given. This is:
A. equity and justice
B. esprit d’corpse
C. accountability
D. command responsibility
18. Everybody must be careful in
performing their respective task. Should
you commit mistake in the performance
of your function, I will be held
accountable. This is:
A. chain of command
B. command responsibility
C. channel of communication
D. unity of command
19. One of the ethical obligations is
accountability. This means that the staff
nurse is responsible for:
A. Behavior of the patient who are non-
compliant
B. Consequences of his action
C. Behavior of other staff members
D. Consequences on decision-making
20. She emphasized the need for
maintaining harmonious relationship
within the unit. This is:
A. unity of command
B. esprit d’corpse
C. division of work
D. channel of communication
21. As the head of the unit, she has the
ability to motivate people to be able to
accomplish the task and to improve their
performance. This is:
A. power
B. influence
C. motivation
D. authority
22. Who should be involved in
maintaining the standard of the
organization?
A. Top-level manager
B. Middle-managers
C. Unit manager
D. Managers in all levels
23. When conducting nursing audit, the
following must be considered EXCEPT:
A. Outcome
B. Process
C. Quality
D. Structure
24. The most effective way in
conducting the nursing audit is to:
A. evaluate the records of the patient
B. determine the job description of the staff
C. evaluate staffing patterns
D. determine job performance
25. In a health care institution,
emphasizing the need for effective and
efficient operation is essential. The
organization that allows increased
responsibility and decision-making is
referred to as
A. Centralized
B. Decentralized
C. Bureaucratic
D. Permissive
26. A nurse manager who establishes
connection in the outside institution is
utilizing what power?
A. Legitimate
B. Coercive
C. Referent
D. Expert
SITUATION 4: Nurse Sandy is the
supervisor of the pediatric unit. She
reviewed the different theories for
effective management
27. She is also aware that there are four
systems approach in management,
which are exploitative, benevolent,
consultative and participative. This was
developed by:
A. Taylor
B. Fayol
C. Likert
D. Blanchard
28. To be effective in implementing her
leadership role, she knows that
situations must be considered to know
the appropriate style to be used. This is:
A. Situational leadership
B. Transactional leadership
C. Transformational leadership
D. Servant leadership
29. The central premise of the scientific
management theory is concerned with
the following:
A. Labor and management, both desires
increasing productivity
B. Train workers for the designed output
C. Provide considerable remuneration
D. Effectiveness and efficiency
30. There is consolidation of
management function and decisions
emanate from the top. This is:
A. chain of command
B. unity of command
C. decentralization
D. centralization
31. He emphasized that if objectives are
carefully formulated, other concerns will
fall into place. This was mentioned by:
A. Mintzberg
B. Drucker
C. Simon
D. Maslow
32. He states that basic human needs
form the bases on which other needs
are built.
A. Mayo
B. Foley
C. Maslow
D. Simon
33. This theory presupposes that
workers naturally dislikes work and
prefers to be directed.
A. Theory X
B. Theory Y
C. Theory Z
D. Theory G
34. Hygienic factors are concerned with
the following except:
A. safe and tolerable conditions
B. adequate salary
C. good interpersonal relation
D. ineffective relationship
35. The informational role of the
manager includes:
A. leader, figurehead, liaison
B. entrepreneur, negotiator
C. spokesman, disseminator
D. dealer, allocator
SITUATION 5: Beth is newly promoted
as a nurse manager of a Tertiary
Hospital. She understands that
organizational structure and its
components is important to goal
achievement. Moreover, she also knows
that theories of leadership and
management help her describe and
understand the process of leadership
development. She reviews the basic
concepts.
36. The consequences of how an
organization elects to structure itself are
significant in that the structures identifies
authority and control relationships that
have profound impact on the nurse
manager and provisions of care. At what
level are supervisors identified within the
organization?
A. middle level managers
B. first level managers
C. top level managers
D. interim level managers
37. What is the purpose of an
organizational structure?
A. Provide a mechanism for work distribution
B. Explain lines of authority
C. Reflects mission and goals of the unit
D. Provide a written plan of organization
38. The medical center has changed its
overall management philosophy from
centralized to decentralized
management. One advantage of
decentralized management structure for
the nursing units over a centralized
structure is that:
A. Staff is not responsible for defining their
roles.
B. Managers handle the difficult decisions.
C. Communication pathways are simplified.
D. Each staff member is accountable for
evaluating the plan of care
39. Which nurse is demonstrating a
characteristic of an effective manager?
A. Angeline, who aggressively attacks all
situations in need of change to express her
autonomy.
B. Bea, who knows how to agitate the
administration to get their attention and doesn’t
hesitate to do it.
C. Carla, who avoids using a mentor because she
believes it would compromise his ability to
make fair decisions.
D. Divina, who uses written and oral
communication skills to express herself clearly
and effectively.
40. One of the teams leaders is
condescending to staff associates,
member’s ideas are sometimes sought,
but they do not feel very free to discuss
their jobs with their manager. Which of
the following managerial behavior best
fit her style?
A. exploitative-authoritative
B. benevolent-authoritative
C. consultative-democratic
D. participative-democratic
41. A nurse manager’s particular
uniqueness and strengths determine the
roles he or she models most frequently.
A builder of communication networks is
considered to be which role of the nurse
manager?
A. spokesperson
B. liaison
C. resource allocator
D. monitor
42. A nurse manager attends a
conference, and the topic of discussion
is leadership styles. The nurse is
seeking a leadership style that will best
empower staff toward excellence. Which
leadership style would the nurse select
to achieve this goal?
A. autocratic
B. situational
C. democratic
D. laissez faire
43. To be able to meet the needs of
assigned clients and the responsibilities
associated with the position, nurses
must be aware of time management
techniques. The time-management skills
for the nurse include:
A. meeting all of the client’s needs in the early
morning hours
B. anticipating possible interruptions by
therapist and visitors
C. doing each of the client’s assessments and
treatments individuality at separate times
throughout the day.
D. leaving each day unplanned to allow for
adaptations in treatments
44. Accountability is a critical aspect of
nursing care. An example of a specific
decision-making process of
accountability is demonstrated by:
A. selecting the medication schedule for the
client
B. implementing discharge teaching plans that
meet individual needs
C. evaluating the client’s outcomes after
implementation of care
D. promoting participation of all staff members
in unit meetings
45. The charge nurse of the unit is
determining what activities may be
delegated to the nursing aide. A number
of factors are included in the nurse’s
decision. Assuming that the nursing aide
is competent, which of the following
activities may be safely delegated by the
charge nurse?
A. vital signs of the post-partum NSD patient
B. physical exam of the newly-admitted patient
C. initial transfer of the post-cabge patient
D. administration of IV medications.
46. Because of influenza epidemic
among nursing staff, a nurse has been
moved from the eye unit to the general
surgical floor. The nurse recognizes that
he is inexperienced in this specialty. The
nurse’s initial recourse is to:
A. politely refuse to move, take a leave-of-
absence day, and go home
B. ask to work with another general surgery
nurse
C. fill out a report noting his dissatisfaction
D. notify the state board of nursing problem
47. An effective communications system
is an essential element of a successful
organization because
A. People have to be continually reminded of the
organization’s mission
B. Monitoring of accomplishments depend on it.
C. No coordinated interaction can take place
without it
D. The ability of managers to evaluate employee
performance would be impaired in its absence.
48. The nurse has provided the client
with information regarding the treatment
plan for the diagnosis. The client tells
the nurse that he understands most of
the information, but still has questions
concerning the medication. This
response is an example of:
A. referent
B. receiver
C. channel
D. feedback
49. The proper sequence of steps in the
control process is:
A. Measure performance, establish standards,
compare performance and standards
B. Establish standards, measure performance,
compare performance and standards, analyze
deviations, take corrective action
C. Analyze deviations, establish standards, take
corrective action
D. Establish standards, evaluate performance,
measure performance, take corrective action
50. The purpose of nursing audit is to:
A. Provide data for research
B. Disseminate information to health care
providers
C. Compare actual nursing care to established
standards
D. Study s client’s illness and treatment regimen
closely
NURSING RESEARCH
SITUATION A: Krizel is a clinical
instructor of a College of Nursing. She is
required to finish her masteral degree in
nursing in order to be tenured. Currently
she is writing her masteral thesis. She
wants to find out in her study the
relationship between the teenagers level
of knowledge about birth control and
their level of sexual activity.
1. What specific type of research is this?
A. Experimental
B. Non-experimental
C. Qualitative
D. Quasi-Experimental
2. What research design is best for this
study?
A. Correlational
B. Comparative
C. Classical experiment
D. Phenomenological
3. Who will be the subject to be used in
this study
A. pregnant mothers
B. teenagers
C. women of reproductive age
D. young adults
4. What is the independent variable in
this study
A. sexual activity A. Classical experiment
B. teenagers B. Descriptive
C. level of knowledge C. Phenomenological
D. birth control D. Grounded theory

5. What is dependent variable 10. The scope of the study will include
A. sexual activity the following except
B. level of knowledge A. Subject
C. birth control B. Setting
D. teenager C. Variables
D. limitations
6. Which from among the literature
received by Krizel can be included in 11. In which part of the research do you
this study? find the background and purpose of the
A. Pregnant mothers – their outlook in life study
B. Teenage pregnancy. To be or not to be? A. Introduction
C. Most common birth control measures for B. Hypothesis Statement
pregnant women C. Scope and Limitation
D. Sexual activity in same sex D. Definition of Term
7. What framework is best to be use in 12. In which part do you find the benefits
this study to be derived from the study
A. heoretical A. Problem statement
B. Conceptual B. Framework
C. Both C. Significance of the Study
D. None D. Hypothesis Statement
SITUATION B: Marty is interested in 13. Which from among the following
conducting a study about the lived cannot be considered criteria for
experience of diabetic patients receiving selecting researchable problem
regular insulin.
A. significance
8. Which from among the following can B. ethical aspect
C. availability of resources
be included in conceptualizing the D. availability of researcher
problem?
14. Which part of the study will
A. Developing intervention protocol
B. Reviewing literature related to the topic determine the relationship of the
C. Determining the number of key informants variables?
D. Determining the statistical formula to be used
in treating the data A. Problem statement
B. Hypothesis
9. What type of research is best for this C. Literature Review
D. Design
study
15. Which from among the following can
be done to determine the research
design to be used
A. Determine the type of research
B. Determine the setting
C. Determine the subject
D. Determine the time frame
SITUATION C: Jamie is a member of
the Research Council in the university.
She wants to conduct a study about the
“Effectiveness of using a 12 hour shift
staffing pattern in the Medical-Surgical
Unit”.
16. The type of research that is best for
this study is
A. Experimental
B. Descriptive
C. Basic
D. Applied
17. Another group of researchers
decided to do exactly same study.This is
A. Duplication
B. Survey
C. Evaluation
D. Replication
18. Which of the following is the most
applicable statement of purpose for the
study?
A. “The Effectiveness of using a 12 hours shift
staffing pattern in the Medical-Surgical Unit”
B. This study determines the effectiveness of
using the 12 hour shift staffing pattern in the
Medical-Surgical Unit.
C. Will the staff nurses utilize the 12-hour shift?
D. What is the significance of following the 12
hour staffing pattern?
19. Review of related literature was
done by Jamie because this will
A. determine the most appropriate research
design to be used
B. provide theoretical basis for the study
C. determine the result of the study
D. provide information about related concepts
and findings from previous researches
20. To illustrate the relationship of the
variables under investigation, a
schematic structure has to be presented
as basis of the study. This is
A. Theory
B. Concept
C. Framework
D. Research paradigm
21. In this study the independent
variable will be
A. Nurses
B. Staffing
C. Medical-Surgical unit
D. 12-hour work shift
22. The hypothesis which states “ The
12 hour shift will not decrease the
staffing problems encountered in the
Medical-Surgical unit” is
A. Alternative
B. Null
C. Directional
D. Association
Situation D: Irene was tasked to
conduct a study about " The lived
experience of mothers with hemophiliac
children"
23. This study will utilize what design?
A. Comparative
B. Phenomenological
C. Ethnographic SITUATION E: Andrew is interested in
D. Classical Experiment
conducting a study about the effect of
24. The key participants of the study will reflexology in decreasing pain among
be patients with arthritis.
A. hemophiliac children
B. pre-schoolers 29. Which research design is best for
C. mothers of the hemophiliac children this study?
D. pregnant mothers
A. Phenomenological
25. Irene will know when to stop B. Experimental
C. Longitudinal
interviewing the participants when she D. Cross sectional
has already
30. Andrew know that he should follow
A. at least 5 respondents
B. at least 10 respondents certain steps in conducting his study.
C. reach the saturation point Which characteristic of research is
D. get exhausted interviewing
illustrated by this statement?
26. All but one are true in qualitative A. Systematic
studies. B. Controlled
C. Empirical
A. It is subjective D. Critical
B. It uses numerical data
C. it describes experience 31. The objective of the study is to
D. The data requires transcription
A .promote wound healing
27. Before Irene conducts her research, B. strengthen literature
C. introduce new intervention
she should first D. improve service
A. talk to the respondents
B. secure informed consent 32. When Andrew explains the nature of
C. interview the respondents the study to the participants, he
D. interpret the verbatim accounts
considers which ethical principles?
28. Which of the following studies can A. right to privacy
be considered as a qualitative research? B. right to fair treatment
C. right to self determination
A. A study that determines the relationship D. right to full disclosure
between the mother's knowledge about nutrition
and incidence of malnutrition amongst their 33. Stating the hypothesis for this study
children
is done in what phase?
B. A study that determines the amount of
oxygen lost in a 10 seconds suction and 15 A. Conceptual
seconds suctioning B. Design
C. A study that determines patient's reactions C. Empirical
after undergoing heart surgery D. Analytical
D. A study that measures the blood pressure of a
client before and after an invasive procedure
34. When the participants of Andrew are 39. The limitations that can be identified
subjected to a particular situation, he is in this study may include the following
doing EXCEPT
A. control A. expertise of the researcher
B. randomization B. availability of the subject
C. manipulation C. time element
D. experimentation D. attendance of the staff

35. Significance of the study refers to
the
A. focus of the research study
B. background of the study
C. benefits derived from the study
D. conditions for undertaking the study
SITUATION F: Larry is a nurse
researcher and is assigned to conduct a
study on the causes of absenteeism
among the staff nurses in the pediatric
unit.
36. The first thing that Larry should do in
order to conceptualize the problem is
A. secure consent from the subject
B. conduct a literature search about the problem
C. determine the sample
D. determine the setting
37. Preparing the time table for
conducting the study is done during the
A. empirical phase
B. conceptual phase
C. design
D. analytical
38. Which of the following is considered
variable in this study
A. absenteeism
B. staffing problem
C. attendance
D. nursing outcome
40. Which of the following can be
considered as purpose of the study
A. to determine the staff nurses needed in the
unit
B. to find solutions to staffing problem
C. to enhance professionalism among the nurses
in the unit
D. to determine the quality of nursing care.
SITUATION G: Stephanie is a nurse
researcher of the Patient Care Services
Division. She plans to conduct a
literature search for her study.
41. Which of the following is the last
step in doing literature review?
A. Determine concepts or variables
B. Copy the relevant materials
C. Organize materials according to function
D. Synthesize literature gathered
42. She knows that the most important
category of information in literature
review is the
A. Research findings
B. Methodology
C. Theoretical framework
D. Conceptual framework
43. Stephanie knows that she has
achieved the purposes of conducting a
literature review when she has attained
the following except:
A. Developed a conceptual framework into
which her research problem would fit
B. Planned the approach of conducting the study
C. Ascertained what is already known about her
problem
D. Formulated the hypothesis of the study
44. While reviewing journal articles,
Stephanie got interested in reading the
brief summary of the article placed at
the beginning of the journal report.
Which of the following refers to this?
A. Introduction
B. Abstract
C. Preface
D. Background
45. She notes down ideas that were
derived from the description of an
investigation written by the person who
conducted it. Which type of reference
source refers to this?
A. Footnote
B. Primary source
C. Bibliography
D. Endnotes
46. Stephanie knows that she has
achieved the purposes of conducting a
literature review when she has attained
the following except:
A. Developed conceptual framework into which
her research problem would fit
B. Planned the approach of conducting the study
C. Ascertained what is already known about her
problem
D. Formulated the hypothesis of the study
47. She reads the purposes of the study.
which of the following describe the
purpose of the study?
1. Establishes the general direction of the study
2. Captures the essence of the study
3. Formally articulates the goals of the study
4. Sometimes worded as relevant
A. 1,2,3
B. 2,3,4
C. 1,3,4
D. 1,2,3,4
SITUATION H: Miss Santos is a new
faculty member of an accredited school
in Metro Manila. One of the expectations
in that university is for faculty to do
research or publish a scientific paper
once a year. In order to appropriately
decide what kind of research Miss
Santos is going to conduct, she should
do a review of related literature.
48. One title that she read in local
journal was “Unintended pregnancies in
the Philippines facts and issues.” This
study can be classified as:
A. Quasi Experiment
B. Exploratory
C. Experimental
D. Descriptive
Option 5
49. Miss Santos remembers one study
submitted by a student was “ The
Intelligence Quotient and Milk Feeding
of selected School Aged Pupil of School
X” This kind of research could be an
example of:
A. Correlational
B. Experimental
C. Exploratory
D. Historical
50. One study that she read lately in the
library was “ The relationship between
the health teaching given to the
postpartum primara mothers during
hospital confinement to the incidence of
infection in the newborn. This study is
an example of:
A. Experimental
B. Descriptive
C. Correlational
D. Quasi Experimental