All Nursing Management and Ethics MCQs

Question 1

A hospital compares pressure-injury rates between a general medical ward and an intensive care unit. Which method improves the fairness of this comparison?

Accepted Answer

Adjust the comparison for differences in patient risk and severity

Answer

Compare only the total number of pressure injuries in each ward

Answer

Exclude pressure injuries that were documented after admission

Answer

Use the ward with fewer patients as the performance standard

Question 2

A patient-safety committee receives several complaints about poor communication, but each complaint concerns a different shift. What is the most useful next step?

Accepted Answer

Group the complaints by common themes and examine related processes

Answer

Dismiss the complaints because they do not involve the same nurse

Answer

Ask the complainants to identify one staff member to blame

Answer

Count only complaints that include a confirmed patient injury

Question 3

A quality team reduces the use of physical restraints and then monitors both restraint use and patient falls. Monitoring falls in this situation is an example of which type of measure?

Accepted Answer

A balancing measure that checks for unintended effects

Answer

A structure measure that counts available ward equipment

Answer

A process measure that confirms a policy was written

Answer

A financial measure that calculates the cost of nursing care

Question 4

A nurse is preparing a high-alert medicine, but the barcode scanner is not working. Which action best reduces the immediate risk of a medication error?

Accepted Answer

Verify the order, patient identity, medicine, dose, route, and time using an approved manual process

Answer

Give the medicine after checking only the patient's name on the bed

Answer

Ask a family member to confirm the medicine before administration

Answer

Delay all medicines on the ward until the scanner is repaired

Question 5

A quality committee notices that two wards record falls differently, with one including falls from beds and the other excluding them. What should be done before comparing their fall rates?

Accepted Answer

Agree on one operational definition and recalculate the data consistently

Answer

Compare the existing figures because both wards use the word fall

Answer

Use the higher rate as the official hospital result

Answer

Ask each ward to report only falls causing serious injury

Question 6

During a review of repeated delayed antibiotic doses, the team finds that orders are entered electronically but are not visible to the medication administration nurse until the next shift. Which preventive action is strongest?

Accepted Answer

Redesign the electronic notification process and test it before wider use

Answer

Remind nurses to work faster when reviewing medication orders

Answer

Tell patients to alert staff when an antibiotic seems late

Answer

Add a warning poster without changing the electronic process

Question 7

Which activity is part of routine ward administration rather than direct nursing care?

Accepted Answer

Preparing the duty roster for staff

Answer

Changing a patient's wound dressing

Answer

Assessing a patient's pain score

Answer

Teaching a patient how to use a walker

Question 8

A staff nurse is assigning work to a nursing assistant. Which task is most appropriate to delegate, provided the assistant is trained and supervised?

Accepted Answer

Measuring and recording a stable patient's temperature

Answer

Assessing a newly admitted patient's chest pain

Answer

Administering an intravenous antibiotic

Answer

Developing the patient's nursing care plan

Question 9

A patient is admitted to a medical ward. Which action should the nurse perform first after verifying the patient's identity?

Accepted Answer

Assess airway, breathing, circulation and immediate safety needs

Answer

Place the patient in the assigned bed and leave the ward

Answer

Ask the family to complete all admission documentation

Answer

Explain the visiting hours before assessing the patient

Question 10

Before transferring a patient from a medical ward to another unit, which action is most important for continuity of care?

Accepted Answer

Give a structured report about the patient's condition and current care

Answer

Send the patient without a verbal report if the notes are complete

Answer

Ask the receiving unit to review the patient after the transfer

Answer

Remove all identification information from the patient's records

Question 11

A patient is discharged from a ward. Which instruction is most important for safe discharge planning?

Accepted Answer

Explain medicines, follow-up, warning signs and when to seek help

Answer

Tell the patient to stop medicines when symptoms improve

Answer

Ask the patient to remember the instructions without written information

Answer

Send the patient home before confirming transport and support

Question 12

During a ward stock check, the nurse finds that several sterile packs are torn and wet. What is the priority action?

Accepted Answer

Remove the packs from use and report the damaged stock

Answer

Place the packs at the back of the cupboard

Answer

Use the packs if the instruments inside look clean

Answer

Dry the packs and return them to the sterile cupboard

Question 13

A nurse discovers that the wrong medication was nearly given, but the error is identified before administration. Which action is appropriate?

Accepted Answer

Document and report the near miss according to hospital policy

Answer

Hide the incident because the patient was not harmed

Answer

Record that the prescribed medication was administered

Answer

Discuss the event only with the next shift nurse

Question 14

Several patients are being discharged from a ward, but two patients are waiting for admission from the emergency department. Which management action best supports bed availability?

Accepted Answer

Coordinate discharge completion, bed cleaning and admission timing

Answer

Keep discharged patients in their beds until the next shift

Answer

Accept new patients before confirming that beds are safe and ready

Answer

Ask families to clean the empty beds themselves

Question 15

A fire alarm sounds on a ward. What should the nurse do first after noticing smoke near a patient's room?

Accepted Answer

Remove people from immediate danger and activate the emergency response

Answer

Complete the medication record before responding

Answer

Open all windows to clear smoke from the ward

Answer

Move every patient to the assembly area without assistance

Question 16

Which record is most appropriate for communicating a patient's current assessment, nursing interventions and response to care?

Accepted Answer

The patient's nursing progress notes

Answer

The ward inventory register

Answer

The staff duty roster

Answer

The equipment maintenance log

Question 17

When preparing a ward duty roster, which factor should the nurse manager consider first?

Accepted Answer

The clinical needs and acuity of assigned patients

Answer

The personal preference of every staff member

Answer

The order in which staff request leave

Answer

The number of staff who live nearby

Question 18

A nurse manager assigns a newly appointed nurse to a unit with several ventilated patients. Which management principle is being applied if the nurse manager changes the assignment?

Accepted Answer

Matching staff competence with patient-care requirements

Answer

Giving every nurse an identical patient assignment

Answer

Allowing the newest nurse to select the easiest patients

Answer

Using seniority as the only basis for assignments

Question 19

The ward has reached its minimum stock level for intravenous cannulas and sterile gloves. What should the nurse responsible for supplies do?

Accepted Answer

Start the approved replenishment process

Answer

Wait until the supplies are completely finished

Answer

Borrow supplies without recording the movement

Answer

Store extra supplies in an unapproved area

Question 20

A portable suction machine fails during the equipment check before a busy shift. What is the best action?

Accepted Answer

Label it defective and arrange a working replacement

Answer

Keep it available in case another machine fails

Answer

Ask a patient attendant to test and repair it

Answer

Clean it and return it without reporting the fault

All Free Nursing Management and Ethics MCQs with Answers