Leadership CJE Practice Test

These questions are part of the practice quiz. Start practicing

• What components are involved in a formal risk assessment process?
• What is the primary purpose of using aggregated data in performance analysis?
• In managing a preterm labor patient receiving magnesium sulfate, which element is most important to include in the plan of care?
• In home use of OTC medications, which device should be used to measure the dose?
• During an emergency cholecystectomy, the patient is most likely experiencing which condition?
• In a shared governance context, what is the primary purpose of presenting a gap in chemotherapy administration procedures to the council?
• What practice is essential to ensure safe medication administration at shift start?
• Levothyroxine given with breakfast after the client ate. What is the most appropriate action?
• Which of the following is an element of a defensible ethical decision-making framework?
• Which reading indicates a therapeutic outcome from antihypertensive therapy?
• Which practice is NOT recommended for evaluating the effectiveness of community policing initiatives?
• For a patient using a PCA pump, what is a nursing priority in monitoring?
• What are key elements of an effective CJ policy development and implementation process?
• The licensed practical nurse reports to the registered nurse after administering the client's morning medications. Which statement requires follow-up by the RN?
• Which option lists the core components of emotional intelligence relevant for CJ leadership?
• A patient scheduled for surgery wants explanation; most appropriate response?
• Which action should be included in the plan of care on arrival for placenta previa?
• How should a CJ leader approach ethical considerations in surveillance and monitoring programs?
• What role does mentorship play in CJ leadership development within agencies?
• After a medication error, which action supports a nonpunitive safety culture?
• A client with preeclampsia is monitored on the maternal-child unit. Which assessment finding most clearly indicates the condition is deteriorating?
• Why should the antacid be stopped in a patient who is taking levofloxacin?
• In the ED evaluation of a 16-year-old with weight loss, which information is not relevant to the current primary issue?
• Discharging a client with hypertension, which statement indicates the client needs more education about home blood pressure monitoring?
• The nurse’s response after a patient says the doctor spoke nonsense and asks for the surgery explanation; best response?
• How can a CJ leader delegate effectively while maintaining accountability?
• Nurses on the unit complete an annual satisfaction survey and rate their nurse manager as a transformational leader. Which behavior by the nurse manager most likely led to that conclusion?
• During early labor triage for a 38-week gestation patient with ruptured membranes and cervical dilation of 2 cm (70% effaced), what is the most appropriate initial nursing action?
• In response to a bombing at a mall and a surge of injuries, what is most important for the hospital to implement immediately?
• One month after discharge, which finding indicates no decline in the client’s condition?
• Which are four common conflict resolution styles, and when is mediation most appropriate?
• In planning primary prevention for tuberculosis in a school, which action is most appropriate for the nurse to take first?
• What is the role of stakeholder input in policy development and implementation?
• A patient at 34 weeks gestation with placenta previa is admitted; what plan of care is most important?
• In early labor with ruptured membranes and irregular contractions, which action is a priority during triage?
• A patient on the cardiac unit reports dizziness after walking to the bathroom. Vital signs show hypotension and tachycardia. What rhythm should the nurse expect on telemetry?
• A 70-year-old client in clinic with caregiver and signs of bruising; abuse is suspected. Which action should the nurse take first?
• Which statement about after-action reviews maximizing learning is true?
• A client receiving chemotherapy and radiation has pancytopenia; what is most important for self-care education?
• What is the role of emotional intelligence in CJ leadership, and which components are most valuable?
• Which symptom pattern more strongly suggests gastroesophageal reflux disease (GERD) rather than occasional heartburn?
• In addressing ongoing uncivil behavior on the unit, which action is an appropriate initial step for leadership to take?
• What is the initial nursing action when abruptio placenta is suspected?
• Among signs of acute COPD exacerbation, which finding is most strongly associated with an acute episode?
• When family brings teas to a patient with seizures, what is the most appropriate action?
• In the care plan for an adolescent with suspected eating disorder, which action is essential to address immediate safety?
• An 8 days postpartum client reports persistent bright red bleeding after previously expected pinkish-brown lochia. What is most important to include in the plan for care?
• Which element is essential in a performance appraisal aimed at driving improvement?
• In a client with AIDS and a CD4+ T cell count of 150 cells/µL, which nursing intervention should be prioritized?
• A 3-year-old client with cystic fibrosis is admitted to receive intravenous antibiotics for a respiratory infection. Which intervention is most important to include in the plan of care?
• Which assessment finding is most consistent with dehydration in an older adult?
• What should leaders ensure when implementing changes via Lean or Six Sigma?
• How can Lean or Six Sigma be used in CJ settings without compromising security or care?
• In the ED, a 16-year-old has an abnormal EKG rhythm. Which diagnosis is most consistent with this finding?
• On a unit with two RNs, two LPNs, and one UAP, which client should be assigned to the registered nurse?
• Which statement is NOT recommended for ethical surveillance and monitoring programs?
• What is the normal reference range for white blood cell count (WBC) in mm3?
• Which technique is most effective in providing relief of dyspnea for a patient with COPD?
• During an influenza outbreak, which item should be included in a presentation to prevent spread among older adults?
• Which task is appropriate for delegation to a licensed practical/vocational nurse on a postpartum unit?
• In planning end-of-life care for a client with late-stage cancer, what is most important to include?
• A patient recently delivered via cesarean with epidural morphine; what should be available for safety?
• In an ethics dilemma where a team member asks you to cover up an error that could impact public safety, which course of action is appropriate?
• In a patient with MRSA infection in the urine and no indwelling catheter, which assessment finding is most important for determining compliance with isolation precautions?
• Which is not a typical element of an effective policy development and implementation process?
• What combination best supports accountability for budget and resource management in CJ agencies?
• If a patient receiving magnesium sulfate shows sedation and decreased level of consciousness, what is the nurse's next appropriate action?
• Describe a practical approach to implementing change in a CJ agency while addressing staff resistance.
• A client with an external fixator reports stabbing pain in the affected extremity despite analgesia. What is the most appropriate action?
• Which combination with warfarin requires careful monitoring for interactions?
• Which finding indicates intact neurovascular status in a client with an external fixator?
• On a telemetry unit, a client is awake and alert. What is the priority nursing action?
• In a panic attack, which action should the nurse take?
• Before completing an NG tube insertion, which action is most important for the nurse to take?
• What is the purpose of budgeting and resource management for CJ leaders, and what common budgetary risk should they monitor?
• In changing a tube feeding bag, which finding should cause the bag prepared by a new nurse to be discarded?
• Which leadership approach best supports high-stakes environments like crisis events, and why?
• Which statement would indicate a pin-site infection requiring assessment?
• A nurse participates in psychotherapy sessions for three clients with obsessive-compulsive disorder who are scheduled to be discharged tomorrow. Which statement by a client indicates the discharge plan may need to be changed?
• On admission for a patient with new seizure diagnosis, which action should be prioritized for safety?
• What is the importance of ethical whistleblowing channels and protections for CJ staff?
• Which assessment findings indicate early alcohol withdrawal?
• Which principle is demonstrated by reducing data collection to the minimum necessary for analysis?
• How should CJ leaders address bias and promote fairness in decision making and supervision?
• Which decision-making model involves identifying goals, listing alternatives, evaluating consequences, and selecting the option with the best overall value?
• A patient with a colostomy who is hesitant about self-care; which action best supports their needs?
• How should CJ leaders approach data privacy when collecting data for performance or crime analysis?
• Which statement best describes strategic planning in CJ leadership and its essential components?
• What is the role of cultural humility in leadership, and how does it differ from cultural competence?
• The registered nurse assigns tasks to the licensed practical/vocational nurse and unlicensed assistive personnel on the shift. Which task should be assigned to the UAP?
• In evaluating a pregnant client with vaginal bleeding, which assessment findings would most strongly indicate abruptio placenta requiring immediate intervention?
• What is the primary purpose of performance dashboards in CJ leadership?
• For a 3-month-old infant scheduled for cleft lip surgery, which instruction is most important to tell the parents now to prepare for postoperative care?
• Explain the role of after-action reviews (AAR) in continuous improvement after incidents.
• In the scenario of malignant hyperthermia, which medication is essential to treat the condition?
• Which governance principle is essential for cross-functional teams?
• What is the interval for changing a fentanyl patch as listed in the treatment order?
• The wound-ostomy-continence (WOC) nurse has ordered a debridement strategy for a sacral pressure injury covered with eschar. Which order is appropriate to include in the plan?
• In a home health visit for a patient with poorly controlled diabetes and a BMI of 34.7, what is most important to include in the teaching plan?
• Which task can safely be assigned to the LPN/LVN?
• In the emergency department, a client reports feeling lightheaded and dizzy. Blood pressure is 86/50 with tachycardia. The spouse reveals the client recently took sildenafil after taking nitroglycerin for angina. Which finding in the client's history may have contributed to the condition?
• When implementing workplace accommodations under disability rights laws, which is a recommended approach for CJ leaders?
• Which staffing decision is most appropriate when assigning a shift to a client with paranoid personality disorder?
• A 5-year-old child with severe dehydration is prescribed lactated Ringer's solution 22 mL/kg as an IV bolus over 20 minutes. The child weighs 44 pounds. How many milliliters should be given?
• To assess whether a patient in telehealth has GERD, what is the most important question to ask?
• A client reports 3 days of nausea, vomiting, neck stiffness, and headache; which health risk prompted quick action?
• How should a CJ leader design a performance appraisal to drive improvement?
• For a client who lost 7-year-old twins in a house fire and is admitted for major depression, which action is most important to include in the care plan?
• After casting, which symptom should prompt immediate reporting?
• A 16-year-old female presents with weight loss and a BMI of 19.8. Which item is NOT relevant to her current primary issue?
• After reassessment at 1200, which finding most clearly indicates improvement in the client's respiratory status?
• Discharge education for a patient with an eating disorder should include which topic?
• During a shift change, which patient should be seen first due to instability?
• During a mass shooting at a school, which patient should be treated first in triage?
• Which signs best indicate hemorrhagic shock in obstetric emergencies?
• In disaster triage, which category includes patients who are deceased or have injuries beyond survival with current resources?
• A patient presents with chest pain and shortness of breath; labs show normal troponin and D-dimer. What is the most likely diagnosis?
• What is the purpose of a performance development plan (PDP) and what elements should it include?
• A terminally ill client begins each day with a ritual of burning candles and praying. Which nursing action best maintains safe care while honoring the client's spirituality?
• What is the purpose of professional ethics codes in CJ leadership?
• For a child with cystic fibrosis, which intervention is essential to improve airway clearance?
• What best describes succession planning in CJ organizations?
• The nurse is precepting a student in the emergency department. Which action by the student requires further teaching?
• Which statement best contrasts transformational and transactional leadership in the context of change management?
• Following a fall with ankle edema, what is the priority nursing action?
• Which analgesic choice is safest for a patient with an ibuprofen allergy?
• How should a leader cascade goals and metrics to reflect the mission and core values?
• What steps should CJ leaders take to ensure accommodations protect privacy and comply with law?
• A child with a sprained ankle; which intervention is most essential in initial care?
• A transgender patient expresses doubt about undergoing breast augmentation; what is the most appropriate nursing response?
• During a mass casualty incident, the nurse’s primary function in triage is to do what?
• A patient with long-standing kidney disease has a glomerular filtration rate of 18 mL/min/1.73 m2. Which intervention is likely part of the care plan?
• Which statement about NPO status for a patient with seizures is correct?
• Infection prevention for a patient with pancytopenia, which measure is most important?
• To improve discharge teaching comprehension in an older adult, which approach is most effective?
• What are the core results of a formal risk assessment in CJ leadership?
• What is cultural competence, and how can CJ leaders foster an inclusive work environment?
• How does situational leadership guide a supervisor to adapt their style to follower readiness in a high-risk CJ environment?
• Which nursing action should be performed regularly for a patient admitted with seizures to monitor status?
• Which finding is most indicative of respiratory distress in COPD?
• How should a CJ leader align departmental strategy with the agency's mission and core values?
• Which combination best contributes to staff engagement in CJ agencies?
• In interagency collaboration, what is a Memorandum of Understanding (MOU) and its purpose?
• What communication principle ensures clarity when issuing a directive to a diverse team in a CJ setting?
• During a shift, which task is appropriate to delegate to a UAP?
• What is the role of crisis communication in CJ leadership, and what are best practices?
• Which statement best describes the purpose of an after-action review (AAR) and how it maximizes learning?
• What strategies support ethical procurement and vendor management in CJ agencies?
• Which element is typically included in a formal risk assessment?
• In suspected cerebral aneurysm, which initial nursing action is appropriate?
• In assessing a homeless shelter client who is coughing severely, what question should be prioritized?
• In the COPD case, which environmental factor described most likely contributed to the current exacerbation?
• Which vital-sign finding would best indicate dehydration/hypovolemia in the elderly patient?
• What isolation precaution is required for a patient with MRSA in urine without an indwelling catheter?
• A 16-year-old in the ED has a potassium level of 2.9 mEq/L. Which laboratory result is most concerning and should be reported immediately?
• How does change resilience support sustaining new practices after a CJ change initiative?
• Which chest radiograph finding is most consistent with an acute COPD exacerbation?
• How should the UAP handle visitors to balance cultural sensitivity and care?
• In situational leadership, which factor determines how a supervisor should adjust their directive behavior?
• What is the difference between leading indicators and lagging indicators in CJ performance measurement?
• A client with acute pericarditis shows restlessness and a dangerous blood pressure change on inspiration. What is the priority action for the nurse?
• An adult client with pneumonia is being treated with levofloxacin and takes an antacid daily for heartburn. After 5 days of antibiotic therapy, the pneumonia is not improving. What is the most appropriate nursing action?
• For a patient who has had a stroke and is participating in PT/OT, which approach best supports recovery when fatigue is present?
• Which statement best reflects the core principle of data governance in CJ analytics?
• What is the normal reference range for bicarbonate (HCO3) in mEq/L?
• What practice supports effective intercultural communication in CJ agencies?
• A patient with a fractured arm received a short-arm cast in the ED and is being discharged; what should the nurse plan when the patient returns?
• In planning a community presentation to prevent the spread of influenza among older adults, which is a primary preventive recommendation for individuals who have influenza?
• A head laceration in a patient with an MVA requires acetaminophen 650 mg every 4 hours. The pharmacy provides 500 mg/5 mL. How many milliliters per dose should be given?
• What is the most appropriate initial focus when educating the family about weight restoration for an adolescent with an eating disorder?
• How do alignment, meaning, and feedback loops contribute to staff engagement in CJ agencies?
• A 65-year-old client with an allergy to ibuprofen is cared for in the acute care setting following a stroke. Which information in the electronic health record is most concerning to the nurse?
• Which leadership action best supports patient safety on a health care unit?
• Which statement about medication reconciliation on hospital admission is correct?
• Which approach best promotes fairness in CJ decision making and supervision?
• How should CJ leaders approach intercultural communication to reduce misinterpretation and conflict?
• Which pharmacologic treatment is most appropriate to order initially for the client's acute respiratory condition?
• An older adult with dehydration presents to urgent care with poor skin turgor and dark urine; what is a priority nursing action?
• Which communication factor is most likely to have impacted an older adult's response to discharge teaching?
• How should a CJ leader handle disciplinary actions to ensure fairness and consistency?
• What is the difference between policy compliance and policy enforcement in CJ leadership?
• The nurse reviews arterial blood gas results showing pH 7.21, pCO2 75 mmHg, and HCO3 32 mEq/L. The nurse concludes the client is most likely experiencing which acid–base disturbance?
• How should leaders model compliance with ethics codes?
• Nurse starts heparin infusion 3000 units/hour; pharmacy sent 25,000 units/500 mL; at what rate in mL/hour?
• Which medication is listed for treatment of status epilepticus in the care plan?
• Education for farm workers and their bosses after assessing respiratory illness should emphasize what change?
• Why are both policy compliance and enforcement important in CJ organizations?
• Colostomy patient discharging; when asked to attempt self-care, patient cries; appropriate intervention?
• A patient presents with sudden severe headache, cocaine use, and left pupil dilation; most likely condition?
• Which principle is essential when applying process improvement in CJ to maintain care quality?
• Which action would constitute a breach of justice by a nurse caring for prisoners?
• Which finding most strongly indicates cardiac tamponade in a patient with acute pericarditis?
• How do cross-functional teams benefit CJ agencies, and what governance structures support their success?
• What is the Incident Command System (ICS), and why is it essential for CJ leaders during emergencies?
• In a 10-year-old with sickle cell disease vaso-occlusive episode, which intervention is most important along with prescribed medications?
• Which topic is essential to include in discharge education for a patient with an eating disorder?
• Which budgeting practice helps ensure fairness and transparency when allocating resources across programs?
• A client with hypertension and diabetes develops kidney disease and experiences spiritual distress related to transfusion decisions. What is the likely source of this distress?
• The nurse prepares to address a medication error that has occurred. Which action is appropriate?
• Which strategy most effectively reduces medication errors on a busy hospital unit?
• What indicates improvement in a patient with a Clostridium difficile infection after treatment?
• What is the normal reference range for arterial pCO2 in healthy adults?
• During realignment of a dislocated elbow under conscious sedation, what is the priority nursing action?
• Which action is appropriate when abuse is suspected in an elderly patient?
• For a patient receiving an inhaled corticosteroid, which intervention best helps prevent a common adverse effect?
• In a pediatric patient who has already received two doses of hepatitis B and is presenting for immunizations at 2 months, which vaccine should be prepared?
• Which practice reduces catheter-associated urinary tract infection risk?
• Which option represents best practice in crisis communication?
• A home health client reports sleep disturbances; which statement indicates the interventions are effective?
• How can leaders facilitate meaningful staff development in resource-limited CJ agencies?
• Participation in a shared governance council has impacted the nurse's leadership by which effect?
• In a congregant with severe hypertension (198/108) and a persistent headache, what is the priority nursing action?
• To assess progress in panic symptom management, which two factors should be monitored?
• Which leadership style is typically more effective for guiding teams through change in a CJ agency?
• The unlicensed assistive personnel reports a client is grumpy and refuses a bath. The client is incontinent and needs a bath daily. The client says I need more sleep. What is the most appropriate response by the nurse?
• What is stakeholder analysis and why is it important in CJ leadership?
• Which statement best describes the role of cross-functional teams in CJ agencies?
• For nonpharmacologic techniques to manage pain, which is safe to use without a health care provider’s order?
• A patient with C. diff diarrhea is on a medical unit; what finding indicates treatment is effective?
• A patient’s GFR is 18 mL/min/1.73 m2. This finding most likely indicates which stage/condition requiring specific management?
• How should CJ leaders measure the effectiveness of community policing initiatives?
• How can leaders use data analytics to improve crime prevention and resource allocation without violating privacy?