Free Comprehensive Nursing Management & Leadership MCQ Question Bank

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Subject – NURSING MANAGEMENT AND LEADERSHIP

Topic –Management of Nursing Services-(Staffing, Scheduling, In-Service Education, Material Resource Management)


Q1. Which principle of staffing ensures maximum efficiency by matching skills with job requirements? (NORCET 2021)
a) Unity of command
b) Right person in the right place
c) Division of work
d) Principle of authority

Check Answer/ Explanation

Answer: b) Right person in the right place
Explanation: This principle ensures tasks are assigned according to each nurse’s qualifications, skills, and experience, leading to optimal patient care and productivity.


Q2. The WHO recommended nurse–patient ratio for general wards in developing countries is: (AIIMS 2018)
a) 1:3
b) 1:5
c) 1:6
d) 1:10

Check Answer/ Explanation

Answer: c) 1:6
Explanation: WHO suggests a 1:6 ratio in general wards for developing countries to maintain quality care. ICU ratios are 1:1 or 1:2 based on patient acuity.


Q3. According to INC norms, the nurse–patient ratio in pediatric wards should be:
a) 1:3
b) 1:4
c) 1:5
d) 1:6

Check Answer/ Explanation

Answer: b) 1:4
Explanation: Pediatric wards require more supervision and care, hence INC recommends 1 nurse for every 4 patients.


Q4. In ICU, the ideal nurse–patient ratio is:
a) 1:1
b) 1:2
c) 1:4
d) 1:6

Check Answer/ Explanation

Answer: a) 1:1
Explanation: ICU patients need constant observation and immediate interventions; hence, 1 nurse per patient is ideal.


Q5. Which type of duty schedule ensures the same shift for the nurse every day? (RRB Staff Nurse 2019)
a) Rotating shift
b) Fixed shift
c) Split shift
d) Flexitime

Check Answer/ Explanation

Answer: b) Fixed shift
Explanation: Fixed shifts provide consistency but may reduce flexibility for the hospital’s coverage needs.


Q6. Which scheduling method assigns staff based on patient acuity rather than numbers? (NORCET 2020)
a) Functional method
b) Acuity-based staffing
c) Block scheduling
d) Cyclic scheduling

Check Answer/ Explanation

Answer: b) Acuity-based staffing
Explanation: This method uses patient severity scores to decide the number and skill mix of nurses required.


Q7. In-service education primarily aims to: (ESIC 2017)
a) Increase salaries
b) Improve clinical skills
c) Provide vacation
d) Reduce workload

Check Answer/ Explanation

Answer: b) Improve clinical skills
Explanation: In-service education helps nurses update knowledge and skills for better patient outcomes and professional development.


Q8. Which is NOT a method of in-service education? (NORCET 2022)
a) Workshops
b) Orientation
c) On-the-job training
d) Exit interview

Check Answer/ Explanation

Answer: d) Exit interview
Explanation: Exit interviews are part of HR processes, not educational activities.


Q9. FIFO in hospital supply management stands for: (AIIMS 2019)
a) First In First Out
b) First In Fast Out
c) Final In Final Out
d) Fast In First Out

Check Answer/ Explanation

Answer: a) First In First Out
Explanation: Ensures older stock is used before newer stock to prevent expiry and wastage.


Q10. ABC analysis in inventory control is based on: (NORCET 2023)
a) Size of items
b) Usage value
c) Expiry date
d) Weight

Check Answer/ Explanation

Answer: b) Usage value
Explanation: ABC categorizes items as A (high value), B (moderate value), C (low value) for better control.


Q11. Which management function includes forecasting, recruiting, selecting, and training nursing staff? (NORCET 2020)
a) Planning
b) Organizing
c) Staffing
d) Directing

Check Answer/ Explanation

Answer: c) Staffing
Explanation: Staffing is a core management function that involves human resource planning, recruitment, selection, placement, and training to meet organizational needs.


Q12. The staffing norm for an operating theatre nurse according to INC is:
a) 1 nurse for every 1 table
b) 2 nurses for every 1 table
c) 1 nurse for every 2 tables
d) 2 nurses for every 2 tables

Check Answer/ Explanation

Answer: a) 1 nurse for every 1 table
Explanation: INC recommends one nurse per operation table to ensure sterile technique and patient safety during procedures.


Q13. Which of the following is the most flexible type of duty schedule?
a) Rotating shift
b) Fixed shift
c) Flexitime
d) Block scheduling

Check Answer/ Explanation

Answer: c) Flexitime
Explanation: Flexitime allows staff to choose working hours within limits while ensuring service coverage.


Q14. The main disadvantage of rotating shift scheduling is:
a) Staff boredom
b) Poor skill development
c) Disruption of circadian rhythm
d) Increased patient complaints

Check Answer/ Explanation

Answer: c) Disruption of circadian rhythm
Explanation: Rotating shifts affect sleep patterns, which can cause fatigue and decreased performance.


Q15. Which nurse–patient ratio is recommended for high-dependency units (HDU)?
a) 1:1
b) 1:2
c) 1:3
d) 1:4

Check Answer/ Explanation

Answer: b) 1:2
Explanation: HDU patients are less critical than ICU patients but require close monitoring; hence 1 nurse for every 2 patients is recommended.


Q16. Orientation programs for newly appointed nurses are part of:
a) Recruitment
b) In-service education
c) Appraisal
d) Termination

Check Answer/ Explanation

Answer: b) In-service education
Explanation: Orientation helps new nurses adapt to the work environment, policies, and duties.


Q17. Which of the following is NOT a goal of in-service education?
a) Promote evidence-based practice
b) Increase professional competency
c) Provide entertainment
d) Reduce skill gaps

Check Answer/ Explanation

Answer: c) Provide entertainment
Explanation: In-service education is focused on improving skills, knowledge, and quality of care, not recreation.


Q18. VED analysis in inventory management classifies items based on: (AIIMS 2017)
a) Value
b) Expiry
c) Criticality
d) Size

Check Answer/ Explanation

Answer: c) Criticality
Explanation: VED stands for Vital, Essential, Desirable — used to prioritize items according to their importance in patient care.


Q19. The combination of ABC and VED analysis in hospital inventory control is known as:
a) AV method
b) ABC-VED matrix
c) Stock rotation method
d) FIFO-ABC method

Check Answer/ Explanation

Answer: b) ABC-VED matrix
Explanation: This approach manages both the value and criticality of items for optimal inventory control.


Q20. Which inventory system involves regular checking of stock levels at fixed intervals?
a) Perpetual inventory
b) Periodic inventory
c) Just-in-time inventory
d) FIFO system

Check Answer/ Explanation

Answer: b) Periodic inventory
Explanation: Periodic inventory is conducted at set times (e.g., monthly or yearly) to reconcile physical stock with records.


Q21. The staffing method that divides nursing tasks among staff based on skill and efficiency is called:
a) Team nursing
b) Functional method
c) Case method
d) Primary nursing

Check Answer/ Explanation

Answer: b) Functional method
Explanation: Functional method assigns specific duties to each staff member, improving efficiency but possibly fragmenting care.


Q22. Team nursing was introduced to: (NORCET 2019)
a) Reduce nurse–patient ratio
b) Improve holistic patient care
c) Reduce equipment use
d) Limit nurse training

Check Answer/ Explanation

Answer: b) Improve holistic patient care
Explanation: Team nursing uses a group led by a registered nurse to deliver coordinated care to assigned patients.


Q23. Which scheduling pattern repeats every set number of days regardless of the calendar month?
a) Cyclic schedule
b) Block schedule
c) Flexitime
d) Rotating schedule

Check Answer/ Explanation

Answer: a) Cyclic schedule
Explanation: Cyclic scheduling repeats duty patterns (e.g., every 4 days) to ensure predictability.


Q24. What is the first step in human resource planning for nursing staff?
a) Recruitment
b) Determining staffing needs
c) Selection
d) Orientation

Check Answer/ Explanation

Answer: b) Determining staffing needs
Explanation: HR planning begins with assessing current and future staffing requirements based on workload.


Q25. In budgeting for staffing, the largest proportion of costs is usually for:
a) Equipment
b) Salaries and wages
c) Training programs
d) Overtime pay

Check Answer/ Explanation

Answer: b) Salaries and wages
Explanation: Staff salaries form the largest portion of hospital operating budgets.


Q26. The recommended nurse–patient ratio in the delivery room according to INC is:
a) 1:1
b) 1:2
c) 1:3
d) 1:4

Check Answer/ Explanation

Answer: a) 1:1
Explanation: Continuous care is essential during labor, hence one nurse per laboring woman.


Q27. Which scheduling system allows staff to bid for preferred shifts?
a) Block schedule
b) Self-scheduling
c) Rotating schedule
d) Fixed schedule

Check Answer/ Explanation

Answer: b) Self-scheduling
Explanation: Staff propose their own schedules, increasing satisfaction and autonomy.


Q28. Preceptorship programs are part of:
a) Staffing
b) Scheduling
c) In-service education
d) Inventory control

Check Answer/ Explanation

Answer: c) In-service education
Explanation: Preceptorship pairs an experienced nurse with a new staff member to guide clinical practice.


Q29. The JIT (Just-In-Time) inventory system aims to:
a) Maintain large stock levels
b) Eliminate expiry
c) Minimize storage costs
d) Increase lead time

Check Answer/ Explanation

Answer: c) Minimize storage costs
Explanation: JIT ensures supplies arrive only when needed, reducing storage needs and wastage.


Q30. Which factor is least considered in patient classification systems for staffing?
a) Acuity
b) Age
c) Dependency level
d) Complexity of care

Check Answer/ Explanation

Answer: b) Age
Explanation: Staffing decisions are based on care needs, not patient age.


Q31. Which staffing method is based on the actual number of patients and their needs at a given time? (NORCET 2021)
a) Fixed nurse–patient ratio
b) Patient classification system
c) Functional method
d) Team nursing

Check Answer/ Explanation

Answer: b) Patient classification system
Explanation: The patient classification system adjusts staffing levels according to the acuity and care requirements of patients rather than fixed ratios, improving efficiency and care quality.


Q32. The process of adjusting staff on a shift-to-shift basis depending on workload is called:
a) Forecasting
b) Scheduling
c) Staffing mix
d) Staffing adjustment

Check Answer/ Explanation

Answer: d) Staffing adjustment
Explanation: Staffing adjustment ensures the available nurses are redistributed or called in to meet unexpected changes in workload or patient acuity.


Q33. Which is NOT a principle of material resource management? (AIIMS 2018)
a) Adequacy
b) Availability
c) Accessibility
d) Inefficiency

Check Answer/ Explanation

Answer: d) Inefficiency
Explanation: The principles include adequacy, availability, accessibility, and accountability. Inefficiency is opposite to effective resource management.


Q34. Which type of scheduling ensures the same staff works on the same days each week? (RRB Staff Nurse 2019)
a) Cyclical scheduling
b) Flexible scheduling
c) Centralized scheduling
d) Decentralized scheduling

Check Answer/ Explanation

Answer: a) Cyclical scheduling
Explanation: In cyclical scheduling, the pattern of shifts repeats itself every schedule cycle, promoting stability and predictability.


Q35. The first step in human resource planning is: (NORCET 2022)
a) Forecasting manpower needs
b) Recruitment
c) Training
d) Scheduling

Check Answer/ Explanation

Answer: a) Forecasting manpower needs
Explanation: HR planning starts by estimating the future needs of the organization based on goals, workload, and available resources.


Q36. Which in-service education method uses real-life situations for discussion?
a) Lecture method
b) Case study method
c) Seminar
d) Panel discussion

Check Answer/ Explanation

Answer: b) Case study method
Explanation: The case study method improves critical thinking by analyzing and solving realistic clinical situations.


Q37. Who is responsible for preparing the duty roster in most nursing units? (NORCET 2023)
a) Nursing superintendent
b) Chief nursing officer
c) Ward in-charge
d) Hospital administrator

Check Answer/ Explanation

Answer: c) Ward in-charge
Explanation: The ward in-charge prepares the duty roster considering patient needs, nurse skill mix, and institutional policies.


Q38. Which inventory system records the balance of items after each issue? (AIIMS 2017)
a) Periodic inventory system
b) Perpetual inventory system
c) Annual stock-taking
d) Just-in-time

Check Answer/ Explanation

Answer: b) Perpetual inventory system
Explanation: The perpetual system updates the stock balance continuously, ensuring accurate and up-to-date records.


Q39. Floating staff from one department to another during shortage is called:
a) Rotation
b) Redistribution
c) Staff floating
d) Cross-training

Check Answer/ Explanation

Answer: c) Staff floating
Explanation: Staff floating temporarily assigns nurses to another department to cover staffing gaps.


Q40. Which factor is MOST important when planning staff schedule in an ICU? (NORCET 2020)
a) Nurse seniority
b) Patient acuity
c) Length of shift
d) Staff preferences

Check Answer/ Explanation

Answer: b) Patient acuity
Explanation: ICU staffing is determined primarily by the severity of patient conditions to ensure adequate care.


Q41. Which type of in-service education is organized before introducing a new hospital policy?
a) Induction
b) Orientation
c) Staff development program
d) Refresher course

Check Answer/ Explanation

Answer: d) Refresher course
Explanation: Refresher courses update existing staff on new procedures, policies, or technologies.


Q42. Which is the MOST cost-effective method of material procurement in hospitals?
a) Local purchase
b) Centralized purchase
c) Direct-from-manufacturer
d) Retail purchase

Check Answer/ Explanation

Answer: b) Centralized purchase
Explanation: Centralized purchase enables bulk buying at negotiated rates, ensuring cost savings and quality control.


Q43. When preparing a staffing plan, what is the FIRST factor to consider? (NORCET 2021)
a) Bed occupancy rate
b) Staff absenteeism
c) Skill mix
d) Staff preferences

Check Answer/ Explanation

Answer: a) Bed occupancy rate
Explanation: Bed occupancy rate helps estimate workload and required nurse–patient ratios.


Q44. The primary purpose of in-service education is: (RRB 2018)
a) Recruitment
b) Enhancing job performance
c) Disciplinary action
d) Licensing renewal

Check Answer/ Explanation

Answer: b) Enhancing job performance
Explanation: In-service education improves the competency, skills, and knowledge of working nurses.


Q45. Which method of scheduling is preferred for ensuring fairness and reducing bias?
a) Centralized scheduling
b) Decentralized scheduling
c) Self-scheduling
d) Manager-prepared scheduling

Check Answer/ Explanation

Answer: a) Centralized scheduling
Explanation: Centralized scheduling is handled by a neutral department, ensuring consistency and fairness.


Q46. Which law guides the minimum staffing requirements in hospitals? (NORCET 2023)
a) Factories Act
b) Indian Nursing Council norms
c) Labor Contract Act
d) Workmen Compensation Act

Check Answer/ Explanation

Answer: b) Indian Nursing Council norms
Explanation: INC provides staffing norms based on patient category and care level.


Q47. A training given to all newly appointed nurses before starting their duties is called:
a) Orientation program
b) Staff development
c) Preceptorship
d) Induction training

Check Answer/ Explanation

Answer: d) Induction training
Explanation: Induction training familiarizes new employees with policies, facilities, and work culture.


Q48. Which inventory method issues items based on earliest purchase date? (AIIMS 2019)
a) LIFO
b) FIFO
c) ABC analysis
d) VED analysis

Check Answer/ Explanation

Answer: b) FIFO
Explanation: FIFO (First In, First Out) ensures older stock is used first, reducing wastage from expiry.


Q49. The process of forecasting the future human resource requirement is called:
a) Workforce planning
b) Scheduling
c) Orientation
d) Evaluation

Check Answer/ Explanation

Answer: a) Workforce planning
Explanation: Workforce planning ensures that future staffing needs are met efficiently.


Q50. Which factor affects material resource planning MOST?
a) Storage space
b) Supplier reputation
c) Patient census
d) Purchase committee decision

Check Answer/ Explanation

Answer: c) Patient census
Explanation: Patient load influences the quantity and type of material resources required.


Q51. The most flexible scheduling approach is: (NORCET 2020)
a) Self-scheduling
b) Centralized scheduling
c) Cyclical scheduling
d) Decentralized scheduling

Check Answer/ Explanation

Answer: a) Self-scheduling
Explanation: Self-scheduling allows staff to choose shifts within guidelines, improving satisfaction.


Q52. Which method of inventory control prioritizes items based on criticality?
a) ABC analysis
b) VED analysis
c) FIFO method
d) EOQ method

Check Answer/ Explanation

Answer: b) VED analysis
Explanation: VED (Vital, Essential, Desirable) ranks items by importance in patient care.


Q53. Which component is NOT included in staffing mix?
a) Registered nurses
b) Nursing aides
c) Ward boys
d) Patients

Check Answer/ Explanation

Answer: d) Patients
Explanation: Staffing mix refers to the proportion of different nursing personnel.


Q54. The purpose of “staff development programs” is to: (RRB 2017)
a) Improve productivity and professional growth
b) Provide leave benefits
c) Manage absenteeism
d) Allocate duties

Check Answer/ Explanation

Answer: a) Improve productivity and professional growth
Explanation: These programs enhance skills, leading to better performance and career advancement.


Q55. Which scheduling method can create staffing imbalance if not monitored?
a) Centralized
b) Decentralized
c) Cyclical
d) Flexible

Check Answer/ Explanation

Answer: b) Decentralized
Explanation: In decentralized scheduling, individual units prepare schedules, which may cause uneven staffing across the facility.


Q56. Which inventory control method is MOST suitable for costly items? (AIIMS 2020)
a) VED analysis
b) FIFO method
c) ABC analysis
d) LIFO method

Check Answer/ Explanation

Answer: c) ABC analysis
Explanation: ABC analysis categorizes items by value, giving high-value items stricter control.


Q57. The process of assigning staff according to patient needs is called:
a) Work allocation
b) Workload analysis
c) Job description
d) Task assignment
Answer: b) Workload analysis
Explanation: Workload analysis ensures the number and skill level of staff match patient requirements.


Q58. Which in-service method allows hands-on learning with supervision? (NORCET 2022)
a) Workshop
b) Lecture
c) Seminar
d) Conference

Check Answer/ Explanation

Answer: a) Workshop
Explanation: Workshops provide practical experience in a controlled learning environment


Q59. Which factor MOST influences shift length decision?
a) Nurse’s preference
b) Patient acuity and continuity of care
c) Cost of staffing
d) Unit policy

Check Answer/ Explanation

Answer: b) Patient acuity and continuity of care
Explanation: Patient needs and care continuity determine the most effective shift length.


Q60. Which is the MOST effective method to prevent overstocking in hospital stores?
a) Periodic inventory
b) EOQ method
c) FIFO method
d) Perpetual inventory system

Check Answer/ Explanation

Answer: b) EOQ method
Explanation: EOQ (Economic Order Quantity) calculates the optimal order size to minimize storage cost and stockouts.


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