Leadership,
Management,
Delegation, and
Prioritization
---
**Target Question Count: 55**
---
### Question 1
The charge nurse is making patient assignments for the medical-surgical unit. Which patient should be
assigned to the most experienced registered nurse?
A. A patient with diabetes mellitus requiring daily insulin administration
B. A patient with pneumonia requiring intravenous antibiotics
C. A patient with acute respiratory distress syndrome requiring mechanical ventilation
,D. A patient with a urinary tract infection requiring oral antibiotics
💫RATIONALE✔️✔️: The patient requiring mechanical ventilation has the most complex and unstable
condition, requiring advanced assessment skills and clinical judgment. This patient should be assigned to
the most experienced RN.
💫ANSWER✔️✔️: C. A patient with acute respiratory distress syndrome requiring mechanical
ventilation
---
### Question 2
A nurse manager is implementing a new evidence-based practice protocol for preventing catheter-
associated urinary tract infections (CAUTIs). Which action is most likely to ensure successful
implementation?
A. Distributing the protocol via email to all staff members
B. Posting the protocol on the unit's bulletin board
C. Involving staff nurses in the development and implementation process
D. Requiring staff to sign a form acknowledging receipt of the protocol
💫RATIONALE✔️✔️: Involving staff nurses in the development and implementation of evidence-
based practice changes promotes buy-in, ownership, and sustainability. Staff engagement leads to
better understanding, acceptance, and adherence to new protocols.
💫ANSWER✔️✔️: C. Involving staff nurses in the development and implementation process
,---
### Question 3
The RN is delegating tasks to the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP).
Which task should the RN delegate to the LPN?
A. Administering oral medications to stable patients
B. Assisting a patient with bathing and hygiene
C. Performing a comprehensive admission assessment
D. Developing a patient's plan of care
💫RATIONALE✔️✔️: LPNs are licensed to administer oral medications to stable patients.
Comprehensive admission assessments and plan of care development are the responsibility of the RN.
Bathing and hygiene are appropriately delegated to UAP.
💫ANSWER✔️✔️: A. Administering oral medications to stable patients
---
### Question 4
The nurse is caring for multiple patients and must prioritize care. Which patient should the nurse assess
first?
A. A patient who is 2 days post-operative and reports pain rated 6 on a 0-10 scale
B. A patient with chronic obstructive pulmonary disease who has an oxygen saturation of 88%
, C. A patient who requests a glass of water
D. A patient who needs assistance with ambulation to the bathroom
💫RATIONALE✔️✔️: The patient with an oxygen saturation of 88% is experiencing hypoxemia and
requires immediate assessment and intervention. This is a priority over pain management, requests for
water, and ambulation assistance.
💫ANSWER✔️✔️: B. A patient with chronic obstructive pulmonary disease who has an oxygen
saturation of 88%
---
### Question 5
A nurse manager is reviewing the occurrence of medication errors on the unit. Which approach is most
effective for reducing medication errors?
A. Disciplining nurses who make medication errors
B. Implementing a "no-interruption" zone during medication administration
C. Requiring nurses to administer medications within 10 minutes of preparation
D. Increasing the number of medication carts on the unit
💫RATIONALE✔️✔️: A "no-interruption" zone during medication administration has been shown to
significantly reduce medication errors by allowing nurses to focus on the medication administration
process without distractions. This is a proactive, systems-based approach.
💫ANSWER✔️✔️: B. Implementing a "no-interruption" zone during medication administration
Management,
Delegation, and
Prioritization
---
**Target Question Count: 55**
---
### Question 1
The charge nurse is making patient assignments for the medical-surgical unit. Which patient should be
assigned to the most experienced registered nurse?
A. A patient with diabetes mellitus requiring daily insulin administration
B. A patient with pneumonia requiring intravenous antibiotics
C. A patient with acute respiratory distress syndrome requiring mechanical ventilation
,D. A patient with a urinary tract infection requiring oral antibiotics
💫RATIONALE✔️✔️: The patient requiring mechanical ventilation has the most complex and unstable
condition, requiring advanced assessment skills and clinical judgment. This patient should be assigned to
the most experienced RN.
💫ANSWER✔️✔️: C. A patient with acute respiratory distress syndrome requiring mechanical
ventilation
---
### Question 2
A nurse manager is implementing a new evidence-based practice protocol for preventing catheter-
associated urinary tract infections (CAUTIs). Which action is most likely to ensure successful
implementation?
A. Distributing the protocol via email to all staff members
B. Posting the protocol on the unit's bulletin board
C. Involving staff nurses in the development and implementation process
D. Requiring staff to sign a form acknowledging receipt of the protocol
💫RATIONALE✔️✔️: Involving staff nurses in the development and implementation of evidence-
based practice changes promotes buy-in, ownership, and sustainability. Staff engagement leads to
better understanding, acceptance, and adherence to new protocols.
💫ANSWER✔️✔️: C. Involving staff nurses in the development and implementation process
,---
### Question 3
The RN is delegating tasks to the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP).
Which task should the RN delegate to the LPN?
A. Administering oral medications to stable patients
B. Assisting a patient with bathing and hygiene
C. Performing a comprehensive admission assessment
D. Developing a patient's plan of care
💫RATIONALE✔️✔️: LPNs are licensed to administer oral medications to stable patients.
Comprehensive admission assessments and plan of care development are the responsibility of the RN.
Bathing and hygiene are appropriately delegated to UAP.
💫ANSWER✔️✔️: A. Administering oral medications to stable patients
---
### Question 4
The nurse is caring for multiple patients and must prioritize care. Which patient should the nurse assess
first?
A. A patient who is 2 days post-operative and reports pain rated 6 on a 0-10 scale
B. A patient with chronic obstructive pulmonary disease who has an oxygen saturation of 88%
, C. A patient who requests a glass of water
D. A patient who needs assistance with ambulation to the bathroom
💫RATIONALE✔️✔️: The patient with an oxygen saturation of 88% is experiencing hypoxemia and
requires immediate assessment and intervention. This is a priority over pain management, requests for
water, and ambulation assistance.
💫ANSWER✔️✔️: B. A patient with chronic obstructive pulmonary disease who has an oxygen
saturation of 88%
---
### Question 5
A nurse manager is reviewing the occurrence of medication errors on the unit. Which approach is most
effective for reducing medication errors?
A. Disciplining nurses who make medication errors
B. Implementing a "no-interruption" zone during medication administration
C. Requiring nurses to administer medications within 10 minutes of preparation
D. Increasing the number of medication carts on the unit
💫RATIONALE✔️✔️: A "no-interruption" zone during medication administration has been shown to
significantly reduce medication errors by allowing nurses to focus on the medication administration
process without distractions. This is a proactive, systems-based approach.
💫ANSWER✔️✔️: B. Implementing a "no-interruption" zone during medication administration
