Nursing Delegation and Management of
Patient Care 3rd Edition Motacki Test
Bank (Chapters 1-21 Complete)
, Q1. A nurse manager is evaluating the care delivery on a medical-surgical
unit. Which action by a staff nurse represents an explicit act of clinical
leadership rather than management?
A) Assigning rooms for incoming admissions based on acuity.
B) Completing an annual performance evaluation for an assistive personnel.
C) Mentoring a newly licensed nurse on complex clinical prioritization.
D) Reviewing unit budget reports to identify variance in medical supplies.
VERIFIED ANSWER: C
EXPLANATION: Clinical leadership is demonstrated through interpersonal
influence, role modeling, and professional mentoring to improve clinical
practice and grow others, regardless of formal administrative title. Options A,
B, and D represent structured operational management functions tied directly
to a formal, institutional management role.
Q2. A registered nurse (RN) is planning care for a client who is post-
operative day 1 following a total hip arthroplasty. Which task is most
appropriate for the RN to delegate to an experienced Licensed
Practical/Vocational Nurse (LPN/LVN)?
A) Creating the initial post-operative nursing care plan.
B) Administering a scheduled subcutaneous anticoagulant injection.
C) Conducting the comprehensive discharge education session with the family.
D) Performing the initial neurovascular assessment of the affected extremity.
VERIFIED ANSWER: B
EXPLANATION: The LPN/LVN scope of practice includes the
administration of routine medications via scheduled routes (subcutaneous,
, intramuscular, oral) to stable clients. Options A, C, and D involve
comprehensive assessment, clinical planning, and primary education, which
require advanced clinical judgment and remain the exclusive, non-delegable
responsibility of the RN.
Q3. A nurse is working on a unit that utilizes shared governance. Which
operational feature should a newly hired nurse expect to observe within
this specific workplace structure?
A) Clinical staff nurses serve as active voting members on organizational policy
committees.
B) The chief nursing officer personally approves all individual unit schedule
adjustments.
C) The nurse manager maintains sole, absolute authority over clinical protocol
changes.
D) Practice guidelines are dictated downward by an external corporate
management board.
VERIFIED ANSWER: A
EXPLANATION: Shared governance is an organizational model founded on
decentralization, core empowerment, and shared decision-making. It enables
clinical staff nurses to exert direct autonomy over their professional practice
by actively participating on institutional councils and policy committees.
Options B, C, and D describe centralized, bureaucratic, or autocratic
management approaches.
, Q4. A charge nurse is assigning client care for the upcoming shift. Which
client should be assigned to an experienced registered nurse (RN) rather
than a Licensed Practical Nurse (LPN)?
A) A client with chronic obstructive pulmonary disease (COPD) requiring
routine oxygen titration.
B) A client who is 2 days post-operative following an appendectomy with well-
controlled pain.
C) A client admitted 2 hours ago with an acute exacerbation of heart failure and
severe respiratory distress.
D) A client with type 2 diabetes mellitus who needs reinforcement of basic
dietary choices.
VERIFIED ANSWER: C
EXPLANATION: An acute, unstable client with changing physiological
statuses (such as severe respiratory distress from a fresh heart failure
exacerbation) requires continuous, complex clinical assessment and rapid
intervention. This level of care can only be performed by an RN. Options A,
B, and D represent stable clients with predictable clinical outcomes suitable
for LPN assignment.
Q5. An RN delegates the task of ambulating a stable post-operative client
to an Unlicensed Assistive Personnel (UAP). During ambulation, the client
becomes dizzy and lightheaded. Which action must the UAP take
immediately?
A) Help the client safely sit down, stay with them, and call out for the RN.
B) Complete the planned walk and document the event in the chart.
Patient Care 3rd Edition Motacki Test
Bank (Chapters 1-21 Complete)
, Q1. A nurse manager is evaluating the care delivery on a medical-surgical
unit. Which action by a staff nurse represents an explicit act of clinical
leadership rather than management?
A) Assigning rooms for incoming admissions based on acuity.
B) Completing an annual performance evaluation for an assistive personnel.
C) Mentoring a newly licensed nurse on complex clinical prioritization.
D) Reviewing unit budget reports to identify variance in medical supplies.
VERIFIED ANSWER: C
EXPLANATION: Clinical leadership is demonstrated through interpersonal
influence, role modeling, and professional mentoring to improve clinical
practice and grow others, regardless of formal administrative title. Options A,
B, and D represent structured operational management functions tied directly
to a formal, institutional management role.
Q2. A registered nurse (RN) is planning care for a client who is post-
operative day 1 following a total hip arthroplasty. Which task is most
appropriate for the RN to delegate to an experienced Licensed
Practical/Vocational Nurse (LPN/LVN)?
A) Creating the initial post-operative nursing care plan.
B) Administering a scheduled subcutaneous anticoagulant injection.
C) Conducting the comprehensive discharge education session with the family.
D) Performing the initial neurovascular assessment of the affected extremity.
VERIFIED ANSWER: B
EXPLANATION: The LPN/LVN scope of practice includes the
administration of routine medications via scheduled routes (subcutaneous,
, intramuscular, oral) to stable clients. Options A, C, and D involve
comprehensive assessment, clinical planning, and primary education, which
require advanced clinical judgment and remain the exclusive, non-delegable
responsibility of the RN.
Q3. A nurse is working on a unit that utilizes shared governance. Which
operational feature should a newly hired nurse expect to observe within
this specific workplace structure?
A) Clinical staff nurses serve as active voting members on organizational policy
committees.
B) The chief nursing officer personally approves all individual unit schedule
adjustments.
C) The nurse manager maintains sole, absolute authority over clinical protocol
changes.
D) Practice guidelines are dictated downward by an external corporate
management board.
VERIFIED ANSWER: A
EXPLANATION: Shared governance is an organizational model founded on
decentralization, core empowerment, and shared decision-making. It enables
clinical staff nurses to exert direct autonomy over their professional practice
by actively participating on institutional councils and policy committees.
Options B, C, and D describe centralized, bureaucratic, or autocratic
management approaches.
, Q4. A charge nurse is assigning client care for the upcoming shift. Which
client should be assigned to an experienced registered nurse (RN) rather
than a Licensed Practical Nurse (LPN)?
A) A client with chronic obstructive pulmonary disease (COPD) requiring
routine oxygen titration.
B) A client who is 2 days post-operative following an appendectomy with well-
controlled pain.
C) A client admitted 2 hours ago with an acute exacerbation of heart failure and
severe respiratory distress.
D) A client with type 2 diabetes mellitus who needs reinforcement of basic
dietary choices.
VERIFIED ANSWER: C
EXPLANATION: An acute, unstable client with changing physiological
statuses (such as severe respiratory distress from a fresh heart failure
exacerbation) requires continuous, complex clinical assessment and rapid
intervention. This level of care can only be performed by an RN. Options A,
B, and D represent stable clients with predictable clinical outcomes suitable
for LPN assignment.
Q5. An RN delegates the task of ambulating a stable post-operative client
to an Unlicensed Assistive Personnel (UAP). During ambulation, the client
becomes dizzy and lightheaded. Which action must the UAP take
immediately?
A) Help the client safely sit down, stay with them, and call out for the RN.
B) Complete the planned walk and document the event in the chart.
