FLORIDA BOARD OF NURSING
ADMINISTRATION EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS,
PLUS EXPLAINED RATIONALES/EXPERT
VERIFIED FOR GUARANTEED 100% PASS
2026/LATEST UPDATE/INSTANT
DOWNLOAD PDF
1.
A nurse manager in a Florida acute-care facility notices that medication
errors have increased by 28% over the previous quarter. The errors are
concentrated during shift changes. The manager wants to determine the
underlying cause before implementing corrective action. Which
management approach is most appropriate initially?
A. Immediately discipline the nurses involved in the errors
B. Increase medication administration audits for all nurses
C. Conduct a structured root-cause analysis of the medication errors
D. Require all nurses to complete an additional medication course
Answer: C. Conduct a structured root-cause analysis of the
medication errors
Rationale: Root-cause analysis examines system, communication,
workflow, staffing, environmental, and human factors contributing to
an adverse event or near miss. Because the errors cluster around shift
change, the manager should investigate handoff processes,
interruptions, workload, communication systems, medication
reconciliation, and staffing before selecting an intervention.
2.
1
,A nurse administrator is developing the annual nursing department
budget. Which item should be considered a variable expense rather than
a fixed expense?
A. Annual building lease
B. Salaries for permanent full-time staff
C. Medical-surgical supplies used according to patient volume
D. Annual equipment depreciation
Answer: C. Medical-surgical supplies used according to patient
volume
Rationale: Variable expenses change with patient volume or service
utilization. Supplies such as dressings, syringes, gloves, and other
consumables generally increase as patient volume increases. Fixed
expenses remain relatively stable over a defined period, regardless of
short-term fluctuations in census.
3.
A Florida RN is determining whether a routine task may be delegated to
a competent CNA. Which characteristic would most strongly support
delegation?
A. The task requires ongoing nursing judgment
B. The task requires interpretation of assessment findings
C. The task has a predictable outcome and follows an established
sequence
D. The task requires modification according to each patient's changing
condition
Answer: C. The task has a predictable outcome and follows an
established sequence
Rationale: Florida law permits RN delegation when specified
conditions are met, including that the task is within the nurse's scope,
2
,routinely recurring, performed according to an established sequence,
predictable in outcome, and does not inherently require ongoing
assessment, interpretation, or clinical judgment.
4.
Which nursing activity should the Florida RN retain rather than delegate
to a CNA or other unlicensed assistive personnel?
A. Assisting a stable patient with bathing
B. Obtaining routine vital signs on a stable patient
C. Performing the initial nursing assessment
D. Assisting with routine ambulation
Answer: C. Performing the initial nursing assessment
Rationale: Florida's delegation rules prohibit delegation of activities
involving the nursing process and requiring nursing judgment,
including initial or subsequent assessments, nursing diagnosis,
establishment of care goals and the plan of care, and evaluation of
progress.
5.
A nurse manager wants to evaluate whether a newly implemented falls-
prevention program has been successful. Which measure provides the
strongest outcome indicator?
A. Number of staff members attending the education session
B. Number of fall-prevention posters displayed
C. Percentage reduction in patient falls per 1,000 patient-days
D. Number of copies of the fall-prevention policy distributed
Answer: C. Percentage reduction in patient falls per 1,000 patient-
days
3
, Rationale: An outcome measure evaluates the actual effect of an
intervention. Falls per 1,000 patient-days accounts for differences in
patient volume and provides a more meaningful comparison than
counting educational activities, posters, or policy distributions.
6.
A nurse administrator receives complaints that nurses are reluctant to
report near misses because they fear disciplinary action. Which
leadership strategy is most likely to improve reporting?
A. Establish a punitive policy for all near misses
B. Create a just-culture approach emphasizing learning and system
improvement
C. Require employees to identify the nurse responsible for each near
miss
D. Eliminate anonymous reporting
Answer: B. Create a just-culture approach emphasizing learning
and system improvement
Rationale: A just culture distinguishes human error, at-risk behavior,
and reckless behavior rather than treating every adverse event as
misconduct. Encouraging good-faith reporting allows the organization
to identify system vulnerabilities and prevent future harm.
7.
A nurse manager notices that two experienced nurses have repeatedly
disagreed about assignments and communication styles. Their
disagreement is beginning to affect patient care. Which intervention is
most appropriate?
4
ADMINISTRATION EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS,
PLUS EXPLAINED RATIONALES/EXPERT
VERIFIED FOR GUARANTEED 100% PASS
2026/LATEST UPDATE/INSTANT
DOWNLOAD PDF
1.
A nurse manager in a Florida acute-care facility notices that medication
errors have increased by 28% over the previous quarter. The errors are
concentrated during shift changes. The manager wants to determine the
underlying cause before implementing corrective action. Which
management approach is most appropriate initially?
A. Immediately discipline the nurses involved in the errors
B. Increase medication administration audits for all nurses
C. Conduct a structured root-cause analysis of the medication errors
D. Require all nurses to complete an additional medication course
Answer: C. Conduct a structured root-cause analysis of the
medication errors
Rationale: Root-cause analysis examines system, communication,
workflow, staffing, environmental, and human factors contributing to
an adverse event or near miss. Because the errors cluster around shift
change, the manager should investigate handoff processes,
interruptions, workload, communication systems, medication
reconciliation, and staffing before selecting an intervention.
2.
1
,A nurse administrator is developing the annual nursing department
budget. Which item should be considered a variable expense rather than
a fixed expense?
A. Annual building lease
B. Salaries for permanent full-time staff
C. Medical-surgical supplies used according to patient volume
D. Annual equipment depreciation
Answer: C. Medical-surgical supplies used according to patient
volume
Rationale: Variable expenses change with patient volume or service
utilization. Supplies such as dressings, syringes, gloves, and other
consumables generally increase as patient volume increases. Fixed
expenses remain relatively stable over a defined period, regardless of
short-term fluctuations in census.
3.
A Florida RN is determining whether a routine task may be delegated to
a competent CNA. Which characteristic would most strongly support
delegation?
A. The task requires ongoing nursing judgment
B. The task requires interpretation of assessment findings
C. The task has a predictable outcome and follows an established
sequence
D. The task requires modification according to each patient's changing
condition
Answer: C. The task has a predictable outcome and follows an
established sequence
Rationale: Florida law permits RN delegation when specified
conditions are met, including that the task is within the nurse's scope,
2
,routinely recurring, performed according to an established sequence,
predictable in outcome, and does not inherently require ongoing
assessment, interpretation, or clinical judgment.
4.
Which nursing activity should the Florida RN retain rather than delegate
to a CNA or other unlicensed assistive personnel?
A. Assisting a stable patient with bathing
B. Obtaining routine vital signs on a stable patient
C. Performing the initial nursing assessment
D. Assisting with routine ambulation
Answer: C. Performing the initial nursing assessment
Rationale: Florida's delegation rules prohibit delegation of activities
involving the nursing process and requiring nursing judgment,
including initial or subsequent assessments, nursing diagnosis,
establishment of care goals and the plan of care, and evaluation of
progress.
5.
A nurse manager wants to evaluate whether a newly implemented falls-
prevention program has been successful. Which measure provides the
strongest outcome indicator?
A. Number of staff members attending the education session
B. Number of fall-prevention posters displayed
C. Percentage reduction in patient falls per 1,000 patient-days
D. Number of copies of the fall-prevention policy distributed
Answer: C. Percentage reduction in patient falls per 1,000 patient-
days
3
, Rationale: An outcome measure evaluates the actual effect of an
intervention. Falls per 1,000 patient-days accounts for differences in
patient volume and provides a more meaningful comparison than
counting educational activities, posters, or policy distributions.
6.
A nurse administrator receives complaints that nurses are reluctant to
report near misses because they fear disciplinary action. Which
leadership strategy is most likely to improve reporting?
A. Establish a punitive policy for all near misses
B. Create a just-culture approach emphasizing learning and system
improvement
C. Require employees to identify the nurse responsible for each near
miss
D. Eliminate anonymous reporting
Answer: B. Create a just-culture approach emphasizing learning
and system improvement
Rationale: A just culture distinguishes human error, at-risk behavior,
and reckless behavior rather than treating every adverse event as
misconduct. Encouraging good-faith reporting allows the organization
to identify system vulnerabilities and prevent future harm.
7.
A nurse manager notices that two experienced nurses have repeatedly
disagreed about assignments and communication styles. Their
disagreement is beginning to affect patient care. Which intervention is
most appropriate?
4
