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Leadership Exam #2
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1. The nurse has attended a refresher course on successful delegation. Which statement indicates
successful learning has taken place?
A. “I just don’t understand why people think delegation is difÏcult all you must do is tell
other people what to do.”
B. “Now I know that effective delegation means telling my nursing staff when they need to
have their regular work done.
C. “I knew that effective delegation made my job easier, but I never thought about how it
could benefit the hospital.”
D. “The clients on our unit come and go so frequently that delegation is of little benefit.”
2. A healthcare organization has provided intensive education to staff regarding benefits and
correct methods of delegation. Which of the following would be reasons for the organization to
sponsor these sessions? SATA
A. Delegation transfer accountability to the delegatee.
B. Patient satisfaction scores increase when care is efÏcient and effective.
C. Good delegation helps reduced overtime.
D. Good delegation increases productivity.
E. Delegation is required by joint commission.
3. When researching interventions that affect the quality and cost of care. Which action would be
best for the nurse to take?
A. Implement a quality improvement project.
B. Increase the amount of orientation time.
C. Reduce the use of supplies.
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D. Encourage overtime schedule.
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4. The nurse manage observes a social media post by a staff nurse that discusses the care of a
client. Which action should the nurse manager take?
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A. Notify the board of nursing.
B. Inform client about the post.
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C. Report the post to a supervisor.
D. Request the post to be deleted.
5. The nurse manager is preparing a budget using the incremental method for an existing cardiac
care unit. Which action the nurse mange take?
A. Verify that the revenue would generate from the care of one client.
B. Calculate the expense of taking care of one client.
C. Determine the expected increase in salaries from the previous year.
D. Predict the average client volume for the unit.
6. A nurse asks an unlicensed assistant to help with discharging clients since so many are going
home at one time. The nurse asks, “Can you help get these clients ready to go home by helping
them pack?” Which option best describes the statement regarding effective delegation?
A. The delegation is ineffective because the nurse has no authority to ask the UAP to help
with clients.
B. Delegation could have been more effective had the nurse gone with the assisstant to
ensure the assistant did the packing.
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C. The delegation is ineffective since the nurse has no responsibility to pack the client’s
belongings.
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D. Delegation would have been more effective had the nurse been more specific about
which client and when it should be completed.
7. The healthcare provider orders dopamine at 8mcg/kg/min for a client who weighs 264 lbs.
Dopamine is supplied as 800mg in 250mL D5W. the nurse will set the infusion rate at mL/hour?
- 18mL
8. Which situation indicates the nurse needs additional training on effective delegation?
A. A rehabilitation nurse ask a physical therapy assistant to assist a client with ambulation
around the facility.
B. The charge nurse tells the UAP to help prepare rooms for the new clients.
C. A home health nurse calls the ofÏce and asks another nurse to make the visit on her
next client.
D. The ofÏce nurse calls in orders for admission on a client following a surgical
complication.
9. Which factor influences a persons interpretation of information? SATA
A. Environment
B. Precipitating events
C. Context
D. Past experiences
E. Preconceptions
10. Which task is appropriate for the RN to delegate to the UAP, provided the delegate has had
experienced and training?
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A. Change the disposable tracheostomy cannula for a new postoperative tracheostomy
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patient if secretions are thick.
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B. Evaluate the ability of a patient to swallow ice after a gastroscopy.
C. Obtain a sterile urine sample from a patient with a foley catheter that is connected to a
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closed drainage system.
D. Assist a patient who is postoperative hip replacement to ambulate with a walker for the
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first time.
11. The nurse is preparing to administer total parenteral nutrition (TPN) 2100 ml to infuse over 24
hours. The total volume of the TPN mixture is 1865 mL. The nurse should set the IV pump to
deliver mL/hr. Round to the nearest whole number.
- 88mL
12. For the nurse to effectively and legally delegate, which document must be consulted and
followed to reduce the likelihood of liability?
A. The regulations state nurse practice acts
B. The rules of the governing specialty organization
C. The American nurses association bylaws
D. The National council of state board of nursing
13. A nurse is concerned about the risks of delegating tasks to LPN and UAP. What is the best way
for the nurse to determine competency of an inexperienced delegate?
A. Question the patient to confirm that the care provided was satisfactory.
B. Ask other nurses if they feel the delegate is competent,
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Leadership Exam #2
Ed
1. The nurse has attended a refresher course on successful delegation. Which statement indicates
successful learning has taken place?
A. “I just don’t understand why people think delegation is difÏcult all you must do is tell
other people what to do.”
B. “Now I know that effective delegation means telling my nursing staff when they need to
have their regular work done.
C. “I knew that effective delegation made my job easier, but I never thought about how it
could benefit the hospital.”
D. “The clients on our unit come and go so frequently that delegation is of little benefit.”
2. A healthcare organization has provided intensive education to staff regarding benefits and
correct methods of delegation. Which of the following would be reasons for the organization to
sponsor these sessions? SATA
A. Delegation transfer accountability to the delegatee.
B. Patient satisfaction scores increase when care is efÏcient and effective.
C. Good delegation helps reduced overtime.
D. Good delegation increases productivity.
E. Delegation is required by joint commission.
3. When researching interventions that affect the quality and cost of care. Which action would be
best for the nurse to take?
A. Implement a quality improvement project.
B. Increase the amount of orientation time.
C. Reduce the use of supplies.
e
ie
D. Encourage overtime schedule.
di
ird
4. The nurse manage observes a social media post by a staff nurse that discusses the care of a
client. Which action should the nurse manager take?
uB
A. Notify the board of nursing.
B. Inform client about the post.
Ed
C. Report the post to a supervisor.
D. Request the post to be deleted.
5. The nurse manager is preparing a budget using the incremental method for an existing cardiac
care unit. Which action the nurse mange take?
A. Verify that the revenue would generate from the care of one client.
B. Calculate the expense of taking care of one client.
C. Determine the expected increase in salaries from the previous year.
D. Predict the average client volume for the unit.
6. A nurse asks an unlicensed assistant to help with discharging clients since so many are going
home at one time. The nurse asks, “Can you help get these clients ready to go home by helping
them pack?” Which option best describes the statement regarding effective delegation?
A. The delegation is ineffective because the nurse has no authority to ask the UAP to help
with clients.
B. Delegation could have been more effective had the nurse gone with the assisstant to
ensure the assistant did the packing.
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ird
ie
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ird
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ird
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C. The delegation is ineffective since the nurse has no responsibility to pack the client’s
belongings.
Ed
D. Delegation would have been more effective had the nurse been more specific about
which client and when it should be completed.
7. The healthcare provider orders dopamine at 8mcg/kg/min for a client who weighs 264 lbs.
Dopamine is supplied as 800mg in 250mL D5W. the nurse will set the infusion rate at mL/hour?
- 18mL
8. Which situation indicates the nurse needs additional training on effective delegation?
A. A rehabilitation nurse ask a physical therapy assistant to assist a client with ambulation
around the facility.
B. The charge nurse tells the UAP to help prepare rooms for the new clients.
C. A home health nurse calls the ofÏce and asks another nurse to make the visit on her
next client.
D. The ofÏce nurse calls in orders for admission on a client following a surgical
complication.
9. Which factor influences a persons interpretation of information? SATA
A. Environment
B. Precipitating events
C. Context
D. Past experiences
E. Preconceptions
10. Which task is appropriate for the RN to delegate to the UAP, provided the delegate has had
experienced and training?
e
ie
A. Change the disposable tracheostomy cannula for a new postoperative tracheostomy
di
patient if secretions are thick.
ird
B. Evaluate the ability of a patient to swallow ice after a gastroscopy.
C. Obtain a sterile urine sample from a patient with a foley catheter that is connected to a
uB
closed drainage system.
D. Assist a patient who is postoperative hip replacement to ambulate with a walker for the
Ed
first time.
11. The nurse is preparing to administer total parenteral nutrition (TPN) 2100 ml to infuse over 24
hours. The total volume of the TPN mixture is 1865 mL. The nurse should set the IV pump to
deliver mL/hr. Round to the nearest whole number.
- 88mL
12. For the nurse to effectively and legally delegate, which document must be consulted and
followed to reduce the likelihood of liability?
A. The regulations state nurse practice acts
B. The rules of the governing specialty organization
C. The American nurses association bylaws
D. The National council of state board of nursing
13. A nurse is concerned about the risks of delegating tasks to LPN and UAP. What is the best way
for the nurse to determine competency of an inexperienced delegate?
A. Question the patient to confirm that the care provided was satisfactory.
B. Ask other nurses if they feel the delegate is competent,
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ird
ie
uB
ird
Ed
uB
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