NUR 204/ NUR204 Exam 2 – (New 2026/ 2027
Update) Leadership and Management Review
| Questions & Answers | Grade A| 100%
Correct (Verified Solutions)
NUR204 Exam 2 Practice Examination
Based on the search results, NUR204 Exam 2 focuses on Leadership &
Management in nursing, including delegation, communication, budgeting, safety,
legal issues, and clinical judgment. Below is a comprehensive practice exam.
Part 1: Multiple Choice Questions
1. The nurse manager overhears a discussion between the charge nurse and staff
nurse discussing delegation of responsibilities. Which response by the staff
nurse demonstrates aggressive communication?
A) "I'm not sure I understand what you need me to do."
B) "Can you please clarify the timeline for this task?"
C) "Who gives you the authority to tell me what to do?"
D) "I would prefer to focus on my current assignments first."
Answer: C) "Who gives you the authority to tell me what to do?"
Rationale: Aggressive communication involves attacking others, expressing
feelings in a threatening manner, and challenging authority. Option C is
confrontational and disrespectful. Options A, B, and D demonstrate assertive or
passive communication styles that seek clarification or express preferences
without hostility.
,2. What should a nurse NEVER delegate to an unlicensed assistive personnel
(UAP)?
A) Ambulating a stable patient
B) Measuring vital signs on a stable patient
C) The nursing judgment/assessment process
D) Assisting with bathing and hygiene
Answer: C) The nursing judgment/assessment process
Rationale: The nursing judgment, clinical reasoning, assessment, and evaluation
processes cannot be delegated. These are core professional nursing
responsibilities. Tasks like ambulation, vital signs, and hygiene can be delegated to
UAPs with appropriate supervision.
3. Which action should be taken when attempting to decrease falls in the
hospital setting?
A) Lower the height of the bed and the bottom two side rails before leaving the
room
B) Ask patients to use the bathroom on first encounter and every 4 hours
thereafter
C) Instruct patients to use the call light only if they think they need help
D) Encourage patients not to take prescribed medications that cause drowsiness
Answer: A) Lower the height of the bed and the bottom two side rails before
leaving the room
Rationale: Keeping the bed in the lowest position and lowering bottom side rails
decreases fall risk. Hourly rounding for toileting is recommended (not every 4
hours). Patients should use call lights for all ambulation, not only when they
"think" they need help. Medications should be taken as prescribed with
appropriate safety measures.
,4. The nurse demonstrates proper use of a fire extinguisher by taking which
action FIRST?
A) Sweep from side to side
B) Pull the pin
C) Squeeze the handles together
D) Aim and approach the fire
Answer: B) Pull the pin
Rationale: The PASS acronym guides fire extinguisher use: Pull the pin, Aim at the
base of the fire, Squeeze the handles, Sweep from side to side. The pin must be
pulled first to break the seal and activate the extinguisher.
5. A nurse is assessing a patient in restraints. The nurse observes CORRECT use
of restraints by checking which of the following?
A) Restraint is tied in a secure knot
B) Restraint is secured to the bedrail
C) Restraint allows for 3 to 4 finger widths between restraint and patient's wrist
D) Restraint is secured to the bedframe
Answer: D) Restraint is secured to the bedframe
*Rationale: Restraints should be secured to a part of the bed that moves with the
patient. The bedframe provides a secure attachment point. Restraints must use a
quick-release knot (not a secure knot) for emergency removal. Two finger widths
of space is recommended, not 3-4.*
6. Why is it important to give clear instructions when delegating tasks?
A) To avoid liability for the delegating nurse
B) Clear instructions help improve patient outcomes
C) To ensure the delegate takes full responsibility
D) Clear instructions reduce the need for supervision
, Answer: B) Clear instructions help improve patient outcomes
Rationale: Clear instructions ensure tasks are performed correctly, safely, and
consistently. This directly impacts patient outcomes. Delegation does not transfer
liability—the delegating nurse remains responsible for appropriate delegation and
supervision.
7. An organization used the top-down method for budget development. Which
role should the nurse manager expect to take in the budgeting process?
A) Full control over budget allocation
B) Implementation of the budget
C) Development of the budget from scratch
D) Approval of all departmental expenses
Answer: B) Implementation of the budget
Rationale: In top-down budgeting, senior leadership creates the budget, and nurse
managers are responsible for implementing it within their units. Managers have
limited input into budget creation but must work within allocated resources.
8. The nurse manager is reviewing communication technique preferences for
different generations. Which strategy would be appropriate for staff who are
considered baby boomers?
A) Text messages and instant messaging
B) Formal meetings
C) Social media platforms
D) Short video tutorials
Answer: B) Formal meetings
*Rationale: Baby boomers (born approximately 1946-1964) typically prefer formal
communication methods such as in-person meetings, memos, and phone calls.
Younger generations may prefer digital methods like text and social media.*
Update) Leadership and Management Review
| Questions & Answers | Grade A| 100%
Correct (Verified Solutions)
NUR204 Exam 2 Practice Examination
Based on the search results, NUR204 Exam 2 focuses on Leadership &
Management in nursing, including delegation, communication, budgeting, safety,
legal issues, and clinical judgment. Below is a comprehensive practice exam.
Part 1: Multiple Choice Questions
1. The nurse manager overhears a discussion between the charge nurse and staff
nurse discussing delegation of responsibilities. Which response by the staff
nurse demonstrates aggressive communication?
A) "I'm not sure I understand what you need me to do."
B) "Can you please clarify the timeline for this task?"
C) "Who gives you the authority to tell me what to do?"
D) "I would prefer to focus on my current assignments first."
Answer: C) "Who gives you the authority to tell me what to do?"
Rationale: Aggressive communication involves attacking others, expressing
feelings in a threatening manner, and challenging authority. Option C is
confrontational and disrespectful. Options A, B, and D demonstrate assertive or
passive communication styles that seek clarification or express preferences
without hostility.
,2. What should a nurse NEVER delegate to an unlicensed assistive personnel
(UAP)?
A) Ambulating a stable patient
B) Measuring vital signs on a stable patient
C) The nursing judgment/assessment process
D) Assisting with bathing and hygiene
Answer: C) The nursing judgment/assessment process
Rationale: The nursing judgment, clinical reasoning, assessment, and evaluation
processes cannot be delegated. These are core professional nursing
responsibilities. Tasks like ambulation, vital signs, and hygiene can be delegated to
UAPs with appropriate supervision.
3. Which action should be taken when attempting to decrease falls in the
hospital setting?
A) Lower the height of the bed and the bottom two side rails before leaving the
room
B) Ask patients to use the bathroom on first encounter and every 4 hours
thereafter
C) Instruct patients to use the call light only if they think they need help
D) Encourage patients not to take prescribed medications that cause drowsiness
Answer: A) Lower the height of the bed and the bottom two side rails before
leaving the room
Rationale: Keeping the bed in the lowest position and lowering bottom side rails
decreases fall risk. Hourly rounding for toileting is recommended (not every 4
hours). Patients should use call lights for all ambulation, not only when they
"think" they need help. Medications should be taken as prescribed with
appropriate safety measures.
,4. The nurse demonstrates proper use of a fire extinguisher by taking which
action FIRST?
A) Sweep from side to side
B) Pull the pin
C) Squeeze the handles together
D) Aim and approach the fire
Answer: B) Pull the pin
Rationale: The PASS acronym guides fire extinguisher use: Pull the pin, Aim at the
base of the fire, Squeeze the handles, Sweep from side to side. The pin must be
pulled first to break the seal and activate the extinguisher.
5. A nurse is assessing a patient in restraints. The nurse observes CORRECT use
of restraints by checking which of the following?
A) Restraint is tied in a secure knot
B) Restraint is secured to the bedrail
C) Restraint allows for 3 to 4 finger widths between restraint and patient's wrist
D) Restraint is secured to the bedframe
Answer: D) Restraint is secured to the bedframe
*Rationale: Restraints should be secured to a part of the bed that moves with the
patient. The bedframe provides a secure attachment point. Restraints must use a
quick-release knot (not a secure knot) for emergency removal. Two finger widths
of space is recommended, not 3-4.*
6. Why is it important to give clear instructions when delegating tasks?
A) To avoid liability for the delegating nurse
B) Clear instructions help improve patient outcomes
C) To ensure the delegate takes full responsibility
D) Clear instructions reduce the need for supervision
, Answer: B) Clear instructions help improve patient outcomes
Rationale: Clear instructions ensure tasks are performed correctly, safely, and
consistently. This directly impacts patient outcomes. Delegation does not transfer
liability—the delegating nurse remains responsible for appropriate delegation and
supervision.
7. An organization used the top-down method for budget development. Which
role should the nurse manager expect to take in the budgeting process?
A) Full control over budget allocation
B) Implementation of the budget
C) Development of the budget from scratch
D) Approval of all departmental expenses
Answer: B) Implementation of the budget
Rationale: In top-down budgeting, senior leadership creates the budget, and nurse
managers are responsible for implementing it within their units. Managers have
limited input into budget creation but must work within allocated resources.
8. The nurse manager is reviewing communication technique preferences for
different generations. Which strategy would be appropriate for staff who are
considered baby boomers?
A) Text messages and instant messaging
B) Formal meetings
C) Social media platforms
D) Short video tutorials
Answer: B) Formal meetings
*Rationale: Baby boomers (born approximately 1946-1964) typically prefer formal
communication methods such as in-person meetings, memos, and phone calls.
Younger generations may prefer digital methods like text and social media.*
