Arizona State University
Course Number: NUR 445
Course Title: Nursing Management in Health Care
Exam: Midterm Exam
Date:2026
A nurse manager notices increased medication administration errors during shift handoff. Which
management intervention is most appropriate to improve patient safety?
A. Eliminate bedside reporting
B. Implement standardized SBAR handoff communication
C. Reduce incident reporting requirements
D. Avoid interdisciplinary collaboration
Correct Answer: B
Rationale: Standardized communication tools such as SBAR improve accuracy, continuity of care,
and patient safety.
---
True or False: Effective delegation requires assigning the right task to the right person under the
right circumstances.
1
,Correct Answer: True
Rationale: Safe delegation follows established principles to ensure appropriate supervision and
accountability.
---
Fill in the blank: The leadership style that encourages staff participation in decision-making is
called __________ leadership.
Correct Answer: democratic
Rationale: Democratic leadership promotes collaboration, staff engagement, and shared
governance.
---
A nurse manager identifies high turnover rates among critical care nurses. Which intervention is
most likely to improve staff retention?
A. Increase mandatory overtime
B. Promote mentorship and professional development opportunities
C. Eliminate employee recognition programs
D. Restrict communication between leadership and staff
Correct Answer: B
Rationale: Supportive work environments and career growth opportunities improve nurse
satisfaction and retention.
---
2
,A nurse leader conducts a root cause analysis after a sentinel event. What is the primary purpose of
this process?
A. Assign blame to individual nurses
B. Identify system failures contributing to the event
C. Eliminate quality improvement measures
D. Reduce documentation requirements
Correct Answer: B
Rationale: Root cause analysis identifies underlying process failures to prevent future adverse
events.
---
True or False: Transformational leaders motivate staff by promoting vision, inspiration, and
professional growth.
Correct Answer: True
Rationale: Transformational leadership enhances staff engagement, innovation, and organizational
commitment.
---
Fill in the blank: The process of comparing organizational performance with recognized standards
is called __________.
Correct Answer: benchmarking
3
, Rationale: Benchmarking evaluates performance and identifies opportunities for improvement.
---
A nurse manager must assign care for multiple patients. Which patient should be assigned to the
most experienced registered nurse?
A. Stable postoperative patient awaiting discharge
B. Patient requiring complex ventilator management and vasopressor support
C. Patient scheduled for routine physical therapy
D. Patient with controlled hypertension
Correct Answer: B
Rationale: Critically ill patients requiring advanced assessment and intervention need experienced
nursing care.
---
A healthcare organization adopts shared governance. Which outcome is most likely?
A. Reduced nurse participation in decision-making
B. Increased staff empowerment and accountability
C. Elimination of interdisciplinary collaboration
D. Increased authoritarian management practices
Correct Answer: B
4
Course Number: NUR 445
Course Title: Nursing Management in Health Care
Exam: Midterm Exam
Date:2026
A nurse manager notices increased medication administration errors during shift handoff. Which
management intervention is most appropriate to improve patient safety?
A. Eliminate bedside reporting
B. Implement standardized SBAR handoff communication
C. Reduce incident reporting requirements
D. Avoid interdisciplinary collaboration
Correct Answer: B
Rationale: Standardized communication tools such as SBAR improve accuracy, continuity of care,
and patient safety.
---
True or False: Effective delegation requires assigning the right task to the right person under the
right circumstances.
1
,Correct Answer: True
Rationale: Safe delegation follows established principles to ensure appropriate supervision and
accountability.
---
Fill in the blank: The leadership style that encourages staff participation in decision-making is
called __________ leadership.
Correct Answer: democratic
Rationale: Democratic leadership promotes collaboration, staff engagement, and shared
governance.
---
A nurse manager identifies high turnover rates among critical care nurses. Which intervention is
most likely to improve staff retention?
A. Increase mandatory overtime
B. Promote mentorship and professional development opportunities
C. Eliminate employee recognition programs
D. Restrict communication between leadership and staff
Correct Answer: B
Rationale: Supportive work environments and career growth opportunities improve nurse
satisfaction and retention.
---
2
,A nurse leader conducts a root cause analysis after a sentinel event. What is the primary purpose of
this process?
A. Assign blame to individual nurses
B. Identify system failures contributing to the event
C. Eliminate quality improvement measures
D. Reduce documentation requirements
Correct Answer: B
Rationale: Root cause analysis identifies underlying process failures to prevent future adverse
events.
---
True or False: Transformational leaders motivate staff by promoting vision, inspiration, and
professional growth.
Correct Answer: True
Rationale: Transformational leadership enhances staff engagement, innovation, and organizational
commitment.
---
Fill in the blank: The process of comparing organizational performance with recognized standards
is called __________.
Correct Answer: benchmarking
3
, Rationale: Benchmarking evaluates performance and identifies opportunities for improvement.
---
A nurse manager must assign care for multiple patients. Which patient should be assigned to the
most experienced registered nurse?
A. Stable postoperative patient awaiting discharge
B. Patient requiring complex ventilator management and vasopressor support
C. Patient scheduled for routine physical therapy
D. Patient with controlled hypertension
Correct Answer: B
Rationale: Critically ill patients requiring advanced assessment and intervention need experienced
nursing care.
---
A healthcare organization adopts shared governance. Which outcome is most likely?
A. Reduced nurse participation in decision-making
B. Increased staff empowerment and accountability
C. Elimination of interdisciplinary collaboration
D. Increased authoritarian management practices
Correct Answer: B
4
