EXAM 2: NUR 204/ NUR204
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Collaboration | 5 Rights of Delegation, Scope of Practice (RN vs. LPN vs.
UAP) | Healthcare Budgeting (Capital, Operating), SBAR, Conflict Resolution
Q1: The RN is assigning tasks to the LPN and UAP on a busy medical-surgical unit. Which of
the following tasks is most appropriate to delegate to the LPN?
A. Ambulating a postoperative patient for the first time
B. Administering oral and subcutaneous medications to stable patients [CORRECT]
C. Teaching a newly diagnosed diabetic about insulin injection technique
D. Evaluating the effectiveness of a PRN pain medication
Correct Answer: B
Rationale: Correct because the LPN's scope includes medication administration (oral, IM, subq)
for stable patients; teaching and evaluation are RN-only functions per the TAPE rule.
Q2: The nurse manager is preparing the unit's budget for the upcoming fiscal year. The purchase
of a new centralized cardiac telemetry monitoring system, which has a useful life of seven years,
would be classified under which type of budget?
A. Operating budget
B. Personnel budget
C. Capital budget [CORRECT]
D. Contingency budget
Correct Answer: C
Rationale: Correct because capital budgets cover high-dollar, long-term equipment purchases
that last multiple years and exceed a set cost threshold, such as telemetry systems.
Q3: The RN is giving shift report using the SBAR format. Which of the following statements
represents the "Assessment" component?
A. "The patient was admitted with chest pain at 0200."
, B. "The patient is a 68-year-old male with a history of hypertension."
C. "I recommend we increase the oxygen to 4 L and notify the provider."
D. "The patient's lung sounds are now crackles in the bilateral bases, and SpO2 is 89%."
[CORRECT]
Correct Answer: D
Rationale: Correct because Assessment in SBAR includes current clinical findings, vital signs,
and physical exam data that the nurse has evaluated.
Q4: According to the "TAPE" rule, which nursing activity can the RN never delegate to either an
LPN or a UAP?
A. Recording intake and output
B. Performing a sterile dressing change
C. Developing the initial plan of care [CORRECT]
D. Obtaining vital signs on a stable patient
Correct Answer: C
Rationale: Correct because the TAPE acronym stands for Teaching, Assessment, Planning, and
Evaluation—these core professional functions cannot be delegated.
Q5: A conflict arises between two staff nurses regarding the assignment of overtime shifts. The
nurse manager schedules a meeting and encourages both parties to openly express their views,
then works together to find a mutually acceptable solution. This approach is best described as:
A. Avoiding
B. Competing
C. Collaborating [CORRECT]
D. Accommodating
Correct Answer: C
Rationale: Correct because collaboration involves open discussion and joint problem-solving to
achieve a win-win resolution, which matches the described managerial behavior.
Q6: The RN is delegating the task of obtaining vital signs on a newly admitted patient with a
history of cardiac arrhythmias. Which of the "5 Rights of Delegation" is the RN addressing by
ensuring the UAP knows to report any irregular pulse or rate outside the normal range
immediately?
A. Right Task
B. Right Circumstance
C. Right Direction/Communication [CORRECT]
D. Right Supervision/Evaluation
Correct Answer: C
Rationale: Correct because providing clear parameters for when to report abnormal findings is
part of the Right Direction/Communication, ensuring the delegate understands expectations.
Leadership and Management
2026-2028 Testing Cycle | Newly Released
50 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Collaboration | 5 Rights of Delegation, Scope of Practice (RN vs. LPN vs.
UAP) | Healthcare Budgeting (Capital, Operating), SBAR, Conflict Resolution
Q1: The RN is assigning tasks to the LPN and UAP on a busy medical-surgical unit. Which of
the following tasks is most appropriate to delegate to the LPN?
A. Ambulating a postoperative patient for the first time
B. Administering oral and subcutaneous medications to stable patients [CORRECT]
C. Teaching a newly diagnosed diabetic about insulin injection technique
D. Evaluating the effectiveness of a PRN pain medication
Correct Answer: B
Rationale: Correct because the LPN's scope includes medication administration (oral, IM, subq)
for stable patients; teaching and evaluation are RN-only functions per the TAPE rule.
Q2: The nurse manager is preparing the unit's budget for the upcoming fiscal year. The purchase
of a new centralized cardiac telemetry monitoring system, which has a useful life of seven years,
would be classified under which type of budget?
A. Operating budget
B. Personnel budget
C. Capital budget [CORRECT]
D. Contingency budget
Correct Answer: C
Rationale: Correct because capital budgets cover high-dollar, long-term equipment purchases
that last multiple years and exceed a set cost threshold, such as telemetry systems.
Q3: The RN is giving shift report using the SBAR format. Which of the following statements
represents the "Assessment" component?
A. "The patient was admitted with chest pain at 0200."
, B. "The patient is a 68-year-old male with a history of hypertension."
C. "I recommend we increase the oxygen to 4 L and notify the provider."
D. "The patient's lung sounds are now crackles in the bilateral bases, and SpO2 is 89%."
[CORRECT]
Correct Answer: D
Rationale: Correct because Assessment in SBAR includes current clinical findings, vital signs,
and physical exam data that the nurse has evaluated.
Q4: According to the "TAPE" rule, which nursing activity can the RN never delegate to either an
LPN or a UAP?
A. Recording intake and output
B. Performing a sterile dressing change
C. Developing the initial plan of care [CORRECT]
D. Obtaining vital signs on a stable patient
Correct Answer: C
Rationale: Correct because the TAPE acronym stands for Teaching, Assessment, Planning, and
Evaluation—these core professional functions cannot be delegated.
Q5: A conflict arises between two staff nurses regarding the assignment of overtime shifts. The
nurse manager schedules a meeting and encourages both parties to openly express their views,
then works together to find a mutually acceptable solution. This approach is best described as:
A. Avoiding
B. Competing
C. Collaborating [CORRECT]
D. Accommodating
Correct Answer: C
Rationale: Correct because collaboration involves open discussion and joint problem-solving to
achieve a win-win resolution, which matches the described managerial behavior.
Q6: The RN is delegating the task of obtaining vital signs on a newly admitted patient with a
history of cardiac arrhythmias. Which of the "5 Rights of Delegation" is the RN addressing by
ensuring the UAP knows to report any irregular pulse or rate outside the normal range
immediately?
A. Right Task
B. Right Circumstance
C. Right Direction/Communication [CORRECT]
D. Right Supervision/Evaluation
Correct Answer: C
Rationale: Correct because providing clear parameters for when to report abnormal findings is
part of the Right Direction/Communication, ensuring the delegate understands expectations.
