NUR 305 FINAL EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS 2026 UPDATE
1. The student nurse is shadowing on a medical/surgical unit and observes the duties of the
charge nurse. Which of the following would the student identify as a quality attributed to a
nurse in a leadership role?
• Delays admission from emergency department until staff has appropriately
educated a newly diagnosed diabetic client on insulin administration.
• Spends time with a newly diagnosed lung cancer client to allow him to
communicate his future health concerns.
• Reevaluates staffing needs after one RN "calls in sick."
• Counsels a UAP (unlicensed assistive personnel) after arriving late for work the
third time that week.
Leaders "do the right thing" and therefore focus on effectiveness, whereas a manager focuses
on efficiencies. The other options are responsibilities taken by managers who focus on "doing
things right."
2. Which of the following is NOT a task or responsibility of the first-level manager?
• Staff assignments for client care during shifts
• Conducting staff meetings
• Making daily client rounds
• Initiate changes to unit policies based on current evidence
Initiating change to the unit policies based on current evidence is done by the middle-level
manage. The other options describe tasks of the first-level manager.
3. A new nurse is interviewed at a facility where various models of client care delivery are
used. The nurse is interested in developing clinical decision-making skills. After the interview,
the nurse determines the best position for enhancing those skills is the unit that uses which
of the following models?
• Primary nursing
• Team nursing
• Functional nursing
• Case management
In primary nursing, clinical decision making is focused at the bedside by the nurse
administering the care. The other options are a client care delivery model whose focus is not
bedside decision making.
4. Which of the following is NOT an example of the behavioral theory of leadership?
, • Democratic leader
• Republican leader
• Laissez faire leader
• Bureaucratic leader
Republican is a political party not a behavioral characteristic. The others are behavioral
characteristics.
5. An agency nurse is assigned to work on a unit that uses the team nursing model of health
care delivery. The nurse understands that the advantage to client care delivery in this model is
that the nurse
• must make all client care decisions.
• can delegate client care to other team members.
• begins working on discharge plans at the time of admission.
• administers all medications to the team clients.
The advantage to the team nursing client care delivery model is that UAPs are used to assist the
RN and tasks can be delegated to them. The other options are examples of the primary nursing
delivery model.
6. In a primary care delivery model, which of the following would be an expected assignment
for a staff member for the day?
• Two UAPs taking vital signs and blood sugars on all clients
• Two LPNs administering medications to all clients
• RN verifies new order for client started on Lopressor (metoprolol) with a
history of asthma.
• RN holds morning dose of Lopressor (metoprolol) on a client scheduled for an
exercise stress test today.
In a primary care delivery model, the nurse acts autonomously. Options A and B indicate
functional nursing. Option C should be seen in any delivery system.
7. Key tasks that the care manager may perform including all of the following EXCEPT
• deal with personal issues arising during a shift.
• use resources efficiently.
• observe whether unit policies and objectives are meeting the needs of the clients
and staff.
• perform staff evaluations.
Option C is a task for the middle-level manager. The other options are tasks of the care manager.
, 8. The management process consists of all of the following five phases EXCEPT
• budgeting.
• identification of needs.
• planning
• organization and direction.
• identification of resources.
Budgeting is not part of the five phases of the management process.
9. A client tells the day shift nurse that the night shift did not answer her call light for over
an hour. Which statement by the nurse is most appropriate when practicing in a primary
nurse delivery model?
• "The night shift staff must care for more clients than does the day shift."
• "I will notify my charge nurse."
• "I will answer your call light promptly today."
• "I will be sure the UAP is doing her job."
Option C is correct because the nurse works autonomously in the primary nurse delivery
model. The other options are incorrect because they indicate other or no delivery care models.
10. The following traits are seen in a leader EXCEPT
• they are present oriented.
• they empower others to set and achieve organizational goals.
• they are visionary.
• they focus on purposes.
Option A is correct because all leaders are future oriented, not present oriented. The other
options are leader traits.
11. A client tells the day shift nurse that the night shift did not answer her call light for over
an hour. Which statement by the nurse is most appropriate when practicing in a functional
nurse delivery model?
• "The night shift staff must care for more clients than does the day shift."
• "I will notify my charge nurse."
• "I will answer your call light promptly today."
• "I will speak to the individual privately.
VERIFIED ANSWERS 2026 UPDATE
1. The student nurse is shadowing on a medical/surgical unit and observes the duties of the
charge nurse. Which of the following would the student identify as a quality attributed to a
nurse in a leadership role?
• Delays admission from emergency department until staff has appropriately
educated a newly diagnosed diabetic client on insulin administration.
• Spends time with a newly diagnosed lung cancer client to allow him to
communicate his future health concerns.
• Reevaluates staffing needs after one RN "calls in sick."
• Counsels a UAP (unlicensed assistive personnel) after arriving late for work the
third time that week.
Leaders "do the right thing" and therefore focus on effectiveness, whereas a manager focuses
on efficiencies. The other options are responsibilities taken by managers who focus on "doing
things right."
2. Which of the following is NOT a task or responsibility of the first-level manager?
• Staff assignments for client care during shifts
• Conducting staff meetings
• Making daily client rounds
• Initiate changes to unit policies based on current evidence
Initiating change to the unit policies based on current evidence is done by the middle-level
manage. The other options describe tasks of the first-level manager.
3. A new nurse is interviewed at a facility where various models of client care delivery are
used. The nurse is interested in developing clinical decision-making skills. After the interview,
the nurse determines the best position for enhancing those skills is the unit that uses which
of the following models?
• Primary nursing
• Team nursing
• Functional nursing
• Case management
In primary nursing, clinical decision making is focused at the bedside by the nurse
administering the care. The other options are a client care delivery model whose focus is not
bedside decision making.
4. Which of the following is NOT an example of the behavioral theory of leadership?
, • Democratic leader
• Republican leader
• Laissez faire leader
• Bureaucratic leader
Republican is a political party not a behavioral characteristic. The others are behavioral
characteristics.
5. An agency nurse is assigned to work on a unit that uses the team nursing model of health
care delivery. The nurse understands that the advantage to client care delivery in this model is
that the nurse
• must make all client care decisions.
• can delegate client care to other team members.
• begins working on discharge plans at the time of admission.
• administers all medications to the team clients.
The advantage to the team nursing client care delivery model is that UAPs are used to assist the
RN and tasks can be delegated to them. The other options are examples of the primary nursing
delivery model.
6. In a primary care delivery model, which of the following would be an expected assignment
for a staff member for the day?
• Two UAPs taking vital signs and blood sugars on all clients
• Two LPNs administering medications to all clients
• RN verifies new order for client started on Lopressor (metoprolol) with a
history of asthma.
• RN holds morning dose of Lopressor (metoprolol) on a client scheduled for an
exercise stress test today.
In a primary care delivery model, the nurse acts autonomously. Options A and B indicate
functional nursing. Option C should be seen in any delivery system.
7. Key tasks that the care manager may perform including all of the following EXCEPT
• deal with personal issues arising during a shift.
• use resources efficiently.
• observe whether unit policies and objectives are meeting the needs of the clients
and staff.
• perform staff evaluations.
Option C is a task for the middle-level manager. The other options are tasks of the care manager.
, 8. The management process consists of all of the following five phases EXCEPT
• budgeting.
• identification of needs.
• planning
• organization and direction.
• identification of resources.
Budgeting is not part of the five phases of the management process.
9. A client tells the day shift nurse that the night shift did not answer her call light for over
an hour. Which statement by the nurse is most appropriate when practicing in a primary
nurse delivery model?
• "The night shift staff must care for more clients than does the day shift."
• "I will notify my charge nurse."
• "I will answer your call light promptly today."
• "I will be sure the UAP is doing her job."
Option C is correct because the nurse works autonomously in the primary nurse delivery
model. The other options are incorrect because they indicate other or no delivery care models.
10. The following traits are seen in a leader EXCEPT
• they are present oriented.
• they empower others to set and achieve organizational goals.
• they are visionary.
• they focus on purposes.
Option A is correct because all leaders are future oriented, not present oriented. The other
options are leader traits.
11. A client tells the day shift nurse that the night shift did not answer her call light for over
an hour. Which statement by the nurse is most appropriate when practicing in a functional
nurse delivery model?
• "The night shift staff must care for more clients than does the day shift."
• "I will notify my charge nurse."
• "I will answer your call light promptly today."
• "I will speak to the individual privately.
