Page 1 of 37
“MANAGING PATIENT CARE NURSING EXAM
PRACTICE QUESTIONS “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
1. The five rights of delegation include (Select all that apply.)
a. Right task.
b. Right circumstances.
c. Right monetary compensation.
d. Right person.
e. Right direction.
f. Right opinion.
g. Right supervision.
ANS: A, B, D, E, G
The five rights of delegation are right task, circumstances, person, direction, and
supervision.
In which nursing care delivery model are clinicians held accountable for some
standard of cost-effectiveness and quality of care?
a. Total patient care
b. Primary nursing
c. Team nursing
d. Case management
ANS: D
What is unique about case management is that clinicians, as individuals or as part of
a collaborative group, oversee the management of patient groups with specific case
, Page 2 of 37
types and usually are held accountable for some standard of cost management and
quality. Case management is a care approach that coordinates and links health care
services to patients and families while streamlining costs. In the team nursing care
model, the RN assumes the role of group or team leader and leads a team made up
of other RNs, licensed vocational nurses, and nurse assistants or technicians. Total
patient care involves an RN being responsible for all aspects of care for one or more
patients. Primary nursing places RNs at the bedside more, assuming responsibility
for a caseload of patients over time. This model, however, does not require an all-RN
staff as is required for total patient care.
DIF: Remember REF: 276
With the current shortage of nursing faculty and nursing programs, which
nursing care delivery model is least feasible in many agencies?
a. Total patient care
b. Primary nursing
c. Team nursing
d. Case management
ANS: A
Patient satisfaction with the total patient care model is high, but total patient care is
not cost-effective because it requires a large number of RNs to provide care. Total
patient care involves an RN being responsible for all aspects of care for one or more
patients. With the current shortage of nursing faculty and retirement of many
practicing RNs, staffing enough RNs is a problem in many agencies. In the team
nursing care model, the RN assumes the role of group or team leader and leads a
team made up of other RNs, licensed vocational nurses, and nurse assistants or
technicians. Primary nursing places RNs at the bedside more, assuming
responsibility for a caseload of patients over time. This model, however, does not
require an all-RN staff as is required for total patient care. Case management is a
care approach that coordinates and links health care services to patients and
families while streamlining costs.
DIF: Understand REF: 276
, Page 3 of 37
A nurse manager is evaluating patient outcomes on the hospital unit. The
nurse manager discovers that the re-admission rate of hospitalized patients is
very high on this unit. The nurse manager desires improved coordination of
care and accountability for cost-effective quality care. The nursing care
delivery model best suited to these needs is
a. Total patient care.
b. Primary nursing.
c. Team nursing.
d. Case management.
ANS: D
What is unique about case management is that clinicians, as individuals or as part of
a collaborative group, oversee the management of patient groups with specific case
types and usually are held accountable for some standard of cost management and
quality. Case management is a care approach that coordinates and links health care
services to patients and families while streamlining costs. In the team nursing care
model, the RN assumes the role of group or team leader and leads a team made up
of other RNs, licensed vocational nurses, and nurse assistants or technicians. Total
patient care involves an RN being responsible for all aspects of care for one or more
patients. Primary nursing places RNs at the bedside more, assuming responsibility
for a caseload of patients over time. This model, however, does not require an all-RN
staff as is required for total patient care.
DIF: Apply REF: 303-304
Which organizational structure approach has fewer directors with managers
accountable 24 hours for staff, budget, and day-to-day management?
a. Centralized management
b. Decentralized management
c. Business unit management
d. Matrix
ANS: B
The decentralized management structure often has fewer directors, and managers
are accountable around the clock for the operation of the unit. Centralized
management involves having a single administrator and managers with minimal
, Page 4 of 37
accountability for the unit operation. The matrix approach involves reorganization of
hospital departments into "business units."
DIF: Remember REF: 277
A staff member verbalizes his satisfaction in working on a particular nursing
unit because he appreciates the freedom of choice and responsibility for the
choices. This nurse highly values which element of decentralized decision
making?
a. Responsibility
b. Autonomy
c. Accountability
d. Authority
ANS: B
Autonomy is freedom of choice and responsibility for the choices. Responsibility
refers to the duties and activities that an individual is employed to perform.
Accountability refers to individuals being answerable for their actions. Authority
refers to legitimate power to give commands and make final decisions specific to a
given position.
A staff nurse delegates a task to a nursing assistant, knowing that the
assistant has never performed the task before. As a result, the patient is
injured, and the nurse defensively states that the nursing assistant should
have known how to perform such a simple task. This nurse is demonstrating
lack of
a. Responsibility.
b. Autonomy.
c. Authority.
d. Accountability.
D
A nurse manager sent one of the staff nurses on the unit to a conference about
new, evidence-based wound care techniques. The nurse manager asks the
staff nurse to prepare a poster to present at the next unit meeting, which will
be mandatory for all nursing staff on the unit. The nurse manager is providing
a learning opportunity in this situation through
“MANAGING PATIENT CARE NURSING EXAM
PRACTICE QUESTIONS “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION)
1. The five rights of delegation include (Select all that apply.)
a. Right task.
b. Right circumstances.
c. Right monetary compensation.
d. Right person.
e. Right direction.
f. Right opinion.
g. Right supervision.
ANS: A, B, D, E, G
The five rights of delegation are right task, circumstances, person, direction, and
supervision.
In which nursing care delivery model are clinicians held accountable for some
standard of cost-effectiveness and quality of care?
a. Total patient care
b. Primary nursing
c. Team nursing
d. Case management
ANS: D
What is unique about case management is that clinicians, as individuals or as part of
a collaborative group, oversee the management of patient groups with specific case
, Page 2 of 37
types and usually are held accountable for some standard of cost management and
quality. Case management is a care approach that coordinates and links health care
services to patients and families while streamlining costs. In the team nursing care
model, the RN assumes the role of group or team leader and leads a team made up
of other RNs, licensed vocational nurses, and nurse assistants or technicians. Total
patient care involves an RN being responsible for all aspects of care for one or more
patients. Primary nursing places RNs at the bedside more, assuming responsibility
for a caseload of patients over time. This model, however, does not require an all-RN
staff as is required for total patient care.
DIF: Remember REF: 276
With the current shortage of nursing faculty and nursing programs, which
nursing care delivery model is least feasible in many agencies?
a. Total patient care
b. Primary nursing
c. Team nursing
d. Case management
ANS: A
Patient satisfaction with the total patient care model is high, but total patient care is
not cost-effective because it requires a large number of RNs to provide care. Total
patient care involves an RN being responsible for all aspects of care for one or more
patients. With the current shortage of nursing faculty and retirement of many
practicing RNs, staffing enough RNs is a problem in many agencies. In the team
nursing care model, the RN assumes the role of group or team leader and leads a
team made up of other RNs, licensed vocational nurses, and nurse assistants or
technicians. Primary nursing places RNs at the bedside more, assuming
responsibility for a caseload of patients over time. This model, however, does not
require an all-RN staff as is required for total patient care. Case management is a
care approach that coordinates and links health care services to patients and
families while streamlining costs.
DIF: Understand REF: 276
, Page 3 of 37
A nurse manager is evaluating patient outcomes on the hospital unit. The
nurse manager discovers that the re-admission rate of hospitalized patients is
very high on this unit. The nurse manager desires improved coordination of
care and accountability for cost-effective quality care. The nursing care
delivery model best suited to these needs is
a. Total patient care.
b. Primary nursing.
c. Team nursing.
d. Case management.
ANS: D
What is unique about case management is that clinicians, as individuals or as part of
a collaborative group, oversee the management of patient groups with specific case
types and usually are held accountable for some standard of cost management and
quality. Case management is a care approach that coordinates and links health care
services to patients and families while streamlining costs. In the team nursing care
model, the RN assumes the role of group or team leader and leads a team made up
of other RNs, licensed vocational nurses, and nurse assistants or technicians. Total
patient care involves an RN being responsible for all aspects of care for one or more
patients. Primary nursing places RNs at the bedside more, assuming responsibility
for a caseload of patients over time. This model, however, does not require an all-RN
staff as is required for total patient care.
DIF: Apply REF: 303-304
Which organizational structure approach has fewer directors with managers
accountable 24 hours for staff, budget, and day-to-day management?
a. Centralized management
b. Decentralized management
c. Business unit management
d. Matrix
ANS: B
The decentralized management structure often has fewer directors, and managers
are accountable around the clock for the operation of the unit. Centralized
management involves having a single administrator and managers with minimal
, Page 4 of 37
accountability for the unit operation. The matrix approach involves reorganization of
hospital departments into "business units."
DIF: Remember REF: 277
A staff member verbalizes his satisfaction in working on a particular nursing
unit because he appreciates the freedom of choice and responsibility for the
choices. This nurse highly values which element of decentralized decision
making?
a. Responsibility
b. Autonomy
c. Accountability
d. Authority
ANS: B
Autonomy is freedom of choice and responsibility for the choices. Responsibility
refers to the duties and activities that an individual is employed to perform.
Accountability refers to individuals being answerable for their actions. Authority
refers to legitimate power to give commands and make final decisions specific to a
given position.
A staff nurse delegates a task to a nursing assistant, knowing that the
assistant has never performed the task before. As a result, the patient is
injured, and the nurse defensively states that the nursing assistant should
have known how to perform such a simple task. This nurse is demonstrating
lack of
a. Responsibility.
b. Autonomy.
c. Authority.
d. Accountability.
D
A nurse manager sent one of the staff nurses on the unit to a conference about
new, evidence-based wound care techniques. The nurse manager asks the
staff nurse to prepare a poster to present at the next unit meeting, which will
be mandatory for all nursing staff on the unit. The nurse manager is providing
a learning opportunity in this situation through
