RN 500 Exam 2 QUESTIONS AND
ANSWERS 2025
As the nurse manager on a rehab unit, you are asked to come to the tub room immediately
because two nursing assistants are having a loud disagreement in front of a patient. You ask the
nursing assistants to meet you outside and after ensuring that a third nursing assistant is able to
care for the patient, you speak with the two nursing assistants. Which of the following would
you ask first?
b. "Have you experienced disagreements like this before?"
c. "How do you think this patient's perception of her care has been changed?"
d. "What happened to bring on this disagreement today?" - ANSANS: D
You are a member of a team assigned to care for 15 general medical/surgical clients. You have
all worked well together in the past in this same type of care. If you are assigned to coordinate
this team's work, your best strategy, based on the Hersey and Blanchard model, would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what he or she
must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they've done it before.
d. Provide minimal direction and let them come to you with questions. - ANSANS: D
The nurse manager is setting up the room assignments for the unit. She has one critical patient
on the unit, who is going to require more care than the others. Before delegating a task, a nurse
manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee's performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
,d. Create a task analysis of critical behaviors for the individual. - ANSANS: C
A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively. - ANSANS: D
The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel
(UNP) employee. The night nurse should remain:
a. Accountable.
b. Responsible.
c. Authoritative and liable.
d. Responsible and task-oriented. - ANSANS: A
The night nurse understands that certain factors need to be considered before delegating tasks
to others. These factors include the:
a. Complexity of the task and the age of the delegatee.
b. Potential for benefit and the complexity of the task.
c. Potential for benefit and the number of staff.
d. Complexity of the task and the potential for harm. - ANSANS: D
During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on:
a. Supportive behavior by the leader and immature followers.
b. The development level of the followers and the type of behavior of the leader.
c. Well-developed followers combined with a strong leader who acts quickly.
,d. The leader's ability to evaluate personnel and communicate that evaluation. - ANSANS: B
The unit manager is working in a large metropolitan facility and is told that two UNPs are to be
assigned to work with her. Delegation begins with:
a. Acknowledging the arrival of the second UNP on the unit.
b. Providing clear directions to both UNPs.
c. Matching tasks with qualified persons.
d. Receiving reports from the prior shift. - ANSANS: C
During staff development programs, staff nurses verbalize their frustration about their
workloads and having to delegate so many tasks to others. One of the main reasons that
delegation has emerged as an issue is because of:
a. The amount of paperwork required to complete care.
b. The complexity of client care.
c. Earlier discharge practices.
d. The numbers of other disciplines present on a given unit. - ANSANS: B
The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift
nurse is engaging in what function?
a. Delegating
b. Assigning
c. Sharing
d. Authorizing - ANSANS: B
You are working in a home health service and have three unlicensed nursing personnel (UNPs)
assigned to your team. You have worked with two of them for 2 years; the third is new. The two
experienced UNPs have patients with complex illnesses for whom they provide basic care. The
third member of the team has been assigned to patients with less complex illnesses. Your best
approach to supervising their care is to:
, a. Remain in the office and ask each UNP to check in with you upon arrival at their first patient
care site.
b. Ask another RN to supervise the two experienced assistants so you can be with the new
person full time.
c. Meet the new staff member at the first patient care site and ask the others to call if anything
is unusual.
d. Meet the new staff member at the first patient care site and call the others with questions to
determine whether anything is unusual. - ANSANS: D
With delegation, responsibility and accountability remain with the:
a. Physician.
b. Professional who delegates.
c. Individual who receives the delegation.
d. Individual who previously performed the task. - ANSANS: B
Which of the following exemplifies accountability? Karen, the nurse manager on 5E:
a. Consistently submits her budgets on time.
b. Gets along well with her staff and with other managers.
c. Outlines her rationale for reduction of RN coverage on nights to the Nursing Practice
Committee after serious patient injury.
d. Actively solicits ideas regarding scheduling from her staff. - ANSANS: C
Which of the following indicates safe delegation?
a. The nurse supervisor for a large urban acute care department asks the unit manager to
accept two new acutely ill patients, which the manager does. The unit is short two staff, and the
replacement is inexperienced.
b. A unit manager agrees to release a staff from her unit to Unit B. The staff member she agrees
to release is experienced on Unit B and is agreeable to the change. The unit manager's unit is
fully staffed and patients are stable.
ANSWERS 2025
As the nurse manager on a rehab unit, you are asked to come to the tub room immediately
because two nursing assistants are having a loud disagreement in front of a patient. You ask the
nursing assistants to meet you outside and after ensuring that a third nursing assistant is able to
care for the patient, you speak with the two nursing assistants. Which of the following would
you ask first?
b. "Have you experienced disagreements like this before?"
c. "How do you think this patient's perception of her care has been changed?"
d. "What happened to bring on this disagreement today?" - ANSANS: D
You are a member of a team assigned to care for 15 general medical/surgical clients. You have
all worked well together in the past in this same type of care. If you are assigned to coordinate
this team's work, your best strategy, based on the Hersey and Blanchard model, would be to:
a. Have a list of tasks to be accomplished and tell each member of the team what he or she
must do.
b. Encourage people to discuss their frustrations in providing this care.
c. Ignore them—they've done it before.
d. Provide minimal direction and let them come to you with questions. - ANSANS: D
The nurse manager is setting up the room assignments for the unit. She has one critical patient
on the unit, who is going to require more care than the others. Before delegating a task, a nurse
manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee's performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
,d. Create a task analysis of critical behaviors for the individual. - ANSANS: C
A key advantage that a nurse manager has in terms of delegating is that:
a. Clients receive less attention because too many staff make it difficult to coordinate care.
b. Nurses report less pressure to perform necessary tasks themselves.
c. Administration can predict overtime more accurately.
d. Team skills can be used more effectively. - ANSANS: D
The nurse on the 7-7 shift is assigning a component of care to an unlicensed nursing personnel
(UNP) employee. The night nurse should remain:
a. Accountable.
b. Responsible.
c. Authoritative and liable.
d. Responsible and task-oriented. - ANSANS: A
The night nurse understands that certain factors need to be considered before delegating tasks
to others. These factors include the:
a. Complexity of the task and the age of the delegatee.
b. Potential for benefit and the complexity of the task.
c. Potential for benefit and the number of staff.
d. Complexity of the task and the potential for harm. - ANSANS: D
During a fire drill, the nurse manager becomes very assertive and directive in her
communications with staff. This type of situational leadership depends on:
a. Supportive behavior by the leader and immature followers.
b. The development level of the followers and the type of behavior of the leader.
c. Well-developed followers combined with a strong leader who acts quickly.
,d. The leader's ability to evaluate personnel and communicate that evaluation. - ANSANS: B
The unit manager is working in a large metropolitan facility and is told that two UNPs are to be
assigned to work with her. Delegation begins with:
a. Acknowledging the arrival of the second UNP on the unit.
b. Providing clear directions to both UNPs.
c. Matching tasks with qualified persons.
d. Receiving reports from the prior shift. - ANSANS: C
During staff development programs, staff nurses verbalize their frustration about their
workloads and having to delegate so many tasks to others. One of the main reasons that
delegation has emerged as an issue is because of:
a. The amount of paperwork required to complete care.
b. The complexity of client care.
c. Earlier discharge practices.
d. The numbers of other disciplines present on a given unit. - ANSANS: B
The day shift nurse asks an LPN/LVN to complete a component of care for a client. The day shift
nurse is engaging in what function?
a. Delegating
b. Assigning
c. Sharing
d. Authorizing - ANSANS: B
You are working in a home health service and have three unlicensed nursing personnel (UNPs)
assigned to your team. You have worked with two of them for 2 years; the third is new. The two
experienced UNPs have patients with complex illnesses for whom they provide basic care. The
third member of the team has been assigned to patients with less complex illnesses. Your best
approach to supervising their care is to:
, a. Remain in the office and ask each UNP to check in with you upon arrival at their first patient
care site.
b. Ask another RN to supervise the two experienced assistants so you can be with the new
person full time.
c. Meet the new staff member at the first patient care site and ask the others to call if anything
is unusual.
d. Meet the new staff member at the first patient care site and call the others with questions to
determine whether anything is unusual. - ANSANS: D
With delegation, responsibility and accountability remain with the:
a. Physician.
b. Professional who delegates.
c. Individual who receives the delegation.
d. Individual who previously performed the task. - ANSANS: B
Which of the following exemplifies accountability? Karen, the nurse manager on 5E:
a. Consistently submits her budgets on time.
b. Gets along well with her staff and with other managers.
c. Outlines her rationale for reduction of RN coverage on nights to the Nursing Practice
Committee after serious patient injury.
d. Actively solicits ideas regarding scheduling from her staff. - ANSANS: C
Which of the following indicates safe delegation?
a. The nurse supervisor for a large urban acute care department asks the unit manager to
accept two new acutely ill patients, which the manager does. The unit is short two staff, and the
replacement is inexperienced.
b. A unit manager agrees to release a staff from her unit to Unit B. The staff member she agrees
to release is experienced on Unit B and is agreeable to the change. The unit manager's unit is
fully staffed and patients are stable.
