NUR 4590 FINAL EXAM | A+ RATED GUIDE | QUESTIONS
AND ANSWERS (SOLVED) NEWEST 2025/2026 GRADED
A+
Which of the following factors influences the structure of an
organization?
a.Age of the building
b.Brand of computer system
c.Number of employees
d.Square footage of the facility - ANSWER -c.Number of employees
Within nursing practice, the use of advanced practice roles is an
example of:
a.cross-training.
b.departmentalization.
c.fragmentation.
d.specialization. - ANSWER -d.specialization.
The nursing chief executive officer (CEO) works in a major rehabilitation
and subacute facility network. Her span of control refers to the number
of:
pg. 1
,a.miles in which the network resides.
b.ancillary staff accountable to her.
c.nurses and non-nurses reporting to her.
d.inpatients that the facilities service. - ANSWER -c.nurses and non-
nurses reporting to her.
A nurse manager is responsible for a unit consisting of 40 nurses who
report to two clinical supervisors. In addition, there are 10 support staff
who report to an administrative supervisor. The subordinates reporting
to this manager are known as which dimension of organizational
design?
a.Division of labor
b.Hierarchy
c.Span of control
d.Decentralization - ANSWER -c.Span of control
A staff nurse has been working in the neonatal critical care unit for 10
years. She believes that a professional nurse is a lifelong learner. Many
staff members come to her for clinical problem solving and advice. This
nurse has:
a.decisional authority.
b.formal power.
pg. 2
,c.informal power.
d.quantum authority. - ANSWER -c.informal power.
An organizational chart with one line of management and one line of
staff reflects which of the following types of organizational structures?
a.Authoritarian structure
b.Flat structure
c.Power structure
d.Vertical structure - ANSWER -b.Flat structure
The phrase "the buck stops here" best describes which of the following
terms?
a.Accountability
b.Authority
c.Responsibility
d.Trustworthiness - ANSWER -a.Accountability
Patient surveys convey that they are uncertain about who is the
registered nurse (RN). The CEO makes a decision that mandates that
white nursing caps will be worn by all RNs and blue nursing caps by all
licensed practical nurses to differentiate professional nurses and
pg. 3
, occupational nurses from nurses' aides and other ancillary staff. Which
type of structure does this represent?
a.Centralized
b.Decentralized
c.Nonparticipative
d.Participative - ANSWER -a.Centralized
The patient is a 69-year-old woman who has a history of diabetes
mellitus, peripheral vascular disease, and myocardial infarctions. She
was admitted to the hospital with a stroke and is being transferred to a
subacute facility and then to a rehabilitation facility. At every transfer
she must review her entire history, provide telephone numbers of
family members, list all 30 of her medications, and list all home care
and medical supply companies. Which of these processes could improve
the fragmen - ANSWER -b.Standardization
The ways in which work is divided and coordinated among members
and the resulting network of relationships, roles, and work groups is
the:
a.organization.
b.organizational social structure.
c.structure.
d.formal relationship. - ANSWER -b.organizational social structure.
pg. 4
AND ANSWERS (SOLVED) NEWEST 2025/2026 GRADED
A+
Which of the following factors influences the structure of an
organization?
a.Age of the building
b.Brand of computer system
c.Number of employees
d.Square footage of the facility - ANSWER -c.Number of employees
Within nursing practice, the use of advanced practice roles is an
example of:
a.cross-training.
b.departmentalization.
c.fragmentation.
d.specialization. - ANSWER -d.specialization.
The nursing chief executive officer (CEO) works in a major rehabilitation
and subacute facility network. Her span of control refers to the number
of:
pg. 1
,a.miles in which the network resides.
b.ancillary staff accountable to her.
c.nurses and non-nurses reporting to her.
d.inpatients that the facilities service. - ANSWER -c.nurses and non-
nurses reporting to her.
A nurse manager is responsible for a unit consisting of 40 nurses who
report to two clinical supervisors. In addition, there are 10 support staff
who report to an administrative supervisor. The subordinates reporting
to this manager are known as which dimension of organizational
design?
a.Division of labor
b.Hierarchy
c.Span of control
d.Decentralization - ANSWER -c.Span of control
A staff nurse has been working in the neonatal critical care unit for 10
years. She believes that a professional nurse is a lifelong learner. Many
staff members come to her for clinical problem solving and advice. This
nurse has:
a.decisional authority.
b.formal power.
pg. 2
,c.informal power.
d.quantum authority. - ANSWER -c.informal power.
An organizational chart with one line of management and one line of
staff reflects which of the following types of organizational structures?
a.Authoritarian structure
b.Flat structure
c.Power structure
d.Vertical structure - ANSWER -b.Flat structure
The phrase "the buck stops here" best describes which of the following
terms?
a.Accountability
b.Authority
c.Responsibility
d.Trustworthiness - ANSWER -a.Accountability
Patient surveys convey that they are uncertain about who is the
registered nurse (RN). The CEO makes a decision that mandates that
white nursing caps will be worn by all RNs and blue nursing caps by all
licensed practical nurses to differentiate professional nurses and
pg. 3
, occupational nurses from nurses' aides and other ancillary staff. Which
type of structure does this represent?
a.Centralized
b.Decentralized
c.Nonparticipative
d.Participative - ANSWER -a.Centralized
The patient is a 69-year-old woman who has a history of diabetes
mellitus, peripheral vascular disease, and myocardial infarctions. She
was admitted to the hospital with a stroke and is being transferred to a
subacute facility and then to a rehabilitation facility. At every transfer
she must review her entire history, provide telephone numbers of
family members, list all 30 of her medications, and list all home care
and medical supply companies. Which of these processes could improve
the fragmen - ANSWER -b.Standardization
The ways in which work is divided and coordinated among members
and the resulting network of relationships, roles, and work groups is
the:
a.organization.
b.organizational social structure.
c.structure.
d.formal relationship. - ANSWER -b.organizational social structure.
pg. 4
