LEADING AND MANAGING IN NURSING
EXAMPREP 2026 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
●● 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:
Answer: Assess the amount of guidance and support needed in a
particular situation.
●● A key advantage that a nurse manager has in terms of delegating is
that: Answer: Team skills can be used more effectively.
●● The nurse on the 7-7 shift is assigning a component of care to an
unlicensed nursing personnel employee. The night nurse should remain:
Answer: Accountable.
●● The night nurse understands that certain factors need to be
considered before delegating tasks to others. These factors include the:
Answer: Complexity of the task and the potential for harm.
●● During a fire drill, the nurse manager becomes very assertive and
directive in her communications with staff. This type of situational
leadership depends on: Answer: The development level of the followers
and the type of behavior of the leader.
,●● 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: Answer: Matching tasks with qualified persons.
●● 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: Answer: The complexity of client care.
●● 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?
Answer: Assigning
●● You are working in a home health service and have 3 UNPs assigned
to your team. You have worked with two; the third is new. The two
experienced UNPs have patients with complex illnesses. The third has
been assigned to patients with less complex illnesses. Answer: Meet the
new staff member at the first patient care site and call the others with
questions to determine whether anything is unusual.
●● With delegation, responsibility and accountability remain with the:
Answer: Professional who delegates.
●● Which of the following exemplifies accountability? Karen, the nurse
manager on 5E: Answer: Outlines her rationale for reduction of RN
,coverage on nights to the Nursing Practice Committee after serious
patient injury.
●● Which of the following indicates safe delegation? Answer: 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.
●● Which of the following would be most in line with Hersey and
Blanchard's concepts? Answer: The team of caregivers on day shift are
familiar with their roles and with the patients. The nurse manager
decides to work on the unit budget in her office.
●● In delegating to a UNP in a home health setting, which of the
following represents the most appropriate delegation communication?
Answer: "Mrs. S. needs help to get into and out of her bathtub. Her bath
will need to be completed by 10:00. When you are helping her to dry,
please check between her toes and toenails, and phone me by 10:30 if
you notice nail discoloration or redness."
●● An RN colleague, who is a long-standing and collaborative member
of your team, is performing a complex and novel dressing for the first
time for the patient to whom she has been assigned. Which of the
following would be the most appropriate communication with her?
Answer: "Here is what you need for the dressing, and I will show you
what needs to be done."
, ●● Sally is an experienced nurse on the unit and is very experienced
with ICP monitoring. She is assigned David, a patient who has been
admitted with a severe head injury. In communicating with Sally, you
would: Answer: Advise her that you are available if she needs you.
●● You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes
visits also to check if she is receiving positive effects from medication.
for 3 weeks that Mrs. N. is using the inhaler and that there is enough
medication left. day of her last visit to Mrs. N. is admitted to hospital in
severe respiratory distress. When admitted, reports not been using
inhaler for 4 weeks. Answer: Failure to follow through.
●● You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler
when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N.
is receiving any positive effect from the medication. Evelyn reports for 3
weeks that Mrs. N. is using the inhaler and that there is enough
medication left in the device. The day of her last visit to Mrs. N., Mrs.
N. is admitted to the hospital in severe respiratory distress. When she is
admitted, she tells the physician that she has not been using the inhaler
for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most
appropriate action of the care coordinator would have been to: Answer:
Ask Evelyn if she has worked with inhalers before and to describe what
she knows about them.
●● You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler
when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N.
EXAMPREP 2026 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
●● 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:
Answer: Assess the amount of guidance and support needed in a
particular situation.
●● A key advantage that a nurse manager has in terms of delegating is
that: Answer: Team skills can be used more effectively.
●● The nurse on the 7-7 shift is assigning a component of care to an
unlicensed nursing personnel employee. The night nurse should remain:
Answer: Accountable.
●● The night nurse understands that certain factors need to be
considered before delegating tasks to others. These factors include the:
Answer: Complexity of the task and the potential for harm.
●● During a fire drill, the nurse manager becomes very assertive and
directive in her communications with staff. This type of situational
leadership depends on: Answer: The development level of the followers
and the type of behavior of the leader.
,●● 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: Answer: Matching tasks with qualified persons.
●● 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: Answer: The complexity of client care.
●● 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?
Answer: Assigning
●● You are working in a home health service and have 3 UNPs assigned
to your team. You have worked with two; the third is new. The two
experienced UNPs have patients with complex illnesses. The third has
been assigned to patients with less complex illnesses. Answer: Meet the
new staff member at the first patient care site and call the others with
questions to determine whether anything is unusual.
●● With delegation, responsibility and accountability remain with the:
Answer: Professional who delegates.
●● Which of the following exemplifies accountability? Karen, the nurse
manager on 5E: Answer: Outlines her rationale for reduction of RN
,coverage on nights to the Nursing Practice Committee after serious
patient injury.
●● Which of the following indicates safe delegation? Answer: 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.
●● Which of the following would be most in line with Hersey and
Blanchard's concepts? Answer: The team of caregivers on day shift are
familiar with their roles and with the patients. The nurse manager
decides to work on the unit budget in her office.
●● In delegating to a UNP in a home health setting, which of the
following represents the most appropriate delegation communication?
Answer: "Mrs. S. needs help to get into and out of her bathtub. Her bath
will need to be completed by 10:00. When you are helping her to dry,
please check between her toes and toenails, and phone me by 10:30 if
you notice nail discoloration or redness."
●● An RN colleague, who is a long-standing and collaborative member
of your team, is performing a complex and novel dressing for the first
time for the patient to whom she has been assigned. Which of the
following would be the most appropriate communication with her?
Answer: "Here is what you need for the dressing, and I will show you
what needs to be done."
, ●● Sally is an experienced nurse on the unit and is very experienced
with ICP monitoring. She is assigned David, a patient who has been
admitted with a severe head injury. In communicating with Sally, you
would: Answer: Advise her that you are available if she needs you.
●● You ask Evelyn to check what is left in Mrs. N.'s inhaler when makes
visits also to check if she is receiving positive effects from medication.
for 3 weeks that Mrs. N. is using the inhaler and that there is enough
medication left. day of her last visit to Mrs. N. is admitted to hospital in
severe respiratory distress. When admitted, reports not been using
inhaler for 4 weeks. Answer: Failure to follow through.
●● You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler
when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N.
is receiving any positive effect from the medication. Evelyn reports for 3
weeks that Mrs. N. is using the inhaler and that there is enough
medication left in the device. The day of her last visit to Mrs. N., Mrs.
N. is admitted to the hospital in severe respiratory distress. When she is
admitted, she tells the physician that she has not been using the inhaler
for 4 weeks. Before assigning Evelyn to Mrs. N.'s care, the most
appropriate action of the care coordinator would have been to: Answer:
Ask Evelyn if she has worked with inhalers before and to describe what
she knows about them.
●● You ask Evelyn, a new UNP, to check what is left in Mrs. N.'s inhaler
when Evelyn makes visits to Mrs. N. and also to check whether Mrs. N.
