LEADERSHIP NUR 4590 EXAM 2
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS [DETAILED
ANSWERS] 2026 UPDATED VERSION
|ALREADY GRADED A+
facility network. Her span of control refers to the number of:
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. 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 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 fragmentation in work flow?
a.Departmentalization b.Standardization c.Specialization
d.Subdivision - 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. According to
the _____ organizational approach, organizations are
logical and predictable with identifiable and scientifically
measurable characteristics that can be predicted,
observed, or manipulated. a.objective b.subjective
c.postmodern d.realistic - ANSWER//a.objective Which
organizational theory emphasized the informal aspects of
organization social structure and was influenced by the
Hawthorne experiments? a.Bureaucratic theory
b.Scientific management school c.Classical management
theory d.Human relations school - ANSWER//d.Human
relations school The division of work by occupation or
function is a form of: a.specialization. b.interdependence.
c.uncertainty. d.technology. - ANSWER//a.specialization.
,Standardization of _____ provides a uniform structure for
information delivery and flow in order to facilitate
exchange among those involved in common work
processes. a.physician orders b.communication c.work
processes d.work outputs - ANSWER//b.communication A
rapid response team within an acute care hospital is
comprised of critical care physicians, nurses, and
respiratory therapists. The team assists staff throughout
the hospital with detecting and managing imminent patient
deterioration. This is an example of a _____
organizational form. a.parallel b.functional c.modified
program d.matrix - ANSWER//a.parallel The structure of
authority in an organization is known as the: a.authority.
b.centralization. c.bureaucracy. d.hierarchy. -
ANSWER//d.hierarchy. The network or pattern of social
relationships and friendship circles within an organization
is known as the: a.clique. b.formal structure. c.informal
structure. d.hierarchy. - ANSWER//c.informal structure.
The nursing staff on a critical care unit thought that
professional growth could be enhanced. Which of the
following interventions would support empowerment of the
nursing staff? (Select all that apply.) a.Eliminating
computers and reverting back to paperwork b.Increasing
pay wages for ancillary and professional staff c.Providing
various methods for ongoing education and continuing
education units d.Working to make equipment and
medications readily available - ANSWER//c.Providing
various methods for ongoing education and continuing
education units d.Working to make equipment and
medications readily available According to organization
theories, there are three perspectives regarding the nature
of reality and knowledge within an organization. Which of
the following are those perspectives? (Select all that
apply.) a.Objectivism b.Subjectivism c.Postmodernism
d.Realism e.Idealism - ANSWER//a.Objectivism
b.Subjectivism c.Postmodernism According to the
contingency theory of organizational performance, an
, organization must structure and adapt its nursing units to
complement which two factors? (Select all that apply.)
a.Skill set b.Patient population c.Environment
d.Technology e.Finances - ANSWER//c.Environment
d.Technology Which of the following statements describe
the benefits of specialization in the health care setting?
(Select all that apply.) a.Improved work performance
b.Increase in expertise c.Improved efficiency and
outcomes d.Increased workload e.Increased error
reporting - ANSWER//a.Improved work performance
b.Increase in expertise c.Improved efficiency and
outcomes Dividing work by occupation leads to a
functional organization where services are arranged by
the type of work performed. What are some benefits of the
functional form within the health care organization?
(Select all that apply.) a.Professional silo b.Fragmented
care delivery c.Cost reduction d.Enhanced performance
and quality e.Promotion of professional development -
ANSWER//c.Cost reduction d.Enhanced performance and
quality e.Promotion of professional development An
organizational chart is used to depict: (Select all that
apply.) a.a visual display of the organization s positions.
b.the intentional relationships among positions. c.open
positions within human resources. d.flow of authority.
e.advisory committees. - ANSWER//a.a visual display of
the organization s positions. b.the intentional relationships
among positions. d.flow of authority. Which of the
following statements are accurate when describing
responsibility and accountability? (Select all that apply.)
a.The assignment of responsibility assumes accountability.
b.A manager is assigned responsibility by a subordinate.
c.Accountability is the liability for task performance. d.The
assignment of responsibility and the granting of authority
create accountability. e.Accountability flows upward or
outward. - ANSWER//c.Accountability is the liability for
task performance. d.The assignment of responsibility and
the granting of authority create accountability.
ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS [DETAILED
ANSWERS] 2026 UPDATED VERSION
|ALREADY GRADED A+
facility network. Her span of control refers to the number of:
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. 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 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 fragmentation in work flow?
a.Departmentalization b.Standardization c.Specialization
d.Subdivision - 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. According to
the _____ organizational approach, organizations are
logical and predictable with identifiable and scientifically
measurable characteristics that can be predicted,
observed, or manipulated. a.objective b.subjective
c.postmodern d.realistic - ANSWER//a.objective Which
organizational theory emphasized the informal aspects of
organization social structure and was influenced by the
Hawthorne experiments? a.Bureaucratic theory
b.Scientific management school c.Classical management
theory d.Human relations school - ANSWER//d.Human
relations school The division of work by occupation or
function is a form of: a.specialization. b.interdependence.
c.uncertainty. d.technology. - ANSWER//a.specialization.
,Standardization of _____ provides a uniform structure for
information delivery and flow in order to facilitate
exchange among those involved in common work
processes. a.physician orders b.communication c.work
processes d.work outputs - ANSWER//b.communication A
rapid response team within an acute care hospital is
comprised of critical care physicians, nurses, and
respiratory therapists. The team assists staff throughout
the hospital with detecting and managing imminent patient
deterioration. This is an example of a _____
organizational form. a.parallel b.functional c.modified
program d.matrix - ANSWER//a.parallel The structure of
authority in an organization is known as the: a.authority.
b.centralization. c.bureaucracy. d.hierarchy. -
ANSWER//d.hierarchy. The network or pattern of social
relationships and friendship circles within an organization
is known as the: a.clique. b.formal structure. c.informal
structure. d.hierarchy. - ANSWER//c.informal structure.
The nursing staff on a critical care unit thought that
professional growth could be enhanced. Which of the
following interventions would support empowerment of the
nursing staff? (Select all that apply.) a.Eliminating
computers and reverting back to paperwork b.Increasing
pay wages for ancillary and professional staff c.Providing
various methods for ongoing education and continuing
education units d.Working to make equipment and
medications readily available - ANSWER//c.Providing
various methods for ongoing education and continuing
education units d.Working to make equipment and
medications readily available According to organization
theories, there are three perspectives regarding the nature
of reality and knowledge within an organization. Which of
the following are those perspectives? (Select all that
apply.) a.Objectivism b.Subjectivism c.Postmodernism
d.Realism e.Idealism - ANSWER//a.Objectivism
b.Subjectivism c.Postmodernism According to the
contingency theory of organizational performance, an
, organization must structure and adapt its nursing units to
complement which two factors? (Select all that apply.)
a.Skill set b.Patient population c.Environment
d.Technology e.Finances - ANSWER//c.Environment
d.Technology Which of the following statements describe
the benefits of specialization in the health care setting?
(Select all that apply.) a.Improved work performance
b.Increase in expertise c.Improved efficiency and
outcomes d.Increased workload e.Increased error
reporting - ANSWER//a.Improved work performance
b.Increase in expertise c.Improved efficiency and
outcomes Dividing work by occupation leads to a
functional organization where services are arranged by
the type of work performed. What are some benefits of the
functional form within the health care organization?
(Select all that apply.) a.Professional silo b.Fragmented
care delivery c.Cost reduction d.Enhanced performance
and quality e.Promotion of professional development -
ANSWER//c.Cost reduction d.Enhanced performance and
quality e.Promotion of professional development An
organizational chart is used to depict: (Select all that
apply.) a.a visual display of the organization s positions.
b.the intentional relationships among positions. c.open
positions within human resources. d.flow of authority.
e.advisory committees. - ANSWER//a.a visual display of
the organization s positions. b.the intentional relationships
among positions. d.flow of authority. Which of the
following statements are accurate when describing
responsibility and accountability? (Select all that apply.)
a.The assignment of responsibility assumes accountability.
b.A manager is assigned responsibility by a subordinate.
c.Accountability is the liability for task performance. d.The
assignment of responsibility and the granting of authority
create accountability. e.Accountability flows upward or
outward. - ANSWER//c.Accountability is the liability for
task performance. d.The assignment of responsibility and
the granting of authority create accountability.
