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NUR 4590 Exam 2 Rasmussen Nurse Leadership
and Management 2026/2027 Actual Exam with
Verified Answers and Detailed Rationales
Question 1
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
Correct Answer: c. Number of employees
Rationale:
1. Organizational structure is influenced by factors such as size, strategy,
environment, and technology.
2. The number of employees directly impacts span of control, hierarchy
levels, and coordination needs.
3. Physical building characteristics (age, square footage) do not determine
organizational structure.
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4. Computer systems are tools that support structure but do not
fundamentally shape it.
Question 2
Within nursing practice, the use of advanced practice roles is an example
of:
• a. cross-training.
• b. departmentalization.
• c. fragmentation.
• d. specialization.
Correct Answer: d. specialization
Rationale:
1. Advanced practice roles (NP, CNS, CNM, CRNA) represent advanced
specialization within nursing.
2. Specialization involves focusing on a specific area of practice with
advanced knowledge and skills.
3. Cross-training involves learning multiple roles, not advanced depth in
one role.
4. Departmentalization refers to grouping functions, not individual role
development.
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Question 3
The nursing chief executive officer (CEO) works in a major rehabilitation
and subacute 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.
Correct Answer: c. nurses and non-nurses reporting to her.
Rationale:
1. Span of control is the number of direct reports a manager has.
2. This includes all staff (nurses and non-nurses) who report directly to
the CEO.
3. Geographic miles and inpatient volume are not related to span of
control.
4. Ancillary staff are part of the broader category of direct reports.
Question 4
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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
Correct Answer: c. Span of control
Rationale:
1. The number of subordinates reporting to a manager defines span of
control.
2. This manager has supervisors reporting to them, not individual staff
nurses.
3. Division of labor refers to how work is divided among roles.
4. Hierarchy refers to levels of authority, not the count of direct reports.
Question 5
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
NUR 4590 Exam 2 Rasmussen Nurse Leadership
and Management 2026/2027 Actual Exam with
Verified Answers and Detailed Rationales
Question 1
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
Correct Answer: c. Number of employees
Rationale:
1. Organizational structure is influenced by factors such as size, strategy,
environment, and technology.
2. The number of employees directly impacts span of control, hierarchy
levels, and coordination needs.
3. Physical building characteristics (age, square footage) do not determine
organizational structure.
,2|Page
4. Computer systems are tools that support structure but do not
fundamentally shape it.
Question 2
Within nursing practice, the use of advanced practice roles is an example
of:
• a. cross-training.
• b. departmentalization.
• c. fragmentation.
• d. specialization.
Correct Answer: d. specialization
Rationale:
1. Advanced practice roles (NP, CNS, CNM, CRNA) represent advanced
specialization within nursing.
2. Specialization involves focusing on a specific area of practice with
advanced knowledge and skills.
3. Cross-training involves learning multiple roles, not advanced depth in
one role.
4. Departmentalization refers to grouping functions, not individual role
development.
,3|Page
Question 3
The nursing chief executive officer (CEO) works in a major rehabilitation
and subacute 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.
Correct Answer: c. nurses and non-nurses reporting to her.
Rationale:
1. Span of control is the number of direct reports a manager has.
2. This includes all staff (nurses and non-nurses) who report directly to
the CEO.
3. Geographic miles and inpatient volume are not related to span of
control.
4. Ancillary staff are part of the broader category of direct reports.
Question 4
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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
Correct Answer: c. Span of control
Rationale:
1. The number of subordinates reporting to a manager defines span of
control.
2. This manager has supervisors reporting to them, not individual staff
nurses.
3. Division of labor refers to how work is divided among roles.
4. Hierarchy refers to levels of authority, not the count of direct reports.
Question 5
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
