RNSG 2539 Integrated Patient Care Management
Final Exam Actual Questions And Correct Verified
Answers
RNSG 2539:Integrated Patient Care Management Final Exam
1. A nurse manager is evaluating a significant increase in Catheter-
Associated Urinary Tract Infections (CAUTIs) on a surgical unit.What is
the first action the manager should take?
A.Discipline staff nurses on the unit who cared for the infected
patients.
B.Mandate immediate re-education for all staff on insertion
techniques.
C.Perform a root cause analysis to identify potential contributing
factors.
D. Implement a new policy requiring charge nurse supervision for all
insertions.
Rationale: The first step in quality improvement and problem-solving is
assessment. A root cause analysis (RCA) allows the manager to
determine ifthe issue is systemic (equipment,protocol) or individual
before implementing a fix.
2. Which leadership style is most appropriate for a nurse to utilize
during a cardiac arrest or other emergency situations?
A.Autocratic
B.Democratic
C.Laissez-faire
D.Servant
Rationale: An autocratic (authoritarian) leader provides clear,directive
orders and makes quick decisions, which is essential for coordination and
safety during life-threatening emergencies.
3. A nurse is caring for a patient with Disseminated Intravascular
Coagulation (DIC) and prioritizes "Risk for Deficient Fluid Volume related
to bleeding." Which assessment best determines if the goals of care are
being met?
A.Assessing forperipheral edema.
,B.Checking skin integrity frequently.
C. Assessing the patient's level of consciousness
,frequently.
D.Monitoring the patient's dietary intake.
Rationale: In DIC, internal bleeding can lead to decreased cerebral
perfusion. Frequent assessment of the level of consciousness (LOC)
is a sensitive indicator of hemodynamic stability and organ
perfusion.
4. Effective delegation to an Unlicensed Assistive Personnel (UAP) is
best demonstrated by which statement?
A."Do these vital signs whenever you get a chance today."
B. "Please perform the 10:00 AM vital signs for Room 302and report
any systolic blood pressure under 100 to me immediately."
C. "Check on the patient in Room 405 and let me know if they look
okay."
D. "I'll do the complicated vitals myself; you just do the easy
ones."Rationale:Effective delegation requires clear, specific instructions
including the task, the timeframe, and specific parameters for reporting
back to the nurse.
5. A nurse manager establishes unit-wide goals and identifies the
specific actions needed to achieve them over the next fiscal year.This
demonstrates wwhich management function?
A.Planning
B.Organizing
C.Directing
D.Controlling
Rationale: Planning is the process ofestablishing goals,objectives, and
the specific strategies or actions required to reach them.
6. Which ethical principle is the nurse upholding when they ensure that
a patient has been fully informed of the risks and benefits of a surgery
before signing a consent form?
A.Beneficence
B.Justice
C.Autonomy
D.Non-maleficence
Rationale: Autonomy refers to the patient's right to self-
determination and making informed decisions about their own
healthcare.
, 7. A nurse is reviewing laboratory results for a pregnant client. Which of
the following findings would most strongly suggest the development of
HELLP syndrome?
A. Elevated liver enzymes and low platelet count
B.Decreased creatinine and increased hemoglobin
C. Elevated potassium and decreased sodium
D.Decreased white blood cell count and increased glucose Rationale:
HELLP syndrome is characterized by Hemolysis,Elevated Liver
enzymes,and Low Platelet count.
8.A nurse manager compares the number of medication errors
recorded this month against the established national benchmark for
patient safety. This is an example of:
A.Staffing
B.Organizing
C.Controlling
D.Leading
Rationale: Controlling involves evaluating performance and outcomes
against set standards or benchmarks to ensure quality and safety.
9. Which scenario best illustrates the ethical concept of Justice?
A.A nurse provides a walker to a patient before they begin
ambulating.
B. A nurse tells the truth to a patient about a medication error.
C.A nurse provides equal time and discharge teaching to both a wealthy
patient and a homeless patient.
D.A nurse allows a patient to choose what time they would like to bathe.
Rationale:Justice is the principle of fairness and providing equitable
treatment and resources to all patients regardless of their background.
10. A nurse observes a colleague documenting a task that was not
actually performed. According to the ANA, the nurse's first
responsibility is to:
A. Ignore it if no harm was done to the patient.
B. Report the observation through the appropriate chain of command.
C. Call the patient's family to inform them.
D. Post about the incident on social media to ensure
transparency.Rationale:Professional nursing ethics and legal standards
Final Exam Actual Questions And Correct Verified
Answers
RNSG 2539:Integrated Patient Care Management Final Exam
1. A nurse manager is evaluating a significant increase in Catheter-
Associated Urinary Tract Infections (CAUTIs) on a surgical unit.What is
the first action the manager should take?
A.Discipline staff nurses on the unit who cared for the infected
patients.
B.Mandate immediate re-education for all staff on insertion
techniques.
C.Perform a root cause analysis to identify potential contributing
factors.
D. Implement a new policy requiring charge nurse supervision for all
insertions.
Rationale: The first step in quality improvement and problem-solving is
assessment. A root cause analysis (RCA) allows the manager to
determine ifthe issue is systemic (equipment,protocol) or individual
before implementing a fix.
2. Which leadership style is most appropriate for a nurse to utilize
during a cardiac arrest or other emergency situations?
A.Autocratic
B.Democratic
C.Laissez-faire
D.Servant
Rationale: An autocratic (authoritarian) leader provides clear,directive
orders and makes quick decisions, which is essential for coordination and
safety during life-threatening emergencies.
3. A nurse is caring for a patient with Disseminated Intravascular
Coagulation (DIC) and prioritizes "Risk for Deficient Fluid Volume related
to bleeding." Which assessment best determines if the goals of care are
being met?
A.Assessing forperipheral edema.
,B.Checking skin integrity frequently.
C. Assessing the patient's level of consciousness
,frequently.
D.Monitoring the patient's dietary intake.
Rationale: In DIC, internal bleeding can lead to decreased cerebral
perfusion. Frequent assessment of the level of consciousness (LOC)
is a sensitive indicator of hemodynamic stability and organ
perfusion.
4. Effective delegation to an Unlicensed Assistive Personnel (UAP) is
best demonstrated by which statement?
A."Do these vital signs whenever you get a chance today."
B. "Please perform the 10:00 AM vital signs for Room 302and report
any systolic blood pressure under 100 to me immediately."
C. "Check on the patient in Room 405 and let me know if they look
okay."
D. "I'll do the complicated vitals myself; you just do the easy
ones."Rationale:Effective delegation requires clear, specific instructions
including the task, the timeframe, and specific parameters for reporting
back to the nurse.
5. A nurse manager establishes unit-wide goals and identifies the
specific actions needed to achieve them over the next fiscal year.This
demonstrates wwhich management function?
A.Planning
B.Organizing
C.Directing
D.Controlling
Rationale: Planning is the process ofestablishing goals,objectives, and
the specific strategies or actions required to reach them.
6. Which ethical principle is the nurse upholding when they ensure that
a patient has been fully informed of the risks and benefits of a surgery
before signing a consent form?
A.Beneficence
B.Justice
C.Autonomy
D.Non-maleficence
Rationale: Autonomy refers to the patient's right to self-
determination and making informed decisions about their own
healthcare.
, 7. A nurse is reviewing laboratory results for a pregnant client. Which of
the following findings would most strongly suggest the development of
HELLP syndrome?
A. Elevated liver enzymes and low platelet count
B.Decreased creatinine and increased hemoglobin
C. Elevated potassium and decreased sodium
D.Decreased white blood cell count and increased glucose Rationale:
HELLP syndrome is characterized by Hemolysis,Elevated Liver
enzymes,and Low Platelet count.
8.A nurse manager compares the number of medication errors
recorded this month against the established national benchmark for
patient safety. This is an example of:
A.Staffing
B.Organizing
C.Controlling
D.Leading
Rationale: Controlling involves evaluating performance and outcomes
against set standards or benchmarks to ensure quality and safety.
9. Which scenario best illustrates the ethical concept of Justice?
A.A nurse provides a walker to a patient before they begin
ambulating.
B. A nurse tells the truth to a patient about a medication error.
C.A nurse provides equal time and discharge teaching to both a wealthy
patient and a homeless patient.
D.A nurse allows a patient to choose what time they would like to bathe.
Rationale:Justice is the principle of fairness and providing equitable
treatment and resources to all patients regardless of their background.
10. A nurse observes a colleague documenting a task that was not
actually performed. According to the ANA, the nurse's first
responsibility is to:
A. Ignore it if no harm was done to the patient.
B. Report the observation through the appropriate chain of command.
C. Call the patient's family to inform them.
D. Post about the incident on social media to ensure
transparency.Rationale:Professional nursing ethics and legal standards
