NURS 4005 NURS-FPX 4010 – Exam 2 Questions
with 100% Correct Answers and Detailed
Rationales 2025.
1. The unit’s productive NHPPD is 8.2. Census = 28 patients. How many
total care hours are needed for one 24-hour day?
A. 229.6 B. 196.4 C. 262.4 D. 180.4
Answer: A (28 × 8.2 = 229.6)
2. Using the data from #1, if each shift is 8 hours, how many FTEs are
required for one day (before relief factor)?
Answer: 229.6 ÷ 8 = 28.7 FTEs (round up to 29 for safety)
3. The relief/replacement factor for the unit is 22%. Final budgeted FTEs
needed = ?
Answer: 28.7 ÷ (1 − 0.22) = 28.7 ÷ 0.78 ≈ 36.8 FTEs
4. The unit is over budget by $48,000 in overtime YTD. The manager’s
BEST first action is:
A. Mandate 8-hour shifts only
B. Perform root-cause analysis on why overtime is occurring
C. Cut all agency usage
, D. Write up nurses with the highest OT
Answer: B
5. Which expense is considered a variable cost in nursing budgets?
A. Nurse manager salary B. Medical supplies C. Electricity D.
Rent
Answer: B
6. The unit’s current RN turnover rate is 24%. National benchmark is
11%. Replacement cost per RN is estimated at 1.7× annual salary
($158,000). Total estimated annual turnover cost for the unit (10 RNs
left last year):
Answer: 10 × $158,000 = $1.58 million
7. The CNO asks you to cut 2.0 FTEs. The most defensible cut is:
A. Eliminate the unit educator
B. Cut two unfilled, budgeted RN positions that have been vacant >6
months
C. Eliminate night-shift charge RN differential
D. Reduce CNS consultation hours
Answer: B
, 8. The unit’s latest NDNQI results show a pressure injury rate of 9.2%
(national benchmark 3.1%). The strongest evidence-based intervention
is:
A. New pressure-redistribution mattresses
B. Nurse-driven 2-hour turning protocol + WOCN early consult
C. Annual skin in-service
Answer: B
9. The hospital is pursuing Magnet redesignation. Which is a required
exemplar for “New Knowledge, Innovations & Improvements”?
A. Nurses presenting an EBP project at a national conference
B. New break-room furniture
C. Updated employee handbook
Answer: A
10–50. Rapid-fire Exam 2 favorites (answers immediately after each)
10. The nurse manager may require a return-to-work drug screen after
a needlestick. True
11. A shared governance council that only advises administration meets
Magnet standards. False
12. Failure to rescue is inversely related to the percentage of BSN-
prepared nurses. True
with 100% Correct Answers and Detailed
Rationales 2025.
1. The unit’s productive NHPPD is 8.2. Census = 28 patients. How many
total care hours are needed for one 24-hour day?
A. 229.6 B. 196.4 C. 262.4 D. 180.4
Answer: A (28 × 8.2 = 229.6)
2. Using the data from #1, if each shift is 8 hours, how many FTEs are
required for one day (before relief factor)?
Answer: 229.6 ÷ 8 = 28.7 FTEs (round up to 29 for safety)
3. The relief/replacement factor for the unit is 22%. Final budgeted FTEs
needed = ?
Answer: 28.7 ÷ (1 − 0.22) = 28.7 ÷ 0.78 ≈ 36.8 FTEs
4. The unit is over budget by $48,000 in overtime YTD. The manager’s
BEST first action is:
A. Mandate 8-hour shifts only
B. Perform root-cause analysis on why overtime is occurring
C. Cut all agency usage
, D. Write up nurses with the highest OT
Answer: B
5. Which expense is considered a variable cost in nursing budgets?
A. Nurse manager salary B. Medical supplies C. Electricity D.
Rent
Answer: B
6. The unit’s current RN turnover rate is 24%. National benchmark is
11%. Replacement cost per RN is estimated at 1.7× annual salary
($158,000). Total estimated annual turnover cost for the unit (10 RNs
left last year):
Answer: 10 × $158,000 = $1.58 million
7. The CNO asks you to cut 2.0 FTEs. The most defensible cut is:
A. Eliminate the unit educator
B. Cut two unfilled, budgeted RN positions that have been vacant >6
months
C. Eliminate night-shift charge RN differential
D. Reduce CNS consultation hours
Answer: B
, 8. The unit’s latest NDNQI results show a pressure injury rate of 9.2%
(national benchmark 3.1%). The strongest evidence-based intervention
is:
A. New pressure-redistribution mattresses
B. Nurse-driven 2-hour turning protocol + WOCN early consult
C. Annual skin in-service
Answer: B
9. The hospital is pursuing Magnet redesignation. Which is a required
exemplar for “New Knowledge, Innovations & Improvements”?
A. Nurses presenting an EBP project at a national conference
B. New break-room furniture
C. Updated employee handbook
Answer: A
10–50. Rapid-fire Exam 2 favorites (answers immediately after each)
10. The nurse manager may require a return-to-work drug screen after
a needlestick. True
11. A shared governance council that only advises administration meets
Magnet standards. False
12. Failure to rescue is inversely related to the percentage of BSN-
prepared nurses. True
