NUR4590 EXAM 2 COMPREHENSIVE STUDY
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Within nursing practice, the use of advanced practice roles is an
example of:
a.cross-training.
b.departmentalization.
c.fragmentation.
d.specialization.. Answer: d.specialization.
◉ 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.. 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 fragmen. 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.
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Within nursing practice, the use of advanced practice roles is an
example of:
a.cross-training.
b.departmentalization.
c.fragmentation.
d.specialization.. Answer: d.specialization.
◉ 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.. 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 fragmen. 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.
