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NUR 4590 Exam 2 2025: Leadership Questions & Answers Guide

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Prepare for your Nursing Leadership NUR 4590 Exam 2 with this comprehensive 2025 guide. This resource features a detailed set of potential questions and verified answers covering key topics like healthcare finance and budgeting, ethical decision-making, staffing models, conflict resolution, and change management. Ideal for nursing students reviewing core concepts to achieve exam success.

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LEADERSHIP NUR 4590 EXAM 2 QUESTIONS
AND ANSWERS 2025




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 - ....ANSWER ....✔✔
c.Number of employees


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.

,2|Page



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

,3|Page



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?

, 4|Page




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

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