Unit Management & Leadership

Which task is most appropriate to delegate to an unlicensed assistive personnel (UAP) on a stable adult unit?

Which task is appropriate for an LPN/LVN rather than a UAP?

Four patients need attention. Who is the priority?

Assigning rooms: which pairing requires airborne isolation?

A float nurse from oncology arrives to a telemetry unit. Best assignment?

Incident reporting after a near-miss medication error—what goes in the chart?

Restraint use for violent behavior—initial nursing requirement?

HIPAA compliance on the unit means:

Best handoff communication structure for transferring a patient to PACU?

In quality improvement, the Plan–Do–Study–Act (PDSA) cycle is used to:

Root Cause Analysis (RCA) vs FMEA—what’s accurate?

High-alert medications safety practice:

National patient safety goal for identification requires:

Telephone order safety includes:

In informed consent, the RN’s primary role is to:

A patient refuses a recommended treatment. The nurse should:

Disaster triage (START) prioritization—who gets red (immediate)?

First-line approach to escalating agitation with threats on the unit:

Addressing lateral violence (bullying) on the unit:

An unsafe medication order is written. The nurse should:

Assigning vs delegating—best description?

The Five Rights of Delegation include:

Preceptor vs mentor difference:

Primary role of the charge nurse during a shift:

Safe staffing is best supported by:

Fatigue risk management on night shift includes:

Time management framework for RNs:

Lewin’s change model sequence:

Budgeting—capital vs operating:

FTE basics: In a 40-hour workweek system, a 0.6 FTE equals:

Competency validation for high-risk skills should include:

Unit falls prevention program audit indicator:

Bar-code medication administration (BCMA) safety step:

Look-alike/sound-alike (LASA) medication strategy:

Mandatory reporting duty includes:

Late documentation best practice:

Social media professionalism example:

Delegation to a student nurse:

DNR on chart; family demands “do everything.” The nurse should:

Break coverage on a busy shift—best safety practice?

A nurse notes repeated unlabeled insulin syringes left at the bedside by a colleague. Best leadership action?

TeamSTEPPS tool to quickly share critical updates during a code?

When leading a rapid-cycle PDSA, which data are most useful?

Which assignment is safest for a novice RN on orientation?

Best first step when two senior nurses are arguing loudly at the nurses’ station?

A UAP reports a BP of 80/50 on a post-op patient. Appropriate RN response?

Which metric is a leading process measure for pressure-injury prevention?

Ethical principle when honoring a patient’s refusal of care with full decision-making capacity?

During flu surge, which action optimizes throughput safely?

Which task is appropriate to delegate to an experienced LPN/LVN on a stable unit?

A traveler nurse unfamiliar with pumps receives a patient on heparin infusion. Safe leadership step?

After a fall with injury, which action is required?

Best approach to a near-miss high-alert medication event?

Hand hygiene compliance improved from 72% to 89%. What is the next leadership step?

Which scenario most warrants contacting the ethics committee?

The safest way to roll out a new insulin protocol?

Which communication behavior most improves HCAHPS nurse communication scores?

Bullying report from a new grad about a preceptor—first leadership move?

To reduce central-line infections, which bundle element is manager-controlled?

A nurse documents care provided by a colleague. This violates which principle?

Which statement reflects “Just Culture”?

During a disaster using HICS, the charge nurse role typically aligns with:

Which project best fits Lean methodology?

What is the first step of EBP using PICOT?

Key element of a high-quality preceptor program?

Best tactic to improve medication reconciliation at admission?

A nurse refuses a new assignment believing it’s beyond competence. Leadership response?

Which would be a SMART goal for falls reduction?

Cultural humility on the unit looks like:

When a family asks to view the EHR, the nurse should:

Which is the best use of hourly rounding?

Best way to reduce missed nursing care during peak hours?

Which statement about competency with new IV smart pumps is true?

Handling a disruptive physician on rounds:

A patient posts a negative online review. Constructive leadership response?

Purpose of a safety huddle at shift start?

How should the nurse leader handle repeated late med passes by one RN?

Which patient is safest to cohort with another on contact precautions?

A unit trial of bedside shift report faces resistance. Best change-management tactic?

Calculating staffing: The unit needs 120 RN hours/24h. If shifts are 12 hours, minimum RN headcount per day?

Which statement best describes shared governance on a nursing unit?

Hallmark of transformational leadership in nursing?

When is a transactional leadership approach most appropriate?

Situational leadership example for a brand-new graduate nurse?

Servant leadership on a unit looks like:

Which statement about delegation is correct?

Which task must be performed by the RN, not the LPN/UAP?

A float nurse from med–surg arrives to step-down. Safest assignment?

Primary role of a nurse case manager?

Primary focus of a Clinical Nurse Specialist (CNS)?

A patient offers an expensive gift after recovery. Professional response?

You find an unlocked workstation charting a patient’s record with no user present. Best action?

Which is a key element of a safe patient handling program?

Alarm fatigue reduction bundle includes:

On a run chart, which suggests a real (nonrandom) change?

Special-cause variation on a control chart is indicated by:

After appraising the best evidence for a new falls bundle, what is the next EBP step?

Competency validation differs from attendance how?

When should a nurse activate the Rapid Response Team (RRT)?

Code cart management standard on the unit?

“Deference to expertise” in high-reliability organizations means:

Universal Protocol “time-out” must verify:

You receive a suspicious email asking you to “re-enter your EHR password.” Best action?

During an EHR downtime, medication administration should be:

Labeling requirement for prepared syringes away from bedside:

Policy on concentrated electrolytes (e.g., KCl) on general units should:

A vendor requests to “observe patient care” on the unit. Appropriate response?

Health equity leadership action for your unit?

Shared decision-making to implement bedside shift report should include:

Post-event debrief after a code should focus on:

Improving inter-rater reliability of a fall risk tool requires:

Best strategy to educate staff on a new smart pump guardrail library?

A meaningful RCA action plan should include:

Which is a leading vs lagging measure pair?

Ethical staffing decision under surge conditions emphasizes:

Telehealth triage nursing best practice?

Documentation axiom in risk management:

Managing change fatigue on the unit includes:

Licensure and scope conflicts between policy and state law—what applies?

Which task is appropriate for a UAP after RN swallow evaluation confirms safe feeding?