RN Registered Nurse: Management Care 5

Question 1

A nurse manager is informed that a staff nurse has been witnessed accessing a patient's electronic health record without a clinical reason. The FIRST action should be:

Accepted Answer

Conduct a preliminary investigation and place the nurse on administrative leave pending findings

Answer

A fair and thorough investigation is required before disciplinary action to determine intent and gather all facts, consistent with HIPAA breach response protocols.

Question 2

Which budgeting approach requires each department to justify ALL expenditures from zero each fiscal year, regardless of prior year spending?

Accepted Answer

Zero-based budgeting

Answer

Zero-based budgeting requires justification for every line item from scratch, promoting cost-consciousness and elimination of unnecessary spending.

Question 3

A nursing unit has a high turnover rate among new graduates in their first year. Which retention strategy is MOST evidence-based?

Accepted Answer

Implementing a structured nurse residency program with mentorship and gradual acuity progression

Answer

Nurse residency programs with mentorship and gradual acuity exposure have the strongest evidence base for improving first-year retention.

Question 4

Under the National Labor Relations Act, which nurse manager behavior during a union organizing campaign is PROHIBITED?

Accepted Answer

Threatening to close the unit if staff vote to unionize

Answer

Threatening reprisals or unit closure to discourage union activity is an unfair labor practice prohibited by the NLRA.

Question 5

A charge nurse is preparing the staffing plan for the evening shift and must prioritize which patients require RN-level care. This decision is based on which principle?

Accepted Answer

Scope of practice and patient acuity

Answer

RN-level task assignment is determined by scope of practice and the clinical complexity of individual patients, ensuring safe and appropriate care.

RN - Registered Nurse Practice Test

RN - Registered Nurse Practice Test

RN Registered Nurse: Management Care 5