NSG 4800 Exam 2 V3 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 2) | Galen
1. A nurse manager is reviewing the five rights of delegation with a newly licensed nurse.
Which of the following should be included as part of the five rights? (Select All That Apply)
A. Right task
B. Right circumstance
C. Right person
D. Right direction and communication
E. Right supervision and evaluation
F. Right salary and compensation
Correct Answer: ABCDE
The five rights of delegation are essential for ensuring patient safety and effective nursing
practice. These include the right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. Salary and compensation are
administrative concerns and are not part of the clinical delegation process.
,2. A nurse is preparing to witness a patient signing an informed consent form for a surgical
procedure. What is the primary responsibility of the nurse in this role?
A. Confirming that the signature on the form is the patient’s
B. Explaining the risks and benefits of the procedure
C. Discussing alternative treatment options with the patient
D. Ensuring the patient understands the surgical technique
Correct Answer: A
The nurse’s legal role in witnessing informed consent is to verify that the signature is
authentic and that the patient appears competent to sign. It is the surgeon’s responsibility
to provide a detailed explanation of the risks, benefits, and alternatives. If the nurse notes
that the patient does not understand the procedure, the nurse must notify the provider
before the procedure continues.
3. Which ethical principle is the nurse demonstrating when they uphold a patient’s right to
refuse a recommended medical treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Correct Answer: B
, Autonomy is the ethical principle that recognizes an individual’s right to self-
determination and decision-making regarding their own health care. By respecting a
patient’s refusal of treatment, the nurse acknowledges the patient’s independence. This
principle is a cornerstone of patient-centered care and legal rights in the United States.
4. A nurse is caring for a client who is scheduled for surgery. The client expresses concern that
they do not fully understand the procedure. Which of the following actions should the nurse
take?
A. Explain the surgical procedure to the client in detail
B. Notify the surgeon that the client needs further clarification
C. Ask the client’s family to explain the procedure
D. Proceed with getting the consent signed to avoid delays
Correct Answer: B
The surgeon has the legal responsibility to provide the explanation of the procedure, its
risks, and its benefits. If the client indicates a lack of understanding, the nurse must act as a
patient advocate and contact the surgeon. The nurse should not attempt to provide the
primary explanation of the surgery.
5. A nurse manager uses a leadership style that focuses on immediate problems, maintains
the status quo, and uses rewards to motivate followers. Which leadership style is being used?
A. Transactional
B. Transformational
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 2) | Galen
1. A nurse manager is reviewing the five rights of delegation with a newly licensed nurse.
Which of the following should be included as part of the five rights? (Select All That Apply)
A. Right task
B. Right circumstance
C. Right person
D. Right direction and communication
E. Right supervision and evaluation
F. Right salary and compensation
Correct Answer: ABCDE
The five rights of delegation are essential for ensuring patient safety and effective nursing
practice. These include the right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation. Salary and compensation are
administrative concerns and are not part of the clinical delegation process.
,2. A nurse is preparing to witness a patient signing an informed consent form for a surgical
procedure. What is the primary responsibility of the nurse in this role?
A. Confirming that the signature on the form is the patient’s
B. Explaining the risks and benefits of the procedure
C. Discussing alternative treatment options with the patient
D. Ensuring the patient understands the surgical technique
Correct Answer: A
The nurse’s legal role in witnessing informed consent is to verify that the signature is
authentic and that the patient appears competent to sign. It is the surgeon’s responsibility
to provide a detailed explanation of the risks, benefits, and alternatives. If the nurse notes
that the patient does not understand the procedure, the nurse must notify the provider
before the procedure continues.
3. Which ethical principle is the nurse demonstrating when they uphold a patient’s right to
refuse a recommended medical treatment?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Correct Answer: B
, Autonomy is the ethical principle that recognizes an individual’s right to self-
determination and decision-making regarding their own health care. By respecting a
patient’s refusal of treatment, the nurse acknowledges the patient’s independence. This
principle is a cornerstone of patient-centered care and legal rights in the United States.
4. A nurse is caring for a client who is scheduled for surgery. The client expresses concern that
they do not fully understand the procedure. Which of the following actions should the nurse
take?
A. Explain the surgical procedure to the client in detail
B. Notify the surgeon that the client needs further clarification
C. Ask the client’s family to explain the procedure
D. Proceed with getting the consent signed to avoid delays
Correct Answer: B
The surgeon has the legal responsibility to provide the explanation of the procedure, its
risks, and its benefits. If the client indicates a lack of understanding, the nurse must act as a
patient advocate and contact the surgeon. The nurse should not attempt to provide the
primary explanation of the surgery.
5. A nurse manager uses a leadership style that focuses on immediate problems, maintains
the status quo, and uses rewards to motivate followers. Which leadership style is being used?
A. Transactional
B. Transformational
