NSG 4800 Exam 4 V1 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 4) | Galen
1. A nurse manager is preparing a presentation for the nursing staff about the components of
a profession. Which of the following should the manager include as a characteristic of a
profession?
A. A focus on technical skills rather than critical thinking
B. Dependence on other healthcare disciplines for decision-making
C. The presence of a specialized body of knowledge and theory.
D. High turnover rates within the specialty area
Correct Answer: C
A profession is defined by having a unique and specialized body of knowledge that guides
practice. This knowledge is developed through research and theory to ensure evidence-
based care is provided. Other characteristics include autonomy, a code of ethics, and
service to the public.
2. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks are appropriate for the nurse to delegate? (Select all that apply.)
A. Performing a focused respiratory assessment
,B. Assisting a stable client with ambulation in the hallway
C. Measuring and recording intake and output (I&O)
D. Providing post-mortem care to a client
E. Re-applying a simple dressing that fell off
F. Performing oral hygiene for a client with a nasogastric tube
Correct Answer: BCDF
The nurse must delegate tasks that are routine, non-invasive, and do not require clinical
judgment. Assisting with ambulation, recording I&O, post-mortem care, and oral hygiene
are all within the scope of a UAP. Assessments and dressing changes involve clinical
decision-making and must be performed by a licensed nurse.
3. A nurse is leading a team meeting and encourages all members to participate in the
decision-making process regarding the new unit schedule. Which leadership style is the nurse
demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
, The democratic leadership style involves sharing authority and encouraging participation
from all team members. This style promotes staff satisfaction and fosters a sense of
ownership among the team. In contrast, autocratic leadership centralizes decision-making
in one person, while laissez-faire involves minimal leader interference.
4. Which of the following nursing actions best demonstrates the ethical principle of fidelity?
A. Providing the same level of care to all clients regardless of status
B. Allowing a client to make their own choices about treatment
C. Keeping a promise to return to a client’s room at a specific time
D. Ensuring that the client is not harmed by an experimental drug
Correct Answer: C
Fidelity refers to the obligation of the nurse to be faithful to commitments and promises
made to others. By returning when promised, the nurse builds trust and maintains the
integrity of the professional relationship. This principle is fundamental to the delivery of
ethical nursing care.
5. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a history of heart failure reporting new onset of shortness of breath
B. A client who is 2 days post-operative and requesting a dose of pain medication
C. A client with a blood glucose of 140 mg/dL reporting mild hunger
D. A client scheduled for discharge who has questions about their medications
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 4) | Galen
1. A nurse manager is preparing a presentation for the nursing staff about the components of
a profession. Which of the following should the manager include as a characteristic of a
profession?
A. A focus on technical skills rather than critical thinking
B. Dependence on other healthcare disciplines for decision-making
C. The presence of a specialized body of knowledge and theory.
D. High turnover rates within the specialty area
Correct Answer: C
A profession is defined by having a unique and specialized body of knowledge that guides
practice. This knowledge is developed through research and theory to ensure evidence-
based care is provided. Other characteristics include autonomy, a code of ethics, and
service to the public.
2. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks are appropriate for the nurse to delegate? (Select all that apply.)
A. Performing a focused respiratory assessment
,B. Assisting a stable client with ambulation in the hallway
C. Measuring and recording intake and output (I&O)
D. Providing post-mortem care to a client
E. Re-applying a simple dressing that fell off
F. Performing oral hygiene for a client with a nasogastric tube
Correct Answer: BCDF
The nurse must delegate tasks that are routine, non-invasive, and do not require clinical
judgment. Assisting with ambulation, recording I&O, post-mortem care, and oral hygiene
are all within the scope of a UAP. Assessments and dressing changes involve clinical
decision-making and must be performed by a licensed nurse.
3. A nurse is leading a team meeting and encourages all members to participate in the
decision-making process regarding the new unit schedule. Which leadership style is the nurse
demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
, The democratic leadership style involves sharing authority and encouraging participation
from all team members. This style promotes staff satisfaction and fosters a sense of
ownership among the team. In contrast, autocratic leadership centralizes decision-making
in one person, while laissez-faire involves minimal leader interference.
4. Which of the following nursing actions best demonstrates the ethical principle of fidelity?
A. Providing the same level of care to all clients regardless of status
B. Allowing a client to make their own choices about treatment
C. Keeping a promise to return to a client’s room at a specific time
D. Ensuring that the client is not harmed by an experimental drug
Correct Answer: C
Fidelity refers to the obligation of the nurse to be faithful to commitments and promises
made to others. By returning when promised, the nurse builds trust and maintains the
integrity of the professional relationship. This principle is fundamental to the delivery of
ethical nursing care.
5. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a history of heart failure reporting new onset of shortness of breath
B. A client who is 2 days post-operative and requesting a dose of pain medication
C. A client with a blood glucose of 140 mg/dL reporting mild hunger
D. A client scheduled for discharge who has questions about their medications
