NSG 4800 Exam 1 V1 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 1) | Galen
1. A registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which tasks are appropriate for the RN to delegate? (Select All That Apply)
A. Assisting a stable patient with ambulation in the hallway
B. Performing routine vital signs on a patient who is four hours post-operative
C. Assessing a patient’s surgical incision for signs of infection
D. Recording intake and output for a patient with congestive heart failure
E. Providing discharge instructions regarding new medications
F. Bathe and perform oral care for a patient on bed rest
Correct Answer: A, B, D, F
The RN may delegate tasks that are repetitive, non-invasive, and do not require clinical
judgment or assessment. Assisting with ambulation, recording vitals on a stable patient,
I&O, and hygiene are within the UAP’s scope of practice. Assessment and patient teaching
must be performed by the RN and cannot be delegated.
,2. According to Patricia Benner’s stages of nursing proficiency, a nurse who has been in the
same clinical position for 2 to 3 years and begins to rely on long-range goals is at which stage?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Correct Answer: D
A competent nurse has typically been in the same setting for 2 to 3 years and can
prioritize tasks using conscious, abstract, and analytical thinking. This stage is
characterized by a focus on efficiency and organization. In contrast, a proficient nurse
views situations as wholes rather than in parts and has a more holistic understanding.
3. A nurse manager is utilizing a leadership style that encourages staff participation in
decision-making and values the input of the team. Which leadership style is being
demonstrated?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Correct Answer: D
, Democratic leadership, also known as participative leadership, involves the leader sharing
the decision-making process with group members. This style promotes autonomy and can
increase job satisfaction among staff members. It differs from autocratic leadership, where
the leader makes all decisions independently without input.
4. Which ethical principle is a nurse following when they provide all patients with the same
level of care regardless of their socioeconomic status?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Correct Answer: A
The principle of justice involves fairness and equality in the distribution of resources and
care. Nurses apply this principle by ensuring that care is delivered impartially to every
individual. This ensures that no patient is discriminated against based on personal
characteristics or social standing.
5. A nurse is caring for a patient who is refusing a life-saving blood transfusion due to
religious beliefs. The nurse supports the patient’s decision. Which role is the nurse assuming?
A. Manager
B. Advocate
C. Collaborator
, D. Educator
Correct Answer: B
Patient advocacy involves protecting the patient’s rights and supporting their decisions,
even if they conflict with the healthcare provider’s recommendations. In this scenario, the
nurse respects the patient’s autonomy and right to refuse treatment. Advocacy is a
fundamental component of professional nursing practice that ensures patient-centered
care.
6. A nurse is practicing clinical judgment according to Tanner’s Model. After gathering data
about a patient’s deteriorating condition, the nurse begins to make sense of the information.
Which stage of the model is this?
A. Interpreting
B. Noticing
C. Responding
D. Reflecting
Correct Answer: A
Interpreting is the process of developing a sufficient understanding of the situation to
respond appropriately. It follows ‘noticing,’ where the nurse identifies cues in the patient’s
environment. This stage involves using clinical reasoning to translate data into actionable
knowledge.
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 1) | Galen
1. A registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive personnel
(UAP). Which tasks are appropriate for the RN to delegate? (Select All That Apply)
A. Assisting a stable patient with ambulation in the hallway
B. Performing routine vital signs on a patient who is four hours post-operative
C. Assessing a patient’s surgical incision for signs of infection
D. Recording intake and output for a patient with congestive heart failure
E. Providing discharge instructions regarding new medications
F. Bathe and perform oral care for a patient on bed rest
Correct Answer: A, B, D, F
The RN may delegate tasks that are repetitive, non-invasive, and do not require clinical
judgment or assessment. Assisting with ambulation, recording vitals on a stable patient,
I&O, and hygiene are within the UAP’s scope of practice. Assessment and patient teaching
must be performed by the RN and cannot be delegated.
,2. According to Patricia Benner’s stages of nursing proficiency, a nurse who has been in the
same clinical position for 2 to 3 years and begins to rely on long-range goals is at which stage?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Correct Answer: D
A competent nurse has typically been in the same setting for 2 to 3 years and can
prioritize tasks using conscious, abstract, and analytical thinking. This stage is
characterized by a focus on efficiency and organization. In contrast, a proficient nurse
views situations as wholes rather than in parts and has a more holistic understanding.
3. A nurse manager is utilizing a leadership style that encourages staff participation in
decision-making and values the input of the team. Which leadership style is being
demonstrated?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Correct Answer: D
, Democratic leadership, also known as participative leadership, involves the leader sharing
the decision-making process with group members. This style promotes autonomy and can
increase job satisfaction among staff members. It differs from autocratic leadership, where
the leader makes all decisions independently without input.
4. Which ethical principle is a nurse following when they provide all patients with the same
level of care regardless of their socioeconomic status?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity
Correct Answer: A
The principle of justice involves fairness and equality in the distribution of resources and
care. Nurses apply this principle by ensuring that care is delivered impartially to every
individual. This ensures that no patient is discriminated against based on personal
characteristics or social standing.
5. A nurse is caring for a patient who is refusing a life-saving blood transfusion due to
religious beliefs. The nurse supports the patient’s decision. Which role is the nurse assuming?
A. Manager
B. Advocate
C. Collaborator
, D. Educator
Correct Answer: B
Patient advocacy involves protecting the patient’s rights and supporting their decisions,
even if they conflict with the healthcare provider’s recommendations. In this scenario, the
nurse respects the patient’s autonomy and right to refuse treatment. Advocacy is a
fundamental component of professional nursing practice that ensures patient-centered
care.
6. A nurse is practicing clinical judgment according to Tanner’s Model. After gathering data
about a patient’s deteriorating condition, the nurse begins to make sense of the information.
Which stage of the model is this?
A. Interpreting
B. Noticing
C. Responding
D. Reflecting
Correct Answer: A
Interpreting is the process of developing a sufficient understanding of the situation to
respond appropriately. It follows ‘noticing,’ where the nurse identifies cues in the patient’s
environment. This stage involves using clinical reasoning to translate data into actionable
knowledge.
