NSG 4800 Exam 1 V3 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 1) | Galen
1. A nurse manager encourages staff to participate in decision-making and values the input of
every team member during staff meetings. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
The democratic leadership style focuses on group participation and collaborative
decision-making. This style fosters a sense of ownership among staff and typically leads to
higher job satisfaction. While it may take longer to reach a decision, the resulting outcomes
are often more sustainable and supported by the team.
2. A professional nurse is developing their professional identity. Which of the following
components are essential to the development of this identity? (Select all that apply)
A. Clinical judgment and competence
B. Ethical behavior and integrity
,C. Accountability for actions
D. Professional advocacy
E. Strict adherence to personal biases
F. Avoidance of interdisciplinary conflict
Correct Answer: A, B, C, D
Professional identity in nursing encompasses the values, perspectives, and skills that
define the nursing role. Essential components include maintaining high ethical standards,
demonstrating clinical expertise, and accepting full accountability for patient outcomes.
Advocacy for patients and the profession is also a hallmark of a mature professional
identity.
3. A Registered Nurse (RN) is planning the day’s tasks. Which task is most appropriate to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication administered an hour ago
B. Teaching a patient how to use an incentive spirometer
C. Measuring and recording output from a urinary catheter bag
D. Performing an admission skin assessment
Correct Answer: C
Delegation to UAP should involve tasks that are repetitive, non-invasive, and do not
require clinical judgment. Measuring intake and output is a technical skill that falls within
, the UAP’s scope of practice. Assessment, teaching, and evaluation are core nursing
functions that cannot be delegated to unlicensed staff.
4. Which ethical principle is the nurse practicing when they ensure that a patient has all the
information necessary to make an informed decision regarding their surgical procedure?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Correct Answer: B
Autonomy refers to the right of patients to make their own decisions about their medical
care without influence from healthcare providers. By providing all necessary information,
the nurse facilitates the patient’s ability to exercise self-determination. This principle is the
foundation of the informed consent process in clinical practice.
5. A nurse manager is addressing a conflict between two nurses regarding the holiday
schedule. The manager decides to use a ‘Compromising’ strategy. Which action describes this
approach?
A. Asking both nurses to give up a preferred shift to reach a middle ground
B. Demanding that both nurses follow the original schedule without discussion
C. Ignoring the issue and hoping it resolves itself
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 1) | Galen
1. A nurse manager encourages staff to participate in decision-making and values the input of
every team member during staff meetings. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Transactional
Correct Answer: B
The democratic leadership style focuses on group participation and collaborative
decision-making. This style fosters a sense of ownership among staff and typically leads to
higher job satisfaction. While it may take longer to reach a decision, the resulting outcomes
are often more sustainable and supported by the team.
2. A professional nurse is developing their professional identity. Which of the following
components are essential to the development of this identity? (Select all that apply)
A. Clinical judgment and competence
B. Ethical behavior and integrity
,C. Accountability for actions
D. Professional advocacy
E. Strict adherence to personal biases
F. Avoidance of interdisciplinary conflict
Correct Answer: A, B, C, D
Professional identity in nursing encompasses the values, perspectives, and skills that
define the nursing role. Essential components include maintaining high ethical standards,
demonstrating clinical expertise, and accepting full accountability for patient outcomes.
Advocacy for patients and the profession is also a hallmark of a mature professional
identity.
3. A Registered Nurse (RN) is planning the day’s tasks. Which task is most appropriate to
delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating the effectiveness of pain medication administered an hour ago
B. Teaching a patient how to use an incentive spirometer
C. Measuring and recording output from a urinary catheter bag
D. Performing an admission skin assessment
Correct Answer: C
Delegation to UAP should involve tasks that are repetitive, non-invasive, and do not
require clinical judgment. Measuring intake and output is a technical skill that falls within
, the UAP’s scope of practice. Assessment, teaching, and evaluation are core nursing
functions that cannot be delegated to unlicensed staff.
4. Which ethical principle is the nurse practicing when they ensure that a patient has all the
information necessary to make an informed decision regarding their surgical procedure?
A. Beneficence
B. Autonomy
C. Justice
D. Non-maleficence
Correct Answer: B
Autonomy refers to the right of patients to make their own decisions about their medical
care without influence from healthcare providers. By providing all necessary information,
the nurse facilitates the patient’s ability to exercise self-determination. This principle is the
foundation of the informed consent process in clinical practice.
5. A nurse manager is addressing a conflict between two nurses regarding the holiday
schedule. The manager decides to use a ‘Compromising’ strategy. Which action describes this
approach?
A. Asking both nurses to give up a preferred shift to reach a middle ground
B. Demanding that both nurses follow the original schedule without discussion
C. Ignoring the issue and hoping it resolves itself