NSG 4800 Final Exam V1 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Final Exam) | Galen
1. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Obtaining vital signs on a stable patient
B. Assessing a patient’s surgical incision site
C. Providing discharge instructions to a new mother
D. Administering a PRN oral analgesic
Correct Answer: A
Delegation to UAP must be limited to non-invasive tasks that do not require clinical
judgment or assessment. Obtaining vital signs on a stable patient is a standard task within
the UAP scope of practice. Assessment, teaching, and medication administration are
responsibilities of the licensed nurse and cannot be delegated.
2. A nurse manager is utilizing transformational leadership. Which characteristics are
associated with this leadership style? (Select All That Apply)
A. Inspiring others with a shared vision
B. Providing intellectual stimulation
,C. Individualized consideration for staff
D. Focusing on a system of rewards and punishments
E. Maintaining the status quo
Correct Answer: A, B, C
Transformational leadership focuses on inspiring and motivating followers to achieve
extraordinary outcomes. Characteristics include charisma, intellectual stimulation, and
individualized consideration for employees. Focusing on rewards and punishments is
characteristic of transactional leadership, not transformational leadership.
3. Which ethical principle is defined as the nurse’s obligation to do no harm to the patient?
A. Nonmaleficence
B. Justice
C. Beneficence
D. Autonomy
Correct Answer: A
Nonmaleficence is the ethical requirement to prevent harm and ensure the safety of the
patient during care. Beneficence refers to doing good for the patient, while autonomy
relates to the patient’s right to self-determination. Justice refers to the fair and equitable
distribution of resources.
, 4. A nurse is caring for four patients. Using the prioritization framework, which patient should
the nurse assess first?
A. A patient who needs a dressing change for a stage II pressure ulcer
B. A patient requesting pain medication for chronic back pain
C. A patient scheduled for physical therapy in 30 minutes
D. A patient with a new onset of shortness of breath and oxygen saturation of 88%
Correct Answer: D
The nurse should use the ABC (Airway, Breathing, Circulation) framework to prioritize
patient care. Shortness of breath and low oxygen saturation indicate a respiratory
emergency that requires immediate intervention. The other patients are stable and their
needs can be addressed after the emergency is resolved.
5. A hospital is working toward achieving Magnet status. Which component is one of the five
model components of the Magnet Recognition Program?
A. Centralized decision-making
B. Cost-containment mandates
C. Structural Empowerment
D. Physician-led quality councils
Correct Answer: C
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Final Exam) | Galen
1. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Obtaining vital signs on a stable patient
B. Assessing a patient’s surgical incision site
C. Providing discharge instructions to a new mother
D. Administering a PRN oral analgesic
Correct Answer: A
Delegation to UAP must be limited to non-invasive tasks that do not require clinical
judgment or assessment. Obtaining vital signs on a stable patient is a standard task within
the UAP scope of practice. Assessment, teaching, and medication administration are
responsibilities of the licensed nurse and cannot be delegated.
2. A nurse manager is utilizing transformational leadership. Which characteristics are
associated with this leadership style? (Select All That Apply)
A. Inspiring others with a shared vision
B. Providing intellectual stimulation
,C. Individualized consideration for staff
D. Focusing on a system of rewards and punishments
E. Maintaining the status quo
Correct Answer: A, B, C
Transformational leadership focuses on inspiring and motivating followers to achieve
extraordinary outcomes. Characteristics include charisma, intellectual stimulation, and
individualized consideration for employees. Focusing on rewards and punishments is
characteristic of transactional leadership, not transformational leadership.
3. Which ethical principle is defined as the nurse’s obligation to do no harm to the patient?
A. Nonmaleficence
B. Justice
C. Beneficence
D. Autonomy
Correct Answer: A
Nonmaleficence is the ethical requirement to prevent harm and ensure the safety of the
patient during care. Beneficence refers to doing good for the patient, while autonomy
relates to the patient’s right to self-determination. Justice refers to the fair and equitable
distribution of resources.
, 4. A nurse is caring for four patients. Using the prioritization framework, which patient should
the nurse assess first?
A. A patient who needs a dressing change for a stage II pressure ulcer
B. A patient requesting pain medication for chronic back pain
C. A patient scheduled for physical therapy in 30 minutes
D. A patient with a new onset of shortness of breath and oxygen saturation of 88%
Correct Answer: D
The nurse should use the ABC (Airway, Breathing, Circulation) framework to prioritize
patient care. Shortness of breath and low oxygen saturation indicate a respiratory
emergency that requires immediate intervention. The other patients are stable and their
needs can be addressed after the emergency is resolved.
5. A hospital is working toward achieving Magnet status. Which component is one of the five
model components of the Magnet Recognition Program?
A. Centralized decision-making
B. Cost-containment mandates
C. Structural Empowerment
D. Physician-led quality councils
Correct Answer: C
