NSG 4700 Exam 3 V1 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 3) | Galen
1. A nurse manager is evaluating the unit’s progress toward the goal of reducing hospital-
acquired infections. Which phase of the management process is being demonstrated?
A. Controlling
B. Organizing
C. Directing
D. Planning
Correct Answer: A
Explanation: Controlling is the phase of the management process where performance is
measured against established standards. This phase involves evaluating data to see if the
goals set in the planning phase are being met. The nurse manager uses this information to
determine if corrective actions or changes to the current process are necessary.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which tasks are appropriate for the nurse to delegate to the LPN?
(Select all that apply).
A. Administering oral medications to a stable patient
,B. Performing an admission assessment on a new patient
C. Reinforcing teaching regarding a dressing change
D. Developing a plan of care for a patient with diabetes
E. Monitoring a patient’s peripheral IV site for infiltration
F. Assisting with ADLs for a patient with mobility issues
Correct Answer: A,C,E
Explanation: LPNs are responsible for tasks that involve stable patients and routine
procedures such as medication administration and monitoring. While LPNs can reinforce
teaching already provided by the RN, they cannot initiate new teaching or perform initial
assessments. Developing the plan of care is a responsibility reserved for the RN, while
aiding with ADLs is typically delegated to the UAP.
3. A nurse manager uses a leadership style that emphasizes consensus-building and involves
the staff in decision-making. Which style is the manager displaying?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
, Explanation: Democratic leadership involves active participation from followers in the
decision-making process. This style fosters a sense of ownership and high morale among
staff because their input is valued. In contrast, autocratic leadership centralizes authority,
and laissez-faire leadership offers little to no guidance.
4. A Registered Nurse (RN) is assigning care for several patients. Which task should the RN
perform personally rather than delegating?
A. Feeding a patient who is at high risk for aspiration
B. Collecting a urine specimen from a patient with a catheter
C. Ambulation of a stable patient on day two post-surgery
D. Transporting a stable patient to the radiology department
Correct Answer: A
Explanation: The RN must perform tasks that require clinical judgment or involve a high
risk of complications, such as feeding an aspiration-prone patient. Feeding stable patients
can usually be delegated, but the potential for airway obstruction requires professional
nursing assessment. The other tasks involve stable outcomes and can typically be delegated
to a UAP.
5. A nurse is preparing to delegate a task to a UAP. Which of the following are the ‘Five Rights
of Delegation’? (Select all that apply).
A. Right Task
B. Right Circumstance
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 3) | Galen
1. A nurse manager is evaluating the unit’s progress toward the goal of reducing hospital-
acquired infections. Which phase of the management process is being demonstrated?
A. Controlling
B. Organizing
C. Directing
D. Planning
Correct Answer: A
Explanation: Controlling is the phase of the management process where performance is
measured against established standards. This phase involves evaluating data to see if the
goals set in the planning phase are being met. The nurse manager uses this information to
determine if corrective actions or changes to the current process are necessary.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN) and an Unlicensed
Assistive Personnel (UAP). Which tasks are appropriate for the nurse to delegate to the LPN?
(Select all that apply).
A. Administering oral medications to a stable patient
,B. Performing an admission assessment on a new patient
C. Reinforcing teaching regarding a dressing change
D. Developing a plan of care for a patient with diabetes
E. Monitoring a patient’s peripheral IV site for infiltration
F. Assisting with ADLs for a patient with mobility issues
Correct Answer: A,C,E
Explanation: LPNs are responsible for tasks that involve stable patients and routine
procedures such as medication administration and monitoring. While LPNs can reinforce
teaching already provided by the RN, they cannot initiate new teaching or perform initial
assessments. Developing the plan of care is a responsibility reserved for the RN, while
aiding with ADLs is typically delegated to the UAP.
3. A nurse manager uses a leadership style that emphasizes consensus-building and involves
the staff in decision-making. Which style is the manager displaying?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
, Explanation: Democratic leadership involves active participation from followers in the
decision-making process. This style fosters a sense of ownership and high morale among
staff because their input is valued. In contrast, autocratic leadership centralizes authority,
and laissez-faire leadership offers little to no guidance.
4. A Registered Nurse (RN) is assigning care for several patients. Which task should the RN
perform personally rather than delegating?
A. Feeding a patient who is at high risk for aspiration
B. Collecting a urine specimen from a patient with a catheter
C. Ambulation of a stable patient on day two post-surgery
D. Transporting a stable patient to the radiology department
Correct Answer: A
Explanation: The RN must perform tasks that require clinical judgment or involve a high
risk of complications, such as feeding an aspiration-prone patient. Feeding stable patients
can usually be delegated, but the potential for airway obstruction requires professional
nursing assessment. The other tasks involve stable outcomes and can typically be delegated
to a UAP.
5. A nurse is preparing to delegate a task to a UAP. Which of the following are the ‘Five Rights
of Delegation’? (Select all that apply).
A. Right Task
B. Right Circumstance
