NSG 4700 Exam 2 V1 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 2) | Galen
1. A nurse manager is planning a staff meeting to discuss the implementation of a new
evidence-based protocol. According to Lewin’s Change Theory, which action represents the
‘unfreezing’ stage?
A. Implementing the new protocol on a pilot unit.
B. Providing positive feedback to staff using the new protocol.
C. Creating a sense of urgency and awareness for the need for change.
D. Incorporating the new protocol into the facility’s policy manual.
Correct Answer: C
Explanation: The unfreezing stage involves identifying the need for change and preparing
the members of the organization for that change. It often requires the manager to challenge
the status quo and create motivation for a different approach. By creating awareness and
urgency, the manager helps staff realize that the current method is no longer optimal.
2. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which tasks
are appropriate for the nurse to delegate to the UAP? (Select All That Apply)
A. Assisting a stable patient with a bed bath.
,B. Measuring and recording intake and output.
C. Providing discharge instructions to a patient going home.
D. Performing a sterile dressing change on a post-operative wound.
E. Obtaining vital signs on a patient who just returned from surgery.
F. Assisting a patient with ambulation in the hallway.
Correct Answer: A, B, F
Explanation: The RN must delegate tasks based on the five rights of delegation, which
include the right task and right person. UAPs are trained to perform non-invasive, routine
tasks such as ADLs, stable ambulation, and data collection like intake and output. Tasks
involving assessment, teaching, or sterile procedures must remain the responsibility of the
licensed nurse.
3. A nurse manager is dealing with a conflict between two nurses regarding the holiday
schedule. One nurse agrees to work Christmas if the other nurse agrees to work New Year’s
Eve. Which conflict management strategy is being utilized?
A. Avoiding
B. Competing
C. Compromising
D. Smoothing
Correct Answer: C
,Explanation: Compromising involves a ‘give and take’ approach where both parties give
up something of value to reach a solution. In this scenario, both nurses are making
concessions to ensure the schedule is covered. This strategy is often used when both sides
have equal power or when a quick middle-ground solution is needed.
4. The nurse is prioritizing care for a group of patients at the beginning of the shift. Which
patient should the nurse assess first?
A. A patient with a history of hypertension requesting a PRN headache medication.
B. A patient with asthma who is complaining of shortness of breath and has an oxygen
saturation of 88%.
C. A patient who is 2 days post-operative and reports pain as 6 on a scale of 0 to 10.
D. A patient with diabetes who needs their morning fasting blood glucose checked.
Correct Answer: B
Explanation: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The patient with asthma and low oxygen saturation is experiencing a
respiratory emergency that requires immediate intervention. Other patients, while
requiring care, do not present with an immediate life-threatening condition.
5. A nurse is reviewing the hospital’s budget and notices a large expense for a new MRI
machine. In which part of the budget would this purchase be found?
A. Operating budget
B. Personnel budget
, C. Cash budget
D. Capital budget
Correct Answer: D
Explanation: The capital budget is used for long-term investments and the purchase of
expensive equipment that has a lifespan of more than one year. Items like MRI machines,
beds, or major renovations fall under this category. This is distinct from the operating
budget, which covers day-to-day expenses such as supplies and utilities.
6. Which ethical principle is the nurse demonstrating when they ensure that a patient has
signed an informed consent form before a procedure?
A. Nonmaleficence
B. Beneficence
C. Justice
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of the individual to make their own decisions
regarding their healthcare. By ensuring informed consent, the nurse respects the patient’s
right to choose or refuse treatment based on adequate information. This principle is
foundational to patient-centered care and legal nursing practice.
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 2) | Galen
1. A nurse manager is planning a staff meeting to discuss the implementation of a new
evidence-based protocol. According to Lewin’s Change Theory, which action represents the
‘unfreezing’ stage?
A. Implementing the new protocol on a pilot unit.
B. Providing positive feedback to staff using the new protocol.
C. Creating a sense of urgency and awareness for the need for change.
D. Incorporating the new protocol into the facility’s policy manual.
Correct Answer: C
Explanation: The unfreezing stage involves identifying the need for change and preparing
the members of the organization for that change. It often requires the manager to challenge
the status quo and create motivation for a different approach. By creating awareness and
urgency, the manager helps staff realize that the current method is no longer optimal.
2. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which tasks
are appropriate for the nurse to delegate to the UAP? (Select All That Apply)
A. Assisting a stable patient with a bed bath.
,B. Measuring and recording intake and output.
C. Providing discharge instructions to a patient going home.
D. Performing a sterile dressing change on a post-operative wound.
E. Obtaining vital signs on a patient who just returned from surgery.
F. Assisting a patient with ambulation in the hallway.
Correct Answer: A, B, F
Explanation: The RN must delegate tasks based on the five rights of delegation, which
include the right task and right person. UAPs are trained to perform non-invasive, routine
tasks such as ADLs, stable ambulation, and data collection like intake and output. Tasks
involving assessment, teaching, or sterile procedures must remain the responsibility of the
licensed nurse.
3. A nurse manager is dealing with a conflict between two nurses regarding the holiday
schedule. One nurse agrees to work Christmas if the other nurse agrees to work New Year’s
Eve. Which conflict management strategy is being utilized?
A. Avoiding
B. Competing
C. Compromising
D. Smoothing
Correct Answer: C
,Explanation: Compromising involves a ‘give and take’ approach where both parties give
up something of value to reach a solution. In this scenario, both nurses are making
concessions to ensure the schedule is covered. This strategy is often used when both sides
have equal power or when a quick middle-ground solution is needed.
4. The nurse is prioritizing care for a group of patients at the beginning of the shift. Which
patient should the nurse assess first?
A. A patient with a history of hypertension requesting a PRN headache medication.
B. A patient with asthma who is complaining of shortness of breath and has an oxygen
saturation of 88%.
C. A patient who is 2 days post-operative and reports pain as 6 on a scale of 0 to 10.
D. A patient with diabetes who needs their morning fasting blood glucose checked.
Correct Answer: B
Explanation: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The patient with asthma and low oxygen saturation is experiencing a
respiratory emergency that requires immediate intervention. Other patients, while
requiring care, do not present with an immediate life-threatening condition.
5. A nurse is reviewing the hospital’s budget and notices a large expense for a new MRI
machine. In which part of the budget would this purchase be found?
A. Operating budget
B. Personnel budget
, C. Cash budget
D. Capital budget
Correct Answer: D
Explanation: The capital budget is used for long-term investments and the purchase of
expensive equipment that has a lifespan of more than one year. Items like MRI machines,
beds, or major renovations fall under this category. This is distinct from the operating
budget, which covers day-to-day expenses such as supplies and utilities.
6. Which ethical principle is the nurse demonstrating when they ensure that a patient has
signed an informed consent form before a procedure?
A. Nonmaleficence
B. Beneficence
C. Justice
D. Autonomy
Correct Answer: D
Explanation: Autonomy refers to the right of the individual to make their own decisions
regarding their healthcare. By ensuring informed consent, the nurse respects the patient’s
right to choose or refuse treatment based on adequate information. This principle is
foundational to patient-centered care and legal nursing practice.
