NSG 4800 COMPREHENSIVE FINAL
EXAM STUDY GUIDE QUESTIONS AND
ANSWERS
1. A nurse manager is evaluating a team’s performance during a crisis. The manager notes
that they remained task-oriented, issued direct commands, and made all decisions
independently to ensure safety. Which leadership style was utilized?
A. Transformational leadership
B. Laissez-faire leadership
C. Democratic leadership
D. Autocratic leadership
Answer: D
Conceptual Explanation: Autocratic leadership is characterized by the leader making all
decisions, maintaining high control, and being task-oriented, which is often necessary in
crisis situations.
2. When implementing a new electronic health record system, the nurse leader identifies
staff resistance. According to Lewin’s Change Theory, which stage involves convincing the
staff that the change is necessary?
A. Refreezing
,B. Moving
C. Unfreezing
D. Transitioning
Answer: C
Conceptual Explanation: Unfreezing is the first stage where the leader helps the group
recognize the need for change and prepares them to let go of old behaviors.
3. A nurse is assigned to care for a patient who has been diagnosed with a terminal illness.
The patient asks the nurse not to tell their family about the diagnosis. The nurse agrees,
honoring the patient’s right to make their own decisions. Which ethical principle is the nurse
practicing?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
Answer: B
Conceptual Explanation: Autonomy refers to the right of self-determination and the
ability of the patient to make their own healthcare decisions.
, 4. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the RN to delegate?
A. Initial admission assessment of a new patient
B. Administering an intravenous push medication
C. Developing a plan of care for a patient with complex needs
D. Performing a sterile dressing change on a stable wound
Answer: D
Conceptual Explanation: LPNs can perform sterile procedures and care for stable
patients. Initial assessments, IV pushes (in many jurisdictions), and care plan development
are RN responsibilities.
5. In a community health setting, a nurse is organizing a blood pressure screening event at a
local senior center. This activity represents which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in their earliest stages.
EXAM STUDY GUIDE QUESTIONS AND
ANSWERS
1. A nurse manager is evaluating a team’s performance during a crisis. The manager notes
that they remained task-oriented, issued direct commands, and made all decisions
independently to ensure safety. Which leadership style was utilized?
A. Transformational leadership
B. Laissez-faire leadership
C. Democratic leadership
D. Autocratic leadership
Answer: D
Conceptual Explanation: Autocratic leadership is characterized by the leader making all
decisions, maintaining high control, and being task-oriented, which is often necessary in
crisis situations.
2. When implementing a new electronic health record system, the nurse leader identifies
staff resistance. According to Lewin’s Change Theory, which stage involves convincing the
staff that the change is necessary?
A. Refreezing
,B. Moving
C. Unfreezing
D. Transitioning
Answer: C
Conceptual Explanation: Unfreezing is the first stage where the leader helps the group
recognize the need for change and prepares them to let go of old behaviors.
3. A nurse is assigned to care for a patient who has been diagnosed with a terminal illness.
The patient asks the nurse not to tell their family about the diagnosis. The nurse agrees,
honoring the patient’s right to make their own decisions. Which ethical principle is the nurse
practicing?
A. Justice
B. Autonomy
C. Beneficence
D. Nonmaleficence
Answer: B
Conceptual Explanation: Autonomy refers to the right of self-determination and the
ability of the patient to make their own healthcare decisions.
, 4. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which of the
following tasks is most appropriate for the RN to delegate?
A. Initial admission assessment of a new patient
B. Administering an intravenous push medication
C. Developing a plan of care for a patient with complex needs
D. Performing a sterile dressing change on a stable wound
Answer: D
Conceptual Explanation: LPNs can perform sterile procedures and care for stable
patients. Initial assessments, IV pushes (in many jurisdictions), and care plan development
are RN responsibilities.
5. In a community health setting, a nurse is organizing a blood pressure screening event at a
local senior center. This activity represents which level of prevention?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Quaternary prevention
Answer: C
Conceptual Explanation: Secondary prevention focuses on early detection and screening
to identify diseases in their earliest stages.
