NSG 4800 COMPREHENSIVE FINAL
EXAM QUESTIONS AND ANSWERS
1. A nurse manager is implementing a new evidence-based practice protocol. According to
Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Supporting staff as they integrate the new protocol into daily routines.
B. Developing a detailed timeline for the rollout of the new practice.
C. Identifying the need for change and creating urgency among staff.
D. Evaluating the outcomes of the new protocol after six months.
Answer: C
Conceptual Explanation: Unfreezing involves creating readiness for change by identifying
the problem and helping others recognize the need for a different approach.
2. Which leadership style is characterized by a leader who motivates through rewards and
punishments, focusing primarily on task completion and compliance?
A. Transformational Leadership
B. Servant Leadership
C. Transactional Leadership
D. Authentic Leadership
,Answer: C
Conceptual Explanation: Transactional leadership relies on an exchange system where
performance is linked to rewards or corrective action.
3. A nurse is caring for four patients. Which patient should the nurse prioritize first based on
the ABC framework?
A. A patient with a pain level of 9/10 following an abdominal surgery.
B. A patient with chronic COPD who has an oxygen saturation of 90% on room air.
C. A patient with a suspected deep vein thrombosis complaining of sudden shortness of
breath.
D. A patient whose IV site is showing signs of infiltration and redness.
Answer: C
Conceptual Explanation: Sudden shortness of breath suggests a pulmonary embolism,
which is a life-threatening airway/breathing emergency (B in ABCs).
4. A nurse manager is conducting a Root Cause Analysis (RCA) after a medication error. What
is the primary purpose of an RCA?
A. To identify system-level failures and prevent future occurrences.
B. To fulfill requirements for the facility’s legal defense team.
C. To assign blame to the individual responsible for the error.
D. To determine the disciplinary actions required for the staff involved.
, Answer: A
Conceptual Explanation: RCA is a retrospective process focused on identifying underlying
system flaws rather than individual blame.
5. Which ethical principle is most directly involved when a nurse ensures that a patient has
been fully informed of the risks and benefits of a procedure?
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Justice
Answer: A
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
making informed decisions about their own care.
6. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for delegation?
A. Assessing the skin integrity of a patient with a pressure injury.
B. Assisting a stable patient with ambulation for the first time post-surgery.
C. Evaluating the effectiveness of a PRN pain medication.
D. Measuring and recording intake and output for a patient on a fluid restriction.
Answer: D
EXAM QUESTIONS AND ANSWERS
1. A nurse manager is implementing a new evidence-based practice protocol. According to
Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Supporting staff as they integrate the new protocol into daily routines.
B. Developing a detailed timeline for the rollout of the new practice.
C. Identifying the need for change and creating urgency among staff.
D. Evaluating the outcomes of the new protocol after six months.
Answer: C
Conceptual Explanation: Unfreezing involves creating readiness for change by identifying
the problem and helping others recognize the need for a different approach.
2. Which leadership style is characterized by a leader who motivates through rewards and
punishments, focusing primarily on task completion and compliance?
A. Transformational Leadership
B. Servant Leadership
C. Transactional Leadership
D. Authentic Leadership
,Answer: C
Conceptual Explanation: Transactional leadership relies on an exchange system where
performance is linked to rewards or corrective action.
3. A nurse is caring for four patients. Which patient should the nurse prioritize first based on
the ABC framework?
A. A patient with a pain level of 9/10 following an abdominal surgery.
B. A patient with chronic COPD who has an oxygen saturation of 90% on room air.
C. A patient with a suspected deep vein thrombosis complaining of sudden shortness of
breath.
D. A patient whose IV site is showing signs of infiltration and redness.
Answer: C
Conceptual Explanation: Sudden shortness of breath suggests a pulmonary embolism,
which is a life-threatening airway/breathing emergency (B in ABCs).
4. A nurse manager is conducting a Root Cause Analysis (RCA) after a medication error. What
is the primary purpose of an RCA?
A. To identify system-level failures and prevent future occurrences.
B. To fulfill requirements for the facility’s legal defense team.
C. To assign blame to the individual responsible for the error.
D. To determine the disciplinary actions required for the staff involved.
, Answer: A
Conceptual Explanation: RCA is a retrospective process focused on identifying underlying
system flaws rather than individual blame.
5. Which ethical principle is most directly involved when a nurse ensures that a patient has
been fully informed of the risks and benefits of a procedure?
A. Autonomy
B. Non-maleficence
C. Beneficence
D. Justice
Answer: A
Conceptual Explanation: Autonomy refers to the patient’s right to self-determination and
making informed decisions about their own care.
6. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for delegation?
A. Assessing the skin integrity of a patient with a pressure injury.
B. Assisting a stable patient with ambulation for the first time post-surgery.
C. Evaluating the effectiveness of a PRN pain medication.
D. Measuring and recording intake and output for a patient on a fluid restriction.
Answer: D
