NSG 3850 EXAM 5 - NURSING
LEADERSHIP AND MANAGEMENT.
GALEN COLLEGE OF NURSING (U.S.) |
COMPLETE VERIFIED ANSWERS
2026/2027
1. A nurse manager is evaluating a newly licensed nurse’s understanding of the Five Rights of
Delegation. Which statement by the new nurse indicates a need for further teaching?
A. I will ensure the task matches the staff member’s skill level and job description.
B. I will provide clear directions and specific timeframes for task completion.
C. I will monitor the task and provide feedback to the staff member after completion.
D. I will delegate the assessment of a patient who just returned from a cardiac
catheterization to a licensed practical nurse (LPN).
Answer: D
Conceptual Explanation: Assessment of an unstable post-procedure patient requires the
specialized knowledge and judgment of an RN and cannot be delegated to an LPN or UAP.
The other options correctly reflect the rights of delegation (Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation).
,2. A nurse is caring for four patients on a medical-surgical unit. Which patient should the
nurse assess first?
A. A patient with a history of heart failure who has 2+ pitting edema in the lower
extremities.
B. A patient with a deep vein thrombosis (DVT) who reports sudden onset of shortness of
breath and chest pain.
C. A patient with chronic obstructive pulmonary disease (COPD) who has an oxygen
saturation of 90% on 2L of oxygen.
D. A patient who is 12 hours postoperative following an abdominal surgery and reports a
pain level of 6/10.
Answer: B
Conceptual Explanation: Sudden shortness of breath and chest pain in a patient with a
DVT are signs of a pulmonary embolism, which is a life-threatening emergency. Using the
ABC (Airway, Breathing, Circulation) framework, this patient is the highest priority.
3. When applying the principle of justice, which action should the nurse manager take?
A. Allow staff to choose their own holiday shifts regardless of unit needs.
B. Respect a patient’s decision to refuse a life-saving blood transfusion.
C. Keep a promise made to a staff member about a requested day off even if the unit is
short-staffed.
, D. Ensure that staffing resources are distributed fairly across all shifts based on patient
acuity.
Answer: D
Conceptual Explanation: Justice in nursing ethics refers to fairness and the equitable
distribution of resources. Ensuring fair staffing based on patient needs is an application of
justice.
4. A nurse is using the SBAR communication tool to report a change in a patient’s condition to
a healthcare provider. Which information should the nurse include in the ‘A’ (Assessment)
portion of the report?
A. The patient’s name and room number.
B. The nurse’s suggestion for a specific laboratory test.
C. The patient’s medical history and reason for admission.
D. The patient’s vital signs and current clinical manifestations.
Answer: D
Conceptual Explanation: In SBAR, ‘A’ stands for Assessment, where the nurse provides
the current clinical findings and vital signs. ‘S’ is Situation, ‘B’ is Background, and ‘R’ is
Recommendation.
5. A massive casualty incident has occurred in the community. According to the disaster triage
system, which patient should be assigned a ‘Red’ tag?
A. A patient with a closed fracture of the right tibia who is in moderate pain.
LEADERSHIP AND MANAGEMENT.
GALEN COLLEGE OF NURSING (U.S.) |
COMPLETE VERIFIED ANSWERS
2026/2027
1. A nurse manager is evaluating a newly licensed nurse’s understanding of the Five Rights of
Delegation. Which statement by the new nurse indicates a need for further teaching?
A. I will ensure the task matches the staff member’s skill level and job description.
B. I will provide clear directions and specific timeframes for task completion.
C. I will monitor the task and provide feedback to the staff member after completion.
D. I will delegate the assessment of a patient who just returned from a cardiac
catheterization to a licensed practical nurse (LPN).
Answer: D
Conceptual Explanation: Assessment of an unstable post-procedure patient requires the
specialized knowledge and judgment of an RN and cannot be delegated to an LPN or UAP.
The other options correctly reflect the rights of delegation (Right Task, Right Circumstance,
Right Person, Right Direction/Communication, and Right Supervision/Evaluation).
,2. A nurse is caring for four patients on a medical-surgical unit. Which patient should the
nurse assess first?
A. A patient with a history of heart failure who has 2+ pitting edema in the lower
extremities.
B. A patient with a deep vein thrombosis (DVT) who reports sudden onset of shortness of
breath and chest pain.
C. A patient with chronic obstructive pulmonary disease (COPD) who has an oxygen
saturation of 90% on 2L of oxygen.
D. A patient who is 12 hours postoperative following an abdominal surgery and reports a
pain level of 6/10.
Answer: B
Conceptual Explanation: Sudden shortness of breath and chest pain in a patient with a
DVT are signs of a pulmonary embolism, which is a life-threatening emergency. Using the
ABC (Airway, Breathing, Circulation) framework, this patient is the highest priority.
3. When applying the principle of justice, which action should the nurse manager take?
A. Allow staff to choose their own holiday shifts regardless of unit needs.
B. Respect a patient’s decision to refuse a life-saving blood transfusion.
C. Keep a promise made to a staff member about a requested day off even if the unit is
short-staffed.
, D. Ensure that staffing resources are distributed fairly across all shifts based on patient
acuity.
Answer: D
Conceptual Explanation: Justice in nursing ethics refers to fairness and the equitable
distribution of resources. Ensuring fair staffing based on patient needs is an application of
justice.
4. A nurse is using the SBAR communication tool to report a change in a patient’s condition to
a healthcare provider. Which information should the nurse include in the ‘A’ (Assessment)
portion of the report?
A. The patient’s name and room number.
B. The nurse’s suggestion for a specific laboratory test.
C. The patient’s medical history and reason for admission.
D. The patient’s vital signs and current clinical manifestations.
Answer: D
Conceptual Explanation: In SBAR, ‘A’ stands for Assessment, where the nurse provides
the current clinical findings and vital signs. ‘S’ is Situation, ‘B’ is Background, and ‘R’ is
Recommendation.
5. A massive casualty incident has occurred in the community. According to the disaster triage
system, which patient should be assigned a ‘Red’ tag?
A. A patient with a closed fracture of the right tibia who is in moderate pain.
