NSG 4700 Exam 3 V2 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 3) |
Galen
1. A nurse manager is implementing a new evidence-based practice change on the unit.
According to Lewin’s Change Theory, which action occurs during the ‘unfreezing’ stage?
A. Implementing the new policy and providing training
B. Developing a sense of urgency and awareness of the need for change
C. Rewarding staff for adhering to the new workflows
D. Auditing the records to see if the change is sustained
Answer: B
Rationale: Unfreezing is the first stage where the status quo is disrupted and staff are
made aware of the necessity for change. It involves identifying the problem and creating
motivation for people to change their current behaviors. Developing a sense of urgency
helps overcome individual resistance and group conformity during this initial phase.
2. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a patient’s pain level after medication administration
B. Teaching a patient how to use an incentive spirometer
C. Assisting a stable patient with ambulation to the bathroom
D. Adjusting the flow rate of an intravenous infusion
Answer: C
Rationale: UAPs can perform routine and non-invasive tasks such as ambulating stable
patients, feeding, and hygiene. Assessment and client teaching require professional nursing
judgment and are the responsibility of the RN. Delegating tasks like IV adjustments would
be unsafe and outside the UAP’s scope of practice.
3. Which leadership style is characterized by the leader maintaining control, making all
decisions, and emphasizing high productivity?
A. Authoritarian
B. Democratic
C. Laissez-faire
D. Transformational
,Answer: A
Rationale: Authoritarian or autocratic leadership involves the leader making all decisions
without input from the staff. This style is often used in crisis situations where quick,
decisive action is necessary. It is highly efficient for productivity but can decrease staff
morale and creativity over time.
4. A nurse is using the SBAR tool to communicate with a physician. What information should
the nurse provide in the ‘A’ (Assessment) portion?
A. The current vital signs and mental status of the patient
B. The nurse’s name and the patient’s room number
C. A specific request for a medication order
D. The patient’s medical history and admission date
Answer: A
Rationale: The Assessment portion of SBAR focuses on the nurse’s clinical findings and the
current state of the patient. This includes vital signs, physical assessment data, and any
significant changes noted. Providing accurate clinical data ensures the physician can make
an informed decision regarding the next steps in care.
5. A hospital uses benchmarking to improve its cardiac care outcomes. What is the primary
purpose of benchmarking in quality improvement?
A. To punish units that do not meet the minimum safety standards
B. To increase the cost of services provided to patients
C. To reduce the number of staff required on a specific shift
D. To compare the organization’s performance against industry bests
Answer: D
Rationale: Benchmarking is a tool used to compare an organization’s performance with
that of other top-performing organizations. It helps identify gaps in performance and
provides a target for improvement. By observing ‘best practices,’ a facility can implement
strategies to enhance its own clinical outcomes.
6. Which ethical principle is violated when a nurse provides a patient’s personal information
to a family member without the patient’s consent?
A. Justice
B. Autonomy
C. Beneficence
D. Fidelity
, Answer: B
Rationale: Autonomy refers to the patient’s right to self-determination and privacy
regarding their own medical care. Sharing information without consent violates the
patient’s right to control who has access to their health record. Maintaining confidentiality
is a fundamental component of respecting patient autonomy in clinical practice.
7. A nurse manager is using the ‘competing’ conflict management style. Which statement
describes this approach?
A. Ignoring the conflict and hoping it goes away
B. Both parties giving up something to reach a middle ground
C. Working together to find a win-win solution
D. One party pursues their own goals at the expense of others
Answer: D
Rationale: The competing style is a power-oriented mode where one person wins at the
expense of the other. It is often used when quick action is needed or when an unpopular
decision must be made. While effective in emergencies, it can lead to resentment and lower
workplace morale.
8. In the context of the Nurse Practice Act, which entity is responsible for granting and
revoking nursing licenses?
A. The State Board of Nursing
B. The American Nurses Association (ANA)
C. The Joint Commission
D. The individual hospital administration
Answer: A
Rationale: The State Board of Nursing is the regulatory body that ensures nurses meet the
legal requirements to practice safely. They have the authority to issue licenses and take
disciplinary action, including revoking a license if a nurse is found to be incompetent or
unethical. The ANA and The Joint Commission are professional and accrediting
organizations, respectively, without licensing power.
9. A root cause analysis (RCA) is being performed after a medication error. What is the main
goal of an RCA?
A. To determine the underlying system failures that led to the event
B. To identify which nurse is to blame for the mistake
C. To report the incident to the local news for transparency
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 3) |
Galen
1. A nurse manager is implementing a new evidence-based practice change on the unit.
According to Lewin’s Change Theory, which action occurs during the ‘unfreezing’ stage?
A. Implementing the new policy and providing training
B. Developing a sense of urgency and awareness of the need for change
C. Rewarding staff for adhering to the new workflows
D. Auditing the records to see if the change is sustained
Answer: B
Rationale: Unfreezing is the first stage where the status quo is disrupted and staff are
made aware of the necessity for change. It involves identifying the problem and creating
motivation for people to change their current behaviors. Developing a sense of urgency
helps overcome individual resistance and group conformity during this initial phase.
2. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assessing a patient’s pain level after medication administration
B. Teaching a patient how to use an incentive spirometer
C. Assisting a stable patient with ambulation to the bathroom
D. Adjusting the flow rate of an intravenous infusion
Answer: C
Rationale: UAPs can perform routine and non-invasive tasks such as ambulating stable
patients, feeding, and hygiene. Assessment and client teaching require professional nursing
judgment and are the responsibility of the RN. Delegating tasks like IV adjustments would
be unsafe and outside the UAP’s scope of practice.
3. Which leadership style is characterized by the leader maintaining control, making all
decisions, and emphasizing high productivity?
A. Authoritarian
B. Democratic
C. Laissez-faire
D. Transformational
,Answer: A
Rationale: Authoritarian or autocratic leadership involves the leader making all decisions
without input from the staff. This style is often used in crisis situations where quick,
decisive action is necessary. It is highly efficient for productivity but can decrease staff
morale and creativity over time.
4. A nurse is using the SBAR tool to communicate with a physician. What information should
the nurse provide in the ‘A’ (Assessment) portion?
A. The current vital signs and mental status of the patient
B. The nurse’s name and the patient’s room number
C. A specific request for a medication order
D. The patient’s medical history and admission date
Answer: A
Rationale: The Assessment portion of SBAR focuses on the nurse’s clinical findings and the
current state of the patient. This includes vital signs, physical assessment data, and any
significant changes noted. Providing accurate clinical data ensures the physician can make
an informed decision regarding the next steps in care.
5. A hospital uses benchmarking to improve its cardiac care outcomes. What is the primary
purpose of benchmarking in quality improvement?
A. To punish units that do not meet the minimum safety standards
B. To increase the cost of services provided to patients
C. To reduce the number of staff required on a specific shift
D. To compare the organization’s performance against industry bests
Answer: D
Rationale: Benchmarking is a tool used to compare an organization’s performance with
that of other top-performing organizations. It helps identify gaps in performance and
provides a target for improvement. By observing ‘best practices,’ a facility can implement
strategies to enhance its own clinical outcomes.
6. Which ethical principle is violated when a nurse provides a patient’s personal information
to a family member without the patient’s consent?
A. Justice
B. Autonomy
C. Beneficence
D. Fidelity
, Answer: B
Rationale: Autonomy refers to the patient’s right to self-determination and privacy
regarding their own medical care. Sharing information without consent violates the
patient’s right to control who has access to their health record. Maintaining confidentiality
is a fundamental component of respecting patient autonomy in clinical practice.
7. A nurse manager is using the ‘competing’ conflict management style. Which statement
describes this approach?
A. Ignoring the conflict and hoping it goes away
B. Both parties giving up something to reach a middle ground
C. Working together to find a win-win solution
D. One party pursues their own goals at the expense of others
Answer: D
Rationale: The competing style is a power-oriented mode where one person wins at the
expense of the other. It is often used when quick action is needed or when an unpopular
decision must be made. While effective in emergencies, it can lead to resentment and lower
workplace morale.
8. In the context of the Nurse Practice Act, which entity is responsible for granting and
revoking nursing licenses?
A. The State Board of Nursing
B. The American Nurses Association (ANA)
C. The Joint Commission
D. The individual hospital administration
Answer: A
Rationale: The State Board of Nursing is the regulatory body that ensures nurses meet the
legal requirements to practice safely. They have the authority to issue licenses and take
disciplinary action, including revoking a license if a nurse is found to be incompetent or
unethical. The ANA and The Joint Commission are professional and accrediting
organizations, respectively, without licensing power.
9. A root cause analysis (RCA) is being performed after a medication error. What is the main
goal of an RCA?
A. To determine the underlying system failures that led to the event
B. To identify which nurse is to blame for the mistake
C. To report the incident to the local news for transparency
