NSG 4700 Exam 1 V2 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 1) |
Galen
1. A nurse manager is evaluating the efficiency of the unit’s workflow. Which function of
management is the nurse manager primarily performing?
A. Planning
B. Organizing
C. Controlling
D. Directing
Answer: C
Rationale: Controlling involves the evaluation of staff performance and unit goals to
ensure outcomes are met. This process includes checking if the actual results match the
planned objectives. The manager must analyze data and make corrections to improve
overall efficiency.
2. A nurse is leading a team meeting and encourages all members to provide input on a new
scheduling policy. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Answer: B
Rationale: The democratic leadership style focuses on group members’ participation in
decision-making. It fosters a sense of ownership and increases staff satisfaction through
collaboration. This style is highly effective when group cooperation is necessary for
success.
3. A nurse leader is described as transformational. Which behavior is most characteristic of
this leadership style?
A. Focusing on immediate problems and day-to-day tasks
B. Empowering followers to achieve a shared vision
C. Using rewards and punishments to motivate staff
D. Maintaining the status quo without seeking change
,Answer: B
Rationale: Transformational leaders inspire and motivate their staff to exceed
expectations by focusing on a higher purpose. They build trust and foster an environment
where innovation and personal growth are encouraged. Unlike transactional leaders, they
look beyond simple task completion to long-term organizational change.
4. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate
for delegation?
A. Evaluating a patient’s response to pain medication
B. Performing an initial admission assessment
C. Developing a plan of care for a new diabetic patient
D. Measuring and recording intake and output
Answer: D
Rationale: Measuring and recording intake and output (I&O) is a routine, non-invasive
task that does not require nursing judgment. Assessment, evaluation, and care planning are
all responsibilities of the registered nurse (RN) and cannot be delegated. The RN remains
accountable for the accuracy of the delegated task’s results.
5. Which of the following is an example of an ethical dilemma involving the principle of
‘Autonomy’?
A. Allocating limited resources to the most critically ill patients
B. A patient refusing a life-saving blood transfusion due to religious beliefs
C. Ensuring a patient receives all information to make an informed decision
D. Treating a patient without their consent in an emergency
Answer: B
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare. In this scenario, the patient’s choice conflicts with the medical
necessity, creating a dilemma for the provider. The nurse must respect the patient’s
decision while ensuring they are fully informed of the consequences.
6. A nurse manager is using Lewin’s Change Theory to implement a new charting system.
During which stage does the manager create awareness of the need for change?
A. Moving
B. Unfreezing
C. Refreezing
D. Stabilizing
, Answer: B
Rationale: Unfreezing is the first stage where the need for change is identified and staff are
prepared for the transition. This stage involves breaking down the status quo and
overcoming resistance to change. Effective communication is vital during unfreezing to
gain support from stakeholders.
7. A nurse is caring for four patients and needs to prioritize their care. Which patient should
the nurse see first?
A. A patient who is short of breath and has an oxygen saturation of 88%
B. A patient who had a colonoscopy 2 hours ago and is now drowsy
C. A patient with a blood pressure of 110/70 and a heart rate of 80
D. A patient with a pain level of 8/10 requesting medication
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
respiratory distress is the highest priority. Shortness of breath and low oxygen saturation
indicate a critical threat to the patient’s physiological stability. The other patients, while
requiring care, do not present an immediate life-threatening situation.
8. A nurse is working in a facility that uses ‘Shared Governance’. What is the primary focus of
this model?
A. Giving full authority to the Chief Nursing Officer
B. Reducing the number of registered nurses to save costs
C. Empowering bedside nurses to participate in decision-making
D. Implementing a strict top-down management approach
Answer: C
Rationale: Shared governance is an organizational structure that allows staff nurses to
have a voice in clinical practice and administrative decisions. This model improves nurse
satisfaction, autonomy, and patient outcomes by valuing the expertise of those at the
bedside. It shifts the traditional hierarchy to a more collaborative, professional framework.
9. The nurse manager is dealing with a conflict between two staff members who disagree on
patient assignments. The manager decides to use ‘Compromising’ as a resolution strategy.
Which action does this involve?
A. Both nurses give up something to reach a middle ground
B. One nurse gives in to the other’s demands completely
C. Ignoring the conflict until it goes away
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 1) |
Galen
1. A nurse manager is evaluating the efficiency of the unit’s workflow. Which function of
management is the nurse manager primarily performing?
A. Planning
B. Organizing
C. Controlling
D. Directing
Answer: C
Rationale: Controlling involves the evaluation of staff performance and unit goals to
ensure outcomes are met. This process includes checking if the actual results match the
planned objectives. The manager must analyze data and make corrections to improve
overall efficiency.
2. A nurse is leading a team meeting and encourages all members to provide input on a new
scheduling policy. Which leadership style is being demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Answer: B
Rationale: The democratic leadership style focuses on group members’ participation in
decision-making. It fosters a sense of ownership and increases staff satisfaction through
collaboration. This style is highly effective when group cooperation is necessary for
success.
3. A nurse leader is described as transformational. Which behavior is most characteristic of
this leadership style?
A. Focusing on immediate problems and day-to-day tasks
B. Empowering followers to achieve a shared vision
C. Using rewards and punishments to motivate staff
D. Maintaining the status quo without seeking change
,Answer: B
Rationale: Transformational leaders inspire and motivate their staff to exceed
expectations by focusing on a higher purpose. They build trust and foster an environment
where innovation and personal growth are encouraged. Unlike transactional leaders, they
look beyond simple task completion to long-term organizational change.
4. A charge nurse is delegating tasks to an Assistive Personnel (AP). Which task is appropriate
for delegation?
A. Evaluating a patient’s response to pain medication
B. Performing an initial admission assessment
C. Developing a plan of care for a new diabetic patient
D. Measuring and recording intake and output
Answer: D
Rationale: Measuring and recording intake and output (I&O) is a routine, non-invasive
task that does not require nursing judgment. Assessment, evaluation, and care planning are
all responsibilities of the registered nurse (RN) and cannot be delegated. The RN remains
accountable for the accuracy of the delegated task’s results.
5. Which of the following is an example of an ethical dilemma involving the principle of
‘Autonomy’?
A. Allocating limited resources to the most critically ill patients
B. A patient refusing a life-saving blood transfusion due to religious beliefs
C. Ensuring a patient receives all information to make an informed decision
D. Treating a patient without their consent in an emergency
Answer: B
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare. In this scenario, the patient’s choice conflicts with the medical
necessity, creating a dilemma for the provider. The nurse must respect the patient’s
decision while ensuring they are fully informed of the consequences.
6. A nurse manager is using Lewin’s Change Theory to implement a new charting system.
During which stage does the manager create awareness of the need for change?
A. Moving
B. Unfreezing
C. Refreezing
D. Stabilizing
, Answer: B
Rationale: Unfreezing is the first stage where the need for change is identified and staff are
prepared for the transition. This stage involves breaking down the status quo and
overcoming resistance to change. Effective communication is vital during unfreezing to
gain support from stakeholders.
7. A nurse is caring for four patients and needs to prioritize their care. Which patient should
the nurse see first?
A. A patient who is short of breath and has an oxygen saturation of 88%
B. A patient who had a colonoscopy 2 hours ago and is now drowsy
C. A patient with a blood pressure of 110/70 and a heart rate of 80
D. A patient with a pain level of 8/10 requesting medication
Answer: A
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
respiratory distress is the highest priority. Shortness of breath and low oxygen saturation
indicate a critical threat to the patient’s physiological stability. The other patients, while
requiring care, do not present an immediate life-threatening situation.
8. A nurse is working in a facility that uses ‘Shared Governance’. What is the primary focus of
this model?
A. Giving full authority to the Chief Nursing Officer
B. Reducing the number of registered nurses to save costs
C. Empowering bedside nurses to participate in decision-making
D. Implementing a strict top-down management approach
Answer: C
Rationale: Shared governance is an organizational structure that allows staff nurses to
have a voice in clinical practice and administrative decisions. This model improves nurse
satisfaction, autonomy, and patient outcomes by valuing the expertise of those at the
bedside. It shifts the traditional hierarchy to a more collaborative, professional framework.
9. The nurse manager is dealing with a conflict between two staff members who disagree on
patient assignments. The manager decides to use ‘Compromising’ as a resolution strategy.
Which action does this involve?
A. Both nurses give up something to reach a middle ground
B. One nurse gives in to the other’s demands completely
C. Ignoring the conflict until it goes away
