NSG 4700 Exam 2 V1 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 2) |
Galen
1. A nurse manager is utilizing transformational leadership. Which action best demonstrates
this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Using rewards and punishments to motivate staff members.
C. Maintaining a hands-off approach and letting the team make all decisions.
D. Empowering the team to share a vision and reach their full potential.
Answer: D
Rationale: Transformational leadership involves inspiring and motivating followers to
achieve extraordinary outcomes. This style focuses on building relationships and
encouraging staff development to improve the overall organizational culture. It differs from
transactional leadership, which is more focused on exchanges and monitoring performance
through rewards.
2. When preparing the annual budget, a nurse manager identifies that the unit needs a new
specialized telemetry monitoring system costing $15,000. Which budget category does this
belong to?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Answer: C
Rationale: The capital budget is used for high-cost items that have a long useful life,
typically more than one year. These items usually exceed a specific monetary threshold set
by the facility, such as $1,000 or $5,000. Equipment like telemetry systems or MRI
machines are classic examples of capital expenditures.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate?
A. Evaluating a patient’s response to pain medication.
B. Performing a sterile dressing change on a post-operative wound.
C. Collecting a clean-catch urine specimen from a stable patient.
,D. Teaching a patient how to use an incentive spirometer.
Answer: C
Rationale: Delegation to a UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Collecting a urine specimen from a stable patient is a
standard technical procedure within their scope. The RN must always assess the patient’s
stability before delegating any task to assistive personnel.
4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. The change is integrated into the organization’s culture.
B. Resistant staff members are identified and disciplined.
C. New behaviors and processes are implemented throughout the unit.
D. Individuals become aware of the need for change and readiness is built.
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the status quo is
challenged. It involves creating awareness that the current method of operation is no
longer effective. This stage is crucial for reducing resistance and preparing the team for the
upcoming transition.
5. A nurse manager is dealing with a conflict between two staff members regarding
scheduling. The manager suggests that they both give up something to reach a middle-ground
solution. Which conflict resolution strategy is being used?
A. Collaborating
B. Avoiding
C. Compromising
D. Competing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
mutually acceptable agreement. While it resolves the conflict quickly, it may result in a
‘lose-lose’ situation where neither party is fully satisfied. This is often used when a quick
solution is needed for a complex issue.
6. Which ethical principle is demonstrated when a nurse manager ensures that all staff
members are treated fairly and resources are distributed equally?
A. Autonomy
B. Beneficence
C. Nonmaleficence
, D. Justice
Answer: D
Rationale: Justice refers to the principle of fairness and equality in the distribution of
benefits and burdens. In nursing management, this includes fair scheduling and equitable
access to professional development. It ensures that no single group is unfairly privileged or
disadvantaged within the workplace.
7. A hospital is seeking Magnet status. Which characteristic is a key component of the Magnet
Recognition Program?
A. Strict centralized decision-making by top administrators.
B. Minimal involvement of staff nurses in clinical committees.
C. A primary focus on reducing operational costs above all else.
D. Nursing excellence and innovations in professional nursing practice.
Answer: D
Rationale: Magnet status recognizes healthcare organizations that provide the highest
quality of nursing care and professional practice. It emphasizes transformational
leadership, structural empowerment, and exemplary professional practice. Organizations
must demonstrate that nurses are involved in decision-making and that patient outcomes
are superior.
8. During a quality improvement project, the team identifies a ‘sentinel event.’ What is the
definition of a sentinel event?
A. An expected side effect of a high-risk medication.
B. A minor error that did not reach the patient.
C. A routine incident report regarding a patient fall without injury.
D. An unexpected occurrence involving death or serious physical or psychological injury.
Answer: D
Rationale: A sentinel event is a serious safety event that results in death, permanent harm,
or severe temporary harm. These events require immediate investigation and a root cause
analysis to prevent recurrence. The term ‘sentinel’ is used because they signal the need for
immediate investigation and response.
9. A nurse is using the SBAR tool to communicate with a physician. Which information
belongs in the ‘B’ (Background) section?
A. ‘I am calling because the patient’s blood pressure has dropped to 80/40.’
B. ‘I think the patient needs a fluid bolus immediately.’
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 2) |
Galen
1. A nurse manager is utilizing transformational leadership. Which action best demonstrates
this leadership style?
A. Focusing on day-to-day operations and task completion.
B. Using rewards and punishments to motivate staff members.
C. Maintaining a hands-off approach and letting the team make all decisions.
D. Empowering the team to share a vision and reach their full potential.
Answer: D
Rationale: Transformational leadership involves inspiring and motivating followers to
achieve extraordinary outcomes. This style focuses on building relationships and
encouraging staff development to improve the overall organizational culture. It differs from
transactional leadership, which is more focused on exchanges and monitoring performance
through rewards.
2. When preparing the annual budget, a nurse manager identifies that the unit needs a new
specialized telemetry monitoring system costing $15,000. Which budget category does this
belong to?
A. Operating budget
B. Personnel budget
C. Capital budget
D. Cash budget
Answer: C
Rationale: The capital budget is used for high-cost items that have a long useful life,
typically more than one year. These items usually exceed a specific monetary threshold set
by the facility, such as $1,000 or $5,000. Equipment like telemetry systems or MRI
machines are classic examples of capital expenditures.
3. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is most
appropriate to delegate?
A. Evaluating a patient’s response to pain medication.
B. Performing a sterile dressing change on a post-operative wound.
C. Collecting a clean-catch urine specimen from a stable patient.
,D. Teaching a patient how to use an incentive spirometer.
Answer: C
Rationale: Delegation to a UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment. Collecting a urine specimen from a stable patient is a
standard technical procedure within their scope. The RN must always assess the patient’s
stability before delegating any task to assistive personnel.
4. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. The change is integrated into the organization’s culture.
B. Resistant staff members are identified and disciplined.
C. New behaviors and processes are implemented throughout the unit.
D. Individuals become aware of the need for change and readiness is built.
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the status quo is
challenged. It involves creating awareness that the current method of operation is no
longer effective. This stage is crucial for reducing resistance and preparing the team for the
upcoming transition.
5. A nurse manager is dealing with a conflict between two staff members regarding
scheduling. The manager suggests that they both give up something to reach a middle-ground
solution. Which conflict resolution strategy is being used?
A. Collaborating
B. Avoiding
C. Compromising
D. Competing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
mutually acceptable agreement. While it resolves the conflict quickly, it may result in a
‘lose-lose’ situation where neither party is fully satisfied. This is often used when a quick
solution is needed for a complex issue.
6. Which ethical principle is demonstrated when a nurse manager ensures that all staff
members are treated fairly and resources are distributed equally?
A. Autonomy
B. Beneficence
C. Nonmaleficence
, D. Justice
Answer: D
Rationale: Justice refers to the principle of fairness and equality in the distribution of
benefits and burdens. In nursing management, this includes fair scheduling and equitable
access to professional development. It ensures that no single group is unfairly privileged or
disadvantaged within the workplace.
7. A hospital is seeking Magnet status. Which characteristic is a key component of the Magnet
Recognition Program?
A. Strict centralized decision-making by top administrators.
B. Minimal involvement of staff nurses in clinical committees.
C. A primary focus on reducing operational costs above all else.
D. Nursing excellence and innovations in professional nursing practice.
Answer: D
Rationale: Magnet status recognizes healthcare organizations that provide the highest
quality of nursing care and professional practice. It emphasizes transformational
leadership, structural empowerment, and exemplary professional practice. Organizations
must demonstrate that nurses are involved in decision-making and that patient outcomes
are superior.
8. During a quality improvement project, the team identifies a ‘sentinel event.’ What is the
definition of a sentinel event?
A. An expected side effect of a high-risk medication.
B. A minor error that did not reach the patient.
C. A routine incident report regarding a patient fall without injury.
D. An unexpected occurrence involving death or serious physical or psychological injury.
Answer: D
Rationale: A sentinel event is a serious safety event that results in death, permanent harm,
or severe temporary harm. These events require immediate investigation and a root cause
analysis to prevent recurrence. The term ‘sentinel’ is used because they signal the need for
immediate investigation and response.
9. A nurse is using the SBAR tool to communicate with a physician. Which information
belongs in the ‘B’ (Background) section?
A. ‘I am calling because the patient’s blood pressure has dropped to 80/40.’
B. ‘I think the patient needs a fluid bolus immediately.’
