NSG 4700 Final Exam V3 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Final Exam) |
Galen
1. A nurse manager is encouraging staff to participate in the decision-making process
regarding new equipment for the unit. Which leadership style is the manager demonstrating?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Answer: C
Rationale: Democratic leadership involves including the team in the decision-making
process and values communication. This style fosters employee satisfaction and
collaboration within the healthcare environment. In contrast, autocratic leadership
centralizes power and does not seek staff input.
2. Which of the following tasks should a registered nurse (RN) delegate to an unlicensed
assistive personnel (UAP)?
A. Assisting a stable patient with ambulation
B. Providing education on a new medication
C. Assessing a patient’s pain level
D. Evaluating the effectiveness of an intervention
Answer: A
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Tasks that require nursing judgment, assessment, or teaching must be
performed by an RN. Proper delegation ensures patient safety and efficient use of
resources.
3. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. Identifying the need for change and creating readiness
B. Implementing the actual change plan
C. Integrating the change into the daily routine
D. Evaluating the outcomes of the change
Answer: A
,Rationale: Unfreezing is the first stage where the status quo is challenged and the need for
change is identified. During this phase, the leader must overcome resistance and motivate
others to prepare for change. This is critical for ensuring the team is receptive to new
workflows.
4. A nurse is caring for four patients. Which patient should the nurse see first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 88%
B. A patient who needs a discharge teaching
C. A patient with a pain level of 6/10
D. A patient requesting a scheduled dose of antibiotic
Answer: A
Rationale: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The patient with low oxygen saturation and tachypnea is physiologically
unstable and requires immediate intervention. Pain management and discharge teaching
are secondary to respiratory distress.
5. Which ethical principle is demonstrated when a nurse advocate respects a patient’s
decision to refuse chemotherapy?
A. Justice
B. Autonomy
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare. The nurse’s role is to ensure the patient is informed but to
respect their final choice. This principle is fundamental to patient-centered care and legal
rights.
6. A nurse manager is investigating a medication error. Which tool is best for identifying the
underlying causes of the event?
A. Benchmarking
B. Root Cause Analysis (RCA)
C. Performance Appraisal
D. SWOT Analysis
Answer: B
, Rationale: Root Cause Analysis is a process used to identify the basic or causal factors that
contribute to a sentinel event or error. It focuses on systems and processes rather than
individual blame. By performing an RCA, the organization can implement changes to
prevent future occurrences.
7. A nurse is using the SBAR tool for communication. What information is included in the ‘R’
section?
A. Reason for the patient’s admission
B. Review of the patient’s vital signs
C. Relevant medical history
D. Recommendations for the next steps of care
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘R’ section is where the nurse suggests what should happen next or what they need from
the physician. Clear communication using this structured tool improves patient outcomes
and reduces errors during handoffs.
8. In a conflict between two nurses, the manager suggests that both parties give up
something to reach a solution. Which conflict resolution strategy is this?
A. Competing
B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
middle ground. It is often used when both sides have equal power and goals are moderately
important. While it resolves the conflict quickly, it may result in a ‘lose-lose’ situation if the
root cause isn’t addressed.
9. A nurse is caring for a patient who fell. What should the nurse do first?
A. Complete an incident report
B. Notify the provider
C. Call the family
D. Assess the patient for injuries
Answer: D
Nursing Practice | Actual Q&A with Rationale (NSG4700 Final Exam) |
Galen
1. A nurse manager is encouraging staff to participate in the decision-making process
regarding new equipment for the unit. Which leadership style is the manager demonstrating?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Answer: C
Rationale: Democratic leadership involves including the team in the decision-making
process and values communication. This style fosters employee satisfaction and
collaboration within the healthcare environment. In contrast, autocratic leadership
centralizes power and does not seek staff input.
2. Which of the following tasks should a registered nurse (RN) delegate to an unlicensed
assistive personnel (UAP)?
A. Assisting a stable patient with ambulation
B. Providing education on a new medication
C. Assessing a patient’s pain level
D. Evaluating the effectiveness of an intervention
Answer: A
Rationale: UAPs can perform routine tasks for stable patients such as ADLs and
ambulation. Tasks that require nursing judgment, assessment, or teaching must be
performed by an RN. Proper delegation ensures patient safety and efficient use of
resources.
3. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. Identifying the need for change and creating readiness
B. Implementing the actual change plan
C. Integrating the change into the daily routine
D. Evaluating the outcomes of the change
Answer: A
,Rationale: Unfreezing is the first stage where the status quo is challenged and the need for
change is identified. During this phase, the leader must overcome resistance and motivate
others to prepare for change. This is critical for ensuring the team is receptive to new
workflows.
4. A nurse is caring for four patients. Which patient should the nurse see first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 88%
B. A patient who needs a discharge teaching
C. A patient with a pain level of 6/10
D. A patient requesting a scheduled dose of antibiotic
Answer: A
Rationale: Prioritization should follow the ABC (Airway, Breathing, Circulation)
framework. The patient with low oxygen saturation and tachypnea is physiologically
unstable and requires immediate intervention. Pain management and discharge teaching
are secondary to respiratory distress.
5. Which ethical principle is demonstrated when a nurse advocate respects a patient’s
decision to refuse chemotherapy?
A. Justice
B. Autonomy
C. Beneficence
D. Non-maleficence
Answer: B
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare. The nurse’s role is to ensure the patient is informed but to
respect their final choice. This principle is fundamental to patient-centered care and legal
rights.
6. A nurse manager is investigating a medication error. Which tool is best for identifying the
underlying causes of the event?
A. Benchmarking
B. Root Cause Analysis (RCA)
C. Performance Appraisal
D. SWOT Analysis
Answer: B
, Rationale: Root Cause Analysis is a process used to identify the basic or causal factors that
contribute to a sentinel event or error. It focuses on systems and processes rather than
individual blame. By performing an RCA, the organization can implement changes to
prevent future occurrences.
7. A nurse is using the SBAR tool for communication. What information is included in the ‘R’
section?
A. Reason for the patient’s admission
B. Review of the patient’s vital signs
C. Relevant medical history
D. Recommendations for the next steps of care
Answer: D
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. The
‘R’ section is where the nurse suggests what should happen next or what they need from
the physician. Clear communication using this structured tool improves patient outcomes
and reduces errors during handoffs.
8. In a conflict between two nurses, the manager suggests that both parties give up
something to reach a solution. Which conflict resolution strategy is this?
A. Competing
B. Avoiding
C. Compromising
D. Smoothing
Answer: C
Rationale: Compromising involves each party giving up something of value to reach a
middle ground. It is often used when both sides have equal power and goals are moderately
important. While it resolves the conflict quickly, it may result in a ‘lose-lose’ situation if the
root cause isn’t addressed.
9. A nurse is caring for a patient who fell. What should the nurse do first?
A. Complete an incident report
B. Notify the provider
C. Call the family
D. Assess the patient for injuries
Answer: D
