NSG 4700 Exam 4 V3 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 4) |
Galen
1. A nurse manager is planning to purchase a new robotic surgical system which costs over $2
million. Which type of budget should the manager use for this purchase?
A. Operating budget
B. Capital budget
C. Personnel budget
D. Incremental budget
Answer: B
Rationale: The capital budget is specifically designed for high-cost items that have a long
useful life, typically exceeding one year. Examples include major equipment like MRI
machines or significant facility renovations. Using this budget allows the organization to
plan for long-term investments that are not part of daily operating expenses.
2. A charge nurse observes two staff members arguing about the holiday schedule in the
hallway. The charge nurse tells them to go to a private room to finish their discussion. Which
conflict management strategy is being initiated?
A. Competing
B. Smoothing
C. Avoiding
D. Collaborating
Answer: C
Rationale: The charge nurse is using an avoiding strategy by postponing the conflict and
moving it away from the public eye. This approach is temporary and does not resolve the
underlying issue but prevents public disruption. It is often used when the situation needs a
‘cooling off’ period before a formal resolution is attempted.
3. Which leadership style is most effective when a rapid response is needed during a cardiac
arrest code situation?
A. Democratic
B. Laissez-faire
C. Autocratic
,D. Transactional
Answer: C
Rationale: Autocratic leadership involves the leader making decisions independently and
giving direct orders to the team. This style is highly efficient in emergency scenarios where
there is no time for group discussion or consensus. It ensures that critical tasks are
performed immediately to save a patient’s life.
4. A nurse manager is evaluating the unit’s performance compared to national standards for
pressure injury prevention. This process is known as:
A. Risk management
B. Benchmarking
C. Strategic planning
D. Performance appraisal
Answer: B
Rationale: Benchmarking is the process of comparing one’s own performance metrics to
industry bests or standard practices. It helps healthcare organizations identify areas for
improvement by looking at what top-performing units are achieving. This data-driven
approach is essential for quality improvement initiatives.
5. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the following tasks
is most appropriate to delegate?
A. Completing the initial admission assessment on a new patient
B. Administering an intramuscular injection to a stable patient
C. Developing a plan of care for a patient with complex needs
D. Providing discharge teaching to a patient going home with a new diagnosis
Answer: B
Rationale: LPNs are trained to perform technical tasks such as administering medications
and providing care to stable patients. Initial assessments and the development of care
plans require the advanced clinical judgment of a Registered Nurse. Discharge teaching also
falls under the RN scope because it involves evaluating the patient’s understanding and
readiness.
6. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. The change is integrated into the daily routine
B. Resistance to change is identified and addressed
C. New behaviors are adopted by the staff
, D. The need for change is recognized and the status quo is challenged
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the leader creates
awareness of the need for change. During this phase, the manager must convince the staff
that the current way of doing things is no longer effective. This stage is crucial for
overcoming inertia and preparing the team for a transition.
7. A nurse refuses to perform a procedure that they have not been trained to do, citing
patient safety. Which ethical principle is the nurse demonstrating?
A. Justice
B. Beneficence
C. Fidelity
D. Nonmaleficence
Answer: D
Rationale: Nonmaleficence is the ethical obligation to ‘do no harm’ to the patient. By
refusing to perform a procedure without proper training, the nurse prevents potential
injury to the patient. This principle is fundamental to nursing practice and guides clinicians
to act within their scope of competence.
8. Which component of a SWOT analysis involves identifying external factors that could
negatively impact the organization’s goals?
A. Strengths
B. Weaknesses
C. Threats
D. Opportunities
Answer: C
Rationale: Threats in a SWOT analysis are external factors, such as new regulations or
economic downturns, that could hinder success. Identifying threats allows management to
develop contingency plans and mitigate risks. Unlike weaknesses, which are internal,
threats arise from the environment outside the organization.
9. A nurse manager uses a ‘win-win’ approach to resolve a dispute between two departments
regarding equipment sharing. This is an example of:
A. Compromising
B. Collaborating
C. Accommodating
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 4) |
Galen
1. A nurse manager is planning to purchase a new robotic surgical system which costs over $2
million. Which type of budget should the manager use for this purchase?
A. Operating budget
B. Capital budget
C. Personnel budget
D. Incremental budget
Answer: B
Rationale: The capital budget is specifically designed for high-cost items that have a long
useful life, typically exceeding one year. Examples include major equipment like MRI
machines or significant facility renovations. Using this budget allows the organization to
plan for long-term investments that are not part of daily operating expenses.
2. A charge nurse observes two staff members arguing about the holiday schedule in the
hallway. The charge nurse tells them to go to a private room to finish their discussion. Which
conflict management strategy is being initiated?
A. Competing
B. Smoothing
C. Avoiding
D. Collaborating
Answer: C
Rationale: The charge nurse is using an avoiding strategy by postponing the conflict and
moving it away from the public eye. This approach is temporary and does not resolve the
underlying issue but prevents public disruption. It is often used when the situation needs a
‘cooling off’ period before a formal resolution is attempted.
3. Which leadership style is most effective when a rapid response is needed during a cardiac
arrest code situation?
A. Democratic
B. Laissez-faire
C. Autocratic
,D. Transactional
Answer: C
Rationale: Autocratic leadership involves the leader making decisions independently and
giving direct orders to the team. This style is highly efficient in emergency scenarios where
there is no time for group discussion or consensus. It ensures that critical tasks are
performed immediately to save a patient’s life.
4. A nurse manager is evaluating the unit’s performance compared to national standards for
pressure injury prevention. This process is known as:
A. Risk management
B. Benchmarking
C. Strategic planning
D. Performance appraisal
Answer: B
Rationale: Benchmarking is the process of comparing one’s own performance metrics to
industry bests or standard practices. It helps healthcare organizations identify areas for
improvement by looking at what top-performing units are achieving. This data-driven
approach is essential for quality improvement initiatives.
5. A nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which of the following tasks
is most appropriate to delegate?
A. Completing the initial admission assessment on a new patient
B. Administering an intramuscular injection to a stable patient
C. Developing a plan of care for a patient with complex needs
D. Providing discharge teaching to a patient going home with a new diagnosis
Answer: B
Rationale: LPNs are trained to perform technical tasks such as administering medications
and providing care to stable patients. Initial assessments and the development of care
plans require the advanced clinical judgment of a Registered Nurse. Discharge teaching also
falls under the RN scope because it involves evaluating the patient’s understanding and
readiness.
6. According to Lewin’s Change Theory, what occurs during the ‘unfreezing’ stage?
A. The change is integrated into the daily routine
B. Resistance to change is identified and addressed
C. New behaviors are adopted by the staff
, D. The need for change is recognized and the status quo is challenged
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s theory where the leader creates
awareness of the need for change. During this phase, the manager must convince the staff
that the current way of doing things is no longer effective. This stage is crucial for
overcoming inertia and preparing the team for a transition.
7. A nurse refuses to perform a procedure that they have not been trained to do, citing
patient safety. Which ethical principle is the nurse demonstrating?
A. Justice
B. Beneficence
C. Fidelity
D. Nonmaleficence
Answer: D
Rationale: Nonmaleficence is the ethical obligation to ‘do no harm’ to the patient. By
refusing to perform a procedure without proper training, the nurse prevents potential
injury to the patient. This principle is fundamental to nursing practice and guides clinicians
to act within their scope of competence.
8. Which component of a SWOT analysis involves identifying external factors that could
negatively impact the organization’s goals?
A. Strengths
B. Weaknesses
C. Threats
D. Opportunities
Answer: C
Rationale: Threats in a SWOT analysis are external factors, such as new regulations or
economic downturns, that could hinder success. Identifying threats allows management to
develop contingency plans and mitigate risks. Unlike weaknesses, which are internal,
threats arise from the environment outside the organization.
9. A nurse manager uses a ‘win-win’ approach to resolve a dispute between two departments
regarding equipment sharing. This is an example of:
A. Compromising
B. Collaborating
C. Accommodating
