NSG 444A Exam 2 V1 | NSG 444A Transition to
Practice | Actual Q&A with Rationale (NSG444A
Exam 2) | Grand Canyon University
1. A registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive personnel
(UAP) on a busy medical-surgical unit. Which of the following components are considered
part of the ‘Five Rights of Delegation’? (Select All That Apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Directions and Communication
E. Right Supervision and Evaluation
F. Right Compensation
Correct Answer: A, B, C, D, E
Explanation: The Five Rights of Delegation are a framework developed to ensure patient
safety and professional accountability. These rights include the right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Compensation is not a professional right of delegation but rather a
contractual or administrative matter between the employer and the employee.
,2. A nurse manager is utilizing a leadership style that encourages staff participation in
decision-making and emphasizes relationships. Which leadership style is this manager
demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Explanation: Democratic leadership is characterized by a collaborative approach where
the leader involves the team in the decision-making process. This style fosters higher staff
morale and professional growth through shared responsibility. In contrast, autocratic
leadership is centralized, and laissez-faire leadership is hands-off with little guidance.
3. A nurse is caring for a client who refuses a prescribed blood transfusion due to religious
beliefs. The nurse supports the client’s decision despite personal disagreement. Which ethical
principle is being applied?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
, Correct Answer: A
Explanation: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare, provided they have the capacity to do so. The nurse’s role is to
ensure the client is fully informed and then to respect those choices without coercion. This
principle is fundamental to patient-centered care and legal rights in nursing practice.
4. When using the SBAR communication tool, which information should the nurse include in
the ‘B’ section?
A. The client’s medical history and reason for admission
B. The current vital signs of the patient
C. The nurse’s recommendation for care
D. A summary of the current problem
Correct Answer: A
Explanation: SBAR stands for Situation, Background, Assessment, and Recommendation.
The ‘B’ represents Background, which includes the client’s history, admitting diagnosis, and
relevant clinical data leading up to the current situation. This provides context so that the
receiver of the information can understand the severity and progression of the case.
5. Which of the following actions by a nurse would be classified as ‘battery’ in a legal context?
A. Administering an injection to a client against their will
B. Threatening to insert a catheter if the patient does not void
Practice | Actual Q&A with Rationale (NSG444A
Exam 2) | Grand Canyon University
1. A registered nurse (RN) is preparing to delegate tasks to an unlicensed assistive personnel
(UAP) on a busy medical-surgical unit. Which of the following components are considered
part of the ‘Five Rights of Delegation’? (Select All That Apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Directions and Communication
E. Right Supervision and Evaluation
F. Right Compensation
Correct Answer: A, B, C, D, E
Explanation: The Five Rights of Delegation are a framework developed to ensure patient
safety and professional accountability. These rights include the right task, right
circumstance, right person, right direction/communication, and right
supervision/evaluation. Compensation is not a professional right of delegation but rather a
contractual or administrative matter between the employer and the employee.
,2. A nurse manager is utilizing a leadership style that encourages staff participation in
decision-making and emphasizes relationships. Which leadership style is this manager
demonstrating?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: B
Explanation: Democratic leadership is characterized by a collaborative approach where
the leader involves the team in the decision-making process. This style fosters higher staff
morale and professional growth through shared responsibility. In contrast, autocratic
leadership is centralized, and laissez-faire leadership is hands-off with little guidance.
3. A nurse is caring for a client who refuses a prescribed blood transfusion due to religious
beliefs. The nurse supports the client’s decision despite personal disagreement. Which ethical
principle is being applied?
A. Autonomy
B. Beneficence
C. Justice
D. Non-maleficence
, Correct Answer: A
Explanation: Autonomy refers to the right of the patient to make their own decisions
regarding their healthcare, provided they have the capacity to do so. The nurse’s role is to
ensure the client is fully informed and then to respect those choices without coercion. This
principle is fundamental to patient-centered care and legal rights in nursing practice.
4. When using the SBAR communication tool, which information should the nurse include in
the ‘B’ section?
A. The client’s medical history and reason for admission
B. The current vital signs of the patient
C. The nurse’s recommendation for care
D. A summary of the current problem
Correct Answer: A
Explanation: SBAR stands for Situation, Background, Assessment, and Recommendation.
The ‘B’ represents Background, which includes the client’s history, admitting diagnosis, and
relevant clinical data leading up to the current situation. This provides context so that the
receiver of the information can understand the severity and progression of the case.
5. Which of the following actions by a nurse would be classified as ‘battery’ in a legal context?
A. Administering an injection to a client against their will
B. Threatening to insert a catheter if the patient does not void
