NSG 444A Exam 4 V3 | NSG 444A Transition to
Practice | Actual Q&A with Rationale (NSG444A
Exam 4) | Grand Canyon University
1. A nurse manager is evaluating the unit’s progress toward achieving Magnet status. Which
of the following characteristics are essential components of the Magnet Recognition
Program? (Select all that apply)
A. Transformational leadership
B. Structural empowerment
C. Exemplary professional practice
D. New knowledge, innovations, and improvements
E. Empirical quality results
F. Strict adherence to autocratic management
Correct Answer: A, B, C, D, E
Explanation: The Magnet Model is comprised of five components: Transformational
Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge,
Innovations & Improvements, and Empirical Quality Results. Autocratic management is
contrary to the Magnet philosophy, which emphasizes shared governance and nursing
autonomy. Achieving Magnet status indicates that a hospital provides high-quality patient
care and nursing excellence.
,2. A newly licensed nurse is assigned to a mentor on the surgical unit. Which statement best
describes the primary difference between a preceptor and a mentor?
A. A preceptor focuses on career development, while a mentor focuses on clinical skills.
B. A preceptor is assigned for a short term, while a mentor relationship is often long-term
and voluntary.
C. A mentor is responsible for evaluating the nurse’s performance for the first 90 days.
D. Preceptors do not receive additional training for their role, but mentors must be
certified.
Correct Answer: B
Explanation: Preceptorship is usually a time-limited, assigned relationship focusing on
orientation and clinical competency. Mentorship is typically a more informal, voluntary
relationship that focuses on the overall professional growth and career development of the
nurse. While a preceptor helps you learn the ropes of a specific job, a mentor helps guide
your professional journey over years.
3. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which of
the following tasks are appropriate for the nurse to delegate? (Select all that apply)
A. Recording intake and output
B. Performing a sterile dressing change
C. Assisting a stable client with ambulation
D. Performing a bedside glucose check
, E. Assessing a client’s level of pain
Correct Answer: A, C, D
Explanation: Delegation to UAP should involve non-invasive tasks and those that do not
require clinical judgment or assessment. Assessment and sterile procedures are nursing
responsibilities that cannot be delegated to unlicensed staff. The nurse remains
accountable for the outcome of the delegated tasks and must ensure the UAP is competent
to perform them.
4. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘unfreezing’ stage, which action should the nurse manager take?
A. Create a sense of urgency and demonstrate why the current system is inadequate.
B. Provide technical training sessions for all staff members.
C. Incentivize the staff for using the new system correctly.
D. Evaluate the long-term effectiveness of the change.
Correct Answer: A
Explanation: The unfreezing stage involves preparing the organization to accept that
change is necessary, which requires breaking down the existing status quo. This is done by
communicating the reasons for change and addressing any potential resistance from the
staff. Training usually occurs in the ‘moving’ stage, and reinforcement happens in the
‘refreezing’ stage.
Practice | Actual Q&A with Rationale (NSG444A
Exam 4) | Grand Canyon University
1. A nurse manager is evaluating the unit’s progress toward achieving Magnet status. Which
of the following characteristics are essential components of the Magnet Recognition
Program? (Select all that apply)
A. Transformational leadership
B. Structural empowerment
C. Exemplary professional practice
D. New knowledge, innovations, and improvements
E. Empirical quality results
F. Strict adherence to autocratic management
Correct Answer: A, B, C, D, E
Explanation: The Magnet Model is comprised of five components: Transformational
Leadership, Structural Empowerment, Exemplary Professional Practice, New Knowledge,
Innovations & Improvements, and Empirical Quality Results. Autocratic management is
contrary to the Magnet philosophy, which emphasizes shared governance and nursing
autonomy. Achieving Magnet status indicates that a hospital provides high-quality patient
care and nursing excellence.
,2. A newly licensed nurse is assigned to a mentor on the surgical unit. Which statement best
describes the primary difference between a preceptor and a mentor?
A. A preceptor focuses on career development, while a mentor focuses on clinical skills.
B. A preceptor is assigned for a short term, while a mentor relationship is often long-term
and voluntary.
C. A mentor is responsible for evaluating the nurse’s performance for the first 90 days.
D. Preceptors do not receive additional training for their role, but mentors must be
certified.
Correct Answer: B
Explanation: Preceptorship is usually a time-limited, assigned relationship focusing on
orientation and clinical competency. Mentorship is typically a more informal, voluntary
relationship that focuses on the overall professional growth and career development of the
nurse. While a preceptor helps you learn the ropes of a specific job, a mentor helps guide
your professional journey over years.
3. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which of
the following tasks are appropriate for the nurse to delegate? (Select all that apply)
A. Recording intake and output
B. Performing a sterile dressing change
C. Assisting a stable client with ambulation
D. Performing a bedside glucose check
, E. Assessing a client’s level of pain
Correct Answer: A, C, D
Explanation: Delegation to UAP should involve non-invasive tasks and those that do not
require clinical judgment or assessment. Assessment and sterile procedures are nursing
responsibilities that cannot be delegated to unlicensed staff. The nurse remains
accountable for the outcome of the delegated tasks and must ensure the UAP is competent
to perform them.
4. A nurse is using Lewin’s Change Theory to implement a new electronic health record
system. During the ‘unfreezing’ stage, which action should the nurse manager take?
A. Create a sense of urgency and demonstrate why the current system is inadequate.
B. Provide technical training sessions for all staff members.
C. Incentivize the staff for using the new system correctly.
D. Evaluate the long-term effectiveness of the change.
Correct Answer: A
Explanation: The unfreezing stage involves preparing the organization to accept that
change is necessary, which requires breaking down the existing status quo. This is done by
communicating the reasons for change and addressing any potential resistance from the
staff. Training usually occurs in the ‘moving’ stage, and reinforcement happens in the
‘refreezing’ stage.
