NSG 4800 Exam 3 V1 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 3) | Galen
1. A nurse manager is utilizing a leadership style that focuses on the development and
empowerment of staff members to reach their highest potential. Which leadership style is
being demonstrated?
A. Transformational leadership
B. Autocratic leadership
C. Transactional leadership
D. Laissez-faire leadership
Correct Answer: A
Transformational leadership focuses on inspiring and motivating followers to achieve
extraordinary outcomes and develop their own leadership capacity. It creates a vision-
driven environment where staff feel empowered and valued for their contributions. Unlike
transactional leadership, which relies on rewards and punishments, transformational
leaders foster a sense of shared purpose and commitment.
2. Which task is most appropriate for the Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s surgical incision site for signs of infection
,B. Assisting a stable patient with a morning bed bath
C. Teaching a new diabetic patient how to self-administer insulin
D. Evaluating the effectiveness of pain medication administered an hour ago
Correct Answer: B
Delegation to UAP is limited to non-invasive tasks that do not require clinical judgment or
nursing assessment. Assisting with activities of daily living (ADLs) such as bathing or
feeding is within the UAP’s scope for stable patients. The RN remains responsible for
assessment, teaching, and evaluation, as these require the specialized knowledge and skills
of a licensed nurse.
3. A nurse is preparing a budget for a new cardiac rehabilitation unit and needs to purchase a
treadmill costing $12,000. Into which budget category does this purchase fall?
A. Capital budget
B. Personnel budget
C. Operating budget
D. Cash budget
Correct Answer: A
The capital budget involves expenditures for high-cost items that are expected to last for
several years, typically with a minimum dollar threshold defined by the organization. A
$12,000 treadmill represents a significant asset with long-term utility, fitting the criteria
,for capital expenditure. Operating budgets, by contrast, cover day-to-day expenses like
medical supplies and utility costs.
4. A nurse manager is reviewing quality indicators for the unit. Which of the following are
considered ‘nursing-sensitive indicators’? (Select all that apply)
A. Pressure injury prevalence
B. Patient falls with injury
C. Hospital profitability ratios
D. Catheter-associated urinary tract infections (CAUTI)
E. Nursing hours per patient day
F. Physician surgical complication rates
Correct Answer: A, B, D, E
Nursing-sensitive indicators are metrics that reflect the structure, process, and outcomes
of nursing care. Examples include pressure injuries, falls, and healthcare-acquired
infections, which are directly influenced by the quality and quantity of nursing
interventions. Financial profitability and physician-specific complications are
organizational or medical indicators rather than nursing-sensitive ones.
5. Two nurses are in conflict over the weekend schedule. The nurse manager intervenes and
encourages both parties to work together to find a solution that satisfies the needs of both
nurses. Which conflict management strategy is being used?
A. Avoiding
, B. Collaborating
C. Compromising
D. Competing
Correct Answer: B
Collaboration is a win-win conflict management strategy where both parties work toward
a common goal to meet everyone’s concerns. It involves open communication and mutual
problem-solving to reach an optimal resolution. Compromising differs because it requires
each party to give up something, whereas collaboration seeks a completely integrative
solution.
6. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs, even
though it is a life-saving measure. The nurse supports the patient’s decision. This is an
example of which ethical principle?
A. Beneficence
B. Justice
C. Autonomy
D. Veracity
Correct Answer: C
Autonomy refers to the right of an individual to make their own decisions regarding their
healthcare, provided they are competent to do so. In this scenario, the nurse respects the
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 3) | Galen
1. A nurse manager is utilizing a leadership style that focuses on the development and
empowerment of staff members to reach their highest potential. Which leadership style is
being demonstrated?
A. Transformational leadership
B. Autocratic leadership
C. Transactional leadership
D. Laissez-faire leadership
Correct Answer: A
Transformational leadership focuses on inspiring and motivating followers to achieve
extraordinary outcomes and develop their own leadership capacity. It creates a vision-
driven environment where staff feel empowered and valued for their contributions. Unlike
transactional leadership, which relies on rewards and punishments, transformational
leaders foster a sense of shared purpose and commitment.
2. Which task is most appropriate for the Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a patient’s surgical incision site for signs of infection
,B. Assisting a stable patient with a morning bed bath
C. Teaching a new diabetic patient how to self-administer insulin
D. Evaluating the effectiveness of pain medication administered an hour ago
Correct Answer: B
Delegation to UAP is limited to non-invasive tasks that do not require clinical judgment or
nursing assessment. Assisting with activities of daily living (ADLs) such as bathing or
feeding is within the UAP’s scope for stable patients. The RN remains responsible for
assessment, teaching, and evaluation, as these require the specialized knowledge and skills
of a licensed nurse.
3. A nurse is preparing a budget for a new cardiac rehabilitation unit and needs to purchase a
treadmill costing $12,000. Into which budget category does this purchase fall?
A. Capital budget
B. Personnel budget
C. Operating budget
D. Cash budget
Correct Answer: A
The capital budget involves expenditures for high-cost items that are expected to last for
several years, typically with a minimum dollar threshold defined by the organization. A
$12,000 treadmill represents a significant asset with long-term utility, fitting the criteria
,for capital expenditure. Operating budgets, by contrast, cover day-to-day expenses like
medical supplies and utility costs.
4. A nurse manager is reviewing quality indicators for the unit. Which of the following are
considered ‘nursing-sensitive indicators’? (Select all that apply)
A. Pressure injury prevalence
B. Patient falls with injury
C. Hospital profitability ratios
D. Catheter-associated urinary tract infections (CAUTI)
E. Nursing hours per patient day
F. Physician surgical complication rates
Correct Answer: A, B, D, E
Nursing-sensitive indicators are metrics that reflect the structure, process, and outcomes
of nursing care. Examples include pressure injuries, falls, and healthcare-acquired
infections, which are directly influenced by the quality and quantity of nursing
interventions. Financial profitability and physician-specific complications are
organizational or medical indicators rather than nursing-sensitive ones.
5. Two nurses are in conflict over the weekend schedule. The nurse manager intervenes and
encourages both parties to work together to find a solution that satisfies the needs of both
nurses. Which conflict management strategy is being used?
A. Avoiding
, B. Collaborating
C. Compromising
D. Competing
Correct Answer: B
Collaboration is a win-win conflict management strategy where both parties work toward
a common goal to meet everyone’s concerns. It involves open communication and mutual
problem-solving to reach an optimal resolution. Compromising differs because it requires
each party to give up something, whereas collaboration seeks a completely integrative
solution.
6. A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs, even
though it is a life-saving measure. The nurse supports the patient’s decision. This is an
example of which ethical principle?
A. Beneficence
B. Justice
C. Autonomy
D. Veracity
Correct Answer: C
Autonomy refers to the right of an individual to make their own decisions regarding their
healthcare, provided they are competent to do so. In this scenario, the nurse respects the
