NSG 4800 Exam 3 V2 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 3) | Galen
1. A nurse manager is utilizing transformational leadership to influence a change in the unit’s
culture. Which characteristic is most representative of this leadership style?
A. Focusing on immediate problems and maintaining the status quo.
B. Providing a hands-off approach and allowing staff to work independently.
C. Using reward and punishment systems to ensure compliance.
D. Empowering staff to participate in the vision and personal growth.
Correct Answer: D
Transformational leadership is characterized by the leader’s ability to inspire and
motivate followers to achieve extraordinary outcomes. It focuses on the personal and
professional growth of employees rather than just transactional exchanges. This style is
essential for creating long-term organizational change and fostering a shared vision.
2. A charge nurse is preparing the daily assignments. Which task is most appropriate to
delegate to an unlicensed assistive personnel (UAP)?
A. Evaluating a patient’s response to pain medication.
B. Providing discharge instructions to a patient going home.
,C. Assisting a stable patient with a sponge bath and oral care.
D. Performing an initial assessment on a post-operative patient.
Correct Answer: C
The registered nurse should only delegate tasks that are routine and do not require
clinical judgment or complex assessment. Assisting a stable patient with hygiene falls
within the UAP’s scope of practice. Assessment, evaluation, and education are the
responsibility of the RN and cannot be delegated.
3. A nurse manager is conducting a staff meeting regarding the legal aspects of nursing.
Which of the following elements must be present to prove nursing malpractice? (Select all
that apply)
A. Duty to provide care based on the established standard
B. Breach of duty by failure to meet standard
C. Foreseeability of harm
D. A causal relationship between the breach and the injury
E. Injury or actual harm occurs
F. Intent to harm the patient
Correct Answer: A, B, C, D, E
To establish malpractice, the plaintiff must prove that a duty was owed, that duty was
breached, and that the breach caused actual injury that was foreseeable. Intent is not a
, requirement for negligence or malpractice, as these are often unintentional torts.
Understanding these legal pillars is vital for risk management and protecting nursing
licenses.
4. Two staff nurses are in conflict regarding the holiday schedule. The nurse manager
intervenes and encourages them to find a solution where both parties give up something to
reach an agreement. Which conflict resolution strategy is being used?
A. Avoiding
B. Compromising
C. Collaborating
D. Competing
Correct Answer: B
Compromising is a ‘lose-lose’ or ‘neutral’ strategy where both parties agree to relinquish a
portion of their goals to resolve the conflict. It is useful when both parties have equal
power or when a quick solution is needed. It differs from collaboration, which seeks a ‘win-
win’ where both parties fully achieve their goals.
5. A nurse is prioritizing care for a group of patients at the beginning of the shift. Which
patient should the nurse assess first?
A. A patient with a pain level of 8/10 requesting medication.
B. A patient who is experiencing new-onset shortness of breath and restlessness.
C. A patient scheduled for physical therapy in 30 minutes.
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 3) | Galen
1. A nurse manager is utilizing transformational leadership to influence a change in the unit’s
culture. Which characteristic is most representative of this leadership style?
A. Focusing on immediate problems and maintaining the status quo.
B. Providing a hands-off approach and allowing staff to work independently.
C. Using reward and punishment systems to ensure compliance.
D. Empowering staff to participate in the vision and personal growth.
Correct Answer: D
Transformational leadership is characterized by the leader’s ability to inspire and
motivate followers to achieve extraordinary outcomes. It focuses on the personal and
professional growth of employees rather than just transactional exchanges. This style is
essential for creating long-term organizational change and fostering a shared vision.
2. A charge nurse is preparing the daily assignments. Which task is most appropriate to
delegate to an unlicensed assistive personnel (UAP)?
A. Evaluating a patient’s response to pain medication.
B. Providing discharge instructions to a patient going home.
,C. Assisting a stable patient with a sponge bath and oral care.
D. Performing an initial assessment on a post-operative patient.
Correct Answer: C
The registered nurse should only delegate tasks that are routine and do not require
clinical judgment or complex assessment. Assisting a stable patient with hygiene falls
within the UAP’s scope of practice. Assessment, evaluation, and education are the
responsibility of the RN and cannot be delegated.
3. A nurse manager is conducting a staff meeting regarding the legal aspects of nursing.
Which of the following elements must be present to prove nursing malpractice? (Select all
that apply)
A. Duty to provide care based on the established standard
B. Breach of duty by failure to meet standard
C. Foreseeability of harm
D. A causal relationship between the breach and the injury
E. Injury or actual harm occurs
F. Intent to harm the patient
Correct Answer: A, B, C, D, E
To establish malpractice, the plaintiff must prove that a duty was owed, that duty was
breached, and that the breach caused actual injury that was foreseeable. Intent is not a
, requirement for negligence or malpractice, as these are often unintentional torts.
Understanding these legal pillars is vital for risk management and protecting nursing
licenses.
4. Two staff nurses are in conflict regarding the holiday schedule. The nurse manager
intervenes and encourages them to find a solution where both parties give up something to
reach an agreement. Which conflict resolution strategy is being used?
A. Avoiding
B. Compromising
C. Collaborating
D. Competing
Correct Answer: B
Compromising is a ‘lose-lose’ or ‘neutral’ strategy where both parties agree to relinquish a
portion of their goals to resolve the conflict. It is useful when both parties have equal
power or when a quick solution is needed. It differs from collaboration, which seeks a ‘win-
win’ where both parties fully achieve their goals.
5. A nurse is prioritizing care for a group of patients at the beginning of the shift. Which
patient should the nurse assess first?
A. A patient with a pain level of 8/10 requesting medication.
B. A patient who is experiencing new-onset shortness of breath and restlessness.
C. A patient scheduled for physical therapy in 30 minutes.
