NSG 4800 Exam 3 V3 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 3) | Galen
1. A nurse manager is implementing a new electronic health record system and is currently
identifying individuals who will be affected by the change and creating awareness of the need
for change. Which stage of Lewin’s Change Theory does this represent?
A. Moving
B. Assessment
C. Refreezing
D. Unfreezing
Correct Answer: D
Unfreezing is the stage where the leader builds trust and recognition of the need for
change. This involves identifying problems and encouraging others to view the situation
differently to decrease resistance. It is the crucial first step in Lewin’s Change Theory
model.
2. A nurse is reviewing the ethical principles applied to patient care. Which of the following
situations represent the application of the principle of Autonomy? (Select All That Apply)
A. A patient decides to refuse life-sustaining treatment.
,B. Providing a patient with all information needed to make an informed decision.
C. Ensuring a patient signs their own surgical consent after a full explanation.
D. Treating all patients equally regardless of their socioeconomic status.
E. Performing a procedure correctly to avoid harm to the patient.
F. Always telling the truth to the patient about their diagnosis.
Correct Answer: A, B, C
Autonomy refers to the patient’s right to self-determination and making their own choices
regarding healthcare. Decisions like refusing treatment or giving informed consent are
direct expressions of personal autonomy. The nurse’s role is to respect these choices and
provide the necessary information for the patient to act independently.
3. A nurse leader is known for being visionary and inspiring the staff to achieve higher levels
of performance by empowering them. Which leadership style is this nurse demonstrating?
A. Transactional
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: D
Transformational leadership focuses on vision, inspiration, and empowerment of the staff.
These leaders work to change the organizational culture by motivating followers to
, transcend their own self-interests. It is widely considered the most effective style for
modern nursing environments.
4. During a staff meeting, two nurses disagree on the process for wound care dressing
changes. The manager suggests that each nurse give up something to reach a middle-ground
solution. Which conflict management strategy is being used?
A. Compromising
B. Avoiding
C. Competing
D. Collaboration
Correct Answer: A
Compromising involves both parties giving up something they want to reach a mutually
acceptable solution. It is often described as a ‘lose-lose’ or ‘win-lose’ hybrid depending on
the perspective, but it resolves the conflict quickly. This strategy is effective when both
sides have equal power.
5. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is appropriate for the RN to delegate?
A. Administering an oral antibiotic to a stable patient.
B. Developing the initial plan of care for a new admission.
C. Performing a comprehensive admission assessment.
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 3) | Galen
1. A nurse manager is implementing a new electronic health record system and is currently
identifying individuals who will be affected by the change and creating awareness of the need
for change. Which stage of Lewin’s Change Theory does this represent?
A. Moving
B. Assessment
C. Refreezing
D. Unfreezing
Correct Answer: D
Unfreezing is the stage where the leader builds trust and recognition of the need for
change. This involves identifying problems and encouraging others to view the situation
differently to decrease resistance. It is the crucial first step in Lewin’s Change Theory
model.
2. A nurse is reviewing the ethical principles applied to patient care. Which of the following
situations represent the application of the principle of Autonomy? (Select All That Apply)
A. A patient decides to refuse life-sustaining treatment.
,B. Providing a patient with all information needed to make an informed decision.
C. Ensuring a patient signs their own surgical consent after a full explanation.
D. Treating all patients equally regardless of their socioeconomic status.
E. Performing a procedure correctly to avoid harm to the patient.
F. Always telling the truth to the patient about their diagnosis.
Correct Answer: A, B, C
Autonomy refers to the patient’s right to self-determination and making their own choices
regarding healthcare. Decisions like refusing treatment or giving informed consent are
direct expressions of personal autonomy. The nurse’s role is to respect these choices and
provide the necessary information for the patient to act independently.
3. A nurse leader is known for being visionary and inspiring the staff to achieve higher levels
of performance by empowering them. Which leadership style is this nurse demonstrating?
A. Transactional
B. Laissez-faire
C. Autocratic
D. Transformational
Correct Answer: D
Transformational leadership focuses on vision, inspiration, and empowerment of the staff.
These leaders work to change the organizational culture by motivating followers to
, transcend their own self-interests. It is widely considered the most effective style for
modern nursing environments.
4. During a staff meeting, two nurses disagree on the process for wound care dressing
changes. The manager suggests that each nurse give up something to reach a middle-ground
solution. Which conflict management strategy is being used?
A. Compromising
B. Avoiding
C. Competing
D. Collaboration
Correct Answer: A
Compromising involves both parties giving up something they want to reach a mutually
acceptable solution. It is often described as a ‘lose-lose’ or ‘win-lose’ hybrid depending on
the perspective, but it resolves the conflict quickly. This strategy is effective when both
sides have equal power.
5. A Registered Nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task
is appropriate for the RN to delegate?
A. Administering an oral antibiotic to a stable patient.
B. Developing the initial plan of care for a new admission.
C. Performing a comprehensive admission assessment.
