NSG 4800 Exam 2 V1 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 2) | Galen
1. A nurse manager is evaluating the unit’s progress toward achieving Magnet recognition.
Which of the following findings indicates the unit is meeting the core principles of the Magnet
Recognition Program?
A. The nurse manager makes all staffing and budget decisions independently.
B. Nurses at the bedside are actively involved in a shared governance model.
C. Staffing ratios are determined solely by the hospital’s financial department.
D. The hospital uses a top-down approach for all policy developments.
Correct Answer: B
Magnet status emphasizes professional autonomy and decentralized decision-making.
Shared governance allows bedside nurses to participate in policy and practice decisions,
which is a hallmark of Magnet organizations. This structure empowers nursing staff to
improve patient outcomes and professional satisfaction.
2. A registered nurse (RN) is planning the daily assignments for a medical-surgical unit. Which
task is most appropriate to delegate to a Licensed Practical Nurse (LPN)?
A. Conducting the initial admission assessment for a patient with new-onset heart failure.
,B. Assessing a patient’s response to a new intravenous anti-arrhythmic medication.
C. Developing a discharge teaching plan for a patient who underwent a coronary artery
bypass graft.
D. Administering a scheduled dose of subcutaneous insulin to a stable patient.
Correct Answer: D
LPNs are trained to perform routine tasks and administer medications to stable patients.
Initial assessments, clinical judgments, and the development of teaching plans are the
responsibility of the RN. Delegating the insulin administration to a stable patient falls
within the LPN scope of practice.
3. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a history of COPD who has an oxygen saturation of 91% on room air.
B. A patient with a deep vein thrombosis who suddenly reports shortness of breath.
C. A patient who is 4 hours postoperative and reports a pain level of 6 out of 10.
D. A patient with diabetes whose pre-meal blood glucose level is 150 mg/dL.
Correct Answer: B
Sudden shortness of breath in a patient with a DVT is a classic sign of a pulmonary
embolism, which is a life-threatening emergency. Using the ABC (Airway, Breathing,
Circulation) framework, this patient requires immediate intervention. The other patients
are relatively stable or have non-emergent needs at this moment.
, 4. Which of the following actions by the charge nurse demonstrate effective leadership and
delegation skills? (Select all that apply)
A. All of the above demonstrate effective delegation.
B. Providing clear, concise, and specific instructions for the delegated task.
C. Monitoring the progress of the task and providing feedback to the delegatee.
D. Matching the complexity of the task with the competency of the staff member.
Correct Answer: A
Effective delegation requires matching the right task to the right person under the right
circumstances. The nurse must provide clear directions and maintain supervision and
evaluation throughout the process. Failing to follow up or providing vague instructions can
lead to patient safety issues.
5. 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. Integrating the new system into the daily routine of the nursing staff.
B. Assisting the staff in recognizing the need for change by identifying problems with the
old system.
C. Providing hands-on training sessions for the new software to all employees.
D. Developing the policies and procedures that will govern the use of the new system.
Correct Answer: B
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 2) | Galen
1. A nurse manager is evaluating the unit’s progress toward achieving Magnet recognition.
Which of the following findings indicates the unit is meeting the core principles of the Magnet
Recognition Program?
A. The nurse manager makes all staffing and budget decisions independently.
B. Nurses at the bedside are actively involved in a shared governance model.
C. Staffing ratios are determined solely by the hospital’s financial department.
D. The hospital uses a top-down approach for all policy developments.
Correct Answer: B
Magnet status emphasizes professional autonomy and decentralized decision-making.
Shared governance allows bedside nurses to participate in policy and practice decisions,
which is a hallmark of Magnet organizations. This structure empowers nursing staff to
improve patient outcomes and professional satisfaction.
2. A registered nurse (RN) is planning the daily assignments for a medical-surgical unit. Which
task is most appropriate to delegate to a Licensed Practical Nurse (LPN)?
A. Conducting the initial admission assessment for a patient with new-onset heart failure.
,B. Assessing a patient’s response to a new intravenous anti-arrhythmic medication.
C. Developing a discharge teaching plan for a patient who underwent a coronary artery
bypass graft.
D. Administering a scheduled dose of subcutaneous insulin to a stable patient.
Correct Answer: D
LPNs are trained to perform routine tasks and administer medications to stable patients.
Initial assessments, clinical judgments, and the development of teaching plans are the
responsibility of the RN. Delegating the insulin administration to a stable patient falls
within the LPN scope of practice.
3. A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a history of COPD who has an oxygen saturation of 91% on room air.
B. A patient with a deep vein thrombosis who suddenly reports shortness of breath.
C. A patient who is 4 hours postoperative and reports a pain level of 6 out of 10.
D. A patient with diabetes whose pre-meal blood glucose level is 150 mg/dL.
Correct Answer: B
Sudden shortness of breath in a patient with a DVT is a classic sign of a pulmonary
embolism, which is a life-threatening emergency. Using the ABC (Airway, Breathing,
Circulation) framework, this patient requires immediate intervention. The other patients
are relatively stable or have non-emergent needs at this moment.
, 4. Which of the following actions by the charge nurse demonstrate effective leadership and
delegation skills? (Select all that apply)
A. All of the above demonstrate effective delegation.
B. Providing clear, concise, and specific instructions for the delegated task.
C. Monitoring the progress of the task and providing feedback to the delegatee.
D. Matching the complexity of the task with the competency of the staff member.
Correct Answer: A
Effective delegation requires matching the right task to the right person under the right
circumstances. The nurse must provide clear directions and maintain supervision and
evaluation throughout the process. Failing to follow up or providing vague instructions can
lead to patient safety issues.
5. 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. Integrating the new system into the daily routine of the nursing staff.
B. Assisting the staff in recognizing the need for change by identifying problems with the
old system.
C. Providing hands-on training sessions for the new software to all employees.
D. Developing the policies and procedures that will govern the use of the new system.
Correct Answer: B
