NSG 4800 Exam 2 V2 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 2) | Galen
1. A nurse manager is educating a group of new graduates about the legal requirements for a
malpractice suit. Which elements must be present to prove professional negligence? (Select
all that apply.)
A. Duty to use due care
B. Breach of duty
C. Intent to cause emotional distress
D. Injury or damages
E. Proximate cause
Correct Answer: A, B, D, E
To establish professional negligence or malpractice, the plaintiff must prove that a duty
existed, that the nurse breached that duty, and that this breach was the proximate cause of
actual injury or damages. Intent to cause harm is not a requirement for negligence, as
negligence often involves an unintentional failure to meet standards. Professional liability
depends on the link between the nurse’s actions and the resulting harm to the patient.
,2. A nurse is utilizing Lewin’s Change Theory to implement a new bedside shift report
protocol. Which action occurs during the ‘unfreezing’ stage?
A. Implementing the new reporting form on the unit
B. Identifying the need for change and gathering support
C. Evaluating the effectiveness of the new protocol
D. Formalizing the new process as the permanent standard
Correct Answer: B
The unfreezing stage is characterized by creating the motivation for change and
identifying that the status quo is no longer effective. It involves gathering data and helping
the staff understand why a change is necessary. This phase must occur before any new
interventions are actually implemented in the clinical setting.
3. Which ethical principle is the nurse demonstrating when they respect a patient’s decision
to refuse a life-saving blood transfusion based on religious beliefs?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Correct Answer: C
, Autonomy refers to the right of self-determination and the ability of the patient to make
their own healthcare decisions. The nurse’s role is to ensure the patient has the
information needed to make an informed choice and to respect that choice even if it
conflicts with the nurse’s personal values. This principle is a cornerstone of professional
nursing practice and legal patient rights.
4. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assessing a patient’s pain level after medication administration
B. Measuring and recording intake and output for a stable patient
C. Teaching a patient how to use an incentive spirometer
D. Developing a plan of care for a newly admitted patient
Correct Answer: B
Delegation to UAPs should involve tasks that are repetitive, non-invasive, and do not
require clinical judgment or the nursing process. Assessment, teaching, and planning care
are professional responsibilities that must be performed by the Registered Nurse. The
nurse remains accountable for the outcome of the delegated task and must ensure the UAP
is competent to perform it.
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 2) | Galen
1. A nurse manager is educating a group of new graduates about the legal requirements for a
malpractice suit. Which elements must be present to prove professional negligence? (Select
all that apply.)
A. Duty to use due care
B. Breach of duty
C. Intent to cause emotional distress
D. Injury or damages
E. Proximate cause
Correct Answer: A, B, D, E
To establish professional negligence or malpractice, the plaintiff must prove that a duty
existed, that the nurse breached that duty, and that this breach was the proximate cause of
actual injury or damages. Intent to cause harm is not a requirement for negligence, as
negligence often involves an unintentional failure to meet standards. Professional liability
depends on the link between the nurse’s actions and the resulting harm to the patient.
,2. A nurse is utilizing Lewin’s Change Theory to implement a new bedside shift report
protocol. Which action occurs during the ‘unfreezing’ stage?
A. Implementing the new reporting form on the unit
B. Identifying the need for change and gathering support
C. Evaluating the effectiveness of the new protocol
D. Formalizing the new process as the permanent standard
Correct Answer: B
The unfreezing stage is characterized by creating the motivation for change and
identifying that the status quo is no longer effective. It involves gathering data and helping
the staff understand why a change is necessary. This phase must occur before any new
interventions are actually implemented in the clinical setting.
3. Which ethical principle is the nurse demonstrating when they respect a patient’s decision
to refuse a life-saving blood transfusion based on religious beliefs?
A. Beneficence
B. Justice
C. Autonomy
D. Fidelity
Correct Answer: C
, Autonomy refers to the right of self-determination and the ability of the patient to make
their own healthcare decisions. The nurse’s role is to ensure the patient has the
information needed to make an informed choice and to respect that choice even if it
conflicts with the nurse’s personal values. This principle is a cornerstone of professional
nursing practice and legal patient rights.
4. A nurse is preparing to delegate tasks to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A. Assessing a patient’s pain level after medication administration
B. Measuring and recording intake and output for a stable patient
C. Teaching a patient how to use an incentive spirometer
D. Developing a plan of care for a newly admitted patient
Correct Answer: B
Delegation to UAPs should involve tasks that are repetitive, non-invasive, and do not
require clinical judgment or the nursing process. Assessment, teaching, and planning care
are professional responsibilities that must be performed by the Registered Nurse. The
nurse remains accountable for the outcome of the delegated task and must ensure the UAP
is competent to perform it.
