NSG 4800 Final Exam V3 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Final Exam) | Galen
1. A nurse is caring for a client who is deciding whether to undergo an elective surgery. The
nurse provides the client with all the necessary information regarding the risks and benefits
of the procedure, ensuring the client makes an informed decision. Which ethical principle is
the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Autonomy refers to the right of the patient to make their own healthcare decisions even if
the nurse disagrees. This principle is foundational to informed consent and the right to
refuse treatment. Supporting the patient’s right to choose demonstrates respect for their
self-determination and individual values.
,2. A charge nurse is planning a change in the documentation system on the unit. According to
Lewin’s Change Theory, which action should the nurse take during the ‘unfreezing’ stage?
A. Implement the new electronic health record system
B. Provide training and support for the nursing staff
C. Identify the need for change and create awareness of the problem
D. Audit the new records to ensure compliance
Correct Answer: C
The unfreezing stage involves identifying a problem and creating a sense of urgency or
awareness that a change is necessary. This step is critical for overcoming resistance by
helping staff understand why the status quo is no longer effective. Without successful
unfreezing, staff are less likely to adopt new behaviors or technologies.
3. A nurse manager is discussing tasks that can be delegated to Unlicensed Assistive
Personnel (UAP). Which tasks should the nurse include in the teaching? (Select All That Apply)
A. Assisting a stable patient with ambulation
B. Measuring and recording intake and output
C. Performing a sterile dressing change on a post-operative wound
D. Providing post-mortem care
E. Evaluating a patient’s response to pain medication
F. Performing basic CPR
,Correct Answer: A, B, D, F
The nurse must delegate tasks that do not require nursing judgment, assessment, or
complex clinical decision-making. Assisting with ambulation, recording I&O, providing
post-mortem care, and performing CPR are considered technical skills that can be
delegated to trained UAP. Complex tasks like sterile dressing changes or clinical
evaluations remain the responsibility of the licensed nurse to ensure patient safety.
4. A nurse is caring for a client who is terminally ill. The client’s family asks the nurse to keep
the diagnosis a secret from the client. Which ethical principle is at conflict when the nurse
chooses to tell the client the truth?
A. Veracity
B. Fidelity
C. Justice
D. Nonmaleficence
Correct Answer: A
Veracity is the duty to tell the truth and not deceive others. In this scenario, the nurse’s
commitment to truth-telling conflicts with the family’s request for secrecy. Upholding
veracity is essential for maintaining a trusting nurse-client relationship and supporting the
client’s autonomy.
, 5. Which of the following elements must be proven to establish a claim of nursing
malpractice? (Select All That Apply)
A. Duty to provide care
B. Breach of duty
C. Causation
D. Injury or damages
E. Intent to harm
Correct Answer: A, B, C, D
To prove negligence or malpractice, four specific elements must be present: duty, breach
of duty, causation, and damages. The plaintiff must show that the nurse had a professional
obligation, failed to meet the standard of care, and that this failure directly caused actual
harm. Intent to harm is not a required element for malpractice, as it focuses on the failure
to act as a reasonably prudent nurse.
6. A nurse is working on a quality improvement committee. Which of the following is a key
characteristic of a ‘Just Culture’ in healthcare?
A. Encouraging staff to report errors and near-misses without fear of retaliation
B. Punishing individuals for all human errors to prevent recurrence
C. Focusing solely on the outcome of an error rather than the process
D. Identifying a single person to blame when a sentinel event occurs
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Final Exam) | Galen
1. A nurse is caring for a client who is deciding whether to undergo an elective surgery. The
nurse provides the client with all the necessary information regarding the risks and benefits
of the procedure, ensuring the client makes an informed decision. Which ethical principle is
the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Correct Answer: A
Autonomy refers to the right of the patient to make their own healthcare decisions even if
the nurse disagrees. This principle is foundational to informed consent and the right to
refuse treatment. Supporting the patient’s right to choose demonstrates respect for their
self-determination and individual values.
,2. A charge nurse is planning a change in the documentation system on the unit. According to
Lewin’s Change Theory, which action should the nurse take during the ‘unfreezing’ stage?
A. Implement the new electronic health record system
B. Provide training and support for the nursing staff
C. Identify the need for change and create awareness of the problem
D. Audit the new records to ensure compliance
Correct Answer: C
The unfreezing stage involves identifying a problem and creating a sense of urgency or
awareness that a change is necessary. This step is critical for overcoming resistance by
helping staff understand why the status quo is no longer effective. Without successful
unfreezing, staff are less likely to adopt new behaviors or technologies.
3. A nurse manager is discussing tasks that can be delegated to Unlicensed Assistive
Personnel (UAP). Which tasks should the nurse include in the teaching? (Select All That Apply)
A. Assisting a stable patient with ambulation
B. Measuring and recording intake and output
C. Performing a sterile dressing change on a post-operative wound
D. Providing post-mortem care
E. Evaluating a patient’s response to pain medication
F. Performing basic CPR
,Correct Answer: A, B, D, F
The nurse must delegate tasks that do not require nursing judgment, assessment, or
complex clinical decision-making. Assisting with ambulation, recording I&O, providing
post-mortem care, and performing CPR are considered technical skills that can be
delegated to trained UAP. Complex tasks like sterile dressing changes or clinical
evaluations remain the responsibility of the licensed nurse to ensure patient safety.
4. A nurse is caring for a client who is terminally ill. The client’s family asks the nurse to keep
the diagnosis a secret from the client. Which ethical principle is at conflict when the nurse
chooses to tell the client the truth?
A. Veracity
B. Fidelity
C. Justice
D. Nonmaleficence
Correct Answer: A
Veracity is the duty to tell the truth and not deceive others. In this scenario, the nurse’s
commitment to truth-telling conflicts with the family’s request for secrecy. Upholding
veracity is essential for maintaining a trusting nurse-client relationship and supporting the
client’s autonomy.
, 5. Which of the following elements must be proven to establish a claim of nursing
malpractice? (Select All That Apply)
A. Duty to provide care
B. Breach of duty
C. Causation
D. Injury or damages
E. Intent to harm
Correct Answer: A, B, C, D
To prove negligence or malpractice, four specific elements must be present: duty, breach
of duty, causation, and damages. The plaintiff must show that the nurse had a professional
obligation, failed to meet the standard of care, and that this failure directly caused actual
harm. Intent to harm is not a required element for malpractice, as it focuses on the failure
to act as a reasonably prudent nurse.
6. A nurse is working on a quality improvement committee. Which of the following is a key
characteristic of a ‘Just Culture’ in healthcare?
A. Encouraging staff to report errors and near-misses without fear of retaliation
B. Punishing individuals for all human errors to prevent recurrence
C. Focusing solely on the outcome of an error rather than the process
D. Identifying a single person to blame when a sentinel event occurs
