NSG 4800 Exam 4 V2 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 4) | Galen
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new barcode
medication administration system. Which action should the manager take during the
‘unfreezing’ stage of this process?
A. Create a sense of urgency by sharing data regarding recent medication errors on the
unit.
B. Provide ongoing support and technical assistance to staff members during the transition.
C. Develop a new policy manual that outlines the step-by-step procedure for the new
system.
D. Celebrate the successful implementation of the system with a staff recognition event.
Correct Answer: A
The unfreezing stage involves identifying the need for change and preparing staff to let go
of old patterns. By sharing data on medication errors, the manager highlights the necessity
for improvement and motivates staff to accept the new system. This phase is essential for
reducing resistance before the actual change is introduced.
,2. A registered nurse (RN) is planning the daily assignments for a medical-surgical unit. Which
tasks are appropriate to delegate to an experienced Unlicensed Assistive Personnel (UAP)?
(Select All That Apply)
A. Performing post-mortem care on a client who recently passed away.
B. Evaluating a client’s response to a PRN pain medication administered one hour ago.
C. Assisting a stable client with ambulation in the hallway.
D. Measuring and recording intake and output for multiple clients.
E. Providing discharge instructions to a client going home after a hip replacement.
F. Collecting a clean-catch urine specimen from a client.
Correct Answer: A, C, D, F
UAPs are trained to perform non-invasive, routine tasks that do not require clinical
judgment or nursing assessment. Performing post-mortem care, assisting with ambulation,
recording intake/output, and collecting specimens fall within the scope of practice for a
UAP. Tasks involving evaluation, education, and assessment must be performed by the RN.
3. A nurse is caring for a client who is scheduled for an elective surgery. The client expresses
doubt and states, ‘I am not sure I really want to do this anymore.’ Which action by the nurse
demonstrates the role of a client advocate?
A. Encourage the client to follow the surgeon’s recommendation for their own health.
B. Inform the client that the surgery has already been scheduled and prepared for.
, C. Notify the surgeon that the client has questions and is reconsidering the procedure.
D. Ask the client’s family to help persuade the client to proceed with the surgery.
Correct Answer: C
Patient advocacy involves protecting the client’s rights and ensuring they have the
information needed to make an informed decision. By notifying the surgeon, the nurse
ensures the client’s autonomy is respected and that further clarification can be provided.
The nurse must never coerce a client into a procedure they are questioning.
4. A nurse is utilizing the SBAR communication tool during a handoff report. Which
information should the nurse include in the ‘Background’ portion of the report?
A. The client’s current vital signs and recent laboratory results.
B. The nurse’s suggestion for a change in the client’s medication dosage.
C. The client’s relevant medical history, allergies, and code status.
D. The reason for the client’s current admission and their chief complaint.
Correct Answer: C
The Background component of SBAR provides the context for the client’s current
situation, including pertinent history and allergies. This allows the receiving provider to
understand the clinical frame of reference for the patient. Accurate background
information is vital for ensuring continuity of care and safety.
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 4) | Galen
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new barcode
medication administration system. Which action should the manager take during the
‘unfreezing’ stage of this process?
A. Create a sense of urgency by sharing data regarding recent medication errors on the
unit.
B. Provide ongoing support and technical assistance to staff members during the transition.
C. Develop a new policy manual that outlines the step-by-step procedure for the new
system.
D. Celebrate the successful implementation of the system with a staff recognition event.
Correct Answer: A
The unfreezing stage involves identifying the need for change and preparing staff to let go
of old patterns. By sharing data on medication errors, the manager highlights the necessity
for improvement and motivates staff to accept the new system. This phase is essential for
reducing resistance before the actual change is introduced.
,2. A registered nurse (RN) is planning the daily assignments for a medical-surgical unit. Which
tasks are appropriate to delegate to an experienced Unlicensed Assistive Personnel (UAP)?
(Select All That Apply)
A. Performing post-mortem care on a client who recently passed away.
B. Evaluating a client’s response to a PRN pain medication administered one hour ago.
C. Assisting a stable client with ambulation in the hallway.
D. Measuring and recording intake and output for multiple clients.
E. Providing discharge instructions to a client going home after a hip replacement.
F. Collecting a clean-catch urine specimen from a client.
Correct Answer: A, C, D, F
UAPs are trained to perform non-invasive, routine tasks that do not require clinical
judgment or nursing assessment. Performing post-mortem care, assisting with ambulation,
recording intake/output, and collecting specimens fall within the scope of practice for a
UAP. Tasks involving evaluation, education, and assessment must be performed by the RN.
3. A nurse is caring for a client who is scheduled for an elective surgery. The client expresses
doubt and states, ‘I am not sure I really want to do this anymore.’ Which action by the nurse
demonstrates the role of a client advocate?
A. Encourage the client to follow the surgeon’s recommendation for their own health.
B. Inform the client that the surgery has already been scheduled and prepared for.
, C. Notify the surgeon that the client has questions and is reconsidering the procedure.
D. Ask the client’s family to help persuade the client to proceed with the surgery.
Correct Answer: C
Patient advocacy involves protecting the client’s rights and ensuring they have the
information needed to make an informed decision. By notifying the surgeon, the nurse
ensures the client’s autonomy is respected and that further clarification can be provided.
The nurse must never coerce a client into a procedure they are questioning.
4. A nurse is utilizing the SBAR communication tool during a handoff report. Which
information should the nurse include in the ‘Background’ portion of the report?
A. The client’s current vital signs and recent laboratory results.
B. The nurse’s suggestion for a change in the client’s medication dosage.
C. The client’s relevant medical history, allergies, and code status.
D. The reason for the client’s current admission and their chief complaint.
Correct Answer: C
The Background component of SBAR provides the context for the client’s current
situation, including pertinent history and allergies. This allows the receiving provider to
understand the clinical frame of reference for the patient. Accurate background
information is vital for ensuring continuity of care and safety.
