NSG 4800 Exam 4 V3 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 4) | Galen
1. A nurse manager is implementing a new evidence-based protocol for pressure ulcer
prevention. Which leadership style is most effective for inspiring staff to embrace this change
and pursue a shared vision?
A. Transformational
B. Transactional
C. Laissez-faire
D. Bureaucratic
Correct Answer: A
Transformational leadership is characterized by the ability to inspire and motivate
followers to achieve extraordinary outcomes. It focuses on building relationships and
creating a shared vision for the future of the organization. This style is particularly effective
during periods of change or when implementing new clinical protocols.
2. A registered nurse (RN) is planning the daily assignments for a medical-surgical unit. Which
task is most appropriate for the nurse to delegate to a licensed practical nurse (LPN)?
A. Administering a scheduled dose of subcutaneous heparin to a stable patient.
,B. Developing the plan of care for a patient with a newly diagnosed stage III pressure
injury.
C. Performing the initial admission assessment for a patient with heart failure.
D. Evaluating the effectiveness of intravenous pain medication administered 30 minutes
ago.
Correct Answer: A
LPNs can perform routine tasks such as administering certain medications and providing
care for stable patients under the supervision of an RN. Initial assessments, care planning,
and clinical evaluations require the advanced judgment and specialized knowledge of a
registered nurse. The RN must always ensure that the task matches the LPN’s scope of
practice and current competency.
3. An RN is caring for a client who is scheduled for an elective surgery. The client expresses
doubt about the procedure and states, ‘I am not sure I want to do this anymore.’ Which
ethical principle is the nurse upholding by notifying the surgeon of the client’s concerns?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: D
, Autonomy refers to the client’s right to make their own decisions regarding their
healthcare and treatment options. By advocating for the client and ensuring their concerns
are addressed by the surgeon, the nurse respects the client’s self-determination. The
nurse’s role in informed consent includes witnessing the signature and ensuring the client
understands the information provided.
4. A nurse manager is addressing a conflict between two staff members regarding scheduling.
The manager suggests that both parties give up something to reach a mutually acceptable
solution. Which conflict resolution strategy is being utilized?
A. Compromising
B. Smoothing
C. Competing
D. Collaborating
Correct Answer: A
Compromising involves each party giving up something of value to reach a middle-ground
solution. While it may not result in a total ‘win-win,’ it is often a quick way to resolve
disputes when time is limited. This strategy is distinct from collaborating, which seeks to
meet the needs of all parties fully through cooperation.
5. A nurse is reviewing the legal requirements for a malpractice claim. Which elements must
be proven for a nurse to be found guilty of negligence? (Select all that apply.)
A. Duty to provide care
, B. Breach of duty
C. Foreseeability of harm
D. Injury or actual damage
E. Proximate cause (Causation)
F. Criminal intent to harm
Correct Answer: A, B, C, D, E
To succeed in a malpractice or negligence lawsuit, the plaintiff must prove all five
elements: duty, breach of duty, foreseeability, causation, and injury. Negligence is defined
as a failure to act as a reasonably prudent nurse would in a similar situation. Unlike
criminal law, malpractice does not require proof of intent to cause harm, only that the
standard of care was not met.
6. A charge nurse is utilizing the SBAR tool to communicate with a physician regarding a
deteriorating patient. Which of the following statements represents the ‘B’ in SBAR?
A. ‘The patient’s oxygen saturation has dropped to 88% on room air.’
B. ‘I suggest we order a chest X-ray and arterial blood gases.’
C. * ‘The patient has a history of chronic obstructive pulmonary disease and was admitted
yesterday.’*
D. ‘I am calling because the patient is experiencing increased respiratory distress.’
Correct Answer: C
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 4) | Galen
1. A nurse manager is implementing a new evidence-based protocol for pressure ulcer
prevention. Which leadership style is most effective for inspiring staff to embrace this change
and pursue a shared vision?
A. Transformational
B. Transactional
C. Laissez-faire
D. Bureaucratic
Correct Answer: A
Transformational leadership is characterized by the ability to inspire and motivate
followers to achieve extraordinary outcomes. It focuses on building relationships and
creating a shared vision for the future of the organization. This style is particularly effective
during periods of change or when implementing new clinical protocols.
2. A registered nurse (RN) is planning the daily assignments for a medical-surgical unit. Which
task is most appropriate for the nurse to delegate to a licensed practical nurse (LPN)?
A. Administering a scheduled dose of subcutaneous heparin to a stable patient.
,B. Developing the plan of care for a patient with a newly diagnosed stage III pressure
injury.
C. Performing the initial admission assessment for a patient with heart failure.
D. Evaluating the effectiveness of intravenous pain medication administered 30 minutes
ago.
Correct Answer: A
LPNs can perform routine tasks such as administering certain medications and providing
care for stable patients under the supervision of an RN. Initial assessments, care planning,
and clinical evaluations require the advanced judgment and specialized knowledge of a
registered nurse. The RN must always ensure that the task matches the LPN’s scope of
practice and current competency.
3. An RN is caring for a client who is scheduled for an elective surgery. The client expresses
doubt about the procedure and states, ‘I am not sure I want to do this anymore.’ Which
ethical principle is the nurse upholding by notifying the surgeon of the client’s concerns?
A. Beneficence
B. Justice
C. Nonmaleficence
D. Autonomy
Correct Answer: D
, Autonomy refers to the client’s right to make their own decisions regarding their
healthcare and treatment options. By advocating for the client and ensuring their concerns
are addressed by the surgeon, the nurse respects the client’s self-determination. The
nurse’s role in informed consent includes witnessing the signature and ensuring the client
understands the information provided.
4. A nurse manager is addressing a conflict between two staff members regarding scheduling.
The manager suggests that both parties give up something to reach a mutually acceptable
solution. Which conflict resolution strategy is being utilized?
A. Compromising
B. Smoothing
C. Competing
D. Collaborating
Correct Answer: A
Compromising involves each party giving up something of value to reach a middle-ground
solution. While it may not result in a total ‘win-win,’ it is often a quick way to resolve
disputes when time is limited. This strategy is distinct from collaborating, which seeks to
meet the needs of all parties fully through cooperation.
5. A nurse is reviewing the legal requirements for a malpractice claim. Which elements must
be proven for a nurse to be found guilty of negligence? (Select all that apply.)
A. Duty to provide care
, B. Breach of duty
C. Foreseeability of harm
D. Injury or actual damage
E. Proximate cause (Causation)
F. Criminal intent to harm
Correct Answer: A, B, C, D, E
To succeed in a malpractice or negligence lawsuit, the plaintiff must prove all five
elements: duty, breach of duty, foreseeability, causation, and injury. Negligence is defined
as a failure to act as a reasonably prudent nurse would in a similar situation. Unlike
criminal law, malpractice does not require proof of intent to cause harm, only that the
standard of care was not met.
6. A charge nurse is utilizing the SBAR tool to communicate with a physician regarding a
deteriorating patient. Which of the following statements represents the ‘B’ in SBAR?
A. ‘The patient’s oxygen saturation has dropped to 88% on room air.’
B. ‘I suggest we order a chest X-ray and arterial blood gases.’
C. * ‘The patient has a history of chronic obstructive pulmonary disease and was admitted
yesterday.’*
D. ‘I am calling because the patient is experiencing increased respiratory distress.’
Correct Answer: C
