NSG 4700 Exam 2 V2 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 2) | Galen
1. A nurse manager is implementing transformational leadership on a surgical unit. Which
characteristics are consistent with this leadership style? Select all that apply.
A. Focuses on vision and the future.
B. Empowers staff to participate in decision-making.
C. Relies on a system of rewards and punishments.
D. Uses inspirational motivation to drive performance.
E. Promotes intellectual stimulation among team members.
Correct Answer: A, B, D, E
Explanation: Transformational leadership is defined by the leader’s ability to inspire and
motivate followers to achieve extraordinary outcomes. It involves components such as
idealized influence, inspirational motivation, intellectual stimulation, and individualized
consideration. Unlike transactional leadership, which relies on rewards and punishments,
transformational leadership focuses on long-term vision and staff empowerment.
,2. A nurse is caring for a group of patients and must prioritize care. Which patient should the
nurse assess first?
A. A patient who is 1 day post-operative and requesting pain medication.
B. A patient with a history of heart failure complaining of a new onset of shortness of
breath.
C. A patient with a pressure ulcer requiring a dressing change.
D. A patient who needs discharge instructions before leaving the hospital.
Correct Answer: B
Explanation: The nurse should prioritize the patient with new onset shortness of breath
using the ABC (Airway, Breathing, Circulation) framework. Breathing issues are an
immediate threat to life and take precedence over pain management or discharge planning.
Assessing this patient first ensures that life-threatening complications are addressed
immediately to prevent further deterioration.
3. The nurse manager is explaining Lewin’s Change Theory to the staff. During the ‘unfreezing’
stage, what action should the manager take?
A. Implement the new electronic health record system.
B. Evaluate the outcomes of the change process.
C. Create awareness of the need for a new policy.
D. Provide rewards to staff who adapt to the change quickly.
,Correct Answer: C
Explanation: The unfreezing stage is the first step in Lewin’s model where the leader helps
individuals let go of old patterns. This stage involves creating awareness and highlighting
the necessity for change to overcome resistance. Without successful unfreezing, the
transition to new practices is often met with significant pushback from the staff.
4. A nurse manager is preparing the annual budget and needs to request a new telemetry
monitoring system. Under which budget category does this request fall?
A. Operating budget
B. Cash budget
C. Personnel budget
D. Capital budget
Correct Answer: D
Explanation: The capital budget is used for major equipment purchases that have a long
life expectancy, usually more than one year, and exceed a certain dollar amount. Items like
telemetry systems, MRI machines, and construction projects are categorized here. In
contrast, the operating budget covers day-to-day expenses such as supplies and minor
equipment.
5. Which task is appropriate for a registered nurse (RN) to delegate to an unlicensed assistive
personnel (UAP)?
A. Feeding a patient with a high risk for aspiration.
, B. Administering a PRN oral analgesic to a patient.
C. Teaching a patient how to use an incentive spirometer.
D. Assisting a stable patient with ambulation to the bathroom.
Correct Answer: D
Explanation: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The RN must always assess the stability of the
patient before delegating any task to ensure safety. Tasks involving assessment, teaching,
or medication administration must remain with the licensed nurse.
6. A nurse manager is dealing with a conflict between two staff nurses regarding scheduling.
The manager suggests that both nurses give up something to reach a middle ground. Which
conflict management strategy is being used?
A. Collaborating
B. Competing
C. Avoiding
D. Compromising
Correct Answer: D
Explanation: Compromising involves each party giving up something of value to reach a
solution that is mutually acceptable. While it may not be the most ideal solution for long-
term growth, it provides a quick resolution to immediate conflicts. This strategy is often
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Exam 2) | Galen
1. A nurse manager is implementing transformational leadership on a surgical unit. Which
characteristics are consistent with this leadership style? Select all that apply.
A. Focuses on vision and the future.
B. Empowers staff to participate in decision-making.
C. Relies on a system of rewards and punishments.
D. Uses inspirational motivation to drive performance.
E. Promotes intellectual stimulation among team members.
Correct Answer: A, B, D, E
Explanation: Transformational leadership is defined by the leader’s ability to inspire and
motivate followers to achieve extraordinary outcomes. It involves components such as
idealized influence, inspirational motivation, intellectual stimulation, and individualized
consideration. Unlike transactional leadership, which relies on rewards and punishments,
transformational leadership focuses on long-term vision and staff empowerment.
,2. A nurse is caring for a group of patients and must prioritize care. Which patient should the
nurse assess first?
A. A patient who is 1 day post-operative and requesting pain medication.
B. A patient with a history of heart failure complaining of a new onset of shortness of
breath.
C. A patient with a pressure ulcer requiring a dressing change.
D. A patient who needs discharge instructions before leaving the hospital.
Correct Answer: B
Explanation: The nurse should prioritize the patient with new onset shortness of breath
using the ABC (Airway, Breathing, Circulation) framework. Breathing issues are an
immediate threat to life and take precedence over pain management or discharge planning.
Assessing this patient first ensures that life-threatening complications are addressed
immediately to prevent further deterioration.
3. The nurse manager is explaining Lewin’s Change Theory to the staff. During the ‘unfreezing’
stage, what action should the manager take?
A. Implement the new electronic health record system.
B. Evaluate the outcomes of the change process.
C. Create awareness of the need for a new policy.
D. Provide rewards to staff who adapt to the change quickly.
,Correct Answer: C
Explanation: The unfreezing stage is the first step in Lewin’s model where the leader helps
individuals let go of old patterns. This stage involves creating awareness and highlighting
the necessity for change to overcome resistance. Without successful unfreezing, the
transition to new practices is often met with significant pushback from the staff.
4. A nurse manager is preparing the annual budget and needs to request a new telemetry
monitoring system. Under which budget category does this request fall?
A. Operating budget
B. Cash budget
C. Personnel budget
D. Capital budget
Correct Answer: D
Explanation: The capital budget is used for major equipment purchases that have a long
life expectancy, usually more than one year, and exceed a certain dollar amount. Items like
telemetry systems, MRI machines, and construction projects are categorized here. In
contrast, the operating budget covers day-to-day expenses such as supplies and minor
equipment.
5. Which task is appropriate for a registered nurse (RN) to delegate to an unlicensed assistive
personnel (UAP)?
A. Feeding a patient with a high risk for aspiration.
, B. Administering a PRN oral analgesic to a patient.
C. Teaching a patient how to use an incentive spirometer.
D. Assisting a stable patient with ambulation to the bathroom.
Correct Answer: D
Explanation: Assisting a stable patient with activities of daily living, such as ambulation, is
within the scope of practice for a UAP. The RN must always assess the stability of the
patient before delegating any task to ensure safety. Tasks involving assessment, teaching,
or medication administration must remain with the licensed nurse.
6. A nurse manager is dealing with a conflict between two staff nurses regarding scheduling.
The manager suggests that both nurses give up something to reach a middle ground. Which
conflict management strategy is being used?
A. Collaborating
B. Competing
C. Avoiding
D. Compromising
Correct Answer: D
Explanation: Compromising involves each party giving up something of value to reach a
solution that is mutually acceptable. While it may not be the most ideal solution for long-
term growth, it provides a quick resolution to immediate conflicts. This strategy is often
