NSG 4700 Final Exam V3 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Final Exam) | Galen
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new barcode
medication administration system. Which actions are associated with the ‘Unfreezing’ stage?
(Select All That Apply)
A. Gathering data to show the high rate of medication errors.
B. Educating staff on how to use the new barcode scanners.
C. Communicating the need for change to the staff nurses.
D. Rewarding staff for consistently using the new system.
E. Identifying formal and informal leaders to support the change.
F. Conducting a pilot study on a single unit.
Correct Answer: A, C, E
Explanation: The Unfreezing stage involves creating the motivation or readiness for
change by identifying the problem and creating awareness. In this scenario, gathering error
data, communicating the need, and identifying leaders are all preliminary steps to disrupt
the status quo. The other options refer to the Moving or Refreezing stages of the theory.
,2. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
most appropriate to delegate?
A. Feeding a patient with new-onset dysphagia.
B. Assisting a stable postoperative patient with ambulation.
C. Performing a sterile dressing change on a central line.
D. Providing discharge instructions to a patient going home.
Correct Answer: B
Explanation: Delegation to a UAP should focus on tasks that are routine, non-invasive, and
do not require clinical judgment. Ambulating a stable patient is within the UAP’s scope of
practice once they have been trained and validated. Assessment, sterile procedures, and
teaching must remain with the licensed nurse.
3. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the group?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
, Explanation: The autocratic leadership style involves a high degree of control where the
leader dictates tasks and makes all decisions. This style is often effective in emergency
situations where quick decisions are mandatory. However, it can lead to low staff morale
and stifled creativity in a standard clinical setting.
4. A nurse manager is preparing the annual budget and needs to request a new $50,000
telemetry monitoring system. This request should be placed in which budget category?
A. Operating budget
B. Personnel budget
C. Revenue budget
D. Capital budget
Correct Answer: D
Explanation: Capital budgets are used for large equipment purchases that have a lifespan
typically longer than one year and exceed a specific dollar amount, usually $500 to $1,000.
The telemetry system is a long-term asset and fits this definition perfectly. Operating
budgets cover day-to-day expenses, and personnel budgets cover staffing costs.
5. Two nurses are in conflict regarding the holiday schedule. One nurse says, ‘I will work
Christmas if you work New Year’s Eve.’ Which conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Competing
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Final Exam) | Galen
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new barcode
medication administration system. Which actions are associated with the ‘Unfreezing’ stage?
(Select All That Apply)
A. Gathering data to show the high rate of medication errors.
B. Educating staff on how to use the new barcode scanners.
C. Communicating the need for change to the staff nurses.
D. Rewarding staff for consistently using the new system.
E. Identifying formal and informal leaders to support the change.
F. Conducting a pilot study on a single unit.
Correct Answer: A, C, E
Explanation: The Unfreezing stage involves creating the motivation or readiness for
change by identifying the problem and creating awareness. In this scenario, gathering error
data, communicating the need, and identifying leaders are all preliminary steps to disrupt
the status quo. The other options refer to the Moving or Refreezing stages of the theory.
,2. A charge nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP). Which task is
most appropriate to delegate?
A. Feeding a patient with new-onset dysphagia.
B. Assisting a stable postoperative patient with ambulation.
C. Performing a sterile dressing change on a central line.
D. Providing discharge instructions to a patient going home.
Correct Answer: B
Explanation: Delegation to a UAP should focus on tasks that are routine, non-invasive, and
do not require clinical judgment. Ambulating a stable patient is within the UAP’s scope of
practice once they have been trained and validated. Assessment, sterile procedures, and
teaching must remain with the licensed nurse.
3. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the group?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Correct Answer: D
, Explanation: The autocratic leadership style involves a high degree of control where the
leader dictates tasks and makes all decisions. This style is often effective in emergency
situations where quick decisions are mandatory. However, it can lead to low staff morale
and stifled creativity in a standard clinical setting.
4. A nurse manager is preparing the annual budget and needs to request a new $50,000
telemetry monitoring system. This request should be placed in which budget category?
A. Operating budget
B. Personnel budget
C. Revenue budget
D. Capital budget
Correct Answer: D
Explanation: Capital budgets are used for large equipment purchases that have a lifespan
typically longer than one year and exceed a specific dollar amount, usually $500 to $1,000.
The telemetry system is a long-term asset and fits this definition perfectly. Operating
budgets cover day-to-day expenses, and personnel budgets cover staffing costs.
5. Two nurses are in conflict regarding the holiday schedule. One nurse says, ‘I will work
Christmas if you work New Year’s Eve.’ Which conflict management strategy is being used?
A. Avoiding
B. Compromising
C. Competing
