NSG 4700 Final Exam V1 | NSG 4700
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Final Exam) | Galen
1. A nurse manager is utilizing transformational leadership. Which behavior best exemplifies
this leadership style?
A. Empowering staff to participate in the vision of the organization.
B. Focusing on the exchange of rewards for performance.
C. Using a ‘hands-off’ approach to allow staff to work independently.
D. Focusing primarily on day-to-day administrative tasks.
Correct Answer: A
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision. This style encourages empowerment and inspires
employees to exceed their own expectations. In contrast, transactional leadership focuses
on the exchanges of rewards for effort.
2. When delegating tasks to a Licensed Practical Nurse (LPN), which action is most
appropriate for the Registered Nurse (RN)?
A. Delegating the initial assessment of a new admission.
B. Assigning the LPN to provide discharge teaching to a patient.
,C. Assigning the LPN to administer oral medications to stable clients.
D. Allowing the LPN to develop the initial nursing care plan.
Correct Answer: C
Explanation: LPNs are trained to perform routine tasks such as administering oral
medications to stable patients within their scope of practice. The RN is responsible for the
initial assessment, clinical judgment, and discharge education. Delegating stable tasks
ensures that the RN can focus on high-acuity needs.
3. A nurse is using the SBAR communication tool during a handoff report. What does the ‘R’ in
SBAR represent?
A. Reporting
B. Review
C. Recommendation
D. Rationale
Correct Answer: C
Explanation: The ‘R’ in SBAR stands for Recommendation, where the nurse suggests a plan
of action or requests a specific intervention. SBAR is a standardized framework to improve
communication between healthcare professionals. It stands for Situation, Background,
Assessment, and Recommendation.
, 4. A nurse manager is educating staff on the ‘Five Rights of Delegation’. Which of the
following are included in these rights? (Select All That Apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Directions and Communication
E. Right Supervision and Evaluation
F. Right Documentation
Correct Answer: A, B, C, D, E
Explanation: The Five Rights of Delegation are Right Task, Right Circumstance, Right
Person, Right Directions and Communication, and Right Supervision and Evaluation. These
rights guide the nurse in ensuring safe and effective delegation to unlicensed personnel or
other licensed staff. While documentation is important in nursing, it is not listed as one of
the formal five rights of the delegation process.
5. Which ethical principle is violated when a nurse manager fails to follow through on a
promise made to the staff?
A. Beneficence
B. Veracity
C. Fidelity
Leadership & Management in Nursing
Practice | Actual Q&A with Rationale
(NSG4700 Final Exam) | Galen
1. A nurse manager is utilizing transformational leadership. Which behavior best exemplifies
this leadership style?
A. Empowering staff to participate in the vision of the organization.
B. Focusing on the exchange of rewards for performance.
C. Using a ‘hands-off’ approach to allow staff to work independently.
D. Focusing primarily on day-to-day administrative tasks.
Correct Answer: A
Explanation: Transformational leadership focuses on building relationships and
motivating staff through a shared vision. This style encourages empowerment and inspires
employees to exceed their own expectations. In contrast, transactional leadership focuses
on the exchanges of rewards for effort.
2. When delegating tasks to a Licensed Practical Nurse (LPN), which action is most
appropriate for the Registered Nurse (RN)?
A. Delegating the initial assessment of a new admission.
B. Assigning the LPN to provide discharge teaching to a patient.
,C. Assigning the LPN to administer oral medications to stable clients.
D. Allowing the LPN to develop the initial nursing care plan.
Correct Answer: C
Explanation: LPNs are trained to perform routine tasks such as administering oral
medications to stable patients within their scope of practice. The RN is responsible for the
initial assessment, clinical judgment, and discharge education. Delegating stable tasks
ensures that the RN can focus on high-acuity needs.
3. A nurse is using the SBAR communication tool during a handoff report. What does the ‘R’ in
SBAR represent?
A. Reporting
B. Review
C. Recommendation
D. Rationale
Correct Answer: C
Explanation: The ‘R’ in SBAR stands for Recommendation, where the nurse suggests a plan
of action or requests a specific intervention. SBAR is a standardized framework to improve
communication between healthcare professionals. It stands for Situation, Background,
Assessment, and Recommendation.
, 4. A nurse manager is educating staff on the ‘Five Rights of Delegation’. Which of the
following are included in these rights? (Select All That Apply)
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Directions and Communication
E. Right Supervision and Evaluation
F. Right Documentation
Correct Answer: A, B, C, D, E
Explanation: The Five Rights of Delegation are Right Task, Right Circumstance, Right
Person, Right Directions and Communication, and Right Supervision and Evaluation. These
rights guide the nurse in ensuring safe and effective delegation to unlicensed personnel or
other licensed staff. While documentation is important in nursing, it is not listed as one of
the formal five rights of the delegation process.
5. Which ethical principle is violated when a nurse manager fails to follow through on a
promise made to the staff?
A. Beneficence
B. Veracity
C. Fidelity
