NSG 4800 COMPREHENSIVE FINAL
EXAM STUDY GUIDE QUESTIONS AND
ANSWERS
1. A nurse manager is evaluating a staff nurse’s performance and notes that the nurse
frequently assists peers and demonstrates a high level of emotional intelligence. Which
leadership theory best describes this nurse’s behavior?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Transformational Leadership
D. Authoritarian Leadership
Answer: C
Conceptual Explanation: Transformational leadership focuses on building relationships,
motivating through inspiration, and demonstrating high emotional intelligence to achieve
collective goals.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the RN to delegate?
A. Performing an initial admission assessment on a stable patient.
,B. Developing a nursing care plan for a patient with complex needs.
C. Administering a scheduled subcutaneous insulin injection.
D. Evaluating the effectiveness of a new pain management intervention.
Answer: C
Conceptual Explanation: LPNs can perform routine tasks and administer certain
medications to stable patients; however, assessment, planning, and evaluation are core RN
responsibilities.
3. A healthcare facility is implementing a new Electronic Health Record (EHR) system.
According to Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Providing hands-on training sessions for all staff members.
B. Identifying the need for change and creating awareness among staff.
C. Developing new policies and procedures for EHR documentation.
D. Integrating the EHR into daily routine nursing practice.
Answer: B
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying the problem and helping others realize that the current status quo is no longer
effective.
4. In the process of quality improvement, a ‘Sentinel Event’ is best defined as:
A. An unexpected occurrence involving death or serious physical or psychological injury.
, B. An expected side effect of a high-risk medication.
C. A minor error that does not reach the patient.
D. A patient’s dissatisfaction with the care received during hospitalization.
Answer: A
Conceptual Explanation: The Joint Commission defines a sentinel event as an unexpected
occurrence involving death or serious injury, signaling the need for immediate
investigation and response.
5. A nurse manager is dealing with a conflict between two nurses regarding shift assignments.
The manager tells the nurses to ‘just get along for the sake of the patients.’ Which conflict
management strategy is being used?
A. Compromising
B. Collaborating
C. Competing
D. Smoothing (Accommodating)
Answer: D
Conceptual Explanation: Smoothing or accommodating involves downplaying the conflict
and focusing on agreement to maintain harmony, often ignoring the root cause.
EXAM STUDY GUIDE QUESTIONS AND
ANSWERS
1. A nurse manager is evaluating a staff nurse’s performance and notes that the nurse
frequently assists peers and demonstrates a high level of emotional intelligence. Which
leadership theory best describes this nurse’s behavior?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Transformational Leadership
D. Authoritarian Leadership
Answer: C
Conceptual Explanation: Transformational leadership focuses on building relationships,
motivating through inspiration, and demonstrating high emotional intelligence to achieve
collective goals.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the RN to delegate?
A. Performing an initial admission assessment on a stable patient.
,B. Developing a nursing care plan for a patient with complex needs.
C. Administering a scheduled subcutaneous insulin injection.
D. Evaluating the effectiveness of a new pain management intervention.
Answer: C
Conceptual Explanation: LPNs can perform routine tasks and administer certain
medications to stable patients; however, assessment, planning, and evaluation are core RN
responsibilities.
3. A healthcare facility is implementing a new Electronic Health Record (EHR) system.
According to Lewin’s Change Theory, which action represents the ‘Unfreezing’ stage?
A. Providing hands-on training sessions for all staff members.
B. Identifying the need for change and creating awareness among staff.
C. Developing new policies and procedures for EHR documentation.
D. Integrating the EHR into daily routine nursing practice.
Answer: B
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying the problem and helping others realize that the current status quo is no longer
effective.
4. In the process of quality improvement, a ‘Sentinel Event’ is best defined as:
A. An unexpected occurrence involving death or serious physical or psychological injury.
, B. An expected side effect of a high-risk medication.
C. A minor error that does not reach the patient.
D. A patient’s dissatisfaction with the care received during hospitalization.
Answer: A
Conceptual Explanation: The Joint Commission defines a sentinel event as an unexpected
occurrence involving death or serious injury, signaling the need for immediate
investigation and response.
5. A nurse manager is dealing with a conflict between two nurses regarding shift assignments.
The manager tells the nurses to ‘just get along for the sake of the patients.’ Which conflict
management strategy is being used?
A. Compromising
B. Collaborating
C. Competing
D. Smoothing (Accommodating)
Answer: D
Conceptual Explanation: Smoothing or accommodating involves downplaying the conflict
and focusing on agreement to maintain harmony, often ignoring the root cause.
