NSG 4800 COMPREHENSIVE FINAL
EXAM STUDY GUIDE QUESTIONS AND
ANSWERS
1. A nurse manager is utilizing transformational leadership. Which behavior best exemplifies
this style?
A. Focusing on day-to-day operations and maintaining the status quo
B. Using rewards and punishments to motivate staff performance
C. Inspiring staff to achieve a shared vision and fostering innovation
D. Making all decisions independently without staff input
Answer: C
Conceptual Explanation: Transformational leaders inspire and motivate followers to
achieve extraordinary outcomes and, in the process, develop their own leadership capacity.
2. Which ethical principle is violated if a nurse gives a placebo to a patient without their
knowledge?
A. Beneficence
B. Autonomy
C. Justice
,D. Fidelity
Answer: B
Conceptual Explanation: Autonomy refers to the right of patients to make their own
informed decisions. Deceiving a patient violates this right.
3. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Assessing a patient’s surgical site
B. Providing discharge education to a patient
C. Evaluating the effectiveness of pain medication
D. Assisting a stable patient with ambulation
Answer: D
Conceptual Explanation: UAPs can perform routine tasks such as ADLs and ambulation
for stable patients, but cannot assess, teach, or evaluate.
4. Under Lewin’s Change Theory, which stage involves reinforcing the new behavior so that it
becomes the new status quo?
A. Unfreezing
B. Moving
C. Transitioning
D. Refreezing
, Answer: D
Conceptual Explanation: Refreezing is the final stage where changes are integrated into
the culture and stabilized.
5. Which conflict management strategy is characterized by a ‘lose-lose’ situation where both
parties ignore the issue?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: B
Conceptual Explanation: Avoiding is a passive response where the conflict is postponed
or ignored, resulting in no resolution for either party.
6. A nurse manager is reviewing the budget and notices a ‘variance’. What does this term
imply?
A. The total amount of profit generated
B. The difference between projected and actual costs
C. Fixed costs that never change
D. The cost of nursing supplies per patient day
Answer: B
EXAM STUDY GUIDE QUESTIONS AND
ANSWERS
1. A nurse manager is utilizing transformational leadership. Which behavior best exemplifies
this style?
A. Focusing on day-to-day operations and maintaining the status quo
B. Using rewards and punishments to motivate staff performance
C. Inspiring staff to achieve a shared vision and fostering innovation
D. Making all decisions independently without staff input
Answer: C
Conceptual Explanation: Transformational leaders inspire and motivate followers to
achieve extraordinary outcomes and, in the process, develop their own leadership capacity.
2. Which ethical principle is violated if a nurse gives a placebo to a patient without their
knowledge?
A. Beneficence
B. Autonomy
C. Justice
,D. Fidelity
Answer: B
Conceptual Explanation: Autonomy refers to the right of patients to make their own
informed decisions. Deceiving a patient violates this right.
3. A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A. Assessing a patient’s surgical site
B. Providing discharge education to a patient
C. Evaluating the effectiveness of pain medication
D. Assisting a stable patient with ambulation
Answer: D
Conceptual Explanation: UAPs can perform routine tasks such as ADLs and ambulation
for stable patients, but cannot assess, teach, or evaluate.
4. Under Lewin’s Change Theory, which stage involves reinforcing the new behavior so that it
becomes the new status quo?
A. Unfreezing
B. Moving
C. Transitioning
D. Refreezing
, Answer: D
Conceptual Explanation: Refreezing is the final stage where changes are integrated into
the culture and stabilized.
5. Which conflict management strategy is characterized by a ‘lose-lose’ situation where both
parties ignore the issue?
A. Competing
B. Avoiding
C. Collaborating
D. Compromising
Answer: B
Conceptual Explanation: Avoiding is a passive response where the conflict is postponed
or ignored, resulting in no resolution for either party.
6. A nurse manager is reviewing the budget and notices a ‘variance’. What does this term
imply?
A. The total amount of profit generated
B. The difference between projected and actual costs
C. Fixed costs that never change
D. The cost of nursing supplies per patient day
Answer: B
