,Verified NSG 4800 Comprehensive Exam 2 Test
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. According to Lewin's Change Model, which sequence correctly describes the three stages of
the change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's Change Model consists of three stages: (1) Unfreezing—preparing the
organization for change by breaking down existing mindsets; (2) Moving—implementing the
actual change; (3) Refreezing—stabilizing the change and integrating it into the organizational
culture. The other sequences incorrectly order these essential phases.
2. A nurse leader is using situational leadership with a novice nurse who has low competence
but high commitment. Which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
,Correct Answer: Telling (high directive, low supportive)
Rationale: Situational leadership theory states that a novice nurse with low competence
requires high direction (telling them what to do). Even with high commitment, they lack the
skills for independent practice, so a "telling" style is most appropriate until competence
develops.
3. A nurse manager observes that staff morale is low and nurses are leaving the unit at high
rates. Which leadership action would best address this situation?
A) Implement strict disciplinary policies to improve performance
B) Conduct staff surveys and hold regular meetings to identify and address concerns
C) Increase patient assignments to keep staff busy
D) Ignore the situation and allow it to resolve naturally
Correct Answer: Conduct staff surveys and hold regular meetings to identify and address
concerns
Rationale: A transformational leader identifies problems through open communication and
collaborative problem-solving. Conducting surveys and holding meetings allows the manager to
understand root causes of low morale and high turnover, then implement targeted solutions.
Strict policies and increased assignments would worsen morale.
4. A hospital is implementing a quality improvement initiative to reduce catheter-associated
urinary tract infections (CAUTIs). Which intervention is most evidence-based?
A) Changing urinary catheters every 24 hours
B) Removing urinary catheters as soon as they are no longer clinically indicated
C) Using catheters routinely for all immobile patients
D) Irrigating catheters with sterile saline daily
, Correct Answer: Removing urinary catheters as soon as they are no longer clinically indicated
Rationale: The most effective evidence-based intervention for CAUTI prevention is timely
removal of indwelling catheters when no longer clinically indicated. Routine catheter changes
and irrigation are not recommended and can increase infection risk. Catheters should not be
used routinely.
5. A nurse is preparing to administer a blood transfusion to a client. The client has a history of a
prior transfusion reaction. What is the most important action for the nurse to take?
A) Slow the infusion rate to prevent a reaction
B) Pre-medicate the client with diphenhydramine
C) Verify the client's identity and blood product with a second licensed nurse
D) Ensure the client has signed a consent form
Correct Answer: Verify the client's identity and blood product with a second licensed nurse
Rationale: Verification of client identity and blood product compatibility with a second licensed
nurse is the most critical safety measure to prevent transfusion reactions. This double-check
system reduces the risk of administering the wrong blood product. Slowing the rate or pre-
medicating does not replace proper verification.
6. Which tasks are within the scope of practice for an LPN? (Select all that apply)
A) Administering most medications
B) Performing initial patient admission assessments
C) Developing the nursing plan of care
D) Reinforcing teaching provided by the RN
Correct Answer: Administering most medications, Reinforcing teaching provided by the RN
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. According to Lewin's Change Model, which sequence correctly describes the three stages of
the change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's Change Model consists of three stages: (1) Unfreezing—preparing the
organization for change by breaking down existing mindsets; (2) Moving—implementing the
actual change; (3) Refreezing—stabilizing the change and integrating it into the organizational
culture. The other sequences incorrectly order these essential phases.
2. A nurse leader is using situational leadership with a novice nurse who has low competence
but high commitment. Which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
,Correct Answer: Telling (high directive, low supportive)
Rationale: Situational leadership theory states that a novice nurse with low competence
requires high direction (telling them what to do). Even with high commitment, they lack the
skills for independent practice, so a "telling" style is most appropriate until competence
develops.
3. A nurse manager observes that staff morale is low and nurses are leaving the unit at high
rates. Which leadership action would best address this situation?
A) Implement strict disciplinary policies to improve performance
B) Conduct staff surveys and hold regular meetings to identify and address concerns
C) Increase patient assignments to keep staff busy
D) Ignore the situation and allow it to resolve naturally
Correct Answer: Conduct staff surveys and hold regular meetings to identify and address
concerns
Rationale: A transformational leader identifies problems through open communication and
collaborative problem-solving. Conducting surveys and holding meetings allows the manager to
understand root causes of low morale and high turnover, then implement targeted solutions.
Strict policies and increased assignments would worsen morale.
4. A hospital is implementing a quality improvement initiative to reduce catheter-associated
urinary tract infections (CAUTIs). Which intervention is most evidence-based?
A) Changing urinary catheters every 24 hours
B) Removing urinary catheters as soon as they are no longer clinically indicated
C) Using catheters routinely for all immobile patients
D) Irrigating catheters with sterile saline daily
, Correct Answer: Removing urinary catheters as soon as they are no longer clinically indicated
Rationale: The most effective evidence-based intervention for CAUTI prevention is timely
removal of indwelling catheters when no longer clinically indicated. Routine catheter changes
and irrigation are not recommended and can increase infection risk. Catheters should not be
used routinely.
5. A nurse is preparing to administer a blood transfusion to a client. The client has a history of a
prior transfusion reaction. What is the most important action for the nurse to take?
A) Slow the infusion rate to prevent a reaction
B) Pre-medicate the client with diphenhydramine
C) Verify the client's identity and blood product with a second licensed nurse
D) Ensure the client has signed a consent form
Correct Answer: Verify the client's identity and blood product with a second licensed nurse
Rationale: Verification of client identity and blood product compatibility with a second licensed
nurse is the most critical safety measure to prevent transfusion reactions. This double-check
system reduces the risk of administering the wrong blood product. Slowing the rate or pre-
medicating does not replace proper verification.
6. Which tasks are within the scope of practice for an LPN? (Select all that apply)
A) Administering most medications
B) Performing initial patient admission assessments
C) Developing the nursing plan of care
D) Reinforcing teaching provided by the RN
Correct Answer: Administering most medications, Reinforcing teaching provided by the RN
