,Verified NSG 4800 Comprehensive Exam 3 Test
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. A nurse manager is implementing a shared governance model on a medical-surgical unit.
Which outcome best demonstrates that this model is functioning effectively?
A) The nurse manager makes all staffing decisions independently to maintain efficiency
B) Staff nurses are empowered to participate in decision-making regarding clinical practice
standards
C) The hospital administration selects members for all unit-based committees
D) Policies are developed exclusively by the executive leadership team
Correct Answer: Staff nurses are empowered to participate in decision-making regarding clinical
practice standards
Rationale: Shared governance is a leadership model that empowers staff nurses to have a voice
in decisions affecting their practice, including clinical standards, policy development, and quality
improvement. This promotes professional autonomy, accountability, and engagement. The
other options represent traditional hierarchical or autocratic approaches that do not reflect
shared governance principles.
2. A charge nurse is faced with a decision about staffing assignments and seeks input from the
team before making the final decision. This leadership style is best described as:
A) Autocratic
B) Democratic (participative)
C) Laissez-faire
,D) Transactional
Correct Answer: Democratic (participative)
Rationale: Democratic leadership involves the leader including team members in the decision-
making process, though the leader retains final authority. This style fosters collaboration,
improves morale, and often leads to better-informed decisions. Autocratic leadership is directive
without input, laissez-faire is hands-off, and transactional focuses on rewards and punishments.
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. A nurse is preparing to delegate a task to an unlicensed assistive personnel (UAP). Which task
is appropriate for delegation?
A) Administering oral medications to a stable patient
B) Performing a sterile wound dressing change
C) Measuring and recording a patient's vital signs
D) Assessing a patient's response to pain medication
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. A nurse manager is implementing a shared governance model on a medical-surgical unit.
Which outcome best demonstrates that this model is functioning effectively?
A) The nurse manager makes all staffing decisions independently to maintain efficiency
B) Staff nurses are empowered to participate in decision-making regarding clinical practice
standards
C) The hospital administration selects members for all unit-based committees
D) Policies are developed exclusively by the executive leadership team
Correct Answer: Staff nurses are empowered to participate in decision-making regarding clinical
practice standards
Rationale: Shared governance is a leadership model that empowers staff nurses to have a voice
in decisions affecting their practice, including clinical standards, policy development, and quality
improvement. This promotes professional autonomy, accountability, and engagement. The
other options represent traditional hierarchical or autocratic approaches that do not reflect
shared governance principles.
2. A charge nurse is faced with a decision about staffing assignments and seeks input from the
team before making the final decision. This leadership style is best described as:
A) Autocratic
B) Democratic (participative)
C) Laissez-faire
,D) Transactional
Correct Answer: Democratic (participative)
Rationale: Democratic leadership involves the leader including team members in the decision-
making process, though the leader retains final authority. This style fosters collaboration,
improves morale, and often leads to better-informed decisions. Autocratic leadership is directive
without input, laissez-faire is hands-off, and transactional focuses on rewards and punishments.
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. A nurse is preparing to delegate a task to an unlicensed assistive personnel (UAP). Which task
is appropriate for delegation?
A) Administering oral medications to a stable patient
B) Performing a sterile wound dressing change
C) Measuring and recording a patient's vital signs
D) Assessing a patient's response to pain medication
