,Verified NSG 4800 Comprehensive Exam 4 Test
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. A charge nurse is making assignments for the upcoming shift. Which client should be assigned
to the most experienced registered nurse (RN)?
A) A client who is 24 hours post-appendectomy with stable vital signs
B) A client with a new diagnosis of hypertension requiring education
C) A client receiving their first dose of chemotherapy
D) A client with stable angina awaiting discharge
Correct Answer: A client receiving their first dose of chemotherapy
Rationale: Clients receiving chemotherapy for the first time require extensive teaching, close
monitoring for hypersensitivity reactions, and potential management of severe adverse effects.
This complexity demands the clinical judgment of an experienced RN. Stable postoperative
clients and those with new hypertension are more appropriate for less experienced nurses.
2. Which task is appropriately delegated by a registered nurse (RN) to a licensed practical nurse
(LPN)?
A) Developing the initial plan of care for a newly admitted client
B) Administering a PRN pain medication to a stable postoperative client
C) Teaching a client how to self-administer insulin
D) Performing the admission assessment on a client with chest pain
,Correct Answer: Administering a PRN pain medication to a stable postoperative client
Rationale: LPNs can administer medications, including PRN medications, to stable clients with
predictable outcomes. Developing care plans, initial assessments, and patient teaching are
responsibilities of the RN. Delegation must match the task to the delegatee's scope of practice
and competency.
3. A registered nurse (RN) is delegating tasks to a UAP. Which task is appropriate to delegate?
A) Obtaining a sterile urine specimen from a client
B) Ambulating a postoperative client who is stable
C) Administering oral medications to a stable client
D) Assessing a client's pain level and response to medication
Correct Answer: Ambulating a postoperative client who is stable
Rationale: UAPs can safely ambulate stable clients under the direction of the RN. Obtaining
sterile specimens may require sterile technique that is beyond the UAP scope in some settings.
Medication administration and pain assessment require licensed nursing judgment and are not
appropriate for delegation to UAPs.
4. Which of the following best describes the primary purpose of a nurse's documentation in the
medical record?
A) To provide evidence of care for legal purposes only
B) To communicate with the healthcare team and ensure continuity of care
C) To inform the patient's family about the plan of care
D) To meet hospital billing and reimbursement requirements
Correct Answer: To communicate with the healthcare team and ensure continuity of care
, Rationale: Documentation serves multiple purposes, including providing evidence of care,
meeting legal requirements, and—most importantly—facilitating communication among
healthcare professionals to ensure continuity and coordination of care.
5. A nurse manager is implementing shared governance on a medical-surgical unit. Which action
best reflects this leadership model?
A) The nurse manager makes all staffing and scheduling decisions independently
B) Staff nurses have authority over clinical practice standards and quality improvement
C) Physicians are given voting rights on all nursing unit policies
D) The hospital CEO selects members for all unit-based committees
Correct Answer: Staff nurses have authority over clinical practice standards and quality
improvement
Rationale: Shared governance is a model that empowers staff nurses to have control over their
practice, including the development of clinical policies, quality improvement initiatives, and
professional standards. This model distributes decision-making authority to those who provide
direct patient care, fostering professional autonomy and accountability.
6. A charge nurse notes an increase in medication errors on the night shift. Using a just culture
approach, which action should the nurse take first?
A) Terminate the nurse who made the most recent error
B) Review systems and processes that may contribute to errors
C) Implement mandatory re-education for all night shift staff
D) Write a formal warning for all nurses involved in errors
Correct Answer: Review systems and processes that may contribute to errors
Bank & Guaranteed Success Exam Prep Guide |
Transition to Professional Nursing Practice | Galen
College of Nursing | Q & A | 2026/2027
1. A charge nurse is making assignments for the upcoming shift. Which client should be assigned
to the most experienced registered nurse (RN)?
A) A client who is 24 hours post-appendectomy with stable vital signs
B) A client with a new diagnosis of hypertension requiring education
C) A client receiving their first dose of chemotherapy
D) A client with stable angina awaiting discharge
Correct Answer: A client receiving their first dose of chemotherapy
Rationale: Clients receiving chemotherapy for the first time require extensive teaching, close
monitoring for hypersensitivity reactions, and potential management of severe adverse effects.
This complexity demands the clinical judgment of an experienced RN. Stable postoperative
clients and those with new hypertension are more appropriate for less experienced nurses.
2. Which task is appropriately delegated by a registered nurse (RN) to a licensed practical nurse
(LPN)?
A) Developing the initial plan of care for a newly admitted client
B) Administering a PRN pain medication to a stable postoperative client
C) Teaching a client how to self-administer insulin
D) Performing the admission assessment on a client with chest pain
,Correct Answer: Administering a PRN pain medication to a stable postoperative client
Rationale: LPNs can administer medications, including PRN medications, to stable clients with
predictable outcomes. Developing care plans, initial assessments, and patient teaching are
responsibilities of the RN. Delegation must match the task to the delegatee's scope of practice
and competency.
3. A registered nurse (RN) is delegating tasks to a UAP. Which task is appropriate to delegate?
A) Obtaining a sterile urine specimen from a client
B) Ambulating a postoperative client who is stable
C) Administering oral medications to a stable client
D) Assessing a client's pain level and response to medication
Correct Answer: Ambulating a postoperative client who is stable
Rationale: UAPs can safely ambulate stable clients under the direction of the RN. Obtaining
sterile specimens may require sterile technique that is beyond the UAP scope in some settings.
Medication administration and pain assessment require licensed nursing judgment and are not
appropriate for delegation to UAPs.
4. Which of the following best describes the primary purpose of a nurse's documentation in the
medical record?
A) To provide evidence of care for legal purposes only
B) To communicate with the healthcare team and ensure continuity of care
C) To inform the patient's family about the plan of care
D) To meet hospital billing and reimbursement requirements
Correct Answer: To communicate with the healthcare team and ensure continuity of care
, Rationale: Documentation serves multiple purposes, including providing evidence of care,
meeting legal requirements, and—most importantly—facilitating communication among
healthcare professionals to ensure continuity and coordination of care.
5. A nurse manager is implementing shared governance on a medical-surgical unit. Which action
best reflects this leadership model?
A) The nurse manager makes all staffing and scheduling decisions independently
B) Staff nurses have authority over clinical practice standards and quality improvement
C) Physicians are given voting rights on all nursing unit policies
D) The hospital CEO selects members for all unit-based committees
Correct Answer: Staff nurses have authority over clinical practice standards and quality
improvement
Rationale: Shared governance is a model that empowers staff nurses to have control over their
practice, including the development of clinical policies, quality improvement initiatives, and
professional standards. This model distributes decision-making authority to those who provide
direct patient care, fostering professional autonomy and accountability.
6. A charge nurse notes an increase in medication errors on the night shift. Using a just culture
approach, which action should the nurse take first?
A) Terminate the nurse who made the most recent error
B) Review systems and processes that may contribute to errors
C) Implement mandatory re-education for all night shift staff
D) Write a formal warning for all nurses involved in errors
Correct Answer: Review systems and processes that may contribute to errors
