NSG 4700 Exam 1 V1 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 1) |
Galen
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which stage of Lewin’s Change Theory involves creating a sense of urgency and awareness
that change is needed?
A. Unfreezing
B. Refreezing
C. Moving
D. Implementing
Answer: A
Rationale: Unfreezing is the first stage of Lewin’s Change Theory where the leader helps
others let go of an old pattern that is no longer productive. It involves identifying the need
for change and convincing the staff that the current way of doing things is not efficient. This
stage is critical for overcoming resistance before the actual movement occurs.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate to delegate to an LPN?
A. Performing the initial admission assessment on a new patient
B. Developing the plan of care for a patient with complex needs
C. Administering oral medications to a stable patient
D. Administering intravenous chemotherapy
Answer: C
Rationale: LPNs are trained to provide care for stable patients, including the
administration of oral medications. The Registered Nurse (RN) is responsible for initial
assessments, developing plans of care, and handling complex interventions like IV
chemotherapy. Delegating oral meds to an LPN allows the RN to focus on more complex
nursing judgements.
3. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
,D. Transformational
Answer: B
Rationale: Autocratic leadership, also known as authoritarian, involves centralized
decision-making where the leader maintains full control. This style is most effective in
emergency situations where quick decisions are mandatory for safety. However, it can lead
to low staff morale if used constantly in non-emergent settings.
4. A nurse manager is evaluating staff performance. Which management function is the nurse
manager performing?
A. Controlling
B. Organizing
C. Directing
D. Planning
Answer: A
Rationale: Controlling is the management function that involves monitoring performance,
comparing results with goals, and taking corrective action. It ensures that the unit is
meeting the established standards and objectives set during the planning phase.
Performance appraisals and quality audits are primary activities within this function.
5. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. Which
ethical principle refers to the nurse’s obligation to do no harm?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Answer: B
Rationale: Nonmaleficence is the ethical requirement that health care providers avoid
inflicting unnecessary pain or suffering on patients. It is often weighed against beneficence,
which is the duty to do good. In end-of-life care, this principle guides decisions to avoid
treatments that may be burdensome without benefit.
6. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient scheduled for physical therapy in 30 minutes
B. A patient with a new onset of shortness of breath and diaphoresis
C. A patient with a history of hypertension requesting a PRN medication
D. A patient who needs a dressing change for a surgical wound
, Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new onset shortness of breath is the highest priority. Shortness of breath indicates a
potential respiratory or cardiac emergency that requires immediate intervention. The
other tasks are important but do not pose an immediate threat to life.
7. Which component of the Five Rights of Delegation is being addressed when the RN
provides clear, concise instructions to the UAP?
A. Right Direction and Communication
B. Right Task
C. Right Person
D. Right Supervision and Evaluation
Answer: A
Rationale: The Right Direction and Communication ensures that the delegatee
understands what needs to be done and when it should be completed. This includes
providing specific data to collect and identifying when to report back to the nurse. Clear
communication reduces errors and improves patient outcomes.
8. A nurse leader is using a transformational leadership style. Which action by the leader best
demonstrates this style?
A. Offering financial bonuses for perfect attendance
B. Following policies strictly without considering individual needs
C. Reprimanding staff publicly for missing documentation
D. Empowering staff to participate in unit-based council decisions
Answer: D
Rationale: Transformational leaders inspire and motivate staff by empowering them and
involving them in decision-making processes. This style fosters a culture of innovation and
high engagement among the team members. It focuses on the growth of the followers as
much as the organizational goals.
9. Conflict occurs between two nurses regarding the scheduling of lunch breaks. The nurse
manager tells them to ‘work it out yourselves.’ Which conflict management strategy is the
manager using?
A. Avoiding
B. Collaborating
C. Competing
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 1) |
Galen
1. A nurse manager is implementing a new evidence-based practice protocol on the unit.
Which stage of Lewin’s Change Theory involves creating a sense of urgency and awareness
that change is needed?
A. Unfreezing
B. Refreezing
C. Moving
D. Implementing
Answer: A
Rationale: Unfreezing is the first stage of Lewin’s Change Theory where the leader helps
others let go of an old pattern that is no longer productive. It involves identifying the need
for change and convincing the staff that the current way of doing things is not efficient. This
stage is critical for overcoming resistance before the actual movement occurs.
2. A charge nurse is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate to delegate to an LPN?
A. Performing the initial admission assessment on a new patient
B. Developing the plan of care for a patient with complex needs
C. Administering oral medications to a stable patient
D. Administering intravenous chemotherapy
Answer: C
Rationale: LPNs are trained to provide care for stable patients, including the
administration of oral medications. The Registered Nurse (RN) is responsible for initial
assessments, developing plans of care, and handling complex interventions like IV
chemotherapy. Delegating oral meds to an LPN allows the RN to focus on more complex
nursing judgements.
3. Which leadership style is characterized by a leader who makes decisions independently
without seeking input from the staff?
A. Democratic
B. Autocratic
C. Laissez-faire
,D. Transformational
Answer: B
Rationale: Autocratic leadership, also known as authoritarian, involves centralized
decision-making where the leader maintains full control. This style is most effective in
emergency situations where quick decisions are mandatory for safety. However, it can lead
to low staff morale if used constantly in non-emergent settings.
4. A nurse manager is evaluating staff performance. Which management function is the nurse
manager performing?
A. Controlling
B. Organizing
C. Directing
D. Planning
Answer: A
Rationale: Controlling is the management function that involves monitoring performance,
comparing results with goals, and taking corrective action. It ensures that the unit is
meeting the established standards and objectives set during the planning phase.
Performance appraisals and quality audits are primary activities within this function.
5. A nurse is faced with an ethical dilemma regarding a patient’s end-of-life care. Which
ethical principle refers to the nurse’s obligation to do no harm?
A. Autonomy
B. Nonmaleficence
C. Beneficence
D. Justice
Answer: B
Rationale: Nonmaleficence is the ethical requirement that health care providers avoid
inflicting unnecessary pain or suffering on patients. It is often weighed against beneficence,
which is the duty to do good. In end-of-life care, this principle guides decisions to avoid
treatments that may be burdensome without benefit.
6. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient scheduled for physical therapy in 30 minutes
B. A patient with a new onset of shortness of breath and diaphoresis
C. A patient with a history of hypertension requesting a PRN medication
D. A patient who needs a dressing change for a surgical wound
, Answer: B
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, the patient with
new onset shortness of breath is the highest priority. Shortness of breath indicates a
potential respiratory or cardiac emergency that requires immediate intervention. The
other tasks are important but do not pose an immediate threat to life.
7. Which component of the Five Rights of Delegation is being addressed when the RN
provides clear, concise instructions to the UAP?
A. Right Direction and Communication
B. Right Task
C. Right Person
D. Right Supervision and Evaluation
Answer: A
Rationale: The Right Direction and Communication ensures that the delegatee
understands what needs to be done and when it should be completed. This includes
providing specific data to collect and identifying when to report back to the nurse. Clear
communication reduces errors and improves patient outcomes.
8. A nurse leader is using a transformational leadership style. Which action by the leader best
demonstrates this style?
A. Offering financial bonuses for perfect attendance
B. Following policies strictly without considering individual needs
C. Reprimanding staff publicly for missing documentation
D. Empowering staff to participate in unit-based council decisions
Answer: D
Rationale: Transformational leaders inspire and motivate staff by empowering them and
involving them in decision-making processes. This style fosters a culture of innovation and
high engagement among the team members. It focuses on the growth of the followers as
much as the organizational goals.
9. Conflict occurs between two nurses regarding the scheduling of lunch breaks. The nurse
manager tells them to ‘work it out yourselves.’ Which conflict management strategy is the
manager using?
A. Avoiding
B. Collaborating
C. Competing
