NSG 4700 Exam 1 V3 | NSG 4700 Leadership & Management in
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 1) |
Galen
1. A nurse manager is evaluating the unit’s performance and identifies that staff members are
often resistant to new protocols. Which stage of Lewin’s Change Theory represents the
process of convincing staff that change is necessary?
A. Restructuring
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s Change Theory where the leader builds
awareness for the need for change. It involves breaking down the existing status quo before
a new way of operating can be built. During this stage, the manager identifies barriers and
motivates the staff to let go of old patterns.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the RN to delegate according to the scope of practice?
A. Initial assessment of a patient admitted with chest pain
B. Developing the initial nursing care plan
C. Administering subcutaneous insulin to a stable patient
D. Providing education on a new complex medication regimen
Answer: C
Rationale: Administering medications to stable patients is generally within the scope of
practice for an LPN. The RN is responsible for initial assessments, developing care plans,
and providing primary patient education. The RN must always ensure that the task
matches the LPN’s competency and the state’s Nurse Practice Act.
3. Which leadership style is characterized by the leader making all the decisions and using
power to command and control others?
A. Autocratic
B. Transformational
C. Democratic
,D. Laissez-faire
Answer: A
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control. This style is most effective in crisis situations where rapid
decision-making is essential for safety. However, it often leads to low staff morale and
stifles creativity in a long-term professional environment.
4. A nurse manager is resolving a conflict between two staff nurses by asking both parties to
give up something of value to reach a solution. This conflict resolution strategy is known as:
A. Collaborating
B. Compromising
C. Competing
D. Avoiding
Answer: B
Rationale: Compromising occurs when each party agrees to yield something to reach a
middle ground. It is often described as a lose-lose or win-lose scenario because neither side
gets exactly what they wanted. This strategy is useful when a temporary or quick solution
is needed for a complex issue.
5. A nurse is caring for a patient who has been diagnosed with terminal cancer. The patient
decides to stop chemotherapy, and the nurse supports this decision. Which ethical principle is
the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Non-maleficence
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without outside influence. By supporting the patient’s choice to refuse treatment, the nurse
respects the patient’s self-determination. This principle is a cornerstone of professional
nursing ethics and legal patient rights.
6. Which management function involves comparing actual results with projected results to
ensure goals are met?
A. Planning
B. Organizing
, C. Controlling
D. Staffing
Answer: C
Rationale: Controlling is the management function that involves monitoring performance
and taking corrective action when necessary. It ensures that the organization’s resources
are being used effectively to reach established goals. This process includes setting
standards, measuring performance, and evaluating outcomes.
7. The nurse manager is implementing a Quality Improvement (QI) project. What is the
primary purpose of a ‘Root Cause Analysis’ (RCA)?
A. To assign blame to the individual who made a mistake
B. To identify system-level factors that contributed to an adverse event
C. To increase the speed of the nursing documentation process
D. To decide which staff members need to be terminated
Answer: B
Rationale: Root Cause Analysis is a systematic process used to identify the underlying
reasons why an error occurred. Instead of blaming individuals, it focuses on flaws in the
system or processes that allowed the error to happen. The ultimate goal is to implement
changes that prevent the error from recurring in the future.
8. A Charge Nurse is assigning patients. Which patient should be assigned to an experienced
RN who has been floated from the Intensive Care Unit (ICU)?
A. A stable patient awaiting discharge to a long-term care facility
B. A patient newly diagnosed with diabetes requiring insulin education
C. A patient who is 1-day postoperative after a routine appendectomy
D. A patient with multiple system organ failure on a ventilator
Answer: D
Rationale: Nurses floated from a specialty unit should be assigned patients that match
their specific skillset. Since the ICU nurse is experienced with ventilators and multi-organ
failure, this is the safest and most efficient assignment. This ensures that the patient’s
complex needs are met by a nurse with the appropriate critical care expertise.
9. The nurse identifies that a client’s informed consent for surgery was signed, but the client
states, ‘I don’t really understand what they are going to do to me.’ What is the nurse’s
priority action?
A. Proceed with the surgery as the form is already signed
Nursing Practice | Actual Q&A with Rationale (NSG4700 Exam 1) |
Galen
1. A nurse manager is evaluating the unit’s performance and identifies that staff members are
often resistant to new protocols. Which stage of Lewin’s Change Theory represents the
process of convincing staff that change is necessary?
A. Restructuring
B. Moving
C. Refreezing
D. Unfreezing
Answer: D
Rationale: Unfreezing is the first stage of Lewin’s Change Theory where the leader builds
awareness for the need for change. It involves breaking down the existing status quo before
a new way of operating can be built. During this stage, the manager identifies barriers and
motivates the staff to let go of old patterns.
2. A registered nurse (RN) is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the RN to delegate according to the scope of practice?
A. Initial assessment of a patient admitted with chest pain
B. Developing the initial nursing care plan
C. Administering subcutaneous insulin to a stable patient
D. Providing education on a new complex medication regimen
Answer: C
Rationale: Administering medications to stable patients is generally within the scope of
practice for an LPN. The RN is responsible for initial assessments, developing care plans,
and providing primary patient education. The RN must always ensure that the task
matches the LPN’s competency and the state’s Nurse Practice Act.
3. Which leadership style is characterized by the leader making all the decisions and using
power to command and control others?
A. Autocratic
B. Transformational
C. Democratic
,D. Laissez-faire
Answer: A
Rationale: Autocratic leadership involves centralized decision-making with the leader
maintaining full control. This style is most effective in crisis situations where rapid
decision-making is essential for safety. However, it often leads to low staff morale and
stifles creativity in a long-term professional environment.
4. A nurse manager is resolving a conflict between two staff nurses by asking both parties to
give up something of value to reach a solution. This conflict resolution strategy is known as:
A. Collaborating
B. Compromising
C. Competing
D. Avoiding
Answer: B
Rationale: Compromising occurs when each party agrees to yield something to reach a
middle ground. It is often described as a lose-lose or win-lose scenario because neither side
gets exactly what they wanted. This strategy is useful when a temporary or quick solution
is needed for a complex issue.
5. A nurse is caring for a patient who has been diagnosed with terminal cancer. The patient
decides to stop chemotherapy, and the nurse supports this decision. Which ethical principle is
the nurse upholding?
A. Autonomy
B. Justice
C. Beneficence
D. Non-maleficence
Answer: A
Rationale: Autonomy refers to the patient’s right to make their own healthcare decisions
without outside influence. By supporting the patient’s choice to refuse treatment, the nurse
respects the patient’s self-determination. This principle is a cornerstone of professional
nursing ethics and legal patient rights.
6. Which management function involves comparing actual results with projected results to
ensure goals are met?
A. Planning
B. Organizing
, C. Controlling
D. Staffing
Answer: C
Rationale: Controlling is the management function that involves monitoring performance
and taking corrective action when necessary. It ensures that the organization’s resources
are being used effectively to reach established goals. This process includes setting
standards, measuring performance, and evaluating outcomes.
7. The nurse manager is implementing a Quality Improvement (QI) project. What is the
primary purpose of a ‘Root Cause Analysis’ (RCA)?
A. To assign blame to the individual who made a mistake
B. To identify system-level factors that contributed to an adverse event
C. To increase the speed of the nursing documentation process
D. To decide which staff members need to be terminated
Answer: B
Rationale: Root Cause Analysis is a systematic process used to identify the underlying
reasons why an error occurred. Instead of blaming individuals, it focuses on flaws in the
system or processes that allowed the error to happen. The ultimate goal is to implement
changes that prevent the error from recurring in the future.
8. A Charge Nurse is assigning patients. Which patient should be assigned to an experienced
RN who has been floated from the Intensive Care Unit (ICU)?
A. A stable patient awaiting discharge to a long-term care facility
B. A patient newly diagnosed with diabetes requiring insulin education
C. A patient who is 1-day postoperative after a routine appendectomy
D. A patient with multiple system organ failure on a ventilator
Answer: D
Rationale: Nurses floated from a specialty unit should be assigned patients that match
their specific skillset. Since the ICU nurse is experienced with ventilators and multi-organ
failure, this is the safest and most efficient assignment. This ensures that the patient’s
complex needs are met by a nurse with the appropriate critical care expertise.
9. The nurse identifies that a client’s informed consent for surgery was signed, but the client
states, ‘I don’t really understand what they are going to do to me.’ What is the nurse’s
priority action?
A. Proceed with the surgery as the form is already signed
