NSG 444A Exam 1 V2 | NSG 444A Transition to
Practice | Actual Q&A with Rationale (NSG444A
Exam 1) | Grand Canyon University
1. A registered nurse (RN) is planning the patient assignments for the shift. Which tasks are
appropriate to delegate to an unlicensed assistive personnel (UAP)? Select all that apply.
A. Assisting a stable patient with ambulation in the hallway.
B. Measuring and recording intake and output (I&O) for a patient.
C. Performing an initial skin assessment on a new admission.
D. Providing discharge instructions to a patient going home.
E. Collecting a clean-catch urine specimen.
F. Administering a nebulizer treatment to a patient with asthma.
Correct Answer: A, B, E
Explanation: The RN can delegate tasks that are routine, non-invasive, and do not require
clinical judgment to the UAP. Assessment and teaching are professional responsibilities of
the RN and cannot be delegated. Routine tasks like ambulation, I&O, and specimen
collection are appropriate for UAP delegation.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff and expects immediate compliance?
A. Democratic
,B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Explanation: Autocratic leadership involves centralized decision-making where the leader
maintains total control. This style is often useful in emergency situations where quick
decisions are mandatory. However, it can lead to low staff morale and lack of professional
growth among team members.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 88%.
B. A patient who had surgery 4 hours ago and has not voided.
C. A patient with a pain level of 8/10 requesting medication.
D. A patient whose IV pump is alarming due to an occlusion.
Correct Answer: A
Explanation: According to the ABC (Airway, Breathing, Circulation) priority framework,
respiratory distress is the most urgent issue. The patient’s low oxygen saturation and high
respiratory rate indicate a threat to the airway or gas exchange. Other tasks like pain
management and IV maintenance are important but secondary to life-threatening
respiratory issues.
, 4. Which of the following elements are required to prove nursing malpractice? Select all that
apply.
A. Duty to the patient
B. Breach of duty
C. Intent to cause harm
D. Causation (proximate cause)
E. Actual injury or damage
Correct Answer: A, B, D, E
Explanation: Malpractice requires four specific elements: duty, breach of duty, causation,
and damages. The plaintiff must prove that the nurse had a professional obligation and
failed to meet the standard of care. Unlike criminal acts, malpractice does not require proof
of intent to cause harm.
5. In Lewin’s Change Theory, the stage where the nurse manager creates awareness of the
need for change and prepares the staff is known as:
A. Moving
B. Refreezing
C. Evaluating
D. Unfreezing
Correct Answer: D
Practice | Actual Q&A with Rationale (NSG444A
Exam 1) | Grand Canyon University
1. A registered nurse (RN) is planning the patient assignments for the shift. Which tasks are
appropriate to delegate to an unlicensed assistive personnel (UAP)? Select all that apply.
A. Assisting a stable patient with ambulation in the hallway.
B. Measuring and recording intake and output (I&O) for a patient.
C. Performing an initial skin assessment on a new admission.
D. Providing discharge instructions to a patient going home.
E. Collecting a clean-catch urine specimen.
F. Administering a nebulizer treatment to a patient with asthma.
Correct Answer: A, B, E
Explanation: The RN can delegate tasks that are routine, non-invasive, and do not require
clinical judgment to the UAP. Assessment and teaching are professional responsibilities of
the RN and cannot be delegated. Routine tasks like ambulation, I&O, and specimen
collection are appropriate for UAP delegation.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff and expects immediate compliance?
A. Democratic
,B. Autocratic
C. Laissez-faire
D. Transformational
Correct Answer: B
Explanation: Autocratic leadership involves centralized decision-making where the leader
maintains total control. This style is often useful in emergency situations where quick
decisions are mandatory. However, it can lead to low staff morale and lack of professional
growth among team members.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with a respiratory rate of 28 and oxygen saturation of 88%.
B. A patient who had surgery 4 hours ago and has not voided.
C. A patient with a pain level of 8/10 requesting medication.
D. A patient whose IV pump is alarming due to an occlusion.
Correct Answer: A
Explanation: According to the ABC (Airway, Breathing, Circulation) priority framework,
respiratory distress is the most urgent issue. The patient’s low oxygen saturation and high
respiratory rate indicate a threat to the airway or gas exchange. Other tasks like pain
management and IV maintenance are important but secondary to life-threatening
respiratory issues.
, 4. Which of the following elements are required to prove nursing malpractice? Select all that
apply.
A. Duty to the patient
B. Breach of duty
C. Intent to cause harm
D. Causation (proximate cause)
E. Actual injury or damage
Correct Answer: A, B, D, E
Explanation: Malpractice requires four specific elements: duty, breach of duty, causation,
and damages. The plaintiff must prove that the nurse had a professional obligation and
failed to meet the standard of care. Unlike criminal acts, malpractice does not require proof
of intent to cause harm.
5. In Lewin’s Change Theory, the stage where the nurse manager creates awareness of the
need for change and prepares the staff is known as:
A. Moving
B. Refreezing
C. Evaluating
D. Unfreezing
Correct Answer: D
