NSG 444A Exam 2 V2 | NSG 444A Transition to
Practice | Actual Q&A with Rationale (NSG444A
Exam 2) | Grand Canyon University
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. Which action represents the ‘Unfreezing’ stage?
A. Providing ongoing support and technical assistance to staff after the system is live.
B. Creating a sense of urgency by showing how the current manual system is causing
errors.
C. Training super-users to assist their peers during the implementation phase.
D. Developing a timeline for the transition to the new documentation platform.
Correct Answer: B
Explanation: The unfreezing stage involves creating awareness of the need for change and
overcoming resistance by highlighting the deficiencies of the status quo. By demonstrating
that the current system is prone to errors, the manager helps staff realize that change is
necessary. This step is crucial for preparing the organization to accept a new way of
working.
2. Which of the following activities are appropriate for a Registered Nurse (RN) to delegate to
an Unlicensed Assistive Personnel (UAP)? Select all that apply.
A. Measuring and recording vital signs on a stable post-operative patient.
B. Assisting a patient with ambulation who is two days post-hip replacement.
,C. Performing a sterile dressing change on a central venous catheter.
D. Updating the patient’s plan of care based on recent morning assessments.
E. Emptying a urinary catheter drainage bag and recording the output.
F. Teaching a patient how to use an incentive spirometer correctly.
Correct Answer: A, B, E
Explanation: Delegation to UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment or the nursing process. Measuring vitals, assisting with stable
ambulation, and recording output are standard UAP tasks. Tasks such as sterile dressing
changes, care planning, and patient teaching require the specialized knowledge and skills of
a licensed nurse.
3. A nurse is caring for a patient who refuses a scheduled blood transfusion based on religious
beliefs. The nurse supports the patient’s decision despite the potential health risks. Which
ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Fidelity
D. Autonomy
Correct Answer: D
, Explanation: Autonomy refers to the right of patients to make their own decisions about
their medical care. In this scenario, the nurse respects the patient’s right to refuse
treatment, even if that decision contradicts medical advice. This principle emphasizes the
importance of self-determination and informed consent in professional nursing practice.
4. During a conflict between two staff nurses regarding scheduling, the nurse manager
suggests that both parties give up something to reach a middle ground. Which conflict
management strategy is being used?
A. Compromising
B. Collaborating
C. Competing
D. Avoiding
Correct Answer: A
Explanation: Compromising is a conflict resolution strategy where each party gives up
something to reach a mutually acceptable agreement. It is often referred to as a ‘lose-lose’
or ‘neutral’ outcome because neither party gets exactly what they wanted. This method is
effective when time is limited or when the parties have equal power.
5. A nurse manager is preparing the annual budget and needs to purchase three new high-
tech ventilators for the Intensive Care Unit. In which part of the budget should this expense
be categorized?
A. Operating budget
Practice | Actual Q&A with Rationale (NSG444A
Exam 2) | Grand Canyon University
1. A nurse manager is utilizing Lewin’s Change Theory to implement a new electronic health
record system. Which action represents the ‘Unfreezing’ stage?
A. Providing ongoing support and technical assistance to staff after the system is live.
B. Creating a sense of urgency by showing how the current manual system is causing
errors.
C. Training super-users to assist their peers during the implementation phase.
D. Developing a timeline for the transition to the new documentation platform.
Correct Answer: B
Explanation: The unfreezing stage involves creating awareness of the need for change and
overcoming resistance by highlighting the deficiencies of the status quo. By demonstrating
that the current system is prone to errors, the manager helps staff realize that change is
necessary. This step is crucial for preparing the organization to accept a new way of
working.
2. Which of the following activities are appropriate for a Registered Nurse (RN) to delegate to
an Unlicensed Assistive Personnel (UAP)? Select all that apply.
A. Measuring and recording vital signs on a stable post-operative patient.
B. Assisting a patient with ambulation who is two days post-hip replacement.
,C. Performing a sterile dressing change on a central venous catheter.
D. Updating the patient’s plan of care based on recent morning assessments.
E. Emptying a urinary catheter drainage bag and recording the output.
F. Teaching a patient how to use an incentive spirometer correctly.
Correct Answer: A, B, E
Explanation: Delegation to UAP should involve tasks that are routine, non-invasive, and do
not require clinical judgment or the nursing process. Measuring vitals, assisting with stable
ambulation, and recording output are standard UAP tasks. Tasks such as sterile dressing
changes, care planning, and patient teaching require the specialized knowledge and skills of
a licensed nurse.
3. A nurse is caring for a patient who refuses a scheduled blood transfusion based on religious
beliefs. The nurse supports the patient’s decision despite the potential health risks. Which
ethical principle is being demonstrated?
A. Beneficence
B. Justice
C. Fidelity
D. Autonomy
Correct Answer: D
, Explanation: Autonomy refers to the right of patients to make their own decisions about
their medical care. In this scenario, the nurse respects the patient’s right to refuse
treatment, even if that decision contradicts medical advice. This principle emphasizes the
importance of self-determination and informed consent in professional nursing practice.
4. During a conflict between two staff nurses regarding scheduling, the nurse manager
suggests that both parties give up something to reach a middle ground. Which conflict
management strategy is being used?
A. Compromising
B. Collaborating
C. Competing
D. Avoiding
Correct Answer: A
Explanation: Compromising is a conflict resolution strategy where each party gives up
something to reach a mutually acceptable agreement. It is often referred to as a ‘lose-lose’
or ‘neutral’ outcome because neither party gets exactly what they wanted. This method is
effective when time is limited or when the parties have equal power.
5. A nurse manager is preparing the annual budget and needs to purchase three new high-
tech ventilators for the Intensive Care Unit. In which part of the budget should this expense
be categorized?
A. Operating budget
