Galen NSG 4800 Comp 4 Exam | Transition to Professional
Nursing Practice (2026) Q&A
1. A charge nurse is making assignments for the upcoming shift. Which client should be assigned
to the most experienced 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 of the following is an example of a nurse appropriately delegating a task 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 with an indwelling catheter
B) Ambulating a client who is post-stroke with left-sided weakness
C) Assessing the skin of a client at risk for pressure ulcers
D) Administering a tube feeding to a client with a gastrostomy tube
Correct Answer: Ambulating a client who is post-stroke with left-sided weakness
Rationale: UAPs can assist with activities of daily living, including ambulation, under the
supervision of the RN. Obtaining sterile specimens, assessment, and administering tube
feedings require nursing judgment and are not within the UAP's scope of practice.
4. The nurse manager on a medical-surgical unit is implementing a shared governance model.
Which statement by a staff nurse indicates an understanding of this model?
A) "Our nurse manager will now make all staffing decisions independently."
B) "Staff nurses will have a voice in decisions about clinical practice and quality improvement."
C) "The physicians will now be responsible for all nursing policies."
D) "Our hospital CEO will select members for all unit-based committees."
Correct Answer: "Staff nurses will have a voice in decisions about clinical practice and quality
improvement."
Rationale: Shared governance is a professional practice model that empowers nurses to
participate in decisions affecting their practice and patient care. It decentralizes decision-making
and fosters autonomy, accountability, and collaboration.
,5. Which of the following scenarios constitutes negligence in nursing practice?
A) Threatening to administer an injection to a client who refuses
B) Failing to communicate concerns about a confused older adult being discharged
C) Spreading false rumors about a coworker's competence verbally
D) Posting inaccurate information about a coworker on social media
Correct Answer: Failing to communicate concerns about a confused older adult being
discharged
Rationale: Negligence is the failure to act as a reasonable, prudent nurse would, resulting in
harm. Failing to communicate concerns about a confused client being discharged can lead to
harm and is a form of negligence. Threatening is assault, false verbal statements are slander,
and false written statements are libel.
6. A nurse threatens to apply restraints to a client who is refusing to stay in bed. This action
constitutes which legal violation?
A) Battery
B) Assault
C) False imprisonment
D) Negligence
Correct Answer: Assault
Rationale: Assault occurs when a person puts another in fear of a harmful or offensive contact.
Threatening to apply restraints constitutes assault. If the nurse actually applied the restraints, it
could be battery or false imprisonment depending on the circumstances.
, 7. A client who is alert and oriented requests to leave the hospital against medical advice. The
nurse locks the client's door to prevent them from leaving. This action constitutes which legal
violation?
A) Assault
B) Battery
C) False imprisonment
D) Negligence
Correct Answer: False imprisonment
Rationale: False imprisonment is the unjustified restraint of a person without legal warrant.
Locking an alert and oriented client in their room against their will constitutes false
imprisonment. Clients have the right to leave against medical advice if they are competent.
8. A nurse applies soft mitts to a confused client's hands to prevent them from pulling out their
IV line. This action is considered:
A) A standard nursing intervention
B) A physical restraint
C) A chemical restraint
D) A therapeutic hold
Correct Answer: A physical restraint
Rationale: Soft mitts that limit a client's ability to use their hands are considered a physical
restraint. Restraints should only be used as a last resort, with a physician's order, and require
frequent monitoring. Chemical restraints involve medications.
9. Which of the following is the most appropriate referral for a client who had a total knee
replacement and needs instruction on the use of a walker?
Nursing Practice (2026) Q&A
1. A charge nurse is making assignments for the upcoming shift. Which client should be assigned
to the most experienced 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 of the following is an example of a nurse appropriately delegating a task 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 with an indwelling catheter
B) Ambulating a client who is post-stroke with left-sided weakness
C) Assessing the skin of a client at risk for pressure ulcers
D) Administering a tube feeding to a client with a gastrostomy tube
Correct Answer: Ambulating a client who is post-stroke with left-sided weakness
Rationale: UAPs can assist with activities of daily living, including ambulation, under the
supervision of the RN. Obtaining sterile specimens, assessment, and administering tube
feedings require nursing judgment and are not within the UAP's scope of practice.
4. The nurse manager on a medical-surgical unit is implementing a shared governance model.
Which statement by a staff nurse indicates an understanding of this model?
A) "Our nurse manager will now make all staffing decisions independently."
B) "Staff nurses will have a voice in decisions about clinical practice and quality improvement."
C) "The physicians will now be responsible for all nursing policies."
D) "Our hospital CEO will select members for all unit-based committees."
Correct Answer: "Staff nurses will have a voice in decisions about clinical practice and quality
improvement."
Rationale: Shared governance is a professional practice model that empowers nurses to
participate in decisions affecting their practice and patient care. It decentralizes decision-making
and fosters autonomy, accountability, and collaboration.
,5. Which of the following scenarios constitutes negligence in nursing practice?
A) Threatening to administer an injection to a client who refuses
B) Failing to communicate concerns about a confused older adult being discharged
C) Spreading false rumors about a coworker's competence verbally
D) Posting inaccurate information about a coworker on social media
Correct Answer: Failing to communicate concerns about a confused older adult being
discharged
Rationale: Negligence is the failure to act as a reasonable, prudent nurse would, resulting in
harm. Failing to communicate concerns about a confused client being discharged can lead to
harm and is a form of negligence. Threatening is assault, false verbal statements are slander,
and false written statements are libel.
6. A nurse threatens to apply restraints to a client who is refusing to stay in bed. This action
constitutes which legal violation?
A) Battery
B) Assault
C) False imprisonment
D) Negligence
Correct Answer: Assault
Rationale: Assault occurs when a person puts another in fear of a harmful or offensive contact.
Threatening to apply restraints constitutes assault. If the nurse actually applied the restraints, it
could be battery or false imprisonment depending on the circumstances.
, 7. A client who is alert and oriented requests to leave the hospital against medical advice. The
nurse locks the client's door to prevent them from leaving. This action constitutes which legal
violation?
A) Assault
B) Battery
C) False imprisonment
D) Negligence
Correct Answer: False imprisonment
Rationale: False imprisonment is the unjustified restraint of a person without legal warrant.
Locking an alert and oriented client in their room against their will constitutes false
imprisonment. Clients have the right to leave against medical advice if they are competent.
8. A nurse applies soft mitts to a confused client's hands to prevent them from pulling out their
IV line. This action is considered:
A) A standard nursing intervention
B) A physical restraint
C) A chemical restraint
D) A therapeutic hold
Correct Answer: A physical restraint
Rationale: Soft mitts that limit a client's ability to use their hands are considered a physical
restraint. Restraints should only be used as a last resort, with a physician's order, and require
frequent monitoring. Chemical restraints involve medications.
9. Which of the following is the most appropriate referral for a client who had a total knee
replacement and needs instruction on the use of a walker?
