,Galen NSG 4800 Comp 2 Exam | Transition to
Professional Nursing Practice (2026) Q&A
1. According to Lewin's Change Model, which sequence correctly describes the
three stages of the change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's model involves unfreezing the current state to prepare for
change, moving to the new desired state through implementation, and
refreezing to stabilize the new behaviors and policies. The correct sequence is
unfreezing, moving, refreezing.
2. A nurse with low competence but high commitment is new to the unit.
According to Hersey‑Blanchard, which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
Correct Answer: Telling (high directive, low supportive)
,Rationale: For a follower with low competence but high commitment, the
leader should provide specific instructions and close supervision. The telling
style offers high task direction and lower relationship support until the nurse
develops competence.
3. The nurse is delegating a task to unlicensed assistive personnel (UAP). Which
right of delegation ensures the task is within the UAP's scope and abilities?
A) Right task
B) Right person
C) Right supervision
D) Right circumstance
Correct Answer: Right person
Rationale: The right person involves verifying that the delegatee has the
appropriate knowledge, skills, and competency to perform the delegated task
safely. Right task confirms the task is appropriate for delegation; the other
rights address other aspects.
4. A client with a traumatic head injury has a urine output of 280 mL/hr for the
past 3 hours. The nurse suspects diabetes insipidus and expects to find which
laboratory result?
A) Urine specific gravity of 1.030 and hyperkalemia
B) Low urine specific gravity and hypernatremia
C) High urine osmolality and hyponatremia
D) Concentrated urine with high sodium
, Correct Answer: Low urine specific gravity and hypernatremia
Rationale: Diabetes insipidus results in deficient ADH, causing massive water
diuresis with dilute urine (low specific gravity) and elevated serum sodium due
to free water loss. Urine output may exceed 250 mL/hr.
5. A client has been taking large amounts of antacids for gastritis. The nurse
monitors for which acid‑base disturbance?
A) Respiratory acidosis
B) Metabolic alkalosis
C) Metabolic acidosis
D) Respiratory alkalosis
Correct Answer: Metabolic alkalosis
Rationale: Excessive antacid use increases bicarbonate, leading to metabolic
alkalosis. NG tube suction also causes loss of gastric acid and metabolic
alkalosis. The nurse should monitor pH, bicarbonate, and potassium levels.
6. The nurse is caring for a client after lumbar spinal surgery. Which intervention
is essential to maintain spinal alignment?
A) Keeping the client in high-Fowler's position
B) Logrolling the client when turning and repositioning
C) Allowing the client to sit up independently
D) Encouraging the client to lie on the side without support
Professional Nursing Practice (2026) Q&A
1. According to Lewin's Change Model, which sequence correctly describes the
three stages of the change process?
A) Refreezing → Moving → Unfreezing
B) Unfreezing → Moving → Refreezing
C) Moving → Unfreezing → Refreezing
D) Unfreezing → Refreezing → Moving
Correct Answer: Unfreezing → Moving → Refreezing
Rationale: Lewin's model involves unfreezing the current state to prepare for
change, moving to the new desired state through implementation, and
refreezing to stabilize the new behaviors and policies. The correct sequence is
unfreezing, moving, refreezing.
2. A nurse with low competence but high commitment is new to the unit.
According to Hersey‑Blanchard, which leadership style is most appropriate?
A) Delegating (low directive, low supportive)
B) Telling (high directive, low supportive)
C) Selling (high directive, high supportive)
D) Participating (low directive, high supportive)
Correct Answer: Telling (high directive, low supportive)
,Rationale: For a follower with low competence but high commitment, the
leader should provide specific instructions and close supervision. The telling
style offers high task direction and lower relationship support until the nurse
develops competence.
3. The nurse is delegating a task to unlicensed assistive personnel (UAP). Which
right of delegation ensures the task is within the UAP's scope and abilities?
A) Right task
B) Right person
C) Right supervision
D) Right circumstance
Correct Answer: Right person
Rationale: The right person involves verifying that the delegatee has the
appropriate knowledge, skills, and competency to perform the delegated task
safely. Right task confirms the task is appropriate for delegation; the other
rights address other aspects.
4. A client with a traumatic head injury has a urine output of 280 mL/hr for the
past 3 hours. The nurse suspects diabetes insipidus and expects to find which
laboratory result?
A) Urine specific gravity of 1.030 and hyperkalemia
B) Low urine specific gravity and hypernatremia
C) High urine osmolality and hyponatremia
D) Concentrated urine with high sodium
, Correct Answer: Low urine specific gravity and hypernatremia
Rationale: Diabetes insipidus results in deficient ADH, causing massive water
diuresis with dilute urine (low specific gravity) and elevated serum sodium due
to free water loss. Urine output may exceed 250 mL/hr.
5. A client has been taking large amounts of antacids for gastritis. The nurse
monitors for which acid‑base disturbance?
A) Respiratory acidosis
B) Metabolic alkalosis
C) Metabolic acidosis
D) Respiratory alkalosis
Correct Answer: Metabolic alkalosis
Rationale: Excessive antacid use increases bicarbonate, leading to metabolic
alkalosis. NG tube suction also causes loss of gastric acid and metabolic
alkalosis. The nurse should monitor pH, bicarbonate, and potassium levels.
6. The nurse is caring for a client after lumbar spinal surgery. Which intervention
is essential to maintain spinal alignment?
A) Keeping the client in high-Fowler's position
B) Logrolling the client when turning and repositioning
C) Allowing the client to sit up independently
D) Encouraging the client to lie on the side without support
