Galen NSG 4850 Exam 2 | Nursing Practice – Capstone (2026)
Actual Q&A PDF
1. A nurse manager is implementing a new bedside shift report protocol to improve patient
safety and communication. Which action best demonstrates effective leadership during this
change?
A) Mandating the new protocol without staff input to ensure rapid implementation
B) Involving frontline staff in the planning and implementation process
C) Implementing the protocol on a trial basis only on the night shift
D) Waiting for staff to request the change before taking action
Correct Answer: Involving frontline staff in the planning and implementation process
Rationale: Effective leadership during change requires engaging stakeholders, particularly those
directly affected. Involving frontline staff fosters buy-in, reduces resistance, and leverages their
practical insights for a smoother implementation. Mandating change without input often leads
to poor adherence and staff dissatisfaction.
2. According to Lewin's Change Theory, which phase involves making the change permanent
and integrating it into the organization's culture?
A) Unfreezing
B) Moving
C) Refreezing
D) Assessing
Correct Answer: Refreezing
Rationale: Refreezing occurs when the new change becomes the new status quo and is
reinforced through supportive mechanisms and policy integration. Praise and positive feedback
,help stabilize the change and make it a permanent part of the practice environment. Unfreezing
involves preparing for change, and Moving is the implementation phase.
3. A nurse is advocating for a policy change to improve access to mental health services in an
underserved community. Which action is most effective for health policy advocacy?
A) Writing a letter to the editor of a local newspaper
B) Contacting elected officials and sharing evidence-based data
C) Posting about the issue on social media
D) Discussing the issue with colleagues during shift change
Correct Answer: Contacting elected officials and sharing evidence-based data
Rationale: Effective health policy advocacy involves contacting elected officials and sharing
evidence-based data to influence policy decisions. While writing letters and using social media
can raise awareness, direct engagement with policymakers using data is the most effective
strategy for driving policy change.
4. A client's family member asks the nurse for information about the patient's prognosis. The
patient has not given consent for information to be shared. What is the nurse's most
appropriate response?
A) Provide the information since the family member is clearly concerned
B) Explain that the nurse cannot share information without the patient's consent
C) Ask the healthcare provider to speak with the family member
D) Tell the family member to ask the patient directly
Correct Answer: Explain that the nurse cannot share information without the patient's consent
,Rationale: The nurse must protect the patient's privacy and confidentiality under HIPAA
regulations. Unless the patient has given explicit consent for information to be shared, the nurse
cannot disclose any details about the patient's condition or prognosis to family members.
5. A nurse is preparing to administer a medication to a client. Which action is most important to
prevent medication errors?
A) Administering the medication quickly to save time
B) Using the five rights of medication administration
C) Asking the client if they have taken this medication before
D) Relying on memory for the correct dose
Correct Answer: Using the five rights of medication administration
Rationale: The five rights (right patient, right drug, right dose, right route, right time) are a
critical safety check to prevent medication errors. Relying on memory or rushing increases the
risk of errors.
6. A nurse is applying the Quality and Safety Education for Nurses (QSEN) competency of
"patient-centered care." Which action best demonstrates this competency?
A) Coordinating care with the interprofessional team to ensure timely discharge
B) Respecting the patient's values, preferences, and expressed needs
C) Using evidence-based guidelines to minimize medication errors
D) Analyzing data to identify opportunities for quality improvement
Correct Answer: Respecting the patient's values, preferences, and expressed needs
Rationale: Patient-centered care is a core QSEN competency that involves recognizing the
patient as the source of control and providing care that is respectful of and responsive to
, individual patient preferences, needs, and values. The other options represent other QSEN
competencies such as teamwork and collaboration, safety, and quality improvement.
7. Which of the following best describes the primary purpose of the NSG 4850 Capstone Exam?
A) To assess proficiency in a single clinical skill
B) To evaluate the integration of nursing knowledge, skills, and attitudes acquired throughout
the baccalaureate program
C) To determine eligibility for graduate-level nursing research
D) To fulfill a general education requirement for graduation
Correct Answer: To evaluate the integration of nursing knowledge, skills, and attitudes acquired
throughout the baccalaureate program
Rationale: The NSG 4850 Capstone Exam serves as a comprehensive summative assessment
designed to evaluate the integration of nursing knowledge, skills, and attitudes acquired
throughout the baccalaureate program. It focuses on the transition from student to professional
registered nurse, emphasizing clinical reasoning, leadership, and the ability to provide high-
quality, safe patient care.
8. What is the primary focus of the transition from student to professional registered nurse in a
capstone course?
A) Memorizing pharmacological interventions
B) Developing clinical reasoning, leadership, and the ability to provide high-quality, safe patient
care
C) Completing required clinical hours in a hospital setting
D) Passing the NCLEX-RN examination
Correct Answer: Developing clinical reasoning, leadership, and the ability to provide high-
quality, safe patient care
Actual Q&A PDF
1. A nurse manager is implementing a new bedside shift report protocol to improve patient
safety and communication. Which action best demonstrates effective leadership during this
change?
A) Mandating the new protocol without staff input to ensure rapid implementation
B) Involving frontline staff in the planning and implementation process
C) Implementing the protocol on a trial basis only on the night shift
D) Waiting for staff to request the change before taking action
Correct Answer: Involving frontline staff in the planning and implementation process
Rationale: Effective leadership during change requires engaging stakeholders, particularly those
directly affected. Involving frontline staff fosters buy-in, reduces resistance, and leverages their
practical insights for a smoother implementation. Mandating change without input often leads
to poor adherence and staff dissatisfaction.
2. According to Lewin's Change Theory, which phase involves making the change permanent
and integrating it into the organization's culture?
A) Unfreezing
B) Moving
C) Refreezing
D) Assessing
Correct Answer: Refreezing
Rationale: Refreezing occurs when the new change becomes the new status quo and is
reinforced through supportive mechanisms and policy integration. Praise and positive feedback
,help stabilize the change and make it a permanent part of the practice environment. Unfreezing
involves preparing for change, and Moving is the implementation phase.
3. A nurse is advocating for a policy change to improve access to mental health services in an
underserved community. Which action is most effective for health policy advocacy?
A) Writing a letter to the editor of a local newspaper
B) Contacting elected officials and sharing evidence-based data
C) Posting about the issue on social media
D) Discussing the issue with colleagues during shift change
Correct Answer: Contacting elected officials and sharing evidence-based data
Rationale: Effective health policy advocacy involves contacting elected officials and sharing
evidence-based data to influence policy decisions. While writing letters and using social media
can raise awareness, direct engagement with policymakers using data is the most effective
strategy for driving policy change.
4. A client's family member asks the nurse for information about the patient's prognosis. The
patient has not given consent for information to be shared. What is the nurse's most
appropriate response?
A) Provide the information since the family member is clearly concerned
B) Explain that the nurse cannot share information without the patient's consent
C) Ask the healthcare provider to speak with the family member
D) Tell the family member to ask the patient directly
Correct Answer: Explain that the nurse cannot share information without the patient's consent
,Rationale: The nurse must protect the patient's privacy and confidentiality under HIPAA
regulations. Unless the patient has given explicit consent for information to be shared, the nurse
cannot disclose any details about the patient's condition or prognosis to family members.
5. A nurse is preparing to administer a medication to a client. Which action is most important to
prevent medication errors?
A) Administering the medication quickly to save time
B) Using the five rights of medication administration
C) Asking the client if they have taken this medication before
D) Relying on memory for the correct dose
Correct Answer: Using the five rights of medication administration
Rationale: The five rights (right patient, right drug, right dose, right route, right time) are a
critical safety check to prevent medication errors. Relying on memory or rushing increases the
risk of errors.
6. A nurse is applying the Quality and Safety Education for Nurses (QSEN) competency of
"patient-centered care." Which action best demonstrates this competency?
A) Coordinating care with the interprofessional team to ensure timely discharge
B) Respecting the patient's values, preferences, and expressed needs
C) Using evidence-based guidelines to minimize medication errors
D) Analyzing data to identify opportunities for quality improvement
Correct Answer: Respecting the patient's values, preferences, and expressed needs
Rationale: Patient-centered care is a core QSEN competency that involves recognizing the
patient as the source of control and providing care that is respectful of and responsive to
, individual patient preferences, needs, and values. The other options represent other QSEN
competencies such as teamwork and collaboration, safety, and quality improvement.
7. Which of the following best describes the primary purpose of the NSG 4850 Capstone Exam?
A) To assess proficiency in a single clinical skill
B) To evaluate the integration of nursing knowledge, skills, and attitudes acquired throughout
the baccalaureate program
C) To determine eligibility for graduate-level nursing research
D) To fulfill a general education requirement for graduation
Correct Answer: To evaluate the integration of nursing knowledge, skills, and attitudes acquired
throughout the baccalaureate program
Rationale: The NSG 4850 Capstone Exam serves as a comprehensive summative assessment
designed to evaluate the integration of nursing knowledge, skills, and attitudes acquired
throughout the baccalaureate program. It focuses on the transition from student to professional
registered nurse, emphasizing clinical reasoning, leadership, and the ability to provide high-
quality, safe patient care.
8. What is the primary focus of the transition from student to professional registered nurse in a
capstone course?
A) Memorizing pharmacological interventions
B) Developing clinical reasoning, leadership, and the ability to provide high-quality, safe patient
care
C) Completing required clinical hours in a hospital setting
D) Passing the NCLEX-RN examination
Correct Answer: Developing clinical reasoning, leadership, and the ability to provide high-
quality, safe patient care
