NSG 4800 FINAL EXAM (GALEN) NEWEST VERSION 1, 2 & 3
ACTUAL TEST BANK FINAL EXAM | NSG4800 TRANSITION
TO PROFESSIONAL NURSING PRACTICE FINAL EXAM
REVIEW WITH COMPLETE 400 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!) 2026-2027
1. A newly licensed nurse is reviewing the state Nurse Practice Act
and notices that the definition of nursing includes "independent"
and "interdependent" functions. Which action by the nurse best
demonstrates an interdependent nursing function?**
A. Initiating a nursing care plan for a patient at risk for falls
B. Administering a prescribed antihypertensive medication
C. Educating a patient about a newly prescribed medication
D. Documenting a nursing assessment in the electronic health
record
Answer: B
Rationale: Interdependent nursing functions are those performed
collaboratively with other healthcare professionals, often requiring a
provider's order. Administering a prescribed medication is an
interdependent function because it requires a provider's
prescription and the nurse's clinical judgment during
administration. Initiating a nursing care plan, patient education, and
documentation are independent nursing functions that fall within
the nurse's autonomous scope of practice.
,2. A nurse is reviewing an order for a medication that appears to be
ten times the usual dose. The nurse calls the prescriber, who
confirms the order is correct for this patient's condition. Which
action should the nurse take next?
A. Administer the medication as ordered and document the
verification
B. Refuse to administer the medication and report the prescriber to
the Board of Nursing
C. Administer half the dose to be safe
D. Ask another nurse to administer the medication
Answer: A
Rationale: The nurse has fulfilled the professional obligation by
questioning the questionable order and verifying it with the
prescriber. Once the prescriber confirms the order is correct for the
patient's specific condition, the nurse should administer the
medication as ordered and document the verification process.
Refusing to administer, altering the dose without authorization, or
delegating administration to avoid responsibility would be
inappropriate and potentially harmful.
,3. A nurse is caring for a patient who is scheduled for surgery. The
patient's advance directive designates their adult child as the health
care agent. The patient becomes incapacitated before surgery, and
the adult child is unavailable. The patient's spouse arrives and
wants to make decisions. Which action should the nurse take?
A. Allow the spouse to make decisions as next of kin
B. Consult the hospital's ethics committee immediately
C. Attempt to reach the designated health care agent; if
unsuccessful, follow the advance directive's provisions and facility
policy
D. Ask the surgeon to make the decisions
Answer: C
Rationale: The legally designated health care agent holds decision-
making authority. If the agent is unavailable, the nurse should make
reasonable efforts to contact them while following facility policy and
the advance directive's provisions, which may include alternative
decision-makers. The spouse is not automatically the decision-
maker when a health care agent is designated. Consulting the ethics
committee may be appropriate if there is a conflict, but initially, the
nurse should attempt to reach the designated agent and follow the
document's guidance.
, 4. A nurse is developing a quality improvement project to reduce
hospital-acquired pressure injuries (HAPIs). Which data source
would provide the most reliable baseline for the project?**
A. Staff reports of how often they reposition patients
B. Incidence and prevalence rates of HAPIs from the facility's wound
care team
C. Patient satisfaction surveys about skin care
D. Family complaints about skin breakdown
Answer: B
Rationale: Incidence and prevalence rates from the wound care
team provide objective, measurable data on HAPI occurrence. Staff
reports, patient satisfaction, and family complaints are subjective
and may not accurately reflect actual rates. Reliable baseline data
are essential for measuring the effectiveness of a quality
improvement project.
5. A nurse is mentoring a new graduate who reports feeling
overwhelmed and considering leaving the profession. Which
response by the mentor is most appropriate?
A. "Everyone feels that way at first. It will pass."
B. "You should probably look for a less stressful job."
C. "Tell me more about what you're experiencing. Let's identify
specific stressors and develop a plan together."
D. "Maybe nursing isn't the right career for you."
ACTUAL TEST BANK FINAL EXAM | NSG4800 TRANSITION
TO PROFESSIONAL NURSING PRACTICE FINAL EXAM
REVIEW WITH COMPLETE 400 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!) 2026-2027
1. A newly licensed nurse is reviewing the state Nurse Practice Act
and notices that the definition of nursing includes "independent"
and "interdependent" functions. Which action by the nurse best
demonstrates an interdependent nursing function?**
A. Initiating a nursing care plan for a patient at risk for falls
B. Administering a prescribed antihypertensive medication
C. Educating a patient about a newly prescribed medication
D. Documenting a nursing assessment in the electronic health
record
Answer: B
Rationale: Interdependent nursing functions are those performed
collaboratively with other healthcare professionals, often requiring a
provider's order. Administering a prescribed medication is an
interdependent function because it requires a provider's
prescription and the nurse's clinical judgment during
administration. Initiating a nursing care plan, patient education, and
documentation are independent nursing functions that fall within
the nurse's autonomous scope of practice.
,2. A nurse is reviewing an order for a medication that appears to be
ten times the usual dose. The nurse calls the prescriber, who
confirms the order is correct for this patient's condition. Which
action should the nurse take next?
A. Administer the medication as ordered and document the
verification
B. Refuse to administer the medication and report the prescriber to
the Board of Nursing
C. Administer half the dose to be safe
D. Ask another nurse to administer the medication
Answer: A
Rationale: The nurse has fulfilled the professional obligation by
questioning the questionable order and verifying it with the
prescriber. Once the prescriber confirms the order is correct for the
patient's specific condition, the nurse should administer the
medication as ordered and document the verification process.
Refusing to administer, altering the dose without authorization, or
delegating administration to avoid responsibility would be
inappropriate and potentially harmful.
,3. A nurse is caring for a patient who is scheduled for surgery. The
patient's advance directive designates their adult child as the health
care agent. The patient becomes incapacitated before surgery, and
the adult child is unavailable. The patient's spouse arrives and
wants to make decisions. Which action should the nurse take?
A. Allow the spouse to make decisions as next of kin
B. Consult the hospital's ethics committee immediately
C. Attempt to reach the designated health care agent; if
unsuccessful, follow the advance directive's provisions and facility
policy
D. Ask the surgeon to make the decisions
Answer: C
Rationale: The legally designated health care agent holds decision-
making authority. If the agent is unavailable, the nurse should make
reasonable efforts to contact them while following facility policy and
the advance directive's provisions, which may include alternative
decision-makers. The spouse is not automatically the decision-
maker when a health care agent is designated. Consulting the ethics
committee may be appropriate if there is a conflict, but initially, the
nurse should attempt to reach the designated agent and follow the
document's guidance.
, 4. A nurse is developing a quality improvement project to reduce
hospital-acquired pressure injuries (HAPIs). Which data source
would provide the most reliable baseline for the project?**
A. Staff reports of how often they reposition patients
B. Incidence and prevalence rates of HAPIs from the facility's wound
care team
C. Patient satisfaction surveys about skin care
D. Family complaints about skin breakdown
Answer: B
Rationale: Incidence and prevalence rates from the wound care
team provide objective, measurable data on HAPI occurrence. Staff
reports, patient satisfaction, and family complaints are subjective
and may not accurately reflect actual rates. Reliable baseline data
are essential for measuring the effectiveness of a quality
improvement project.
5. A nurse is mentoring a new graduate who reports feeling
overwhelmed and considering leaving the profession. Which
response by the mentor is most appropriate?
A. "Everyone feels that way at first. It will pass."
B. "You should probably look for a less stressful job."
C. "Tell me more about what you're experiencing. Let's identify
specific stressors and develop a plan together."
D. "Maybe nursing isn't the right career for you."
