NSG 310/NSG310 Exam 4 V1 | Introduction
to Professional Nursing Exam Q&A with
Rationale | Grand Canyon University
1. A nurse manager is utilizing a leadership style that encourages staff participation in
decision-making and values communication. Which style is this?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Correct Answer: D
Expert Explanation: Democratic leadership involves sharing the decision-making process
with group members to promote autonomy. This style fosters a sense of ownership and
increases job satisfaction among nursing staff. It is highly effective in environments where
team collaboration is essential for patient outcomes.
2. Which ethical principle is a nurse upholding when they support a patient’s right to refuse a
life-saving blood transfusion?
A. Autonomy
B. Justice
C. Beneficence
,D. Nonmaleficence
Correct Answer: A
Expert Explanation: Autonomy refers to the right of individuals to make their own choices
regarding their healthcare. The nurse’s role is to ensure the patient is fully informed but
ultimately respect their decision-making power. This principle is a cornerstone of
professional nursing ethics and legal patient rights.
3. What is the primary purpose of the Nurse Practice Act in each state?
A. To set the national standards for nursing education
B. To provide a union for registered nurses
C. To protect the public from unskilled practitioners
D. To determine the salaries of nurses in clinical settings
Correct Answer: C
Expert Explanation: The Nurse Practice Act is a state law established to define the scope
of practice and protect public safety. It ensures that only qualified individuals are licensed
to practice nursing within that specific jurisdiction. By regulating licensure and practice, it
maintains a standard of care for the community.
4. A nurse is sued for malpractice. Which of the following must be proven to establish
liability?
A. A desire to cause harm to the patient
, B. A breach of duty that resulted in injury
C. The nurse was working overtime during the shift
D. The patient did not follow discharge instructions
Correct Answer: B
Expert Explanation: Malpractice requires proof of duty, breach of duty, causation, and
actual harm or injury to the patient. Without a direct link between the nurse’s failure to
meet the standard of care and the injury, liability cannot be established. This legal
framework protects both the patient and the healthcare provider.
5. Which healthcare funding program is primarily designed for low-income individuals and
families?
A. Medicare
B. Private Insurance
C. Social Security
D. Medicaid
Correct Answer: D
Expert Explanation: Medicaid is a joint federal and state program that provides health
coverage to people with limited income and resources. Unlike Medicare, which is primarily
based on age or disability, Medicaid eligibility is largely based on financial need. It serves as
a vital safety net for vulnerable populations in the United States.
to Professional Nursing Exam Q&A with
Rationale | Grand Canyon University
1. A nurse manager is utilizing a leadership style that encourages staff participation in
decision-making and values communication. Which style is this?
A. Autocratic
B. Transactional
C. Laissez-faire
D. Democratic
Correct Answer: D
Expert Explanation: Democratic leadership involves sharing the decision-making process
with group members to promote autonomy. This style fosters a sense of ownership and
increases job satisfaction among nursing staff. It is highly effective in environments where
team collaboration is essential for patient outcomes.
2. Which ethical principle is a nurse upholding when they support a patient’s right to refuse a
life-saving blood transfusion?
A. Autonomy
B. Justice
C. Beneficence
,D. Nonmaleficence
Correct Answer: A
Expert Explanation: Autonomy refers to the right of individuals to make their own choices
regarding their healthcare. The nurse’s role is to ensure the patient is fully informed but
ultimately respect their decision-making power. This principle is a cornerstone of
professional nursing ethics and legal patient rights.
3. What is the primary purpose of the Nurse Practice Act in each state?
A. To set the national standards for nursing education
B. To provide a union for registered nurses
C. To protect the public from unskilled practitioners
D. To determine the salaries of nurses in clinical settings
Correct Answer: C
Expert Explanation: The Nurse Practice Act is a state law established to define the scope
of practice and protect public safety. It ensures that only qualified individuals are licensed
to practice nursing within that specific jurisdiction. By regulating licensure and practice, it
maintains a standard of care for the community.
4. A nurse is sued for malpractice. Which of the following must be proven to establish
liability?
A. A desire to cause harm to the patient
, B. A breach of duty that resulted in injury
C. The nurse was working overtime during the shift
D. The patient did not follow discharge instructions
Correct Answer: B
Expert Explanation: Malpractice requires proof of duty, breach of duty, causation, and
actual harm or injury to the patient. Without a direct link between the nurse’s failure to
meet the standard of care and the injury, liability cannot be established. This legal
framework protects both the patient and the healthcare provider.
5. Which healthcare funding program is primarily designed for low-income individuals and
families?
A. Medicare
B. Private Insurance
C. Social Security
D. Medicaid
Correct Answer: D
Expert Explanation: Medicaid is a joint federal and state program that provides health
coverage to people with limited income and resources. Unlike Medicare, which is primarily
based on age or disability, Medicaid eligibility is largely based on financial need. It serves as
a vital safety net for vulnerable populations in the United States.
