,NSG 4800 Exam 4 | Questions & Verified Answers |
2026 Edition | Galen College
1. A nurse manager is implementing shared governance on a medical-surgical unit. Which action best
reflects this leadership model?
A) The nurse manager makes all staffing and scheduling decisions independently
B) Staff nurses have authority over clinical practice standards and quality improvement
C) Physicians are given voting rights on all nursing unit policies
D) The hospital CEO selects members for all unit-based committees
Correct Answer: Staff nurses have authority over clinical practice standards and quality improvement
Rationale: Shared governance is a model that empowers staff nurses to have control over their practice,
including the development of clinical policies, quality improvement initiatives, and professional
standards. This model distributes decision-making authority to those who provide direct patient care,
fostering professional autonomy and accountability.
2. A charge nurse notes an increase in medication errors on the night shift. Using a just culture
approach, which action should the nurse take first?
A) Terminate the nurse who made the most recent error
B) Review systems and processes that may contribute to errors
C) Implement mandatory re-education for all night shift staff
D) Write a formal warning for all nurses involved in errors
Correct Answer: Review systems and processes that may contribute to errors
Rationale: A just culture distinguishes between human error, at-risk behavior, and reckless behavior. The
first step is to analyze the systems and processes that may have contributed to the errors, rather than
immediately blaming individuals. This approach focuses on improving safety systems to prevent future
errors.
,3. A nurse leader is implementing transformational leadership. Which behavior is characteristic of this
leadership style?
A) Focusing primarily on task completion and adherence to rules
B) Inspiring and motivating staff to achieve a shared vision
C) Avoiding conflict by ignoring staff concerns
D) Relying on strict disciplinary policies to manage performance
Correct Answer: Inspiring and motivating staff to achieve a shared vision
Rationale: Transformational leadership is characterized by the leader's ability to inspire and motivate
followers to achieve a shared vision and exceed their own self-interests. This involves creating a positive,
empowering work environment and fostering collaboration and innovation.
4. A nurse manager observes that staff morale is low and nurses are leaving the unit at high rates. Which
leadership action would best address this situation?
A) Implement strict disciplinary policies to improve performance
B) Conduct staff surveys and hold regular meetings to identify and address concerns
C) Increase patient assignments to keep staff busy and reduce complaints
D) Ignore the situation and allow it to resolve naturally
Correct Answer: Conduct staff surveys and hold regular meetings to identify and address concerns
Rationale: A transformational leader identifies problems through open communication and collaborative
problem-solving. Conducting surveys and holding meetings allows the manager to understand the root
causes of low morale and high turnover, then implement targeted solutions to improve staff satisfaction
and retention.
5. Which conflict resolution strategy is most effective for long-term team functioning and preserving
professional relationships?
A) Avoiding the conflict to maintain superficial harmony
B) Competing to ensure one party's needs are met
C) Collaborating to find a win-win solution
, D) Accommodating the other party's demands
Correct Answer: Collaborating to find a win-win solution
Rationale: Collaboration seeks a win-win solution that addresses underlying issues and preserves
relationships. This strategy is most effective for long-term team functioning because it fosters open
communication, mutual respect, and a commitment to finding solutions that benefit all parties.
6. A registered nurse (RN) is preparing to delegate tasks to a licensed practical nurse (LPN) and an
unlicensed assistive personnel (UAP). Which task is most appropriate to assign to the LPN?
A) Developing the patient's plan of care
B) Administering a scheduled oral medication to a stable patient
C) Performing an initial admission assessment
D) Providing discharge education to a newly diagnosed diabetic patient
Correct Answer: Administering a scheduled oral medication to a stable patient
Rationale: LPNs can administer most medications, including oral medications, to stable patients.
Developing plans of care, performing admission assessments, and providing initial patient education are
within the RN's scope of practice and require advanced clinical judgment.
7. Which task is within the scope of practice for unlicensed assistive personnel (UAP)?
A) Performing an initial nursing assessment
B) Administering intravenous medications
C) Measuring and recording vital signs on stable patients
D) Developing the patient's plan of care
Correct Answer: Measuring and recording vital signs on stable patients
2026 Edition | Galen College
1. A nurse manager is implementing shared governance on a medical-surgical unit. Which action best
reflects this leadership model?
A) The nurse manager makes all staffing and scheduling decisions independently
B) Staff nurses have authority over clinical practice standards and quality improvement
C) Physicians are given voting rights on all nursing unit policies
D) The hospital CEO selects members for all unit-based committees
Correct Answer: Staff nurses have authority over clinical practice standards and quality improvement
Rationale: Shared governance is a model that empowers staff nurses to have control over their practice,
including the development of clinical policies, quality improvement initiatives, and professional
standards. This model distributes decision-making authority to those who provide direct patient care,
fostering professional autonomy and accountability.
2. A charge nurse notes an increase in medication errors on the night shift. Using a just culture
approach, which action should the nurse take first?
A) Terminate the nurse who made the most recent error
B) Review systems and processes that may contribute to errors
C) Implement mandatory re-education for all night shift staff
D) Write a formal warning for all nurses involved in errors
Correct Answer: Review systems and processes that may contribute to errors
Rationale: A just culture distinguishes between human error, at-risk behavior, and reckless behavior. The
first step is to analyze the systems and processes that may have contributed to the errors, rather than
immediately blaming individuals. This approach focuses on improving safety systems to prevent future
errors.
,3. A nurse leader is implementing transformational leadership. Which behavior is characteristic of this
leadership style?
A) Focusing primarily on task completion and adherence to rules
B) Inspiring and motivating staff to achieve a shared vision
C) Avoiding conflict by ignoring staff concerns
D) Relying on strict disciplinary policies to manage performance
Correct Answer: Inspiring and motivating staff to achieve a shared vision
Rationale: Transformational leadership is characterized by the leader's ability to inspire and motivate
followers to achieve a shared vision and exceed their own self-interests. This involves creating a positive,
empowering work environment and fostering collaboration and innovation.
4. A nurse manager observes that staff morale is low and nurses are leaving the unit at high rates. Which
leadership action would best address this situation?
A) Implement strict disciplinary policies to improve performance
B) Conduct staff surveys and hold regular meetings to identify and address concerns
C) Increase patient assignments to keep staff busy and reduce complaints
D) Ignore the situation and allow it to resolve naturally
Correct Answer: Conduct staff surveys and hold regular meetings to identify and address concerns
Rationale: A transformational leader identifies problems through open communication and collaborative
problem-solving. Conducting surveys and holding meetings allows the manager to understand the root
causes of low morale and high turnover, then implement targeted solutions to improve staff satisfaction
and retention.
5. Which conflict resolution strategy is most effective for long-term team functioning and preserving
professional relationships?
A) Avoiding the conflict to maintain superficial harmony
B) Competing to ensure one party's needs are met
C) Collaborating to find a win-win solution
, D) Accommodating the other party's demands
Correct Answer: Collaborating to find a win-win solution
Rationale: Collaboration seeks a win-win solution that addresses underlying issues and preserves
relationships. This strategy is most effective for long-term team functioning because it fosters open
communication, mutual respect, and a commitment to finding solutions that benefit all parties.
6. A registered nurse (RN) is preparing to delegate tasks to a licensed practical nurse (LPN) and an
unlicensed assistive personnel (UAP). Which task is most appropriate to assign to the LPN?
A) Developing the patient's plan of care
B) Administering a scheduled oral medication to a stable patient
C) Performing an initial admission assessment
D) Providing discharge education to a newly diagnosed diabetic patient
Correct Answer: Administering a scheduled oral medication to a stable patient
Rationale: LPNs can administer most medications, including oral medications, to stable patients.
Developing plans of care, performing admission assessments, and providing initial patient education are
within the RN's scope of practice and require advanced clinical judgment.
7. Which task is within the scope of practice for unlicensed assistive personnel (UAP)?
A) Performing an initial nursing assessment
B) Administering intravenous medications
C) Measuring and recording vital signs on stable patients
D) Developing the patient's plan of care
Correct Answer: Measuring and recording vital signs on stable patients
