NCLEX-RN
Leadership and Management NCLEX Questions
Question 1 of 5
The nurse is discussing information about advanced directives with a client who expresses concerns, asking, 'What if I change my mind about what I want?' What approach would you use to respond to the client's care?
Correct Answer: C
Rationale: Clients can change or revoke advance directives at any time (
C), ensuring autonomy. New documents (
A) may be needed but not restrictive, living wills are not unchangeable (
B), and hospital stay (
D) does not limit changes.
Question 2 of 5
A charge nurse is preparing client assignments for the shift. Which client is most appropriate to assign to a licensed practical/vocational nurse (LPN/VN)?
Correct Answer: C
Rationale: A client 24 hours post-abdominal surgery needing wound care (
C) is stable and within the LPN scope. Chest tube suctioning (
A) and heparin infusion (
B) require RN monitoring for complications. New-onset seizures (
D) require RN assessment due to instability.
Question 3 of 5
The nurse is caring for a client admitted for an exacerbation of Meniere’s disease. Which of the following nursing interventions is of the highest priority when caring for this client?
Correct Answer: B
Rationale: Initiating fall risk measures (
B) is the highest priority in Meniere’s exacerbation due to vertigo, which poses an immediate safety risk. Hearing loss assessment (
A), low-sodium diet (
C), and medications (
D) are important but secondary to preventing falls.
Question 4 of 5
The nurse offers to stay late to assist the next shift because they are short-staffed. Which ethical principle is the nurse demonstrating?
Correct Answer: C
Rationale: Staying late to assist (
C) demonstrates beneficence by acting to benefit staff and clients through additional support. Non-maleficence (
A), paternalism (
B), and veracity (
D) do not apply to this act of goodwill.
Question 5 of 5
A patient has completed a living will stating that he does not want intubation, mechanical ventilation, or artificial nutrition/hydration should he become unable to communicate his preferences related to medical care. However, the patient's adult children have expressed their opposition to the patient's wishes. Which are appropriate nursing actions? Select all that apply.
Correct Answer: A, C, D
Rationale: Notifying leadership (
A), encouraging family discussion (
C), and requesting an ethics consult (
D) respect the client’s autonomy while addressing family concerns. Stating the will cannot be changed (
B) is incorrect, and advising compliance with family (E) violates autonomy.