NCLEX-RN
NCLEX Nursing Leadership and Management Questions Questions
Question 1 of 5
The emergency department (ED) nurse is triaging clients in the ED. It would be appropriate for the nurse to triage which client as nonurgent? Select all that apply.
Correct Answer: A, D, E
Rationale: Nonurgent conditions include a localized abscess (
A), antidepressant refill (
D), and a single laceration (E), as they are stable and do not require immediate intervention. Chest pressure (
B) suggests a cardiac emergency, and nausea, vomiting, and painful urination (
C) indicate a possible urinary tract infection, both requiring urgent attention.
Question 2 of 5
The nurse in the emergency department (ED) is caring for an unconscious client who sustained a head injury following a motor vehicle crash. The health care provider (HCP) has ordered an emergency surgery. Which action should the nurse take regarding informed consent?
Correct Answer: C
Rationale: For an unconscious client requiring emergency surgery, implied consent applies, allowing immediate transport to the operating room (
C) to save life or prevent harm. Court orders (
A), searching belongings (
B), or calling police (
D) delay critical care and are not required for emergency consent.
Question 3 of 5
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following tasks would be appropriate for the nurse to assign to UAP? Select all that apply.
Correct Answer: A, C, D
Rationale: UAPs can transport stable clients (
A), ambulate post-surgical clients (
C), and assist with oral care (
D). Calculating intake (
B) requires clinical judgment, and obtaining a urine culture (E) involves sterile technique, both RN/LPN tasks.
Question 4 of 5
The nurse is triaging a group of pediatric clients. The nurse should first see the client who is
Correct Answer: B
Rationale: Drooling and difficulty swallowing (
B) suggest airway obstruction, such as epiglottitis, a life-threatening emergency. Burns (
A), fever with headache (
C), and thirst with thready pulse (
D) are concerning but less immediately critical.
Question 5 of 5
The emergency department (ED) nurse is caring for a client who is 38 weeks pregnant and experiencing frequent contractions. The nurse observes a presenting part of the fetus during the exam. Which priority action should the nurse take?
Correct Answer: B
Rationale: A visible presenting part (
B) indicates imminent delivery, requiring immediate preparation for newborn delivery in the ED. Assessing history (
A), transporting to labor and delivery (
C), or timing contractions (
D) delays critical action for an emergency birth.