NCLEX-RN
NCLEX Questions Leadership and Management Questions
Question 1 of 5
The nurse is preparing to sign a client's surgical consent form after the physician has explained the procedure to the client and family. As the client signs the form, she comments 'I really didn’t understand most of what the doctor said, but I have to have this procedure, so I want to sign.' Which is the appropriate nursing action?
Correct Answer: B
Rationale: Notifying the physician or nursing supervisor (
B) ensures informed consent, a legal and ethical requirement, by addressing the client’s lack of understanding. Witnessing without clarification (
A) violates consent principles, canceling the procedure (
C) is premature, and explaining as a nurse (
D) may exceed the nurse’s role, as the physician should clarify procedure details.
Question 2 of 5
The nurse manager is conducting a staff in-service and announces that the staff nurses may decide when to take meal breaks, and the assignment for new admissions may be decided upon themselves. The nurse manager is demonstrating
Correct Answer: D
Rationale: Allowing staff to decide meal breaks and assignments (
D) reflects a laissez-faire leadership style, characterized by minimal direction and high autonomy. Authoritative (
A) is directive, democratic/participative (B,
C) involve shared decision-making but with more guidance.
Question 3 of 5
The nurse has received the following information about assigned clients. The nurse should first assess the client with
Correct Answer: B
Rationale: Black, tarry stools in a client on warfarin (
B) suggest gastrointestinal bleeding, a life-threatening complication requiring immediate assessment. Respiratory acidosis (
A) is concerning but less acute if stable. Refusing to eat post-insulin (
C) risks hypoglycemia but is less urgent. Pancreatitis pain (
D) rated 3/10 is manageable.
Question 4 of 5
The nurse on the medical-surgical unit has received two new client admissions simultaneously. Which assessment is essential to determine which client the nurse should see first?
Correct Answer: A
Rationale: Vital signs (
A) are essential to determine which new admission to assess first, as they indicate immediate physiological stability or instability. Medications (
B), medical history (
C), and code status (
D) are important but secondary to detecting life-threatening conditions.
Question 5 of 5
The charge nurse is planning client care assignments for a registered nurse (RN) and licensed practical/vocational nurse (LPN/VN). Which of the following clients would be most appropriate to assign to the LPN? Select all that apply. A client
Correct Answer: A, E, F
Rationale: Oral antibiotics for cellulitis (
A), intramuscular RhoGAM (E), and tube feedings/colostomy irrigations (F) are stable tasks within the LPN’s scope. Myasthenia gravis exacerbation (
B), chest tube/ventilation (
C), and support group referral (
D) require RN assessment or coordination due to instability or complexity.