Page 1 of 110
“UWORLD LEADERSHIP QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
uworld leadership
The charge nurse on the telemetry unit is making client assignments. Which
client is appropriate to assign to the licensed practical nurse (LPN)?
1.
Client 2 days after aortic valve surgery who needs a urinary catheter reinserted
due to inability to void
2.
Client being discharged after deep vein thrombosis who needs teaching on
how to self-administer enoxaparin injections
3.
Client who has just been admitted to the telemetry unit from the emergency
department with a rule-out myocardial infarction
4.
Client with a nitroglycerin infusion with prescription to titrate to keep systolic
blood pressure <150 mm Hg; currently is 110/62 mm Hg
1
The charge nurse should assign the most stable and predictable client to the LPN.
The client who needs to have a urinary catheter reinserted is within the scope of
practice for the LPN. The other clients need nursing interventions that require
independent nursing knowledge, skill, and judgment such as assessment, client
teaching, and evaluation of care.
The nurse calls the health care provider at midnight and states, "Client X in
room 212 had a colectomy yesterday and is now lethargic. The client currently
, Page 2 of 110
has a rising pulse at 130/min and a falling systolic blood pressure at 80 mm
Hg. I am concerned that the client is going into shock." With regard to the
SBAR (Situation, Background, Assessment, and Recommendation/Request)
communication technique, what is the most important information excluded by
the nurse?
1.
Basic demographic information
2.
Current temperature and trend
3.
Requesting action by the health care provider
4.
Significant past medical history and allergies
3.
BAR (or I-SBAR-R [Introduction, Situation, Background, Assessment,
Recommendation/Request, and Read-back]) is used to communicate pertinent
information regarding changes in a client's condition in an organized fashion. The
content should include the situation (why the nurse is calling), background,
assessment, and a recommendation/request of the health care provider.
The emergency department nurse is triaging clients. Which client is a priority
for diagnostic workup and definitive care?
1.
Fell, twisting the right knee; heard a "pop"
2.
History of glomerulonephritis; has "iced tea"-colored urine
3.
Pain 10/10 in reddened eye; wears contact lens
4.
Took a handful of amitriptyline tablets after a fight with spouse
4.
Overdoses are generally a priority due to the unpredictability of dosing and client
response. Specifically, the tricyclic antidepressant amitriptyline (Elavil) is lethal if
taken in overdose, especially if consumed with alcohol. It is estimated that 70%-80%
of clients with tricyclic antidepressant overdose die before reaching the hospital.
Amitriptyline was historically used for depression; it is now used for insomnia and
neuropathic pain. Death results from serious cardiac arrhythmias.
The nurse is eating lunch in the hospital cafeteria, which is crowded with
visitors and other staff. A health care provider approaches the nurse and asks,
"How is my client Mrs. Jones in Room 312 doing?" Which response by the
nurse is appropriate?
1.
"I don't know because I am off duty right now."
2.
"Let's step away from the crowd to discuss it."
3.
"Mrs. Jones was fine when I last checked on her during rounds."
, Page 3 of 110
4.
"You will have to talk with the nurse caring for her while I am on break."
2.
he nurse is ethically and legally obligated to protect clients' privacy and maintain
confidentiality of their medical information. If another staff member asks a question
about a client's medical information in an open area with visitors, the nurse should
first move the conversation to a secure area. Answering the question will promote
further conversation, making it likely that the client's privileged health care
information will be discussed and overheard by others. The best response is to
suggest changing the location of the conversation so that the information can be
discussed privately (Option 2).
(Option 1) This response is neither accurate nor helpful because the nurse knows
how the client was earlier in the day. It is best to make the conversation private so
that the nurse can respond to the question appropriately.
(Option 3) Although vague, this response in a public area (ie, cafeteria) violates the
client's privacy by acknowledging the client's presence in the hospital, where the
response may be overheard by others. In addition, it does not provide accurate
information.
(Option 4) It is appropriate to direct questions about the client to the currently
assigned nurse; however, this response violates the client's privacy by confirming the
client's presence in the hospital. It is best to make the conversation private before
sharing any information.
After the nurse receives the change-of-shift report, which client should the
nurse assess first?
1.
Client with asthma who has shortness of breath and high-pitched expiratory
wheezing
2.
Client with diabetes and a stasis leg ulcer dressing saturated with
serosanguineous drainage
3.
Client with heart failure who is short of breath and coughing up pink frothy
sputum
4.
Client with left pleural effusion and absent breath sounds in the left base
3.
The ABC (airway, breathing, circulation) and Maslow's hierarchy of needs
frameworks are commonly used to prioritize client needs.
This client with heart failure who is short of breath and coughing up pink frothy
sputum has developed acute pulmonary edema (fluid filling the alveoli), a potentially
life-threatening condition. This client's status has deteriorated from baseline, is
potentially the most hemodynamically unstable, and should be assessed first.
(Option 1) This client with shortness of breath and high-pitched expiratory wheezing
is experiencing expected clinical manifestations of asthma and is the second most
unstable client at this time.
(Option 2) Diabetic stasis leg ulcers can be associated with large amounts of serous
, Page 4 of 110
or serosanguineous drainage and is an expected manifestation. This client is not the
most unstable at this time.
(Option 4) Absent breath sounds in the lung base in this client with pleural effusion is
an expected finding as the collection of fluid in the pleural space prevents the lung
from expanding. This client is not the most unstable at this time.
The unit is staffed with an experienced registered nurse, an experienced
licensed practical nurse, and unlicensed assistive personnel (UAP). Which
tasks can the charge nurse appropriately delegate to UAP? Select all that
apply.
1.
Apply protective skin ointment after perineal cleansing
2.
Determine if a client has adequate relief after administration of an analgesic
3.
Document daily weight for a client with congestive heart failure
4.
Feed a client who had a stroke 24 hours after admission
5.
Perform passive range-of-motion exercises for a client on a ventilator
1,3,5
Unlicensed assistive personnel (UAP) are assigned tasks for stable clients by the
registered nurse (RN), who directs and manages overall client care. The RN cannot
delegate the nursing process. UAP can perform active and passive range-of-motion
exercises (Option 5). Under the direction of the RN, UAP can apply protective
ointment (such as zinc oxide) after cleaning a client (Option 1).
UAP can obtain data but the RN is responsible for interpreting (evaluating) it. For
example, UAP can obtain objective data such as the client's height and weight, but
the RN will analyze this data to determine the need in the nursing care plan (eg,
effect on drug dosing) (Option 3).
(Option 2) UAP can collect data (eg, an objective pain score), but the RN is
responsible for evaluating if the relief is adequate. The word "adequate" refers to the
evaluation of treatment and is not part of UAP scope of practice. The RN may
consider other aspects (eg, vital signs, body language) when making such
evaluations, especially in a nonverbal client.
(Option 4) A stroke is not considered stabilized until approximately 48 hours have
passed without changes. The client's risk of losing the gag reflex is still high as the
stroke could be evolving. UAP should feed only stable clients.
Educational objective:Unlicensed assistive personnel (UAP) can perform passive
range-of-motion exercises, apply protective ointment, and obtain objective data for
stable clients under the direction of a registered nurse. However, UAP cannot feed
clients with potential dysphagia or make evaluations about treatment effectiveness.
A client is hospitalized for a broken leg. The client has a history of breast
cancer and is receiving outpatient chemotherapy; the last infusion was about a
week ago. Which staff members can safely care for this client? Select all that
apply.
1.
Nurse floated from another medical-surgical floor
2.
Nurse who is 24 weeks pregnant
“UWORLD LEADERSHIP QUESTIONS &
ANSWERS EXAM 2026 ”LATEST EXAM 2026 –
2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
uworld leadership
The charge nurse on the telemetry unit is making client assignments. Which
client is appropriate to assign to the licensed practical nurse (LPN)?
1.
Client 2 days after aortic valve surgery who needs a urinary catheter reinserted
due to inability to void
2.
Client being discharged after deep vein thrombosis who needs teaching on
how to self-administer enoxaparin injections
3.
Client who has just been admitted to the telemetry unit from the emergency
department with a rule-out myocardial infarction
4.
Client with a nitroglycerin infusion with prescription to titrate to keep systolic
blood pressure <150 mm Hg; currently is 110/62 mm Hg
1
The charge nurse should assign the most stable and predictable client to the LPN.
The client who needs to have a urinary catheter reinserted is within the scope of
practice for the LPN. The other clients need nursing interventions that require
independent nursing knowledge, skill, and judgment such as assessment, client
teaching, and evaluation of care.
The nurse calls the health care provider at midnight and states, "Client X in
room 212 had a colectomy yesterday and is now lethargic. The client currently
, Page 2 of 110
has a rising pulse at 130/min and a falling systolic blood pressure at 80 mm
Hg. I am concerned that the client is going into shock." With regard to the
SBAR (Situation, Background, Assessment, and Recommendation/Request)
communication technique, what is the most important information excluded by
the nurse?
1.
Basic demographic information
2.
Current temperature and trend
3.
Requesting action by the health care provider
4.
Significant past medical history and allergies
3.
BAR (or I-SBAR-R [Introduction, Situation, Background, Assessment,
Recommendation/Request, and Read-back]) is used to communicate pertinent
information regarding changes in a client's condition in an organized fashion. The
content should include the situation (why the nurse is calling), background,
assessment, and a recommendation/request of the health care provider.
The emergency department nurse is triaging clients. Which client is a priority
for diagnostic workup and definitive care?
1.
Fell, twisting the right knee; heard a "pop"
2.
History of glomerulonephritis; has "iced tea"-colored urine
3.
Pain 10/10 in reddened eye; wears contact lens
4.
Took a handful of amitriptyline tablets after a fight with spouse
4.
Overdoses are generally a priority due to the unpredictability of dosing and client
response. Specifically, the tricyclic antidepressant amitriptyline (Elavil) is lethal if
taken in overdose, especially if consumed with alcohol. It is estimated that 70%-80%
of clients with tricyclic antidepressant overdose die before reaching the hospital.
Amitriptyline was historically used for depression; it is now used for insomnia and
neuropathic pain. Death results from serious cardiac arrhythmias.
The nurse is eating lunch in the hospital cafeteria, which is crowded with
visitors and other staff. A health care provider approaches the nurse and asks,
"How is my client Mrs. Jones in Room 312 doing?" Which response by the
nurse is appropriate?
1.
"I don't know because I am off duty right now."
2.
"Let's step away from the crowd to discuss it."
3.
"Mrs. Jones was fine when I last checked on her during rounds."
, Page 3 of 110
4.
"You will have to talk with the nurse caring for her while I am on break."
2.
he nurse is ethically and legally obligated to protect clients' privacy and maintain
confidentiality of their medical information. If another staff member asks a question
about a client's medical information in an open area with visitors, the nurse should
first move the conversation to a secure area. Answering the question will promote
further conversation, making it likely that the client's privileged health care
information will be discussed and overheard by others. The best response is to
suggest changing the location of the conversation so that the information can be
discussed privately (Option 2).
(Option 1) This response is neither accurate nor helpful because the nurse knows
how the client was earlier in the day. It is best to make the conversation private so
that the nurse can respond to the question appropriately.
(Option 3) Although vague, this response in a public area (ie, cafeteria) violates the
client's privacy by acknowledging the client's presence in the hospital, where the
response may be overheard by others. In addition, it does not provide accurate
information.
(Option 4) It is appropriate to direct questions about the client to the currently
assigned nurse; however, this response violates the client's privacy by confirming the
client's presence in the hospital. It is best to make the conversation private before
sharing any information.
After the nurse receives the change-of-shift report, which client should the
nurse assess first?
1.
Client with asthma who has shortness of breath and high-pitched expiratory
wheezing
2.
Client with diabetes and a stasis leg ulcer dressing saturated with
serosanguineous drainage
3.
Client with heart failure who is short of breath and coughing up pink frothy
sputum
4.
Client with left pleural effusion and absent breath sounds in the left base
3.
The ABC (airway, breathing, circulation) and Maslow's hierarchy of needs
frameworks are commonly used to prioritize client needs.
This client with heart failure who is short of breath and coughing up pink frothy
sputum has developed acute pulmonary edema (fluid filling the alveoli), a potentially
life-threatening condition. This client's status has deteriorated from baseline, is
potentially the most hemodynamically unstable, and should be assessed first.
(Option 1) This client with shortness of breath and high-pitched expiratory wheezing
is experiencing expected clinical manifestations of asthma and is the second most
unstable client at this time.
(Option 2) Diabetic stasis leg ulcers can be associated with large amounts of serous
, Page 4 of 110
or serosanguineous drainage and is an expected manifestation. This client is not the
most unstable at this time.
(Option 4) Absent breath sounds in the lung base in this client with pleural effusion is
an expected finding as the collection of fluid in the pleural space prevents the lung
from expanding. This client is not the most unstable at this time.
The unit is staffed with an experienced registered nurse, an experienced
licensed practical nurse, and unlicensed assistive personnel (UAP). Which
tasks can the charge nurse appropriately delegate to UAP? Select all that
apply.
1.
Apply protective skin ointment after perineal cleansing
2.
Determine if a client has adequate relief after administration of an analgesic
3.
Document daily weight for a client with congestive heart failure
4.
Feed a client who had a stroke 24 hours after admission
5.
Perform passive range-of-motion exercises for a client on a ventilator
1,3,5
Unlicensed assistive personnel (UAP) are assigned tasks for stable clients by the
registered nurse (RN), who directs and manages overall client care. The RN cannot
delegate the nursing process. UAP can perform active and passive range-of-motion
exercises (Option 5). Under the direction of the RN, UAP can apply protective
ointment (such as zinc oxide) after cleaning a client (Option 1).
UAP can obtain data but the RN is responsible for interpreting (evaluating) it. For
example, UAP can obtain objective data such as the client's height and weight, but
the RN will analyze this data to determine the need in the nursing care plan (eg,
effect on drug dosing) (Option 3).
(Option 2) UAP can collect data (eg, an objective pain score), but the RN is
responsible for evaluating if the relief is adequate. The word "adequate" refers to the
evaluation of treatment and is not part of UAP scope of practice. The RN may
consider other aspects (eg, vital signs, body language) when making such
evaluations, especially in a nonverbal client.
(Option 4) A stroke is not considered stabilized until approximately 48 hours have
passed without changes. The client's risk of losing the gag reflex is still high as the
stroke could be evolving. UAP should feed only stable clients.
Educational objective:Unlicensed assistive personnel (UAP) can perform passive
range-of-motion exercises, apply protective ointment, and obtain objective data for
stable clients under the direction of a registered nurse. However, UAP cannot feed
clients with potential dysphagia or make evaluations about treatment effectiveness.
A client is hospitalized for a broken leg. The client has a history of breast
cancer and is receiving outpatient chemotherapy; the last infusion was about a
week ago. Which staff members can safely care for this client? Select all that
apply.
1.
Nurse floated from another medical-surgical floor
2.
Nurse who is 24 weeks pregnant
