WGU D 235: Leadership Exam 2_ Questions and Answers| 100% all correct -2026.

LEADERSHIP EXAM #2 1. A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client’s death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication? A. Utilitarianism B. Nonmaleficence C. Fidelity D. Veracity 2. While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take first? A. Complete an incident report B. Request the risk manager obtain consent for HIV testing from the client C. Wash the site of injury with soap and water D. Consent to postexposure treatment with antiretroviral medications 3. A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification? A. “I can change who I designate as my health care proxy at any time.” B. “If I become incapacitated, end-of-life choices will be made by my proxy.” C. “I have to choose a family member as my health proxy.” D. “The health care proxy does not go into effect until I am incapable of making decisions.” 4. A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to indicate first? A. Provide an inservice on medication administration to all the numbers. B. Require staff nurses to demonstrate competency by passing a medication administration examination. C. Review the events leading up to each medication administration error. D. Develop a quality improvement program for nurses involved in medication administration errors. 5. A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom? A. The nurse manager B. No one C. A nurseing student who is completing a preceptorship on the unit D. The unit clerk 6. A nurse on a medical-surgical unit is reconciling a newly admitted client's medication. The nurse is reviewing the process of medication reconcilliation with a newly licensed nurse. The nurse should include which of the following information? A. The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconcilliation B. The purpose of medication reconcilliation is to prevent adverse medication reactions C. The nurse who performs medication reconcilliation is demonstrating the ethical principle of veracity D. The International Council of Nurses Code of Ethics that the nurse performs medication reconcilliation when a client is admitted to a facility, is transferred to another facility, and when a client is discharged from a facility. 7. A nurse is caring for a client on the medical-surgical unit. The client has been taking warfarin at home and her laboratory values reveal her INR is 3.5. The client states she is checking herself out of the hospital and refuses to wait until her provider can discuss the situation with her. Which of the following actions should the nurse take? A. Tell the client she will not be permitted to leave the facility until she has signed the against medical advice (AMA) forms B. Tell the client if she leaves without a written prescription for discharge, her insurance will not pay for the facility visit C. Explain the risk the client faces if she leaves the facility. D. Ask the security department to guard the room to the client's door. 8. An AP tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first? A. Gather data about the nurse's work performance and attendance history. B. Approach the involved nurse to discuss the behavior. C. Notify the risk manager D. Refer the nurse to the Board of Nursing diversion program. 9. A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate? A. "There is such a shortage of organs in this country, so I think you should go ahead and consent to donate your spouse's organs." B. "What do you think your spouse would have wanted?" C. "Most religions support organ donation, so don't let that stand in the way." D. "Don't you think you will feel a little better about the situation if you donate your spouse's organs?" 10. A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate? A. "If you render aid in an accident, do not leave the scene until another competent person can take over." B. "Good Samaritan laws prohibit the victim from filing a lawsuit against the nurse." C. "Federal laws require a licensed nurse to render aid in an emergency." D. "A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws." 11. A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report? A. The nurse identifies a broken piece of equipment. B. A staff member does not show up to work her assigned shift. C. A client discovers that his dentures are missing D. The nurse has a disagreement with the nursing supervisor about inadequate staffing 12. A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first? A. Tell the hiring manager in clear terms that this conduct causes feelings of discomfort and that the behavior should stop immediately. B. Report the behavior to the nurse manager. C. Create a written document of the incident and store the document in a safe place. D. Seek help from a trustworthy friend. 13. A nurse in a long-term care facility has assigned a task to an AP. The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make? A. "I feel you are being inconsiderate of the other team members." B. "I have to let the director of nursing know about this situation." C. "I need to talk to you about the unit policies regarding client assignments." D. "You always get your choice of assignment and don't work your fair share." 14. A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing this medication demonstrates which of the following ethical principles? A. Veracity B. Autonomy C. Fidelity D. Nonmaleficence 15. A nurse overhears two AP's from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action? A. Quietly tell the AP's that this is not appropriate. B. Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit. C. Complete an incident report. D. Document the occurence in a personal log. 16. A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles? A. Veracity B. Autonomy C. Fidelity D. Justice 17. A nurse is caring for a client who is scheduled for surgery. The nurse's role in regard to informed consent is which of the following? A. Ensuring the charge is available to witness the client's signature on the consent form. B. Explaining the risks involved with the procedure. C. Discussing alternate treatment options. D. Determining the client's level of understanding about the procedure. 18. A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the nurse. The nurse should know that, in a legal proceding, the standard that will be used to determine if the negligent is which of the following? A. An expert nurse provides testimony that the nurse should have handled the situation differently. B. Another staff nurse provides testimony about how a reasonable, prudent nurse would have handled the situation. C. The client's attorney states that injury to the client could have been prevented. D. The client's provider testifies the nurse was at fault for the injury. 19. A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by a process audit? A. Availiability of resources, such as fire extinguishers B. Nursing staff ratios C. Quality of nursing care provided D. Length of facility stay for a cohort of clients 20. Following a tornado, a nurse is determining which of the clients assigned to her care be discharged to free up beds for injured clients. Which of the following clients should the nurse recommend for discharge? A. A young adult client who has Crohn's disease and is 1 day preoperative for an ileostomy B. An adolescent client who was admitted 24 hr ago due to a spontaneous pneumothorax C. A middle adult who is 36 hr postoperative from an open laminectomy D. An older adult client who was admitted for diabetic ketoacidosis and his most recent ABGs show his pH is now 7.32. 21. A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form. The nurse's signature on the consent form indicates which of the following? A. Determines the client does not have a mental illness. B. Confirms the client appears competent to provide consent C. Asserts the nurse has explained the risks and benefits of the procedure to the client. D. Records that the client's spouse agrees the procedure is necessary 22. A nurse has been reassigned from her regular area of work to a unit that is short staffed. Which of the following actions should the nurse take first? A. Ask what she will be assigned to do B. Determine if she has the skills to complete the assignment C. Identify her options D. Notify the nurse manager about her concerns for client safety. 23. A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse. Which of the following statements by the nurse manager is appropriate? A. "Let's talk about your concerns about the new policy." B. "Why didn't you voice your concerns before the new policy was implemented?" C. "Being open to change is an expectation of the nurses who work on this unit." D. "You should support this policy change because it was based on evidence- based practice." 24. A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take? A. Make a copy of the incident report for the provider. B. Submit the incident report to the risk manager C. Place the incident report in the client's chart. D. Document in the chart that an incidence report has been filed. 25. A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer? A. Transporting a school-aged client who is in traction to another department. B. Playing a computer video game with an adolescent who has sickle cell disease. C. Reading a book to a preschool client who has AIDS D. Rocking an infant who was admitted for croup 26. A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the following is an appropriate response by the nurse? A. "Let's talk about something else." B. "Whether or not I am a good lover is irrelevant." C. "Speaking to me like that makes me uncomfortable." D. "You need to lower your voice. Others can hear you." 27. A nurse is working with an AP to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first? A. Collect a stool sample for ava and parasites from a school-aged child B. Engage a toddler in play C. Wash the hair of an adolescent who reports extreme fatigue and is scheduled for radiation therapy for the treatment of Hodgkin lymphoma. D. Check to see if the elbow restraint is in place for an infant who is postoperative from a surgical correction of a cleft palate. 28. A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following? A. Keeping an appointment with a client B. Allowing a new mother to hold her stillborn infant C. Confirming that a client going for surgery has signed a consent form D. Refusing to disclose information about a client to the media. 29. A nurse is participating in a disaster simu lation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse? A. Preventing cross-contamination of clients B. Performing concise client assessment C. Transferring a client to the discharge location D. Maintaining a client tracking system 30. A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances? A. A dependent adult admitted for the treatment of a spiral fracture B. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse C. A young adult client admitted for acute glomerulonephritis following a viral infection D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment. 31. A nurse is preparing to administer a soap suds enema to a client who has constipation. As the nurse explains the procedure, the client states, "The doctor didn't tell me I was supposed to receive an enema." Which of the following nursing actions is appropriate at this time? A. Check the client's medical record for the provider's prescription B. Explain to the client that the provider prescribed the procedure C. Assure the client that enemas are commonly prescribed for constipation D. Inform the charge nurse that the client refused the enema 32. A nurse suspects that a coworker is diverting opiod analgesics. Which of the following is an adverse effect of opioid medications? A. Euphoria B. Rhinorrhea C. Hallucinations D. Dilated pupils 33. A nurse manager has received information from the facilities risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process? A. Complaint phase B. Discovery phase C. Decision phase D. Trial phase 34. A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilitied? A. Assessing the current health status of the client B. Explaining the operative procedure, risks, and benefits. C. Reviewing preoperative laboratory test results D. Ensuring that a signed surgical consent for was completed. 35. An AP comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate? A. "There is a higher risk of infection for our clients associated with artificial nails." B. "You should know that artificial nails have a very unprofessional appearance." C. "I want you to review the facility's policy on personal attire before you begin the shift." D. "Why would you wear artificial nails to work when you know it's against the rules?" 36. A nurse in the emergency department is caring for a client who has a compression fracture of a spinal vertebra. During transport to the facility, the client was medicated with intravenous morphine. On arrival, the neurosurgeon determined urgent surgical intervention is indicated for the fracture. Staff members have been unable to reach the client's family. Which of the following actions should the nurse anticipate the neurosurgeon taking? A. Invoking implied consent B. Delaying the surgery until a member of the client's family is reached C. Asking the client to sign the surgical consent form. D. Prescribing naloxene to reverse the effect of the morphine. 37. A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take? A. Pull the curtain around the client's bed B. Wash the client's arms and hands first C. Use a washcloth to ipe the client's eyes from the other canthus to the inner canthus. D. Fill the bath basin with tap water that is 39 degrees C (102.2 F.) 38. A nurse on a medical-surgical unit has accepted a transfer to the ICU. Prior ro transfer to the ICU, the nurse completes an online critical care and emergency nurse course. The nurse is demonstrating which of the following ethical principles? A. Veracity B. Autonomy C. Fidelity D. Nonmaleficence 39. A charge nurse is working with an AP who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care? A. Give positive feedback directly to the AP. B. Tell other nurses what an effective team member the AP is. C. Nominate the AP for the Employee of the Month award. D. Detail the AP's contributions to the nurse manager. 40. A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions? A. Discussing advance directives with the client and the client's family. B. Providing comfort care measures to the client. C. Withholding a dose of narcotic pain medication when the client has respiratory depression. D. Allowing the client's family unlimited visitation at the time of death 41. A nurse is obtaining informed consent from a client who is preoperative. Which of the following actions should the nurse take? (SATA) A. Establish that the client is able to pay for the surgical procedure. B. Explain the surgical procedure to the client. C. Validate the signature is authentic. D. Verify the client understands the surgical procedure. E. Confirm that the consent is voluntary. 42. A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse indlude in the incident/variance report? (SATA) A. The date of the incident B. The name of the provider who prescribed the medication C. The potential adverse effects of the medication D. The time the client was to receive the medication E. The client's vital signs 43. A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the following actions should the nurse take (SATA) A. Raise all side rails on the client's bed. B. Obtain a prescription to restrain the client PRN C. Check on the client hourly. D. Instruct the client in the use of the call light. E. Apply an ambulation alarm to the client's leg. 44. A nurse is teaching a newly licensed nurse about ethical principles. Which of the following is an example of autonomy? A. A nurse provides nonpharmacological pain interventions to each client equally B. A nurse gives a client the choice of when to take a pain medications. C. A nurse fulfills a promise to a client that they will return with their pain medication. D. A nurse administers a scheduled pain medication for a client who is having pain. 45. A nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not want to have the procedure done." Which of the following actions should the nurse take? A. Remind the client that a signed informed consent form is a legally binding document. B. Notify the surgeon that the client wishes to withdraw consent for the procedure. C. Inform the surgical team to cancel the client's surgery. D. Proceed with preparation of the patient for the surgical procedure. 46. A nurse is caring for a client who is undergoing a lumbar procedure. Which of the following is the priority action for the nurse to take to maintain privacy for the client? A. Close the door to the client's room B. Pull the curtains around the client's bed C. Ask family members to leave the room. D. Use sterile drapes to cover the client. 47. A nurse is teaching a class about client advocacy. The nurse should include which of the following as an example of client advocacy? A. A nurse keeps a promise to return to a client's room B. A nurse accepts responsibility for their own actions C. A nurse protects a client's personal health information D. A nurse communicates a client's wishes to their provider. 48. NOT ON TEST 49. A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instruction? A. "I will keep my walker at the end of my bed." B. "I will keep the fluroscent ceiling light on in my room at night." C. "I will place a throw rug at the entry of my bathroom." D. "I will place a bath seat in my shower to use when I bathe." 50. A nurse is teaching a client about reducing the risk for falls. Which of the following statements should the nurse make? A. "Install handrails in your bathroom." B. "Wear backless shoes." C. "Cover extension cords with a throw rug." D. "Use a standard height toilet seat."