Leadership Exam Study Guide –
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
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? - Answer✔ - B.
Nonmaleficence
Rationale: Nonmaleficence is the duty to do no harm. The ethical mandate of
nonmaleficence is that health care workers refrain from intentionally inflicting
harm to clients.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the
assistive personnel (AP) and the nurses on next shift report the staff nurse
frequently leaves tasks uncompleted. Which of the following statements should
the charge nurse make to resolve this conflict? - Answer✔ - A. "I need to talk to
you about unit expectations regarding delegating and completing tasks."
Rationale: This statement opens the conversation in a nonthreatening way. The
focus is on the issue of the equity of the assignment rather than on any personal
characteristic of the individual.
, When planning delegation of tasks to assistive personnel (AP), a nurse considers
the five rights of delegation. Which of the following should the nurse consider
when using one of the five rights of delegation? - Answer✔ - B. The AP has the
knowledge and skill to perform the task Rationale: The right person is one of the
five rights of delegation. The nurse should seek information from the AP about his
individual skill level before delegating the task.
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? - Answer✔ - C. "I have to choose a family member as my health
proxy." Rationale: The client should choose someone he trusts and knows about
his wishes for day-to-day and end-of-life care. It can be a family member, but it
does not have to be a family member.
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 initiate first? - Answer✔ -
Review the events leading up to each medication administration error.
Rationale :After a sentinel event, the first step the committee should plan to take
is to use root cause analysis to identify the underlying cause or causes that led to
the medication errors.
A nurse on a medical-surgical unit is planning to delegate tasks to an adult
volunteer. Which of the following tasks should the charge nurse avoid assigning to
the volunteer? - Answer✔ - Observing a postoperative client who is confused
Rationale:A nurse who uses delegation is responsible for delegating tasks to the
right person. A volunteer does not have the training to intervene if this client tries
Practice Questions with Verified
Answers. GRADED A+. Latest
2026/2027 Update
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? - Answer✔ - B.
Nonmaleficence
Rationale: Nonmaleficence is the duty to do no harm. The ethical mandate of
nonmaleficence is that health care workers refrain from intentionally inflicting
harm to clients.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the
assistive personnel (AP) and the nurses on next shift report the staff nurse
frequently leaves tasks uncompleted. Which of the following statements should
the charge nurse make to resolve this conflict? - Answer✔ - A. "I need to talk to
you about unit expectations regarding delegating and completing tasks."
Rationale: This statement opens the conversation in a nonthreatening way. The
focus is on the issue of the equity of the assignment rather than on any personal
characteristic of the individual.
, When planning delegation of tasks to assistive personnel (AP), a nurse considers
the five rights of delegation. Which of the following should the nurse consider
when using one of the five rights of delegation? - Answer✔ - B. The AP has the
knowledge and skill to perform the task Rationale: The right person is one of the
five rights of delegation. The nurse should seek information from the AP about his
individual skill level before delegating the task.
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? - Answer✔ - C. "I have to choose a family member as my health
proxy." Rationale: The client should choose someone he trusts and knows about
his wishes for day-to-day and end-of-life care. It can be a family member, but it
does not have to be a family member.
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 initiate first? - Answer✔ -
Review the events leading up to each medication administration error.
Rationale :After a sentinel event, the first step the committee should plan to take
is to use root cause analysis to identify the underlying cause or causes that led to
the medication errors.
A nurse on a medical-surgical unit is planning to delegate tasks to an adult
volunteer. Which of the following tasks should the charge nurse avoid assigning to
the volunteer? - Answer✔ - Observing a postoperative client who is confused
Rationale:A nurse who uses delegation is responsible for delegating tasks to the
right person. A volunteer does not have the training to intervene if this client tries
