NACE Leadership and Management in
Nursing LPN-RN NLN Exam (Updated 2026)
A Review of 124 Questions and Multichoice
Answers with Clinical Rationale| Guaranteed
Pass
Question 1
A nurse fails to document a patient's allergy to penicillin, and the patient receives
the medication and experiences anaphylaxis. This is an example of which type of
tort?
A) Intentional tort
B) Quasi-intentional tort
C) Unintentional tort
D) Assault
Answer: C) Unintentional tort
Rationale: Unintentional torts involve careless acts that cause injury, including
malpractice and negligence. The nurse did not willfully intend to harm the patient,
but the failure to document the allergy was a careless act that resulted in injury.
Intentional torts (A) involve willful acts to injure. Quasi-intentional torts (B)
involve unintended injuries such as defamation. Assault (D) is an intentional tort
involving threat of harm.
Question 2
A charge nurse is reviewing the elements of malpractice with a new graduate.
Which element refers to the establishment of a professional relationship between
the nurse and patient?
,A) Breach of Duty
B) Causation
C) Duty
D) Harm or Injury
Answer: C) Duty
Rationale: Duty establishes the professional relationship between nurse and
patient, creating an obligation to provide care. Breach of Duty (A) occurs when the
standard of care is not met. Causation (B) links the breach to the injury. Harm or
Injury (D) is the actual damage suffered by the patient. All four elements must be
present for malpractice to be proven.
Question 3
Which of the following is considered a quasi-intentional tort in nursing practice?
A) A nurse hits a patient during care
B) A nurse falsely documents that a patient was violent
C) A nurse fails to check a medication dosage
D) A nurse restrains a patient without justification
Answer: B) A nurse falsely documents that a patient was violent
Rationale: Quasi-intentional torts involve unintended injury through defamation
of character, privacy violation, or breach of confidentiality. Falsely documenting a
patient as violent constitutes defamation. Hitting a patient (A) is battery
(intentional tort). Failing to check medication (C) is negligence (unintentional tort).
Restraining without justification (D) is false imprisonment (intentional tort).
Question 4
A nurse practice act (NPA) has which primary purpose?
A) To establish salary guidelines for nurses
B) To protect the public by regulating nursing practice
,C) To create national certification standards
D) To determine hospital staffing ratios
Answer: B) To protect the public by regulating nursing practice
Rationale: The NPA is enacted in every state with the force of law to protect
public safety by establishing standards for nursing education, licensure, and
practice. Salary guidelines (A) are not part of the NPA. Certification standards (C)
are set by professional organizations. Staffing ratios (D) may be addressed but are
not the primary purpose of the NPA.
Question 5
The Board of Nursing (BoN) has which of the following responsibilities?
A) Hiring hospital administrators
B) Accrediting nursing education programs
C) Setting medication prices
D) Determining patient acuity levels
Answer: B) Accrediting nursing education programs
Rationale: The Board of Nursing's responsibilities include enforcing the NPA,
accrediting nursing programs, issuing licenses, developing standards and policies,
and addressing violations. Hiring administrators (A), setting medication prices (C),
and determining acuity levels (D) are not BoN functions.
Question 6
A nurse manager notices a staff member frequently arriving late. This is an
example of:
A) A major infraction requiring immediate termination
B) A minor infraction to be addressed in person with opportunities for
improvement
C) An issue that should be ignored
D) A criminal offense requiring police notification
, Answer: B) A minor infraction to be addressed in person with opportunities
for improvement
Rationale: Tardiness and absences are considered minor infractions that should be
addressed in person with opportunities for improvement. Major infractions (A)
include stealing, abusing patients, or falsifying records and require immediate
termination. Ignoring the issue (C) would be poor management. This is not a
criminal offense (D).
Question 7
According to Benner's Stages of Nursing Expertise, a nurse who can see the "big
picture" and recognize patterns based on experience is at which stage?
A) Novice
B) Advanced beginner
C) Competent
D) Proficient
Answer: D) Proficient
Rationale: The proficient nurse can see situations holistically, recognize patterns,
and understand what to expect based on experience. The novice (A) follows rules.
The advanced beginner (B) recognizes recurring situations. The competent (C) can
plan and organize care.
Question 8
Which cognitive skill of critical thinking requires the nurse to examine, question,
and verify information?
A) Interpretation
B) Analysis
C) Evaluation
D) Inference
Answer: C) Evaluation
Nursing LPN-RN NLN Exam (Updated 2026)
A Review of 124 Questions and Multichoice
Answers with Clinical Rationale| Guaranteed
Pass
Question 1
A nurse fails to document a patient's allergy to penicillin, and the patient receives
the medication and experiences anaphylaxis. This is an example of which type of
tort?
A) Intentional tort
B) Quasi-intentional tort
C) Unintentional tort
D) Assault
Answer: C) Unintentional tort
Rationale: Unintentional torts involve careless acts that cause injury, including
malpractice and negligence. The nurse did not willfully intend to harm the patient,
but the failure to document the allergy was a careless act that resulted in injury.
Intentional torts (A) involve willful acts to injure. Quasi-intentional torts (B)
involve unintended injuries such as defamation. Assault (D) is an intentional tort
involving threat of harm.
Question 2
A charge nurse is reviewing the elements of malpractice with a new graduate.
Which element refers to the establishment of a professional relationship between
the nurse and patient?
,A) Breach of Duty
B) Causation
C) Duty
D) Harm or Injury
Answer: C) Duty
Rationale: Duty establishes the professional relationship between nurse and
patient, creating an obligation to provide care. Breach of Duty (A) occurs when the
standard of care is not met. Causation (B) links the breach to the injury. Harm or
Injury (D) is the actual damage suffered by the patient. All four elements must be
present for malpractice to be proven.
Question 3
Which of the following is considered a quasi-intentional tort in nursing practice?
A) A nurse hits a patient during care
B) A nurse falsely documents that a patient was violent
C) A nurse fails to check a medication dosage
D) A nurse restrains a patient without justification
Answer: B) A nurse falsely documents that a patient was violent
Rationale: Quasi-intentional torts involve unintended injury through defamation
of character, privacy violation, or breach of confidentiality. Falsely documenting a
patient as violent constitutes defamation. Hitting a patient (A) is battery
(intentional tort). Failing to check medication (C) is negligence (unintentional tort).
Restraining without justification (D) is false imprisonment (intentional tort).
Question 4
A nurse practice act (NPA) has which primary purpose?
A) To establish salary guidelines for nurses
B) To protect the public by regulating nursing practice
,C) To create national certification standards
D) To determine hospital staffing ratios
Answer: B) To protect the public by regulating nursing practice
Rationale: The NPA is enacted in every state with the force of law to protect
public safety by establishing standards for nursing education, licensure, and
practice. Salary guidelines (A) are not part of the NPA. Certification standards (C)
are set by professional organizations. Staffing ratios (D) may be addressed but are
not the primary purpose of the NPA.
Question 5
The Board of Nursing (BoN) has which of the following responsibilities?
A) Hiring hospital administrators
B) Accrediting nursing education programs
C) Setting medication prices
D) Determining patient acuity levels
Answer: B) Accrediting nursing education programs
Rationale: The Board of Nursing's responsibilities include enforcing the NPA,
accrediting nursing programs, issuing licenses, developing standards and policies,
and addressing violations. Hiring administrators (A), setting medication prices (C),
and determining acuity levels (D) are not BoN functions.
Question 6
A nurse manager notices a staff member frequently arriving late. This is an
example of:
A) A major infraction requiring immediate termination
B) A minor infraction to be addressed in person with opportunities for
improvement
C) An issue that should be ignored
D) A criminal offense requiring police notification
, Answer: B) A minor infraction to be addressed in person with opportunities
for improvement
Rationale: Tardiness and absences are considered minor infractions that should be
addressed in person with opportunities for improvement. Major infractions (A)
include stealing, abusing patients, or falsifying records and require immediate
termination. Ignoring the issue (C) would be poor management. This is not a
criminal offense (D).
Question 7
According to Benner's Stages of Nursing Expertise, a nurse who can see the "big
picture" and recognize patterns based on experience is at which stage?
A) Novice
B) Advanced beginner
C) Competent
D) Proficient
Answer: D) Proficient
Rationale: The proficient nurse can see situations holistically, recognize patterns,
and understand what to expect based on experience. The novice (A) follows rules.
The advanced beginner (B) recognizes recurring situations. The competent (C) can
plan and organize care.
Question 8
Which cognitive skill of critical thinking requires the nurse to examine, question,
and verify information?
A) Interpretation
B) Analysis
C) Evaluation
D) Inference
Answer: C) Evaluation
