NCLEX RN Leadership and
Management Exam 2 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Q1. The RN is assigning tasks to a UAP. Which task is appropriate to delegate?
A. Assessing a newly admitted client
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs on a stable client
D. Evaluating a client's response to pain medication
Answer: C. Obtaining routine vital signs on a stable client
Rationale: UAPs can perform routine, predictable tasks for stable clients.
Assessment, teaching, and evaluation are nursing responsibilities that cannot
be delegated.
Q2. Which client should the charge nurse assign to the most experienced RN?
A. Client with stable hypertension
B. Client awaiting discharge instructions
C. Client experiencing new-onset chest pain
D. Client requiring assistance with bathing
Answer: C. Client experiencing new-onset chest pain
Rationale: A client with new-onset chest pain may be experiencing an acute
cardiac event and requires rapid assessment and clinical judgment by an
experienced RN.
,Q3. A nurse discovers that a medication was administered to the wrong client.
What is the nurse's priority action?
A. Complete an incident report
B. Notify the pharmacy
C. Assess the client for adverse effects
D. Notify the nurse manager
Answer: C. Assess the client for adverse effects
Rationale: The client's safety is the immediate priority. The nurse should
assess the client, provide necessary interventions, and then follow
organizational reporting procedures.
Q4. Which action by a nurse demonstrates effective conflict resolution?
A. Avoiding the coworker
B. Discussing the issue privately with the coworker
C. Reporting every disagreement to the manager
D. Discussing the coworker's behavior with other staff
Answer: B. Discussing the issue privately with the coworker
Rationale: Direct, private communication promotes professional conflict
resolution and prevents unnecessary escalation or workplace gossip.
Q5. The RN delegates ambulation of a stable client to a UAP. Which action by
the UAP requires immediate intervention?
A. Applying nonskid footwear
B. Using a gait belt
C. Asking the client to stand without assistance
D. Reporting that the client walked 20 meters
Answer: C. Asking the client to stand without assistance
Rationale: A gait belt and appropriate assistance should be used according to
the client's mobility needs. Asking a potentially weak client to stand without
assistance creates a fall risk.
,Q6. Which statement best describes transformational leadership?
A. The leader makes all decisions independently
B. The leader motivates staff toward a shared vision
C. The leader focuses primarily on rules and punishment
D. The leader avoids involvement with staff decisions
Answer: B. The leader motivates staff toward a shared vision
Rationale: Transformational leaders inspire staff, encourage professional
growth, and motivate team members to work toward common goals.
Q7. A nurse manager wants to improve medication safety. Which approach is
most appropriate?
A. Punish nurses who make errors
B. Encourage reporting and analyze system causes
C. Eliminate all verbal communication
D. Require nurses to work longer shifts
Answer: B. Encourage reporting and analyze system causes
Rationale: A safety culture emphasizes identifying system factors that
contribute to errors and using reporting to prevent recurrence rather than
automatically blaming individuals.
Q8. Which client is most appropriate for assignment to an LPN/LVN?
A. Client requiring initial assessment after admission
B. Client receiving routine oral medications with predictable outcomes
C. Client requiring discharge teaching about a new diagnosis
D. Client with rapidly changing neurological status
Answer: B. Client receiving routine oral medications with predictable
outcomes
, Rationale: LPN/LVNs can care for stable clients with predictable outcomes
within their scope of practice. Initial assessment, complex teaching, and
unstable conditions require RN-level judgment.
Q9. A nurse is using the SBAR communication technique. What does the "R"
represent?
A. Review
B. Response
C. Recommendation
D. Reassessment
Answer: C. Recommendation
Rationale: SBAR stands for Situation, Background, Assessment, and
Recommendation. The recommendation communicates what the nurse
believes should happen next.
Q10. A nurse receives an unclear prescription from a healthcare provider. What
should the nurse do?
A. Carry out the prescription as written
B. Ask another nurse to interpret it
C. Clarify the prescription with the provider
D. Document that the prescription is unclear
Answer: C. Clarify the prescription with the provider
Rationale: Nurses are responsible for questioning unclear, incomplete, or
potentially unsafe prescriptions before implementation.
Q11. Which action represents effective prioritization?
A. Completing the easiest task first
B. Addressing life-threatening problems first
C. Completing tasks alphabetically
D. Performing tasks according to client preference only
Management Exam 2 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Q1. The RN is assigning tasks to a UAP. Which task is appropriate to delegate?
A. Assessing a newly admitted client
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs on a stable client
D. Evaluating a client's response to pain medication
Answer: C. Obtaining routine vital signs on a stable client
Rationale: UAPs can perform routine, predictable tasks for stable clients.
Assessment, teaching, and evaluation are nursing responsibilities that cannot
be delegated.
Q2. Which client should the charge nurse assign to the most experienced RN?
A. Client with stable hypertension
B. Client awaiting discharge instructions
C. Client experiencing new-onset chest pain
D. Client requiring assistance with bathing
Answer: C. Client experiencing new-onset chest pain
Rationale: A client with new-onset chest pain may be experiencing an acute
cardiac event and requires rapid assessment and clinical judgment by an
experienced RN.
,Q3. A nurse discovers that a medication was administered to the wrong client.
What is the nurse's priority action?
A. Complete an incident report
B. Notify the pharmacy
C. Assess the client for adverse effects
D. Notify the nurse manager
Answer: C. Assess the client for adverse effects
Rationale: The client's safety is the immediate priority. The nurse should
assess the client, provide necessary interventions, and then follow
organizational reporting procedures.
Q4. Which action by a nurse demonstrates effective conflict resolution?
A. Avoiding the coworker
B. Discussing the issue privately with the coworker
C. Reporting every disagreement to the manager
D. Discussing the coworker's behavior with other staff
Answer: B. Discussing the issue privately with the coworker
Rationale: Direct, private communication promotes professional conflict
resolution and prevents unnecessary escalation or workplace gossip.
Q5. The RN delegates ambulation of a stable client to a UAP. Which action by
the UAP requires immediate intervention?
A. Applying nonskid footwear
B. Using a gait belt
C. Asking the client to stand without assistance
D. Reporting that the client walked 20 meters
Answer: C. Asking the client to stand without assistance
Rationale: A gait belt and appropriate assistance should be used according to
the client's mobility needs. Asking a potentially weak client to stand without
assistance creates a fall risk.
,Q6. Which statement best describes transformational leadership?
A. The leader makes all decisions independently
B. The leader motivates staff toward a shared vision
C. The leader focuses primarily on rules and punishment
D. The leader avoids involvement with staff decisions
Answer: B. The leader motivates staff toward a shared vision
Rationale: Transformational leaders inspire staff, encourage professional
growth, and motivate team members to work toward common goals.
Q7. A nurse manager wants to improve medication safety. Which approach is
most appropriate?
A. Punish nurses who make errors
B. Encourage reporting and analyze system causes
C. Eliminate all verbal communication
D. Require nurses to work longer shifts
Answer: B. Encourage reporting and analyze system causes
Rationale: A safety culture emphasizes identifying system factors that
contribute to errors and using reporting to prevent recurrence rather than
automatically blaming individuals.
Q8. Which client is most appropriate for assignment to an LPN/LVN?
A. Client requiring initial assessment after admission
B. Client receiving routine oral medications with predictable outcomes
C. Client requiring discharge teaching about a new diagnosis
D. Client with rapidly changing neurological status
Answer: B. Client receiving routine oral medications with predictable
outcomes
, Rationale: LPN/LVNs can care for stable clients with predictable outcomes
within their scope of practice. Initial assessment, complex teaching, and
unstable conditions require RN-level judgment.
Q9. A nurse is using the SBAR communication technique. What does the "R"
represent?
A. Review
B. Response
C. Recommendation
D. Reassessment
Answer: C. Recommendation
Rationale: SBAR stands for Situation, Background, Assessment, and
Recommendation. The recommendation communicates what the nurse
believes should happen next.
Q10. A nurse receives an unclear prescription from a healthcare provider. What
should the nurse do?
A. Carry out the prescription as written
B. Ask another nurse to interpret it
C. Clarify the prescription with the provider
D. Document that the prescription is unclear
Answer: C. Clarify the prescription with the provider
Rationale: Nurses are responsible for questioning unclear, incomplete, or
potentially unsafe prescriptions before implementation.
Q11. Which action represents effective prioritization?
A. Completing the easiest task first
B. Addressing life-threatening problems first
C. Completing tasks alphabetically
D. Performing tasks according to client preference only
