⭐TEST BANKF OR LEADERSHIP &
MANAGEMENT NGN PRACTICE
QUESTIONS (1– 200)
Professional format | A–D | Correct answer | Rationale
1. Which task is appropriate to delegate to a UAP?
A. Assess a patient’s lung sounds
B. Educate a patient about incentive spirometry
C. Reposition a stable patient
D. Administer oral pain medication
Correct Answer: C
Rationale: UAPs can safely perform basic care activities such as repositioning patients.
2. The nurse should assess which patient first?
A. Post-op patient with BP 88/50
B. Patient with diabetes, BG 290 mg/dL
C. COPD patient with RR 22
D. Stable post-op patient requesting pain medication
Correct Answer: A
Rationale: Hypotension post-op may indicate internal bleeding; this patient requires
immediate assessment.
,3. The LPN can safely perform which task?
A. Provide discharge teaching
B. Administer PO antibiotics to a stable patient
C. Evaluate response to IV medication
D. Complete admission assessment
Correct Answer: B
Rationale: LPNs can safely administer routine medications to stable patients.
4. Which leadership style is most effective for orienting a new graduate
nurse?
A. Laissez-faire
B. Autocratic
C. Democratic
D. Transactional
Correct Answer: C
Rationale: Democratic leadership supports learning and encourages participation.
5. The nurse witnesses a staff member bullying another. What is the
nurse’s first action?
A. Document the incident
B. Report the bully to administration
C. Intervene and stop the behavior
D. Ignore the situation
Correct Answer: C
Rationale: Immediate intervention ensures staff safety and addresses inappropriate
behavior.
6. After discovering a medication error, what is the nurse’s priority?
A. Complete the incident report
B. Notify the healthcare provider
, C. Assess the patient
D. Document the error in the chart
Correct Answer: C
Rationale: The patient’s safety must be assessed first to determine if harm occurred.
7. The RN delegates vital signs to a UAP. What instruction is most
important?
A. “Only take vital signs every 8 hours.”
B. “Report anything that seems abnormal immediately.”
C. “Document everything at the end of the shift.”
D. “Do not disturb me while I am charting.”
Correct Answer: B
Rationale: UAPs cannot interpret clinical data; abnormal findings must be reported
immediately.
8. Which patient assignment is appropriate for an LPN?
A. New admission with heart failure
B. Unstable patient receiving a blood transfusion
C. Stable COPD patient needing scheduled inhalers
D. Post-op patient requiring complex wound assessment
Correct Answer: C
Rationale: LPNs manage stable patients with predictable care needs.
9. During a disaster, which patient should be discharged first?
A. Patient with unstable vital signs
B. Patient with a minor, stable fracture
C. Patient requiring continuous IV medication
D. Patient awaiting diagnostic testing for chest pain
Correct Answer: B
Rationale: Stable, low-acuity patients are discharged first in mass casualty situations.
MANAGEMENT NGN PRACTICE
QUESTIONS (1– 200)
Professional format | A–D | Correct answer | Rationale
1. Which task is appropriate to delegate to a UAP?
A. Assess a patient’s lung sounds
B. Educate a patient about incentive spirometry
C. Reposition a stable patient
D. Administer oral pain medication
Correct Answer: C
Rationale: UAPs can safely perform basic care activities such as repositioning patients.
2. The nurse should assess which patient first?
A. Post-op patient with BP 88/50
B. Patient with diabetes, BG 290 mg/dL
C. COPD patient with RR 22
D. Stable post-op patient requesting pain medication
Correct Answer: A
Rationale: Hypotension post-op may indicate internal bleeding; this patient requires
immediate assessment.
,3. The LPN can safely perform which task?
A. Provide discharge teaching
B. Administer PO antibiotics to a stable patient
C. Evaluate response to IV medication
D. Complete admission assessment
Correct Answer: B
Rationale: LPNs can safely administer routine medications to stable patients.
4. Which leadership style is most effective for orienting a new graduate
nurse?
A. Laissez-faire
B. Autocratic
C. Democratic
D. Transactional
Correct Answer: C
Rationale: Democratic leadership supports learning and encourages participation.
5. The nurse witnesses a staff member bullying another. What is the
nurse’s first action?
A. Document the incident
B. Report the bully to administration
C. Intervene and stop the behavior
D. Ignore the situation
Correct Answer: C
Rationale: Immediate intervention ensures staff safety and addresses inappropriate
behavior.
6. After discovering a medication error, what is the nurse’s priority?
A. Complete the incident report
B. Notify the healthcare provider
, C. Assess the patient
D. Document the error in the chart
Correct Answer: C
Rationale: The patient’s safety must be assessed first to determine if harm occurred.
7. The RN delegates vital signs to a UAP. What instruction is most
important?
A. “Only take vital signs every 8 hours.”
B. “Report anything that seems abnormal immediately.”
C. “Document everything at the end of the shift.”
D. “Do not disturb me while I am charting.”
Correct Answer: B
Rationale: UAPs cannot interpret clinical data; abnormal findings must be reported
immediately.
8. Which patient assignment is appropriate for an LPN?
A. New admission with heart failure
B. Unstable patient receiving a blood transfusion
C. Stable COPD patient needing scheduled inhalers
D. Post-op patient requiring complex wound assessment
Correct Answer: C
Rationale: LPNs manage stable patients with predictable care needs.
9. During a disaster, which patient should be discharged first?
A. Patient with unstable vital signs
B. Patient with a minor, stable fracture
C. Patient requiring continuous IV medication
D. Patient awaiting diagnostic testing for chest pain
Correct Answer: B
Rationale: Stable, low-acuity patients are discharged first in mass casualty situations.
