Nursing Delegation, Prioritization & Leadership
Exam 2026 – NCLEX Management of Care, Legal &
Ethical Practice Questions Complete with Verified A+
Graded Rationales Latest Updated
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the
following entities is important for the nurse to understand when delegating tasks to the LPN?
The state Nurse Practice Act
The National Association for Practical Nurse Education and Services
The National Council of State Boards of Nursing Decision Tree
The Omnibus Budget Reconciliation Act of 1987
The state Nurse Practice Act
The state Nurse Practice Act identifies the skill or education level needed by a nurse to complete
a task, as well as indicating items that can and cannot be delegated from a legal perspective.
A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider?
The most experienced nurse receives the more complex clients
Personal comfort level in making the assignments
Social relationships between nurses working the oncoming shift
The physiologic status of the clients on the unit
The physiologic status of the clients on the unit
Making assignments requires knowing the physiologic status of the clients on the unit, such as
the stability of the clients' vital signs, the amount of health education they need, and the
complexity of care involved. Clients who have an unstable physiologic status may require a
higher level of skilled care.
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?
Transporting a school-age client who is in traction to another department
Playing a computer video game with an adolescent who has sickle cell disease
,Reading a book to a preschool client who has AIDS
Rocking an infant who was admitted for croup
Transporting a school-age client who is in traction to another department
To ensure client safety, the nurse is responsible for delegating tasks to the right people. The
nurse should avoid assigning this task to the volunteer because the individual who performs this
task must understand the principles of traction. A volunteer does not have the requisite skill to
perform this task.
A nurse is teaching a newly licensed nurse about methods to reduce costs of client care.
Which of the following statements by the newly licensed nurse indicates understanding of the
teaching?
"I should wait to empty my client's drainable colostomy until it is three-fourths full."
"I should delegate providing closed irrigation to the assistive personnel (AP)."
"I should encourage clients to receive an annual flu immunization."
"I should recommend that my clients who have an established tracheostomy use sterile
technique at home to provide ostomy care."
"I should encourage clients to receive an annual flu immunization."
Cost containment is the delivery of effective and efficient care. Cost is maintained without loss
of quality. The nurse should encourage clients to receive an annual flu immunization to prevent
the need for treatment and hospitalization necessary with influenza.
A nurse manager is preparing an inservice program for the nurses on the unit about the use of
a new infusion pump. Which of the following teaching strategies is the most effective way to
ensure that the staff can use the device correctly?
Provide a written procedure for the use of the device for the staff to review.
Demonstrate using the device and observe the staff returning the demonstration.
Remind the staff to review the procedure manual prior to using the new pump.
Identify the differences and new features of the device in a written brochure.
Demonstrate using the device and observe the staff
returning the demonstration.
, The most effective strategy to ensure the staff nurses can perform a psychomotor skill, such as
using an infusion pump, is to show them how to use the device and provide the opportunity for
a return demonstration.
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit.
Which of the following actions should the nurse take?
Inform the staff member of her appraisal time for that day prior to change-of-shift report.
Schedule the appraisal interview as early in the shift as possible.
Provide a chair directly across the desk for the staff member to sit in.
Provide the staff member with a copy of the appraisal form in advance.
Provide the staff member with a copy of the appraisal form in advance.
The charge nurse should ensure the staff member knows the standards by which her work will
be evaluated and that she has a copy of the appraisal form.
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?
"If you render aid in an accident, do not leave the scene until another competent person can
take over."
"Good Samaritan laws prohibit the victim from filing a lawsuit against the nurse."
"Federal laws require a licensed nurse to render aid in an emergency."
"A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws."
"If you render aid in an accident, do not leave the scene until another competent person can
take over."
Once the nurse renders aid, she has entered a nurse-client relationship and must continue to
provide care until competent help arrives.
A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect
supplies that are available to perform a procedure. Which of the following statements by the
charge nurse is appropriate?
"You should think about how you make others feel when you lose your temper."
"I will help you with this procedure instead of the staff nurse."
"It must be very frustrating when you don't have want you need to perform the procedure."
Exam 2026 – NCLEX Management of Care, Legal &
Ethical Practice Questions Complete with Verified A+
Graded Rationales Latest Updated
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the
following entities is important for the nurse to understand when delegating tasks to the LPN?
The state Nurse Practice Act
The National Association for Practical Nurse Education and Services
The National Council of State Boards of Nursing Decision Tree
The Omnibus Budget Reconciliation Act of 1987
The state Nurse Practice Act
The state Nurse Practice Act identifies the skill or education level needed by a nurse to complete
a task, as well as indicating items that can and cannot be delegated from a legal perspective.
A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider?
The most experienced nurse receives the more complex clients
Personal comfort level in making the assignments
Social relationships between nurses working the oncoming shift
The physiologic status of the clients on the unit
The physiologic status of the clients on the unit
Making assignments requires knowing the physiologic status of the clients on the unit, such as
the stability of the clients' vital signs, the amount of health education they need, and the
complexity of care involved. Clients who have an unstable physiologic status may require a
higher level of skilled care.
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?
Transporting a school-age client who is in traction to another department
Playing a computer video game with an adolescent who has sickle cell disease
,Reading a book to a preschool client who has AIDS
Rocking an infant who was admitted for croup
Transporting a school-age client who is in traction to another department
To ensure client safety, the nurse is responsible for delegating tasks to the right people. The
nurse should avoid assigning this task to the volunteer because the individual who performs this
task must understand the principles of traction. A volunteer does not have the requisite skill to
perform this task.
A nurse is teaching a newly licensed nurse about methods to reduce costs of client care.
Which of the following statements by the newly licensed nurse indicates understanding of the
teaching?
"I should wait to empty my client's drainable colostomy until it is three-fourths full."
"I should delegate providing closed irrigation to the assistive personnel (AP)."
"I should encourage clients to receive an annual flu immunization."
"I should recommend that my clients who have an established tracheostomy use sterile
technique at home to provide ostomy care."
"I should encourage clients to receive an annual flu immunization."
Cost containment is the delivery of effective and efficient care. Cost is maintained without loss
of quality. The nurse should encourage clients to receive an annual flu immunization to prevent
the need for treatment and hospitalization necessary with influenza.
A nurse manager is preparing an inservice program for the nurses on the unit about the use of
a new infusion pump. Which of the following teaching strategies is the most effective way to
ensure that the staff can use the device correctly?
Provide a written procedure for the use of the device for the staff to review.
Demonstrate using the device and observe the staff returning the demonstration.
Remind the staff to review the procedure manual prior to using the new pump.
Identify the differences and new features of the device in a written brochure.
Demonstrate using the device and observe the staff
returning the demonstration.
, The most effective strategy to ensure the staff nurses can perform a psychomotor skill, such as
using an infusion pump, is to show them how to use the device and provide the opportunity for
a return demonstration.
A charge nurse is planning to conduct a performance appraisal of a staff member on her unit.
Which of the following actions should the nurse take?
Inform the staff member of her appraisal time for that day prior to change-of-shift report.
Schedule the appraisal interview as early in the shift as possible.
Provide a chair directly across the desk for the staff member to sit in.
Provide the staff member with a copy of the appraisal form in advance.
Provide the staff member with a copy of the appraisal form in advance.
The charge nurse should ensure the staff member knows the standards by which her work will
be evaluated and that she has a copy of the appraisal form.
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?
"If you render aid in an accident, do not leave the scene until another competent person can
take over."
"Good Samaritan laws prohibit the victim from filing a lawsuit against the nurse."
"Federal laws require a licensed nurse to render aid in an emergency."
"A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws."
"If you render aid in an accident, do not leave the scene until another competent person can
take over."
Once the nurse renders aid, she has entered a nurse-client relationship and must continue to
provide care until competent help arrives.
A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect
supplies that are available to perform a procedure. Which of the following statements by the
charge nurse is appropriate?
"You should think about how you make others feel when you lose your temper."
"I will help you with this procedure instead of the staff nurse."
"It must be very frustrating when you don't have want you need to perform the procedure."
