**Stuvia Preview Blurb:** Ace your nursing leadership, management,
and community health exams with this 2026 comprehensive question
bank. Featuring over 100 NCLEX-style practice questions on
prioritization, delegation, disaster nursing, and epidemiology, this
guide provides the rationales you need for student success.
*Compiled from student notes and practice resources — not an
official exam.*
---
# Leadership & Community Health Ultimate Bundle: 2025/2026
Nursing Exam Prep | 100+ Practice Questions for Student Success
*Compiled from student notes and practice resources — not an
official exam.*
---
**Question 1**
A charge nurse is making assignments on a medical-surgical unit. Which client is most appropriate to
assign to a licensed practical nurse (LPN)?
A) A client with a newly diagnosed diabetic ketoacidosis requiring hourly glucose checks
B) A client with a stable tracheostomy requiring routine suctioning
C) A client admitted with a stroke who has unstable vital signs
D) A client requiring continuous ambulatory peritoneal dialysis (CAPD) teaching
💫ANSWER✔️✔️: B
,💫RATIONALE✔️✔️: A stable client with a tracheostomy requiring routine suctioning falls within the scope
of practice for an LPN. Unstable clients, complex teaching, and critical skills like CAPD should be assigned
to a registered nurse (RN). This leadership nursing exam prep question emphasizes the principles of
delegation and assignment based on client stability and staff scope of practice. Remember, "Stable,
predictable, routine = LPN." This study guide is designed for student success.
---
**Question 2**
A nurse is preparing for a Joint Commission survey. Which of the following actions is most important for
the nurse to take to ensure patient safety?
A) Display the organizational chart in the staff lounge
B) Ensure that staff members are using two patient identifiers
C) Post the mission statement in the lobby
D) Review the hospital's fire safety plan
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Using two patient identifiers (e.g., name and date of birth) before any procedure or
medication administration is a critical safety standard required by The Joint Commission. This is a key
patient safety and quality improvement question for nursing exam prep.
---
**Question 3**
A nurse manager is implementing a new evidence-based protocol for fall prevention. Which of the
following strategies is most effective for promoting staff adherence to the new protocol?
A) Posting the protocol in the break room
B) Including the protocol in the new hire orientation packet
C) Involving staff in the planning and implementation process
D) Sending a memo with the new guidelines
,💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Involving staff in the planning and implementation of new protocols fosters
ownership and increases adherence. This is a key leadership and change management question for
nursing exam prep.
---
**Question 4**
A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's family is requesting
that resuscitation be attempted. Which of the following is the nurse's appropriate action?
A) Initiate resuscitation despite the DNR order
B) Contact the healthcare provider to discuss the family's request
C) Tell the family that the DNR order is final
D) Ignore the family's request
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: The nurse should contact the healthcare provider to address the family's concerns
and facilitate a discussion about the client's wishes. The DNR order should be respected, but the family's
concerns should be acknowledged. This is a key ethical and legal question for nursing exam prep.
---
**Question 5**
A charge nurse is delegating tasks to unlicensed assistive personnel (UAP). Which of the following tasks
is appropriate to delegate to a UAP?
A) Administering oral medications
B) Performing a sterile dressing change
C) Documenting the client's intake and output
D) Assessing a client's surgical wound
💫ANSWER✔️✔️: C
, 💫RATIONALE✔️✔️: UAP can document intake and output, including measuring and recording output.
They cannot administer medications, perform sterile procedures, or make assessments. This is a key
delegation question for nursing exam prep.
---
**Question 6**
A nurse is providing care to a client in a community health clinic. Which of the following is an example of
secondary prevention?
A) Administering a flu vaccine to a healthy adult
B) Teaching a client about healthy eating habits
C) Screening a client for hypertension
D) Providing rehabilitation to a client after a stroke
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Secondary prevention includes early detection and screening for disease.
Administering a flu vaccine is primary prevention. Teaching healthy habits is primary prevention, and
rehabilitation is tertiary prevention. This is a key community health nursing question for nursing exam
prep.
---
**Question 7**
A nurse manager is calculating the nursing care hours (NCH) per patient day for the unit. The unit has
100 patients and the staff worked 800 hours in a 24-hour period. What is the NCH per patient day?
A) 0.8
B) 8.0
C) 80.0
D) 800.0
💫ANSWER✔️✔️: B
and community health exams with this 2026 comprehensive question
bank. Featuring over 100 NCLEX-style practice questions on
prioritization, delegation, disaster nursing, and epidemiology, this
guide provides the rationales you need for student success.
*Compiled from student notes and practice resources — not an
official exam.*
---
# Leadership & Community Health Ultimate Bundle: 2025/2026
Nursing Exam Prep | 100+ Practice Questions for Student Success
*Compiled from student notes and practice resources — not an
official exam.*
---
**Question 1**
A charge nurse is making assignments on a medical-surgical unit. Which client is most appropriate to
assign to a licensed practical nurse (LPN)?
A) A client with a newly diagnosed diabetic ketoacidosis requiring hourly glucose checks
B) A client with a stable tracheostomy requiring routine suctioning
C) A client admitted with a stroke who has unstable vital signs
D) A client requiring continuous ambulatory peritoneal dialysis (CAPD) teaching
💫ANSWER✔️✔️: B
,💫RATIONALE✔️✔️: A stable client with a tracheostomy requiring routine suctioning falls within the scope
of practice for an LPN. Unstable clients, complex teaching, and critical skills like CAPD should be assigned
to a registered nurse (RN). This leadership nursing exam prep question emphasizes the principles of
delegation and assignment based on client stability and staff scope of practice. Remember, "Stable,
predictable, routine = LPN." This study guide is designed for student success.
---
**Question 2**
A nurse is preparing for a Joint Commission survey. Which of the following actions is most important for
the nurse to take to ensure patient safety?
A) Display the organizational chart in the staff lounge
B) Ensure that staff members are using two patient identifiers
C) Post the mission statement in the lobby
D) Review the hospital's fire safety plan
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: Using two patient identifiers (e.g., name and date of birth) before any procedure or
medication administration is a critical safety standard required by The Joint Commission. This is a key
patient safety and quality improvement question for nursing exam prep.
---
**Question 3**
A nurse manager is implementing a new evidence-based protocol for fall prevention. Which of the
following strategies is most effective for promoting staff adherence to the new protocol?
A) Posting the protocol in the break room
B) Including the protocol in the new hire orientation packet
C) Involving staff in the planning and implementation process
D) Sending a memo with the new guidelines
,💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Involving staff in the planning and implementation of new protocols fosters
ownership and increases adherence. This is a key leadership and change management question for
nursing exam prep.
---
**Question 4**
A nurse is caring for a client who has a do-not-resuscitate (DNR) order. The client's family is requesting
that resuscitation be attempted. Which of the following is the nurse's appropriate action?
A) Initiate resuscitation despite the DNR order
B) Contact the healthcare provider to discuss the family's request
C) Tell the family that the DNR order is final
D) Ignore the family's request
💫ANSWER✔️✔️: B
💫RATIONALE✔️✔️: The nurse should contact the healthcare provider to address the family's concerns
and facilitate a discussion about the client's wishes. The DNR order should be respected, but the family's
concerns should be acknowledged. This is a key ethical and legal question for nursing exam prep.
---
**Question 5**
A charge nurse is delegating tasks to unlicensed assistive personnel (UAP). Which of the following tasks
is appropriate to delegate to a UAP?
A) Administering oral medications
B) Performing a sterile dressing change
C) Documenting the client's intake and output
D) Assessing a client's surgical wound
💫ANSWER✔️✔️: C
, 💫RATIONALE✔️✔️: UAP can document intake and output, including measuring and recording output.
They cannot administer medications, perform sterile procedures, or make assessments. This is a key
delegation question for nursing exam prep.
---
**Question 6**
A nurse is providing care to a client in a community health clinic. Which of the following is an example of
secondary prevention?
A) Administering a flu vaccine to a healthy adult
B) Teaching a client about healthy eating habits
C) Screening a client for hypertension
D) Providing rehabilitation to a client after a stroke
💫ANSWER✔️✔️: C
💫RATIONALE✔️✔️: Secondary prevention includes early detection and screening for disease.
Administering a flu vaccine is primary prevention. Teaching healthy habits is primary prevention, and
rehabilitation is tertiary prevention. This is a key community health nursing question for nursing exam
prep.
---
**Question 7**
A nurse manager is calculating the nursing care hours (NCH) per patient day for the unit. The unit has
100 patients and the staff worked 800 hours in a 24-hour period. What is the NCH per patient day?
A) 0.8
B) 8.0
C) 80.0
D) 800.0
💫ANSWER✔️✔️: B
