NCLEX-RN + NEW YORK RN LICENSURE
LEADERSHIP PRACTICE EXAM | 100 NCLEX-STYLE
MULTIPLE-CHOICE QUESTIONS WITH CORRECT
ANSWERS & DETAILED RATIONALES LATEST
UPDATE A+ GRADED.
1. The charge nurse is assigning clients for the shift. Which client should be
assigned to the RN rather than the LPN?
A. Stable client requiring routine dressing changes
B. Stable client receiving oral antibiotics
C. Client requiring initial assessment after admission
D. Client scheduled for discharge teaching
Correct Answer: C. Client requiring initial assessment after admission
Rationale: Initial assessments require RN-level nursing judgment and cannot be
delegated to an LPN.
2. Which task is appropriate for the RN to delegate to unlicensed assistive
personnel (UAP)?
A. Assess pain after medication administration
B. Reinforce discharge instructions
C. Obtain routine vital signs on a stable client
D. Develop the nursing care plan
Correct Answer: C. Obtain routine vital signs on a stable client
Rationale: UAPs may perform routine, non-invasive tasks for stable clients but
cannot assess or teach.
3. Which leadership style encourages staff participation in decision-making?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
,Correct Answer: B. Democratic
Rationale: Democratic leaders encourage collaboration and staff involvement
while maintaining accountability.
4. A nurse receives conflicting medication orders. What should the nurse do
first?
A. Administer the safest dose
B. Clarify the prescription with the provider
C. Ask another nurse for advice
D. Hold all medications indefinitely
Correct Answer: B. Clarify the prescription with the provider
Rationale: Unclear orders must be clarified before implementation to ensure client
safety.
5. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with oxygen saturation of 86%
C. Client awaiting discharge paperwork
D. Client requesting assistance to the bathroom
Correct Answer: B. Client with oxygen saturation of 86%
Rationale: Airway and breathing problems take highest priority.
6. Which task should never be delegated to an LPN?
A. Administer oral medications
B. Insert a urinary catheter
C. Perform an initial client assessment
D. Collect urine specimens
Correct Answer: C. Perform an initial client assessment
Rationale: Initial assessments require RN judgment.
7. Which action best demonstrates patient advocacy?
A. Following physician orders without question
, B. Reporting unsafe staffing concerns
C. Ignoring a patient's treatment refusal
D. Discussing confidential information with family without permission
Correct Answer: B. Reporting unsafe staffing concerns
Rationale: Nurses advocate for safe care and client rights.
8. A nurse witnesses another nurse diverting narcotics. What is the priority
action?
A. Ignore the incident
B. Report the concern through the appropriate chain of command
C. Confront the nurse publicly
D. Tell coworkers
Correct Answer: B. Report the concern through the appropriate chain of
command
Rationale: Suspected diversion must be reported promptly according to policy.
9. Which statement best describes delegation?
A. Responsibility is transferred completely.
B. Accountability is transferred.
C. Accountability remains with the delegating RN.
D. Supervision is unnecessary.
Correct Answer: C. Accountability remains with the delegating RN.
Rationale: The RN remains accountable for delegated care.
10.A nurse is caring for four clients. Which client should be seen first?
A. Postoperative client reporting sudden shortness of breath
B. Client requesting a blanket
C. Stable diabetic awaiting lunch
D. Client asking about discharge medications
Correct Answer: A. Postoperative client reporting sudden shortness of breath
LEADERSHIP PRACTICE EXAM | 100 NCLEX-STYLE
MULTIPLE-CHOICE QUESTIONS WITH CORRECT
ANSWERS & DETAILED RATIONALES LATEST
UPDATE A+ GRADED.
1. The charge nurse is assigning clients for the shift. Which client should be
assigned to the RN rather than the LPN?
A. Stable client requiring routine dressing changes
B. Stable client receiving oral antibiotics
C. Client requiring initial assessment after admission
D. Client scheduled for discharge teaching
Correct Answer: C. Client requiring initial assessment after admission
Rationale: Initial assessments require RN-level nursing judgment and cannot be
delegated to an LPN.
2. Which task is appropriate for the RN to delegate to unlicensed assistive
personnel (UAP)?
A. Assess pain after medication administration
B. Reinforce discharge instructions
C. Obtain routine vital signs on a stable client
D. Develop the nursing care plan
Correct Answer: C. Obtain routine vital signs on a stable client
Rationale: UAPs may perform routine, non-invasive tasks for stable clients but
cannot assess or teach.
3. Which leadership style encourages staff participation in decision-making?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
,Correct Answer: B. Democratic
Rationale: Democratic leaders encourage collaboration and staff involvement
while maintaining accountability.
4. A nurse receives conflicting medication orders. What should the nurse do
first?
A. Administer the safest dose
B. Clarify the prescription with the provider
C. Ask another nurse for advice
D. Hold all medications indefinitely
Correct Answer: B. Clarify the prescription with the provider
Rationale: Unclear orders must be clarified before implementation to ensure client
safety.
5. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with oxygen saturation of 86%
C. Client awaiting discharge paperwork
D. Client requesting assistance to the bathroom
Correct Answer: B. Client with oxygen saturation of 86%
Rationale: Airway and breathing problems take highest priority.
6. Which task should never be delegated to an LPN?
A. Administer oral medications
B. Insert a urinary catheter
C. Perform an initial client assessment
D. Collect urine specimens
Correct Answer: C. Perform an initial client assessment
Rationale: Initial assessments require RN judgment.
7. Which action best demonstrates patient advocacy?
A. Following physician orders without question
, B. Reporting unsafe staffing concerns
C. Ignoring a patient's treatment refusal
D. Discussing confidential information with family without permission
Correct Answer: B. Reporting unsafe staffing concerns
Rationale: Nurses advocate for safe care and client rights.
8. A nurse witnesses another nurse diverting narcotics. What is the priority
action?
A. Ignore the incident
B. Report the concern through the appropriate chain of command
C. Confront the nurse publicly
D. Tell coworkers
Correct Answer: B. Report the concern through the appropriate chain of
command
Rationale: Suspected diversion must be reported promptly according to policy.
9. Which statement best describes delegation?
A. Responsibility is transferred completely.
B. Accountability is transferred.
C. Accountability remains with the delegating RN.
D. Supervision is unnecessary.
Correct Answer: C. Accountability remains with the delegating RN.
Rationale: The RN remains accountable for delegated care.
10.A nurse is caring for four clients. Which client should be seen first?
A. Postoperative client reporting sudden shortness of breath
B. Client requesting a blanket
C. Stable diabetic awaiting lunch
D. Client asking about discharge medications
Correct Answer: A. Postoperative client reporting sudden shortness of breath
