RN LEADERSHIP ONLINE PRACTICE 5 FINAL
PAPER 2026 COMPLETE SOLVED QUESTIONS
PRACTICE REVISION PACK EXPERT REVIEW
◉ An RN is assigning tasks to team members. Which of the following
tasks is appropriate to delegate to a licensed practical nurse (LPN)?
a. Complete a client's admission assessment.
b. Titrate the flow of diltiazem IV for a client who is in a hypertensive
crisis.
c. Develop a teaching plan for a client who was recently diagnosed
with diabetes mellitus.
d. Suction a client who has a chronic tracheostomy..
Answer: d. Suction a client who has a chronic tracheostomy.
Suctioning a client who has a tracheostomy is within the LP's scope
of practice. The RN should determine the LPN's competency and the
stability of the client when considering delegation of this task.
◉ A nurse walks into the nurses' station and sees several staff
members looking at the electronic medical record for a celebrity
client on another unit. Which of the following actions should the
nurse take first?
,a. Remind the staff members that this is a breach of confidentiality.
b. Discuss the issue with the nurse manager.
c. Request that an administrative restriction be placed on the client's
record access.
d. Prepare a memo for the facility ethics committee.
Answer: a. Remind the staff members that this is a breach of
confidentiality.
When using the urgent vs nonurgent approach to client care, the
nurse should intervene immediately to prevent any further breach in
confidentiality. Therefore, this action should be the nurse's priority.
◉ Which of the following instructions provided by a nurse reflects
effective communication regarding delegation of a task to an
assistive personnel (AP)?
a. "Take vital signs every 2 hours for the client who had a
cholecystectomy in room 6122."
b. "Check the urinary output at 1100 for John Doe and report it to
me immediately."
c. "Report to me if the chest tube drainage is excessive for Jane Doe
in room 2438."
,d. "Please notify me of any clients whose vital signs or blood glucose
levels are significant.".
Answer: b. "Check the urinary output at 1100 for John Doe and
report it to me immediately."
This instruction follows the Five Rights of Delegation by practicing
the requirements for right direction/communication, which includes
the data to collect, client-specific information, a timeline for
collection, and the expectation for communicating the findings back
to the nurse.
◉ A nurse is caring for a 19-year-old client who has just been
informed that their cancer has metastasized. The client tells the
nurse that they do not want to continue chemotherapy. Which of the
following responses should the nurse make?
a. "I will have the provider discuss treatment options with your
parents."
b. "I will gather information about palliative care for you."
c. "I will contact your spiritual advisor to discuss this decision with
you."
d. "I will contact your parents about becoming your designees in
your durable power of attorney.".
Answer: b. "I will gather information about palliative care for you."
, The nurse is acknowledging the client's right to refuse treatment
and is demonstrating support by offering to discuss end-of-life care
options.
◉ A nurse is serving on a committee that is considering the creation
of a policy that will allow nurses to insert peripherally inserted
central catheters in the intensive care unit. Which of the following
resources should the nurse consult when planning for this policy?
a. National League for Nursing (NLN)
b. American Academy of Nursing (AAN)
c. Agency for Healthcare Research and Quality (AHRQ)
d. State Nurse Practice Act (NPA).
Answer: d. State Nurse Practice Act (NPA)
The nurse should consult the NPA in this situation because the PA
defines the scope and boundaries of professional nursing practice.
The PA provides guidelines for developing standardized procedures
within specific facilities where expanded nursing functions have
been approved in collaboration with nurses, providers, and
administration.
◉ A facility has identified an increase in health care-associated
urinary tract infections (UTIs) on the medical-surgical unit. A nurse
is participating in a quality improvement process to address this
PAPER 2026 COMPLETE SOLVED QUESTIONS
PRACTICE REVISION PACK EXPERT REVIEW
◉ An RN is assigning tasks to team members. Which of the following
tasks is appropriate to delegate to a licensed practical nurse (LPN)?
a. Complete a client's admission assessment.
b. Titrate the flow of diltiazem IV for a client who is in a hypertensive
crisis.
c. Develop a teaching plan for a client who was recently diagnosed
with diabetes mellitus.
d. Suction a client who has a chronic tracheostomy..
Answer: d. Suction a client who has a chronic tracheostomy.
Suctioning a client who has a tracheostomy is within the LP's scope
of practice. The RN should determine the LPN's competency and the
stability of the client when considering delegation of this task.
◉ A nurse walks into the nurses' station and sees several staff
members looking at the electronic medical record for a celebrity
client on another unit. Which of the following actions should the
nurse take first?
,a. Remind the staff members that this is a breach of confidentiality.
b. Discuss the issue with the nurse manager.
c. Request that an administrative restriction be placed on the client's
record access.
d. Prepare a memo for the facility ethics committee.
Answer: a. Remind the staff members that this is a breach of
confidentiality.
When using the urgent vs nonurgent approach to client care, the
nurse should intervene immediately to prevent any further breach in
confidentiality. Therefore, this action should be the nurse's priority.
◉ Which of the following instructions provided by a nurse reflects
effective communication regarding delegation of a task to an
assistive personnel (AP)?
a. "Take vital signs every 2 hours for the client who had a
cholecystectomy in room 6122."
b. "Check the urinary output at 1100 for John Doe and report it to
me immediately."
c. "Report to me if the chest tube drainage is excessive for Jane Doe
in room 2438."
,d. "Please notify me of any clients whose vital signs or blood glucose
levels are significant.".
Answer: b. "Check the urinary output at 1100 for John Doe and
report it to me immediately."
This instruction follows the Five Rights of Delegation by practicing
the requirements for right direction/communication, which includes
the data to collect, client-specific information, a timeline for
collection, and the expectation for communicating the findings back
to the nurse.
◉ A nurse is caring for a 19-year-old client who has just been
informed that their cancer has metastasized. The client tells the
nurse that they do not want to continue chemotherapy. Which of the
following responses should the nurse make?
a. "I will have the provider discuss treatment options with your
parents."
b. "I will gather information about palliative care for you."
c. "I will contact your spiritual advisor to discuss this decision with
you."
d. "I will contact your parents about becoming your designees in
your durable power of attorney.".
Answer: b. "I will gather information about palliative care for you."
, The nurse is acknowledging the client's right to refuse treatment
and is demonstrating support by offering to discuss end-of-life care
options.
◉ A nurse is serving on a committee that is considering the creation
of a policy that will allow nurses to insert peripherally inserted
central catheters in the intensive care unit. Which of the following
resources should the nurse consult when planning for this policy?
a. National League for Nursing (NLN)
b. American Academy of Nursing (AAN)
c. Agency for Healthcare Research and Quality (AHRQ)
d. State Nurse Practice Act (NPA).
Answer: d. State Nurse Practice Act (NPA)
The nurse should consult the NPA in this situation because the PA
defines the scope and boundaries of professional nursing practice.
The PA provides guidelines for developing standardized procedures
within specific facilities where expanded nursing functions have
been approved in collaboration with nurses, providers, and
administration.
◉ A facility has identified an increase in health care-associated
urinary tract infections (UTIs) on the medical-surgical unit. A nurse
is participating in a quality improvement process to address this
