NURSING LEADERSHIP AND MANAGEMENT
COMPREHENSIVE PRACTICE EXAM – PAPER 2
Course Name
Nursing Leadership and Management
Level
College / Nursing School / NCLEX-RN Preparation
Short Introduction
This advanced practice examination evaluates leadership and management
competencies required in professional nursing practice. Topics include delegation,
prioritization, staffing, supervision, quality improvement, patient safety, legal and
ethical responsibilities, communication, change management, and evidence-based
leadership. Each question includes the correct answer and a detailed explanation to
strengthen clinical judgment.
Instructions
Answer all questions.
Read each question carefully before selecting the best answer.
Apply evidence-based nursing leadership principles.
Review each explanation to reinforce learning.
Exam Structure
15 Multiple Choice Questions
10 Short Answer Questions
10 Application/Clinical Scenario Questions
5 Higher-Order Thinking Questions
Total Questions: 40
,SECTION A – MULTIPLE CHOICE QUESTIONS
Question 1
A charge nurse is assigning clients for the shift. Which client is most appropriate
for an experienced registered nurse?
A. A stable postoperative client awaiting discharge instructions
B. A client with newly diagnosed septic shock requiring frequent reassessment
C. A client scheduled for routine morning hygiene
D. A client awaiting transport for diagnostic imaging
Answer: B
Explanation: Clients with unstable or rapidly changing conditions require the
advanced assessment, critical thinking, and clinical judgment of a registered
nurse.
Question 2
Which task is appropriate for a registered nurse to delegate to an experienced
unlicensed assistive personnel (UAP)?
A. Assess lung sounds after bronchodilator therapy
B. Obtain a urine specimen from a stable client
C. Teach a client how to use an incentive spirometer
D. Evaluate the effectiveness of pain medication
Answer: B
Explanation: Collecting routine specimens from stable clients is an appropriate
delegated task. Assessment, teaching, and evaluation remain the responsibility of
the registered nurse.
, Question 3
A nurse manager wants to reduce patient falls on the unit. Which action should be
implemented first?
A. Conduct a review of fall data to identify contributing factors
B. Purchase new hospital beds immediately
C. Discipline staff involved in previous falls
D. Eliminate hourly rounding
Answer: A
Explanation: Quality improvement begins with collecting and analyzing data to
identify patterns, contributing factors, and opportunities for evidence-based
interventions.
Question 4
Which communication technique is most effective when giving a client handoff
report?
A. Using informal conversation only
B. Using the SBAR communication framework
C. Providing information from memory without documentation
D. Limiting discussion to laboratory results
Answer: B
Explanation: SBAR (Situation, Background, Assessment, Recommendation)
promotes clear, organized, and consistent communication, reducing the risk of
errors during handoffs.
COMPREHENSIVE PRACTICE EXAM – PAPER 2
Course Name
Nursing Leadership and Management
Level
College / Nursing School / NCLEX-RN Preparation
Short Introduction
This advanced practice examination evaluates leadership and management
competencies required in professional nursing practice. Topics include delegation,
prioritization, staffing, supervision, quality improvement, patient safety, legal and
ethical responsibilities, communication, change management, and evidence-based
leadership. Each question includes the correct answer and a detailed explanation to
strengthen clinical judgment.
Instructions
Answer all questions.
Read each question carefully before selecting the best answer.
Apply evidence-based nursing leadership principles.
Review each explanation to reinforce learning.
Exam Structure
15 Multiple Choice Questions
10 Short Answer Questions
10 Application/Clinical Scenario Questions
5 Higher-Order Thinking Questions
Total Questions: 40
,SECTION A – MULTIPLE CHOICE QUESTIONS
Question 1
A charge nurse is assigning clients for the shift. Which client is most appropriate
for an experienced registered nurse?
A. A stable postoperative client awaiting discharge instructions
B. A client with newly diagnosed septic shock requiring frequent reassessment
C. A client scheduled for routine morning hygiene
D. A client awaiting transport for diagnostic imaging
Answer: B
Explanation: Clients with unstable or rapidly changing conditions require the
advanced assessment, critical thinking, and clinical judgment of a registered
nurse.
Question 2
Which task is appropriate for a registered nurse to delegate to an experienced
unlicensed assistive personnel (UAP)?
A. Assess lung sounds after bronchodilator therapy
B. Obtain a urine specimen from a stable client
C. Teach a client how to use an incentive spirometer
D. Evaluate the effectiveness of pain medication
Answer: B
Explanation: Collecting routine specimens from stable clients is an appropriate
delegated task. Assessment, teaching, and evaluation remain the responsibility of
the registered nurse.
, Question 3
A nurse manager wants to reduce patient falls on the unit. Which action should be
implemented first?
A. Conduct a review of fall data to identify contributing factors
B. Purchase new hospital beds immediately
C. Discipline staff involved in previous falls
D. Eliminate hourly rounding
Answer: A
Explanation: Quality improvement begins with collecting and analyzing data to
identify patterns, contributing factors, and opportunities for evidence-based
interventions.
Question 4
Which communication technique is most effective when giving a client handoff
report?
A. Using informal conversation only
B. Using the SBAR communication framework
C. Providing information from memory without documentation
D. Limiting discussion to laboratory results
Answer: B
Explanation: SBAR (Situation, Background, Assessment, Recommendation)
promotes clear, organized, and consistent communication, reducing the risk of
errors during handoffs.
