NURSING LEADERSHIP | TEAMWORK & SAFE CARE
LEADERSHIP
& DELEGATION EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Full-length practice exam
PRIORITIZE CLEARLY. DELEGATE SAFELY. LEAD WITH TRUST.
Independent educational practice | No publisher affiliation
,Exam Instructions
Suggested time: 120 minutes. Choose the single best response. Complete all five sections before reviewing the answer key and
rationales.
Coverage: prioritization, assignment, delegation, communication, conflict, quality improvement, staffing, ethics, risk management,
discharge, and clinical judgment.
This independently written educational practice exam is not an official licensing exam or publisher test bank. Scope and delegation rules vary by
jurisdiction and facility; follow current policy.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
LEADERSHIP & DELEGATION | FULL MOCK EXAM 2
, SECTION 1 | QUESTIONS 1-20
PRIORITY & ASSIGNMENT 1. At shift change, which client should the RN assess first?
A. A client with chronic back pain at baseline
B. A client with new stridor after extubation
C. A stable client asking for a routine medication
D. A client ready for discharge teaching
Answer: ______
PRIORITY & ASSIGNMENT 2. Four clients call at once. Who should the nurse see first?
A. A postoperative client who is newly confused and tachycardic
B. A client due for routine dressing change in an hour
C. A client with chronic edema unchanged from yesterday
D. A client requesting help to order lunch
Answer: ______
PRIORITY & ASSIGNMENT 3. Which assignment is most appropriate for an experienced RN?
A. A client with a new unstable rhythm requiring assessment
B. A client with predictable chronic care and established plan
C. A client waiting for a routine transport
D. A stable client needing routine hygiene
Answer: ______
PRIORITY & ASSIGNMENT 4. A client’s blood pressure suddenly falls after surgery. What should the charge nurse do
first?
A. Call dietary services
B. Assess the client and mobilize appropriate help
C. Complete staffing paperwork
D. Ask the client to wait until rounds
Answer: ______
PRIORITY & ASSIGNMENT 5. Which client is safest to assign to an LPN/LVN, within scope and policy?
A. A client with rapidly changing neurologic status
B. A stable client with predictable needs and an established plan
C. A client with new chest pain
D. A client requiring initial triage
Answer: ______
PRIORITY & ASSIGNMENT 6. A nurse has four tasks. Which should be done first?
A. Complete nonurgent chart audit
B. Restock linens
C. Return a routine phone call
D. Respond to an alarm for a client with oxygen desaturation
Answer: ______
LEADERSHIP & DELEGATION | FULL MOCK EXAM 3
LEADERSHIP
& DELEGATION EXAM
100 ORIGINAL QUESTIONS | ANSWERS + RATIONALES
Five sections of 20 | Full-length practice exam
PRIORITIZE CLEARLY. DELEGATE SAFELY. LEAD WITH TRUST.
Independent educational practice | No publisher affiliation
,Exam Instructions
Suggested time: 120 minutes. Choose the single best response. Complete all five sections before reviewing the answer key and
rationales.
Coverage: prioritization, assignment, delegation, communication, conflict, quality improvement, staffing, ethics, risk management,
discharge, and clinical judgment.
This independently written educational practice exam is not an official licensing exam or publisher test bank. Scope and delegation rules vary by
jurisdiction and facility; follow current policy.
CONTENTS
Section 1: Questions 1-20
Section 2: Questions 21-40
Section 3: Questions 41-60
Section 4: Questions 61-80
Section 5: Questions 81-100
Answer Key and Rationales: Questions 1-100
LEADERSHIP & DELEGATION | FULL MOCK EXAM 2
, SECTION 1 | QUESTIONS 1-20
PRIORITY & ASSIGNMENT 1. At shift change, which client should the RN assess first?
A. A client with chronic back pain at baseline
B. A client with new stridor after extubation
C. A stable client asking for a routine medication
D. A client ready for discharge teaching
Answer: ______
PRIORITY & ASSIGNMENT 2. Four clients call at once. Who should the nurse see first?
A. A postoperative client who is newly confused and tachycardic
B. A client due for routine dressing change in an hour
C. A client with chronic edema unchanged from yesterday
D. A client requesting help to order lunch
Answer: ______
PRIORITY & ASSIGNMENT 3. Which assignment is most appropriate for an experienced RN?
A. A client with a new unstable rhythm requiring assessment
B. A client with predictable chronic care and established plan
C. A client waiting for a routine transport
D. A stable client needing routine hygiene
Answer: ______
PRIORITY & ASSIGNMENT 4. A client’s blood pressure suddenly falls after surgery. What should the charge nurse do
first?
A. Call dietary services
B. Assess the client and mobilize appropriate help
C. Complete staffing paperwork
D. Ask the client to wait until rounds
Answer: ______
PRIORITY & ASSIGNMENT 5. Which client is safest to assign to an LPN/LVN, within scope and policy?
A. A client with rapidly changing neurologic status
B. A stable client with predictable needs and an established plan
C. A client with new chest pain
D. A client requiring initial triage
Answer: ______
PRIORITY & ASSIGNMENT 6. A nurse has four tasks. Which should be done first?
A. Complete nonurgent chart audit
B. Restock linens
C. Return a routine phone call
D. Respond to an alarm for a client with oxygen desaturation
Answer: ______
LEADERSHIP & DELEGATION | FULL MOCK EXAM 3
