NCLEX-RN Leadership & Management Assessment
1. A nurse is delegating tasks to a nursing assistant. Which task is appropriate to
delegate?
A. Administering oral medications
B. Assisting a client with a bed bath
C. Assessing a client's incision
D. Teaching a client about a new medication
2. A nurse is prioritizing client care. Which client should the nurse assess first?
A. A client requesting pain medication
B. A client with new onset shortness of breath
C. A client requesting assistance with ambulation
D. A client requesting a blanket
3. A nurse manager is conducting a performance evaluation. Which action is most
appropriate?
A. Provide feedback only on negative behaviors
B. Provide specific, objective feedback on both positive and negative behaviors
C. Compare the nurse to other staff members
D. Wait until the end of the year to provide feedback
4. A nurse is involved in conflict resolution between two staff members. Which
action is most appropriate?
A. Ignore the conflict and hope it resolves
B. Meet with both parties to discuss the issue
C. Take sides with one staff member
D. Report the conflict to human resources immediately
,5. A nurse is assigning clients to staff members. Which client should be assigned to
the most experienced nurse?
A. A client with a stable condition
B. A client with a new tracheostomy
C. A client requesting discharge instructions
D. A client with a urinary tract infection
6. A nurse manager is developing a budget. Which is an example of a capital
expenditure?
A. Staff salaries
B. Purchase of a new MRI machine
C. Supplies for wound care
D. Medications for clients
7. A nurse is teaching a new employee about evidence-based practice. Which
action is most appropriate?
A. Continue using traditional practices
B. Use research findings to guide nursing interventions
C. Ignore new research findings
D. Follow the advice of the most experienced nurse
8. A nurse is involved in quality improvement. Which action is most appropriate?
A. Wait for problems to occur
B. Identify areas for improvement and implement changes
C. Blame staff for errors
D. Ignore client feedback
9. A nurse manager is conducting a staff meeting. Which action is most
appropriate?
A. Dominate the conversation
B. Encourage staff participation and input
,C. Ignore staff concerns
D. Cancel the meeting if there are no problems
10. A nurse is mentoring a new graduate. Which action is most appropriate?
A. Expect the new graduate to know everything
B. Provide support and guidance
C. Criticize the new graduate in front of others
D. Ignore the new graduate's questions
11. A nurse is prioritizing care for multiple clients. Which client should the nurse
assess first?
A. A client requesting a snack
B. A client with chest pain
C. A client requesting assistance with ambulation
D. A client requesting a phone to call family
12. A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is
appropriate to delegate?
A. Administering IV push medications
B. Administering oral medications
C. Assessing a client's new admission
D. Teaching a client about a new medication
13. A nurse is evaluating a staff member's performance. Which finding requires
immediate intervention?
A. Staff member is punctual
B. Staff member is impaired by alcohol
C. Staff member is helpful to colleagues
D. Staff member is courteous to clients
14. A nurse manager is developing a disaster plan. Which action is most
appropriate?
A. Wait for a disaster to occur
, B. Develop a plan and practice drills
C. Ignore the possibility of a disaster
D. Blame staff for lack of preparation
15. A nurse is involved in a sentinel event. Which action is most appropriate?
A. Hide the event from administration
B. Report the event and participate in a root cause analysis
C. Blame the staff involved
D. Ignore the event
16. A nurse manager is interviewing a new employee. Which question is
appropriate?
A. "Are you planning to have children?"
B. "What are your strengths and weaknesses?"
C. "How old are you?"
D. "What is your religion?"
17. A nurse is providing feedback to a colleague. Which action is most
appropriate?
A. Provide feedback in front of clients
B. Provide feedback privately and constructively
C. Ignore the colleague's behavior
D. Report the colleague to administration immediately
18. A nurse is prioritizing care during a disaster. Which client should the nurse
treat first?
A. A client with a minor laceration
B. A client with an obstructed airway
C. A client with a sprained ankle
D. A client with a rash
19. A nurse manager is developing a staffing plan. Which factor is most important?
A. Staff preferences
1. A nurse is delegating tasks to a nursing assistant. Which task is appropriate to
delegate?
A. Administering oral medications
B. Assisting a client with a bed bath
C. Assessing a client's incision
D. Teaching a client about a new medication
2. A nurse is prioritizing client care. Which client should the nurse assess first?
A. A client requesting pain medication
B. A client with new onset shortness of breath
C. A client requesting assistance with ambulation
D. A client requesting a blanket
3. A nurse manager is conducting a performance evaluation. Which action is most
appropriate?
A. Provide feedback only on negative behaviors
B. Provide specific, objective feedback on both positive and negative behaviors
C. Compare the nurse to other staff members
D. Wait until the end of the year to provide feedback
4. A nurse is involved in conflict resolution between two staff members. Which
action is most appropriate?
A. Ignore the conflict and hope it resolves
B. Meet with both parties to discuss the issue
C. Take sides with one staff member
D. Report the conflict to human resources immediately
,5. A nurse is assigning clients to staff members. Which client should be assigned to
the most experienced nurse?
A. A client with a stable condition
B. A client with a new tracheostomy
C. A client requesting discharge instructions
D. A client with a urinary tract infection
6. A nurse manager is developing a budget. Which is an example of a capital
expenditure?
A. Staff salaries
B. Purchase of a new MRI machine
C. Supplies for wound care
D. Medications for clients
7. A nurse is teaching a new employee about evidence-based practice. Which
action is most appropriate?
A. Continue using traditional practices
B. Use research findings to guide nursing interventions
C. Ignore new research findings
D. Follow the advice of the most experienced nurse
8. A nurse is involved in quality improvement. Which action is most appropriate?
A. Wait for problems to occur
B. Identify areas for improvement and implement changes
C. Blame staff for errors
D. Ignore client feedback
9. A nurse manager is conducting a staff meeting. Which action is most
appropriate?
A. Dominate the conversation
B. Encourage staff participation and input
,C. Ignore staff concerns
D. Cancel the meeting if there are no problems
10. A nurse is mentoring a new graduate. Which action is most appropriate?
A. Expect the new graduate to know everything
B. Provide support and guidance
C. Criticize the new graduate in front of others
D. Ignore the new graduate's questions
11. A nurse is prioritizing care for multiple clients. Which client should the nurse
assess first?
A. A client requesting a snack
B. A client with chest pain
C. A client requesting assistance with ambulation
D. A client requesting a phone to call family
12. A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is
appropriate to delegate?
A. Administering IV push medications
B. Administering oral medications
C. Assessing a client's new admission
D. Teaching a client about a new medication
13. A nurse is evaluating a staff member's performance. Which finding requires
immediate intervention?
A. Staff member is punctual
B. Staff member is impaired by alcohol
C. Staff member is helpful to colleagues
D. Staff member is courteous to clients
14. A nurse manager is developing a disaster plan. Which action is most
appropriate?
A. Wait for a disaster to occur
, B. Develop a plan and practice drills
C. Ignore the possibility of a disaster
D. Blame staff for lack of preparation
15. A nurse is involved in a sentinel event. Which action is most appropriate?
A. Hide the event from administration
B. Report the event and participate in a root cause analysis
C. Blame the staff involved
D. Ignore the event
16. A nurse manager is interviewing a new employee. Which question is
appropriate?
A. "Are you planning to have children?"
B. "What are your strengths and weaknesses?"
C. "How old are you?"
D. "What is your religion?"
17. A nurse is providing feedback to a colleague. Which action is most
appropriate?
A. Provide feedback in front of clients
B. Provide feedback privately and constructively
C. Ignore the colleague's behavior
D. Report the colleague to administration immediately
18. A nurse is prioritizing care during a disaster. Which client should the nurse
treat first?
A. A client with a minor laceration
B. A client with an obstructed airway
C. A client with a sprained ankle
D. A client with a rash
19. A nurse manager is developing a staffing plan. Which factor is most important?
A. Staff preferences
