1
Leadership & Management NCLEX Practice Questions (100
MCQs with Answers & Rationales) | Updated 2025 Test
Bank
✅
Leadership & Management NCLEX Practice Questions
✅
Correct Answers Highlighted with Detailed Explanation
✅
100-Word Detailed Rationales
✅
Based on 2025 NCLEX Test Plan
Prepared Under the Supervision of an NCLEX-RN Educator
Compiled by:
Registered Nurse & NCLEX Tutor
Perfect for:
Nursing students, NCLEX-RN exam prep, LPN/LVN test-takers, and study groups.
, 2
Leadership & Management NCLEX Practice Questions (100 MCQs with
Answers & Rationales) | Updated 2025 Test Bank
1. Which patient should the nurse assess first?
A. Post-op patient reporting pain of 5/10
B. Patient with new onset chest pain
C. Patient requesting assistance to the bathroom
D. Patient scheduled for discharge today
The answer is: B
Explanation:
In prioritization, the nurse must assess the patient with the most immediate threat to life first.
New onset chest pain could indicate a cardiac emergency requiring urgent intervention. While
post-op pain and other requests are important, they do not pose an immediate life threat.
Prioritizing patients by airway, breathing, and circulation (ABCs), followed by other critical
signs, ensures patient safety and effective nursing care.
2. What task can the nurse delegate to a licensed practical nurse (LPN)?
A. Administer IV push medications
B. Perform wound care on a stable patient
C. Develop the nursing care plan
D. Conduct an initial admission assessment
The answer is: B
Explanation:
LPNs can perform many routine nursing tasks, such as wound care on stable patients, under
supervision. However, tasks requiring higher clinical judgment, such as developing care plans or
administering IV push medications, are the responsibility of registered nurses (RNs). Delegation
must match the scope of practice and competencies of the staff to ensure patient safety.
3. When assigning patients, which client is best assigned to a new graduate nurse?
A. Patient with multiple complex comorbidities
B. Stable patient scheduled for discharge
, 3
C. Patient requiring frequent blood transfusions
D. Patient in respiratory distress
The answer is: B
Explanation:
New graduate nurses should be assigned stable patients with predictable care needs to build
confidence and competence. Patients with complex needs or emergencies require experienced
nurses able to respond quickly to changes. Proper assignment supports safe care delivery and
effective skill development for new nurses.
4. Which intervention should the nurse delegate to a certified nursing assistant (CNA)?
A. Administer oral medications
B. Assist a patient with activities of daily living (ADLs)
C. Perform sterile dressing changes
D. Assess pain level
The answer is: B
Explanation:
CNAs are trained to assist with non-invasive, basic care tasks like helping patients with ADLs,
hygiene, and mobility. Administering medications, sterile procedures, and assessments require
nursing judgment and licensure, so these tasks cannot be delegated to CNAs.
5. What is the priority nursing action when a patient suddenly becomes short of breath?
A. Document the event
B. Assess airway and breathing
C. Call family members
D. Provide oral care
The answer is: B
Explanation:
Assessing airway and breathing is the priority when a patient develops sudden shortness of
breath, as this could indicate respiratory distress or failure. Immediate assessment and
intervention can prevent deterioration. Documentation and communication follow stabilization.
, 4
6. Which patient should the nurse assign to an experienced RN?
A. Stable patient receiving oral antibiotics
B. Patient requiring frequent neurologic checks post-stroke
C. Patient ready for discharge teaching
D. Patient receiving routine blood draws
The answer is: B
Explanation:
Experienced RNs should manage patients with complex or unstable conditions, such as those
requiring frequent neurologic assessments post-stroke. These patients need vigilant monitoring
and quick response to changes, skills typically gained through experience.
7. How should a nurse prioritize care for a patient with multiple tasks?
A. Complete tasks in the order they were assigned
B. Prioritize tasks based on patient safety and acuity
C. Delegate all tasks to other staff
D. Focus only on medication administration
The answer is: B
Explanation:
Nurses must prioritize based on patient acuity and safety, focusing first on tasks that address
life-threatening issues or prevent harm. Effective prioritization ensures that critical needs are met
timely, improving patient outcomes.
8. Which task is appropriate to delegate to an LPN in a cardiac unit?
A. Administer IV medications
B. Perform vital signs on a stable patient
C. Initiate blood transfusion
D. Conduct patient discharge teaching
The answer is: B
Explanation:
LPNs can perform routine vital sign monitoring on stable patients but typically do not
administer IV medications, initiate transfusions, or conduct teaching. These tasks require higher
nursing judgment and are the responsibility of RNs.
Leadership & Management NCLEX Practice Questions (100
MCQs with Answers & Rationales) | Updated 2025 Test
Bank
✅
Leadership & Management NCLEX Practice Questions
✅
Correct Answers Highlighted with Detailed Explanation
✅
100-Word Detailed Rationales
✅
Based on 2025 NCLEX Test Plan
Prepared Under the Supervision of an NCLEX-RN Educator
Compiled by:
Registered Nurse & NCLEX Tutor
Perfect for:
Nursing students, NCLEX-RN exam prep, LPN/LVN test-takers, and study groups.
, 2
Leadership & Management NCLEX Practice Questions (100 MCQs with
Answers & Rationales) | Updated 2025 Test Bank
1. Which patient should the nurse assess first?
A. Post-op patient reporting pain of 5/10
B. Patient with new onset chest pain
C. Patient requesting assistance to the bathroom
D. Patient scheduled for discharge today
The answer is: B
Explanation:
In prioritization, the nurse must assess the patient with the most immediate threat to life first.
New onset chest pain could indicate a cardiac emergency requiring urgent intervention. While
post-op pain and other requests are important, they do not pose an immediate life threat.
Prioritizing patients by airway, breathing, and circulation (ABCs), followed by other critical
signs, ensures patient safety and effective nursing care.
2. What task can the nurse delegate to a licensed practical nurse (LPN)?
A. Administer IV push medications
B. Perform wound care on a stable patient
C. Develop the nursing care plan
D. Conduct an initial admission assessment
The answer is: B
Explanation:
LPNs can perform many routine nursing tasks, such as wound care on stable patients, under
supervision. However, tasks requiring higher clinical judgment, such as developing care plans or
administering IV push medications, are the responsibility of registered nurses (RNs). Delegation
must match the scope of practice and competencies of the staff to ensure patient safety.
3. When assigning patients, which client is best assigned to a new graduate nurse?
A. Patient with multiple complex comorbidities
B. Stable patient scheduled for discharge
, 3
C. Patient requiring frequent blood transfusions
D. Patient in respiratory distress
The answer is: B
Explanation:
New graduate nurses should be assigned stable patients with predictable care needs to build
confidence and competence. Patients with complex needs or emergencies require experienced
nurses able to respond quickly to changes. Proper assignment supports safe care delivery and
effective skill development for new nurses.
4. Which intervention should the nurse delegate to a certified nursing assistant (CNA)?
A. Administer oral medications
B. Assist a patient with activities of daily living (ADLs)
C. Perform sterile dressing changes
D. Assess pain level
The answer is: B
Explanation:
CNAs are trained to assist with non-invasive, basic care tasks like helping patients with ADLs,
hygiene, and mobility. Administering medications, sterile procedures, and assessments require
nursing judgment and licensure, so these tasks cannot be delegated to CNAs.
5. What is the priority nursing action when a patient suddenly becomes short of breath?
A. Document the event
B. Assess airway and breathing
C. Call family members
D. Provide oral care
The answer is: B
Explanation:
Assessing airway and breathing is the priority when a patient develops sudden shortness of
breath, as this could indicate respiratory distress or failure. Immediate assessment and
intervention can prevent deterioration. Documentation and communication follow stabilization.
, 4
6. Which patient should the nurse assign to an experienced RN?
A. Stable patient receiving oral antibiotics
B. Patient requiring frequent neurologic checks post-stroke
C. Patient ready for discharge teaching
D. Patient receiving routine blood draws
The answer is: B
Explanation:
Experienced RNs should manage patients with complex or unstable conditions, such as those
requiring frequent neurologic assessments post-stroke. These patients need vigilant monitoring
and quick response to changes, skills typically gained through experience.
7. How should a nurse prioritize care for a patient with multiple tasks?
A. Complete tasks in the order they were assigned
B. Prioritize tasks based on patient safety and acuity
C. Delegate all tasks to other staff
D. Focus only on medication administration
The answer is: B
Explanation:
Nurses must prioritize based on patient acuity and safety, focusing first on tasks that address
life-threatening issues or prevent harm. Effective prioritization ensures that critical needs are met
timely, improving patient outcomes.
8. Which task is appropriate to delegate to an LPN in a cardiac unit?
A. Administer IV medications
B. Perform vital signs on a stable patient
C. Initiate blood transfusion
D. Conduct patient discharge teaching
The answer is: B
Explanation:
LPNs can perform routine vital sign monitoring on stable patients but typically do not
administer IV medications, initiate transfusions, or conduct teaching. These tasks require higher
nursing judgment and are the responsibility of RNs.
