Professional Nursing (2026/2027) | 100%
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38 Exam-Level Multiple-Choice Questions (A–D) with Answers and Rationales
Q1. The newly graduated RN is assigned as charge nurse on a med-surg unit. This is an
example of which leadership style?
A) Autocratic B) Laissez-faire C) Transformational D) Situational
Answer: D
Rationale: Situational leadership (Hersey-Blanchard) adjusts style based on follower maturity;
new graduates need more direction initially.
Q2. The nurse leader who inspires the team to exceed expectations and fosters innovation is
demonstrating:
A) Transactional leadership B) Transformational leadership C) Democratic leadership D)
Authoritarian leadership
Answer: B
Rationale: Transformational leaders motivate through vision, intellectual stimulation, and
individualized consideration (2026 ANA leadership competencies).
Q3. According to NCSBN “Five Rights of Delegation” (unchanged 2026), which is NOT one of
the rights?
A) Right task B) Right circumstance C) Right salary D) Right supervision
Answer: C
Rationale: The five rights are task, circumstance, person, direction/communication, and
supervision/evaluation.
Q4. The RN may delegate vital signs on a stable patient to:
A) Unlicensed assistive personnel (UAP) B) LPN/LVN (only if in scope) C) Another RN D)
Unit secretary
Answer: A
, Rationale: Stable, routine tasks with predictable outcomes may be delegated to UAP (NCSBN
2026).
Q5. The RN is delegating tracheostomy suctioning. This task should be delegated to:
A) UAP B) LPN/LVN (if trained and allowed by state) C) Another RN D) Respiratory therapist
Answer: C
Rationale: Tracheostomy suctioning is a nursing assessment/intervention requiring RN
judgment; cannot be delegated to LPN or UAP in most states.
Q6. A UAP reports that a patient “just doesn’t look right.” The RN’s best response is:
A) “You’re not qualified to assess; just do your tasks.” B) Thank the UAP and immediately
assess the patient
C) Ask the UAP to complete vital signs first D) Tell the charge nurse
Answer: B
Rationale: UAP are the “eyes and ears”; any concern must be followed by RN assessment
(ANA delegation principles).
Q7. The nurse is prioritizing care for four patients. Which patient should be seen FIRST?
A) Post-op day 1 asking for pain medication B) New onset chest pain 8/10 C) Scheduled
10:00 AM antibiotic D) Family requesting discharge teaching
Answer: B
Rationale: Airway/Breathing/Circulation (ABC) + Maslow; acute chest pain is life-threatening.
Q8. The most effective time-management strategy for a busy shift is:
A) Complete all tasks for one patient before moving to the next B) Use a prioritized to-do list
and cluster activities C) Wait for the provider to round before planning D) Delegate everything
possible
Answer: B
Rationale: Clustering care (e.g., meds, vitals, dressing changes) reduces wasted steps
(Yoder-Wise 2026).
Q9. A nurse consistently arrives late and leaves tasks unfinished. This is an example of:
A) Incivility B) Horizontal violence C) Poor professional accountability D) Burnout
Answer: C
Rationale: Professional accountability requires completing assigned duties on time.
Q10. The nurse manager uses “rounding with purpose” on staff. The primary goal is:
A) Catch staff making mistakes B) Improve staff satisfaction and catch issues early C)
Complete performance reviews D) Assign extra shifts
Answer: B