Page 1 of 146
Leadership Proctored Exam with NGN 70
Screenshot Questions and Answers
Question 1 (NGN – Matrix)
The manager needs to decide which tasks to delegate to an
LPN. Select all that apply:
☐ A) Administer IV push morphine to a stable post-op patient
☐ B) Perform an initial admission assessment of a new patient
☐ C) Change a sterile dressing on a surgical wound (established,
non-complicated)
☐ D) Insert a Foley catheter using sterile technique
☐ E) Develop the nursing care plan for a patient with diabetes
Answer: C, D
Rationale: LPNs can perform sterile dressing changes (C) and
insert urinary catheters (D) under RN supervision in many states.
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IV push medications (A) are typically RN only. Admission
assessment (B) and care plan development (E) require RN
education and scope.
Question 2 (NGN – Bowtie)
The manager must assign the most urgent task to the
available RN. Place the tasks in order of priority (1 = first).
Options: A) Administer PRN pain medication to a patient with a
patient-controlled analgesia (PCA) pump reporting pain 8/10.
B) Assess a patient who returned from the OR 30 minutes ago
with new onset of shortness of breath.
C) Respond to a family member who demands to speak with the
charge nurse about room temperature.
D) Review the morning laboratory results for a stable patient.
Answer: B (1), A (2), C (3), D (4)
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Rationale: ABCs – shortness of breath is a respiratory
emergency (B). Uncontrolled pain (A) is next. Family complaint
(C) can wait briefly. Stable labs (D) are non-urgent.
Question 3 (NGN – Drag and Drop)
Match the patient with the appropriate staff assignment.
Assignment (RN,
Patient Description
LPN, UAP)
Patient with chest pain, new ECG changes, unstable
RN
vitals
Patient needing post-op vital signs, diet tray, and
UAP
ambulation assistance
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Assignment (RN,
Patient Description
LPN, UAP)
Patient with a stable tracheostomy needing routine
LPN
suctioning and stoma care (established, no distress)
Rationale: Unstable patient requires RN assessment. UAP can
obtain vitals, feed, and ambulate under supervision. LPN can
perform stable tracheostomy care.
Question 4 (NGN – Highlight)
The nurse manager reviews the incident report system. Which
finding indicates a healthy safety culture? (Highlight all that
apply)
A) Near-miss reporting has increased by 40% over 6
months.
Leadership Proctored Exam with NGN 70
Screenshot Questions and Answers
Question 1 (NGN – Matrix)
The manager needs to decide which tasks to delegate to an
LPN. Select all that apply:
☐ A) Administer IV push morphine to a stable post-op patient
☐ B) Perform an initial admission assessment of a new patient
☐ C) Change a sterile dressing on a surgical wound (established,
non-complicated)
☐ D) Insert a Foley catheter using sterile technique
☐ E) Develop the nursing care plan for a patient with diabetes
Answer: C, D
Rationale: LPNs can perform sterile dressing changes (C) and
insert urinary catheters (D) under RN supervision in many states.
,Page 2 of 146
IV push medications (A) are typically RN only. Admission
assessment (B) and care plan development (E) require RN
education and scope.
Question 2 (NGN – Bowtie)
The manager must assign the most urgent task to the
available RN. Place the tasks in order of priority (1 = first).
Options: A) Administer PRN pain medication to a patient with a
patient-controlled analgesia (PCA) pump reporting pain 8/10.
B) Assess a patient who returned from the OR 30 minutes ago
with new onset of shortness of breath.
C) Respond to a family member who demands to speak with the
charge nurse about room temperature.
D) Review the morning laboratory results for a stable patient.
Answer: B (1), A (2), C (3), D (4)
,Page 3 of 146
Rationale: ABCs – shortness of breath is a respiratory
emergency (B). Uncontrolled pain (A) is next. Family complaint
(C) can wait briefly. Stable labs (D) are non-urgent.
Question 3 (NGN – Drag and Drop)
Match the patient with the appropriate staff assignment.
Assignment (RN,
Patient Description
LPN, UAP)
Patient with chest pain, new ECG changes, unstable
RN
vitals
Patient needing post-op vital signs, diet tray, and
UAP
ambulation assistance
, Page 4 of 146
Assignment (RN,
Patient Description
LPN, UAP)
Patient with a stable tracheostomy needing routine
LPN
suctioning and stoma care (established, no distress)
Rationale: Unstable patient requires RN assessment. UAP can
obtain vitals, feed, and ambulate under supervision. LPN can
perform stable tracheostomy care.
Question 4 (NGN – Highlight)
The nurse manager reviews the incident report system. Which
finding indicates a healthy safety culture? (Highlight all that
apply)
A) Near-miss reporting has increased by 40% over 6
months.
