Leadership &
Management in
Nursing Practice
Examination
2026/2027
**Question 1**
,The charge nurse is making client assignments for the shift. Which client should be assigned to the most
experienced registered nurse (RN)?
A. A client with stable angina who is being discharged today
B. A client with newly diagnosed type 1 diabetes requiring teaching
C. A client with pneumonia who is stable and receiving IV antibiotics
D. A client who is 2 days post-operative with a surgical wound infection
💫RATIONALE✔️✔️: The client with newly diagnosed type 1 diabetes requires comprehensive
teaching, which is a complex nursing activity that requires the expertise of an experienced RN. The other
clients are stable and may be assigned to less experienced staff. Teaching requires advanced assessment
and communication skills.
💫ANSWER✔️✔️: B. A client with newly diagnosed type 1 diabetes requiring teaching
---
**Question 2**
The nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate for the
nurse to delegate?
A. Administering a suppository
B. Assessing a client's skin integrity
C. Feeding a client with dysphagia
D. Measuring a client's intake and output
,💫RATIONALE✔️✔️: Measuring and recording intake and output is a task that can be delegated to
UAP. Administering medications, performing assessments, and feeding clients with dysphagia (high risk
for aspiration) are nursing responsibilities that require assessment and clinical judgment. The RN
remains accountable for delegated tasks.
💫ANSWER✔️✔️: D. Measuring a client's intake and output
---
**Question 3**
The nurse is caring for a client who is confused and has become increasingly agitated. Which of the
following should be the nurse's first intervention?
A. Apply physical restraints to prevent injury
B. Administer a PRN dose of a sedative
C. Assess for the cause of the agitation (e.g., pain, hypoxia, hypoglycemia)
D. Place the client in a seclusion room
💫RATIONALE✔️✔️: The nurse must first assess for underlying physiological causes of the agitation.
Pain, hypoxia, hypoglycemia, or a full bladder can cause confusion and agitation. Restraints, seclusion,
and medication are last-resort interventions and should only be used after a thorough assessment and
when less restrictive measures have failed.
💫ANSWER✔️✔️: C. Assess for the cause of the agitation (e.g., pain, hypoxia, hypoglycemia)
---
, **Question 4**
The nurse is providing education to a new graduate nurse about the appropriate use of physical
restraints. Which statement by the new graduate indicates a correct understanding of the guidelines?
A. "A PRN order for restraints can be obtained in case the patient becomes agitated."
B. "Restraints can be used for the convenience of the staff to prevent falls."
C. "Physical restraints should only be used as a last resort after less restrictive measures have failed."
D. "The physician's order for restraints must be renewed every 72 hours."
💫RATIONALE✔️✔️: The use of restraints is governed by strict regulations. They are considered a last
resort and should only be used when less restrictive interventions are ineffective and the patient is a
danger to themselves or others. The order must be renewed every 24 hours (not 72). PRN orders are not
allowed. Restraints should never be used for staff convenience.
💫ANSWER✔️✔️: C. "Physical restraints should only be used as a last resort after less restrictive
measures have failed."
---
**Question 5**
The nurse is leading a multidisciplinary team meeting. Which action demonstrates effective leadership?
A. Dominating the conversation to ensure all topics are covered
B. Encouraging all team members to share their perspectives
C. Making all decisions without input from other team members
Management in
Nursing Practice
Examination
2026/2027
**Question 1**
,The charge nurse is making client assignments for the shift. Which client should be assigned to the most
experienced registered nurse (RN)?
A. A client with stable angina who is being discharged today
B. A client with newly diagnosed type 1 diabetes requiring teaching
C. A client with pneumonia who is stable and receiving IV antibiotics
D. A client who is 2 days post-operative with a surgical wound infection
💫RATIONALE✔️✔️: The client with newly diagnosed type 1 diabetes requires comprehensive
teaching, which is a complex nursing activity that requires the expertise of an experienced RN. The other
clients are stable and may be assigned to less experienced staff. Teaching requires advanced assessment
and communication skills.
💫ANSWER✔️✔️: B. A client with newly diagnosed type 1 diabetes requiring teaching
---
**Question 2**
The nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate for the
nurse to delegate?
A. Administering a suppository
B. Assessing a client's skin integrity
C. Feeding a client with dysphagia
D. Measuring a client's intake and output
,💫RATIONALE✔️✔️: Measuring and recording intake and output is a task that can be delegated to
UAP. Administering medications, performing assessments, and feeding clients with dysphagia (high risk
for aspiration) are nursing responsibilities that require assessment and clinical judgment. The RN
remains accountable for delegated tasks.
💫ANSWER✔️✔️: D. Measuring a client's intake and output
---
**Question 3**
The nurse is caring for a client who is confused and has become increasingly agitated. Which of the
following should be the nurse's first intervention?
A. Apply physical restraints to prevent injury
B. Administer a PRN dose of a sedative
C. Assess for the cause of the agitation (e.g., pain, hypoxia, hypoglycemia)
D. Place the client in a seclusion room
💫RATIONALE✔️✔️: The nurse must first assess for underlying physiological causes of the agitation.
Pain, hypoxia, hypoglycemia, or a full bladder can cause confusion and agitation. Restraints, seclusion,
and medication are last-resort interventions and should only be used after a thorough assessment and
when less restrictive measures have failed.
💫ANSWER✔️✔️: C. Assess for the cause of the agitation (e.g., pain, hypoxia, hypoglycemia)
---
, **Question 4**
The nurse is providing education to a new graduate nurse about the appropriate use of physical
restraints. Which statement by the new graduate indicates a correct understanding of the guidelines?
A. "A PRN order for restraints can be obtained in case the patient becomes agitated."
B. "Restraints can be used for the convenience of the staff to prevent falls."
C. "Physical restraints should only be used as a last resort after less restrictive measures have failed."
D. "The physician's order for restraints must be renewed every 72 hours."
💫RATIONALE✔️✔️: The use of restraints is governed by strict regulations. They are considered a last
resort and should only be used when less restrictive interventions are ineffective and the patient is a
danger to themselves or others. The order must be renewed every 24 hours (not 72). PRN orders are not
allowed. Restraints should never be used for staff convenience.
💫ANSWER✔️✔️: C. "Physical restraints should only be used as a last resort after less restrictive
measures have failed."
---
**Question 5**
The nurse is leading a multidisciplinary team meeting. Which action demonstrates effective leadership?
A. Dominating the conversation to ensure all topics are covered
B. Encouraging all team members to share their perspectives
C. Making all decisions without input from other team members
