NCLEX RN Leadership and
Management Exam 1 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Question 1
The charge nurse is assigning clients to staff members. Which client is most
appropriate for assignment to an experienced licensed practical nurse
(LPN/LVN)?
A. A client admitted 30 minutes ago with chest pain
B. A client requiring routine oral medications and a dressing change
C. A client receiving a titrated IV heparin infusion
D. A client experiencing acute respiratory distress
Answer: A client requiring routine oral medications and a dressing change
Rationale: LPN/LVN assignments should generally involve clients with
predictable outcomes and stable conditions. Newly admitted, unstable, or
rapidly changing clients require RN assessment and management.
Question 2
A registered nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A. Assessing a client's newly reported chest pain
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs on a stable client
D. Evaluating a client's response to pain medication
Answer: Obtaining routine vital signs on a stable client
,Rationale: UAPs can perform routine, nonassessment tasks for stable clients.
Assessment, teaching, and evaluation remain the RN's responsibilities.
Question 3
A nurse manager observes that a staff nurse repeatedly arrives late for work.
What is the best initial action?
A. Suspend the nurse immediately
B. Discuss the attendance issue privately with the nurse
C. Ask other nurses whether the nurse is frequently late
D. Document the nurse's behavior in the personnel record without discussion
Answer: Discuss the attendance issue privately with the nurse
Rationale: Performance concerns should initially be addressed privately and
directly. The manager should determine the reason for the behavior and
review expectations before taking disciplinary action.
Question 4
A nurse is caring for four clients. Which client should the nurse assess first?
A. A client requesting assistance with bathing
B. A client with a temperature of 38.1°C (100.6°F)
C. A client with new-onset difficulty breathing
D. A client requesting discharge instructions
Answer: A client with new-onset difficulty breathing
Rationale: Airway and breathing problems take priority. New respiratory
difficulty can indicate a life-threatening deterioration and requires immediate
assessment.
Question 5
The RN delegates ambulation of a stable postoperative client to a UAP. Which
instruction is most appropriate?
,A. "Walk the client whenever you have time."
B. "Determine whether the client is ready to ambulate."
C. "Assist the client to ambulate 50 feet and report dizziness or weakness."
D. "Evaluate the client's gait after walking."
Answer: Assist the client to ambulate 50 feet and report dizziness or
weakness.
Rationale: Delegation should include a clear task, expected outcome, and
specific findings that must be reported. Assessment and evaluation remain
with the RN.
Question 6
A nurse receives a medication order that appears unusually high. What should
the nurse do first?
A. Administer the medication as prescribed
B. Ask another nurse to administer it
C. Clarify the order with the prescribing provider
D. Document that the order appears incorrect
Answer: Clarify the order with the prescribing provider
Rationale: The nurse is responsible for questioning unclear or potentially
unsafe orders before administration. The medication should not be given until
the concern is resolved.
Question 7
Which action by a nurse demonstrates effective conflict resolution?
A. Avoiding the coworker until the disagreement disappears
B. Discussing the conflict privately and focusing on the behavior
C. Reporting every disagreement directly to the nurse manager
D. Discussing the coworker's behavior with other staff members
Answer: Discussing the conflict privately and focusing on the behavior
, Rationale: Direct, respectful communication focused on specific behaviors
promotes resolution while maintaining professionalism and confidentiality.
Question 8
The nurse manager wants to improve staff participation in decision-making.
Which leadership style is most appropriate?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: Democratic
Rationale: Democratic leadership encourages staff participation, shared
decision-making, communication, and collaboration.
Question 9
A nurse is preparing to delegate a task. Which factor is most important to
consider?
A. Whether the UAP likes performing the task
B. Whether the nurse has enough time to complete the task personally
C. The complexity of the task and the client's condition
D. Whether another nurse has delegated the same task before
Answer: The complexity of the task and the client's condition
Rationale: Safe delegation depends on the task, client condition, required
level of judgment, and competency of the delegatee.
Question 10
A client falls while attempting to get out of bed. What should the nurse do
first?
Management Exam 1 100 Questions
And Correct Answers (Verified
Answers) Plus Rationales 2026
Question 1
The charge nurse is assigning clients to staff members. Which client is most
appropriate for assignment to an experienced licensed practical nurse
(LPN/LVN)?
A. A client admitted 30 minutes ago with chest pain
B. A client requiring routine oral medications and a dressing change
C. A client receiving a titrated IV heparin infusion
D. A client experiencing acute respiratory distress
Answer: A client requiring routine oral medications and a dressing change
Rationale: LPN/LVN assignments should generally involve clients with
predictable outcomes and stable conditions. Newly admitted, unstable, or
rapidly changing clients require RN assessment and management.
Question 2
A registered nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A. Assessing a client's newly reported chest pain
B. Teaching a client how to use an incentive spirometer
C. Obtaining routine vital signs on a stable client
D. Evaluating a client's response to pain medication
Answer: Obtaining routine vital signs on a stable client
,Rationale: UAPs can perform routine, nonassessment tasks for stable clients.
Assessment, teaching, and evaluation remain the RN's responsibilities.
Question 3
A nurse manager observes that a staff nurse repeatedly arrives late for work.
What is the best initial action?
A. Suspend the nurse immediately
B. Discuss the attendance issue privately with the nurse
C. Ask other nurses whether the nurse is frequently late
D. Document the nurse's behavior in the personnel record without discussion
Answer: Discuss the attendance issue privately with the nurse
Rationale: Performance concerns should initially be addressed privately and
directly. The manager should determine the reason for the behavior and
review expectations before taking disciplinary action.
Question 4
A nurse is caring for four clients. Which client should the nurse assess first?
A. A client requesting assistance with bathing
B. A client with a temperature of 38.1°C (100.6°F)
C. A client with new-onset difficulty breathing
D. A client requesting discharge instructions
Answer: A client with new-onset difficulty breathing
Rationale: Airway and breathing problems take priority. New respiratory
difficulty can indicate a life-threatening deterioration and requires immediate
assessment.
Question 5
The RN delegates ambulation of a stable postoperative client to a UAP. Which
instruction is most appropriate?
,A. "Walk the client whenever you have time."
B. "Determine whether the client is ready to ambulate."
C. "Assist the client to ambulate 50 feet and report dizziness or weakness."
D. "Evaluate the client's gait after walking."
Answer: Assist the client to ambulate 50 feet and report dizziness or
weakness.
Rationale: Delegation should include a clear task, expected outcome, and
specific findings that must be reported. Assessment and evaluation remain
with the RN.
Question 6
A nurse receives a medication order that appears unusually high. What should
the nurse do first?
A. Administer the medication as prescribed
B. Ask another nurse to administer it
C. Clarify the order with the prescribing provider
D. Document that the order appears incorrect
Answer: Clarify the order with the prescribing provider
Rationale: The nurse is responsible for questioning unclear or potentially
unsafe orders before administration. The medication should not be given until
the concern is resolved.
Question 7
Which action by a nurse demonstrates effective conflict resolution?
A. Avoiding the coworker until the disagreement disappears
B. Discussing the conflict privately and focusing on the behavior
C. Reporting every disagreement directly to the nurse manager
D. Discussing the coworker's behavior with other staff members
Answer: Discussing the conflict privately and focusing on the behavior
, Rationale: Direct, respectful communication focused on specific behaviors
promotes resolution while maintaining professionalism and confidentiality.
Question 8
The nurse manager wants to improve staff participation in decision-making.
Which leadership style is most appropriate?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: Democratic
Rationale: Democratic leadership encourages staff participation, shared
decision-making, communication, and collaboration.
Question 9
A nurse is preparing to delegate a task. Which factor is most important to
consider?
A. Whether the UAP likes performing the task
B. Whether the nurse has enough time to complete the task personally
C. The complexity of the task and the client's condition
D. Whether another nurse has delegated the same task before
Answer: The complexity of the task and the client's condition
Rationale: Safe delegation depends on the task, client condition, required
level of judgment, and competency of the delegatee.
Question 10
A client falls while attempting to get out of bed. What should the nurse do
first?
