Leadership Nclex UPDATED Exam
Questions and CORRECT Answers
The nurse enters a client's room and notes that the client's lawyer is present and that the client
is preparing a living will. The living will requires that the client's signature be witnessed, and
the client asks the nurse to witness the signature. Which is the appropriate nursing action? -
CORRECT ANSWER- ✔✔Decline to sign the will.
The nurse is newly employed in a health agency. The nurse is told that the decision-making
process of the organization is based on a centralized structure. The nurse determines that this
means that the authority to make decisions is vested in whom? - CORRECT ANSWER-
✔✔A few individuals such as the board of directors
An older woman is brought to the emergency department. When caring for the client, the
nurse notes old and new ecchymotic areas on both of the client's arms and buttocks. The
nurse asks the client how the bruises were sustained. The client, although reluctant, tells the
nurse in confidence that her daughter frequently hits her if she gets in the way. Which is the
appropriate nursing response? - CORRECT ANSWER- ✔✔"I have a legal obligation to
report this type of abuse."
A client with a headache arrives in the emergency department and is staggering, confused,
smells of alcohol, and is verbally abusive. The nurse explains to the client that the health care
provider will need to perform an assessment before the administration of medication. When
the client becomes verbally abusive, the nurse threatens to place the client in restraints. With
what can the client legally charge the nurse as a result of this nursing action? - CORRECT
ANSWER- ✔✔Assault
The nurse witnesses an automobile accident and provides care at the scene of the accident to
an open wound on a young child. The family is extremely grateful and insists that the nurse
accept monetary compensation for the care provided to the child. Because of the family's
insistence, the nurse accepts the compensation to avoid offending the family. The child
develops an infection and sepsis and is hospitalized. The family files suit against the nurse
who provided care to the child at the scene of the accident. The nurse understands that which
is accurate regarding immunity from this suit? - CORRECT ANSWER- ✔✔Good Samaritan
laws will not provide immunity from suit if the nurse accepted compensation for the care
provided.
,Which is a recommended guideline for safe computerized charting? - CORRECT ANSWER-
✔✔Accidental deletions from the computerized file need to be reported to the nursing
manager or supervisor.
The nurse in charge of a nursing unit in a long-term care facility is concerned because staff
members openly verbalize racial comments about clients on the unit. What should the nurse
do to appropriately manage this concern? - CORRECT ANSWER- ✔✔Discourage the racial
comments.
The nurse calls the health care provider (HCP) of a client scheduled for a cardiac
catheterization because the client has numerous questions regarding the procedure and has
requested to speak to the HCP. The HCP is very upset and arrives at the unit to visit the client
after prompting by the nurse. The nurse is outside the client's room and hears the HCP tell the
client in a derogatory manner that the nurse "doesn't know anything." The nurse plans to
address the HCP's remark, understanding that the HCP has violated which legal tort? -
CORRECT ANSWER- ✔✔Slander
Which guidelines should the nurse follow when performing narrative documentation? Select
all that apply. - CORRECT ANSWER- ✔✔1.Date and time entries.
2.Sign and title each entry.
3. Avoid judgmental and evaluative statements.
5.Do not leave blank spaces on documentation forms.
The nurse is aware that criminal offenses would have which characteristics as opposed to
civil offenses? Select all that apply. - CORRECT ANSWER- ✔✔1.It is offensive to society in
general.
2.it is detrimental to society as a whole.
4.It involves offenses such as robbery, murder, and assault.
5.It will result in punishment whose purpose is to deter further crimes.
The nurse collecting data on a child suspects physical abuse. The nurse understands that
which is a primary and legal nursing responsibility? - CORRECT ANSWER- ✔✔Report the
case in which the abuse is suspected.
A client was involuntarily admitted to the psychiatric unit because of episodes of extremely
violent behavior. The client is demanding to be discharged from the hospital. The licensed
, practical nurse (LPN) reports the information to the registered nurse (RN), and the RN does
not allow the client to leave. The LPN understands that which represents the legal
ramifications associated with the RN's behavior? - CORRECT ANSWER- ✔✔No charge will
be made against the RN because the RN's actions are reasonable.
The nurse asks a nursing student to describe case management. Which student response
indicates a lack of understanding about this concept? - CORRECT ANSWER- ✔✔"It
represents a primary health prevention focus managed by a single case manager."
The nurse has been asked to serve on the health care facility ethics committee and knows that
this committee serves which purposes? Select all that apply. - CORRECT ANSWER-
✔✔1.Education
2.Case consultation
4.Process ethical dilemmas
The nurse employed in a long-term care facility calls the health care provider (HCP)
regarding a new medication prescription because the dose prescribed is higher than the
recommended dosage. The nurse is unable to locate the HCP, and the medication is due to be
administered. Which action should the nurse take? - CORRECT ANSWER- ✔✔Contact the
nursing supervisor.
The nurse is completing a medication reconciliation form for a client. Which is a primary
purpose of this process? - CORRECT ANSWER- ✔✔To compare a client's medication
prescriptions to all of the medications the client is taking at home
The nurse is working with a 21-year-old client who has a family history of Huntington's
disease and asks for information about the advantages of genetic testing. Which responses by
the nurse is best? Select all that apply. - CORRECT ANSWER- ✔✔2."Genetic testing will
help you make decisions about having children."
3."Retirement issues might be easier to plan if you know the results of the test."
4."Knowing if you have the disease will allow you to make plans about your career."
A client had a colon resection. A Salem tube was in place when a regular diet was brought
into the client's room. The client did not want to eat solid food and asked that the health care
provider be called. The nurse persisted in the belief that the solid food was the correct diet.
The client ate two meals and subsequently had additional surgery due to complications. The
Questions and CORRECT Answers
The nurse enters a client's room and notes that the client's lawyer is present and that the client
is preparing a living will. The living will requires that the client's signature be witnessed, and
the client asks the nurse to witness the signature. Which is the appropriate nursing action? -
CORRECT ANSWER- ✔✔Decline to sign the will.
The nurse is newly employed in a health agency. The nurse is told that the decision-making
process of the organization is based on a centralized structure. The nurse determines that this
means that the authority to make decisions is vested in whom? - CORRECT ANSWER-
✔✔A few individuals such as the board of directors
An older woman is brought to the emergency department. When caring for the client, the
nurse notes old and new ecchymotic areas on both of the client's arms and buttocks. The
nurse asks the client how the bruises were sustained. The client, although reluctant, tells the
nurse in confidence that her daughter frequently hits her if she gets in the way. Which is the
appropriate nursing response? - CORRECT ANSWER- ✔✔"I have a legal obligation to
report this type of abuse."
A client with a headache arrives in the emergency department and is staggering, confused,
smells of alcohol, and is verbally abusive. The nurse explains to the client that the health care
provider will need to perform an assessment before the administration of medication. When
the client becomes verbally abusive, the nurse threatens to place the client in restraints. With
what can the client legally charge the nurse as a result of this nursing action? - CORRECT
ANSWER- ✔✔Assault
The nurse witnesses an automobile accident and provides care at the scene of the accident to
an open wound on a young child. The family is extremely grateful and insists that the nurse
accept monetary compensation for the care provided to the child. Because of the family's
insistence, the nurse accepts the compensation to avoid offending the family. The child
develops an infection and sepsis and is hospitalized. The family files suit against the nurse
who provided care to the child at the scene of the accident. The nurse understands that which
is accurate regarding immunity from this suit? - CORRECT ANSWER- ✔✔Good Samaritan
laws will not provide immunity from suit if the nurse accepted compensation for the care
provided.
,Which is a recommended guideline for safe computerized charting? - CORRECT ANSWER-
✔✔Accidental deletions from the computerized file need to be reported to the nursing
manager or supervisor.
The nurse in charge of a nursing unit in a long-term care facility is concerned because staff
members openly verbalize racial comments about clients on the unit. What should the nurse
do to appropriately manage this concern? - CORRECT ANSWER- ✔✔Discourage the racial
comments.
The nurse calls the health care provider (HCP) of a client scheduled for a cardiac
catheterization because the client has numerous questions regarding the procedure and has
requested to speak to the HCP. The HCP is very upset and arrives at the unit to visit the client
after prompting by the nurse. The nurse is outside the client's room and hears the HCP tell the
client in a derogatory manner that the nurse "doesn't know anything." The nurse plans to
address the HCP's remark, understanding that the HCP has violated which legal tort? -
CORRECT ANSWER- ✔✔Slander
Which guidelines should the nurse follow when performing narrative documentation? Select
all that apply. - CORRECT ANSWER- ✔✔1.Date and time entries.
2.Sign and title each entry.
3. Avoid judgmental and evaluative statements.
5.Do not leave blank spaces on documentation forms.
The nurse is aware that criminal offenses would have which characteristics as opposed to
civil offenses? Select all that apply. - CORRECT ANSWER- ✔✔1.It is offensive to society in
general.
2.it is detrimental to society as a whole.
4.It involves offenses such as robbery, murder, and assault.
5.It will result in punishment whose purpose is to deter further crimes.
The nurse collecting data on a child suspects physical abuse. The nurse understands that
which is a primary and legal nursing responsibility? - CORRECT ANSWER- ✔✔Report the
case in which the abuse is suspected.
A client was involuntarily admitted to the psychiatric unit because of episodes of extremely
violent behavior. The client is demanding to be discharged from the hospital. The licensed
, practical nurse (LPN) reports the information to the registered nurse (RN), and the RN does
not allow the client to leave. The LPN understands that which represents the legal
ramifications associated with the RN's behavior? - CORRECT ANSWER- ✔✔No charge will
be made against the RN because the RN's actions are reasonable.
The nurse asks a nursing student to describe case management. Which student response
indicates a lack of understanding about this concept? - CORRECT ANSWER- ✔✔"It
represents a primary health prevention focus managed by a single case manager."
The nurse has been asked to serve on the health care facility ethics committee and knows that
this committee serves which purposes? Select all that apply. - CORRECT ANSWER-
✔✔1.Education
2.Case consultation
4.Process ethical dilemmas
The nurse employed in a long-term care facility calls the health care provider (HCP)
regarding a new medication prescription because the dose prescribed is higher than the
recommended dosage. The nurse is unable to locate the HCP, and the medication is due to be
administered. Which action should the nurse take? - CORRECT ANSWER- ✔✔Contact the
nursing supervisor.
The nurse is completing a medication reconciliation form for a client. Which is a primary
purpose of this process? - CORRECT ANSWER- ✔✔To compare a client's medication
prescriptions to all of the medications the client is taking at home
The nurse is working with a 21-year-old client who has a family history of Huntington's
disease and asks for information about the advantages of genetic testing. Which responses by
the nurse is best? Select all that apply. - CORRECT ANSWER- ✔✔2."Genetic testing will
help you make decisions about having children."
3."Retirement issues might be easier to plan if you know the results of the test."
4."Knowing if you have the disease will allow you to make plans about your career."
A client had a colon resection. A Salem tube was in place when a regular diet was brought
into the client's room. The client did not want to eat solid food and asked that the health care
provider be called. The nurse persisted in the belief that the solid food was the correct diet.
The client ate two meals and subsequently had additional surgery due to complications. The
