NCLEX Leadership and Management Questions
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Question 1 of 5.
The emergency department (ED) is caring for a client with a pulse (P) of 42, blood pressure (BP) of 90/60 mm Hg, and reports dizziness. Which of the following actions is the priority?
A. Obtain an order for a chest radiograph (x-ray)
B. Review the client's current medications
C. Perform a focused neurological assessment
D. Obtain a 12-lead electrocardiogram (ECG)
Explanation: A pulse of 42 with hypotension and dizziness (D) suggests symptomatic bradycardia, requiring an immediate ECG to identify arrhythmias, per ACLS guidelines. Chest x-ray (A), medication review (B), and neurological assessment (C) are secondary to cardiac evaluation.
Question 2 of 5.
The nurse is teaching a leadership and management course and is discussing client referrals. Which of the following statements best describes the purpose of referrals?
A. Allows the nurse to demonstrate their leadership abilities.
B. Care is appropriately routed to an individual or discipline.
C. Ensures that care is unilateral and cost-effective.
D. Focuses on empowering the client's decision making.
Explanation: Referrals (B) ensure care is directed to the appropriate specialist or discipline to meet the client's needs effectively. Demonstrating leadership (A) is secondary. Referrals do not ensure unilateral care (C) and are not primarily about client empowerment (D), though they may support it.
Question 3 of 5.
The nurse has obtained assistance from a licensed practical/vocational nurse (LPN/VN). Which tasks would be appropriate for the RN to delegate to the LPN/VN? Select all that apply.
A. performing tracheostomy care
B. initiate a transfusion of packed red blood cells
C. flushing a peripherally inserted central catheter (PICC)
D. inserting an indwelling urinary catheter
E. administer enteral feedings via nasogastric tube
F. titrate a medication
Explanation: LPNs can perform tracheostomy care (A), flush PICCs (C), insert urinary catheters (D), and administer enteral feedings (E) per scope of practice. Initiating blood transfusions (B) and titrating medications (F) require RN judgment due to potential complications and dose adjustments.
Question 4 of 5.
The nurse is in an elevator and overhears two staff members discussing a client's condition. Which ethical principle does the nurse recognize may be potentially violated by this conversation?
A. Beneficence
B. Confidentiality
C. Autonomy
D. Veracity
Explanation: Discussing a client's condition in public violates confidentiality (B), as it breaches HIPAA and the client's right to privacy. Beneficence (A), autonomy (C), and veracity (D) are unrelated to unauthorized disclosure of health information.
Question 5 of 5.
The nurse is caring for a client requesting to leave against medical advice. The nurse barricades the client in their room because they feel that the client is not safe to go home. The nurse is demonstrating
A. false imprisonment.
B. malpractice.
C. negligence.
D. invasion of privacy.
Explanation: Barricading a client (A) constitutes false imprisonment, as it unlawfully restricts their freedom. Malpractice (B) involves substandard care, negligence (C) requires harm from a breach of duty, and invasion of privacy (D) involves unauthorized disclosure.
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