NCLEX Questions for Leadership and

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NCLEX Questions for Leadership and Management Questions and Answers Version 2025/2026 Correct &

A charge nurse must assign patients for the day. Which patient is most appropriate for a new graduate nurse?

• A patient with unstable angina requiring titration of IV nitroglycerin
• A patient admitted with sepsis and requiring frequent assessments

✔✔C. A patient post-appendectomy who needs routine wound care

• A patient experiencing acute shortness of breath

A nurse manager is handling conflict between two staff nurses. What is the best initial action?

• Ignore the conflict until it resolves

✔✔B. Meet with both nurses to allow open communication

• Report the conflict to human resources
• Reassign the nurses to opposite shifts permanently

The nurse manager wants to reduce medication errors on the unit. Which intervention is most effective? 1 / 4

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• Require all nurses to work overtime
• Punish staff members who make errors

✔✔C. Implement double-check systems and provide education

• Eliminate use of electronic medication records

A nurse assigns a task to a UAP but later notices it was not done. What is the most appropriate response?

• Document the task as completed
• Complete the task personally without addressing it

✔✔C. Provide feedback and reinforce accountability

• Report the UAP to the board of nursing

The charge nurse is making patient assignments. Which patient should be assigned to the most experienced RN?✔✔A. A patient newly admitted with stroke symptoms

• A patient needing discharge teaching for hypertension
• A stable patient scheduled for elective surgery
• A child recovering from tonsillectomy 2 / 4

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A nurse manager learns that staff are not following new infection control policies. What is the first step?

• Fire staff who do not comply
• Ignore the problem to avoid conflict

✔✔C. Provide education and reinforce the importance of compliance

• Ask staff to vote on which policies they want to follow

A staff nurse expresses frustration about workload. What is the best response by the manager?

• Tell the nurse to work faster

✔✔B. Reassess patient assignments and redistribute as appropriate

• Transfer the nurse to another unit
• Advise the nurse to quit if unhappy

A parent complains that their child’s call light was ignored. What should the charge nurse do first?

• Deny the complaint

✔✔B. Investigate the situation and address concerns with staff 3 / 4

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• Apologize and blame the UAP
• Tell the parent to use the nurse’s personal number instead

The nurse leader wants to improve teamwork on the unit. What is the best strategy?

• Increase the workload to force collaboration
• Avoid staff meetings to reduce conflict

✔✔C. Encourage open communication and shared decision-making

• Assign the same partners every shift

A new nurse is struggling with prioritization. What action should the manager take?

• Assign only the easiest clients permanently

✔✔B. Provide mentorship and guided practice

• Reassign the nurse to a non-clinical role
• Ignore the problem to allow independence

During a disaster, which patient should be discharged first to make room for critical admissions?

• A patient with chest pain awaiting evaluation

✔✔B. A stable postoperative patient ready for discharge

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