Leadership & Management NCLEX
Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
A blizzard is predicted to hit a large city within a few hours. The home care
nurse is prioritizing and revising the schedule and estimates that 3 home
visits can be made before the blizzard hits. Which clients should the nurse
see? Select all that apply.
1. A client who fell and hit the head but refuses to go to the emergency
department
2. A client who is due for a maintenance dose of cyanocobalamin
3. A client who needs pre-filled insulin syringes
4. A client who was discharged from the hospital yesterday after heart
failure treatment
5. A client with a stage 3 pressure injury in need of a dressing change -
ANS1. A client who fell and hit the head but refuses to go to the emergency
department
3. A client who needs pre-filled insulin syringes
5. A client with a stage 3 pressure injury in need of a dressing change
In this scenario, it is unknown when home care visits will resume due to
severe inclement weather. The high priority clients are those who are at
risk for harm if a scheduled visit cannot be made in 24 hours or more. The
client who fell could have sustained a head injury and needs assessment.
1
,The client in need of pre-filled insulin syringes could become hyperglycemic
if insulin is unavailable. The client with the stage 3 pressure injury has a
scheduled dressing change for a serious wound and this should not be
postponed.
A client is brought to the emergency department by emergency medical
services (EMS) after being hit by a car. The name of the client is unknown,
and the client has sustained a severe head injury and multiple fractures
and is unconscious. An emergency craniotomy is required. Regarding
informed consent for the surgical procedure, which is the best action?
1. Obtain a court order for the surgical procedure
2. Ask the EMS team to sign the informed consent
3. Transport the victim to the operating room for surgery
4. Call the police to identify the client and locate the family - ANS3.
Transport the victim to the operating room for surgery
In general, there are two situations in which informed consent of an adult
client is not needed. One is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would result in
injury or death to the client. The second is when the client waives the right
to give informed consent.
A client is hospitalized for a broken leg. The client has a history of breast
cancer and is receiving outpatient chemotherapy; the last infusion was
about a week ago. Which staff members can safely care for this client?
Select all that apply.
2
,1. Nurse floated from another medical-surgical floor
2. Nurse who is 24 weeks pregnant
3. Nurse with erythematous rash and honey-color crusts on the hand
4. Unlicensed assistive personnel who just received the yearly injectable flu
vaccination
5. Unlicensed assistive personnel with a cold - ANS1. Nurse floated from
another medical-surgical floor
2. Nurse who is 24 weeks pregnant
4. Unlicensed assistive personnel who just received the yearly injectable flu
vaccination
A client who has recently received chemotherapy may be
immunocompromised and should be protected from infectious contacts.
However, the client is not radioactive or infectious and the nurse will not be
administering or handling the chemotherapeutic agents. Therefore, it is
safe for the pregnant nurse to care for the client.
A client with AIDS treated for intractable seizure is transferred from the
intensive care unit to the medical unit. There are 4 semiprivate room beds
available. Which room assignment does the charge nurse choose as the
best option for this client?
1. Room 1 - client with Clostridium difficile
2. Room 2 - client with fever of unknown origin
3. Room 3 - client with bacterial pneumonia
3
, 4. Room 4 - client with upper gastrointestinal bleed - ANS4. Room 4 - client
with upper gastrointestinal bleed
The best option is room 4 as the client with the upper gastrointestinal bleed
does not put the immunocompromised client with AIDS at increased risk for
infection.
A client with end stage renal disease, oxygen dependent chronic
obstructive pulmonary disease (COPD), and a Do Not Resuscitate (DNR)
code status is admitted to the medical floor for COPD exacerbation. The
nurse walks into the room and finds that the client is not breathing. What
should the nurse do first?
1. Activate the code system
2. Call the health care provider (HCP) stat
3. Check the apical pulse
4. Check the blood pressure - ANS3. Check the apical pulse
The nurse should assess the client first and then call the HCP. A stat page
is not needed when the client is DNR.
A client with metastatic esophageal cancer says, "I don't want to be kept
alive being fed by a tube." What are the most appropriate ways for the
nurse to ensure that this information is available to all who may need it for
future decision-making? Select all that apply.
1. Document this communication in the electronic health record
4
Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
A blizzard is predicted to hit a large city within a few hours. The home care
nurse is prioritizing and revising the schedule and estimates that 3 home
visits can be made before the blizzard hits. Which clients should the nurse
see? Select all that apply.
1. A client who fell and hit the head but refuses to go to the emergency
department
2. A client who is due for a maintenance dose of cyanocobalamin
3. A client who needs pre-filled insulin syringes
4. A client who was discharged from the hospital yesterday after heart
failure treatment
5. A client with a stage 3 pressure injury in need of a dressing change -
ANS1. A client who fell and hit the head but refuses to go to the emergency
department
3. A client who needs pre-filled insulin syringes
5. A client with a stage 3 pressure injury in need of a dressing change
In this scenario, it is unknown when home care visits will resume due to
severe inclement weather. The high priority clients are those who are at
risk for harm if a scheduled visit cannot be made in 24 hours or more. The
client who fell could have sustained a head injury and needs assessment.
1
,The client in need of pre-filled insulin syringes could become hyperglycemic
if insulin is unavailable. The client with the stage 3 pressure injury has a
scheduled dressing change for a serious wound and this should not be
postponed.
A client is brought to the emergency department by emergency medical
services (EMS) after being hit by a car. The name of the client is unknown,
and the client has sustained a severe head injury and multiple fractures
and is unconscious. An emergency craniotomy is required. Regarding
informed consent for the surgical procedure, which is the best action?
1. Obtain a court order for the surgical procedure
2. Ask the EMS team to sign the informed consent
3. Transport the victim to the operating room for surgery
4. Call the police to identify the client and locate the family - ANS3.
Transport the victim to the operating room for surgery
In general, there are two situations in which informed consent of an adult
client is not needed. One is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would result in
injury or death to the client. The second is when the client waives the right
to give informed consent.
A client is hospitalized for a broken leg. The client has a history of breast
cancer and is receiving outpatient chemotherapy; the last infusion was
about a week ago. Which staff members can safely care for this client?
Select all that apply.
2
,1. Nurse floated from another medical-surgical floor
2. Nurse who is 24 weeks pregnant
3. Nurse with erythematous rash and honey-color crusts on the hand
4. Unlicensed assistive personnel who just received the yearly injectable flu
vaccination
5. Unlicensed assistive personnel with a cold - ANS1. Nurse floated from
another medical-surgical floor
2. Nurse who is 24 weeks pregnant
4. Unlicensed assistive personnel who just received the yearly injectable flu
vaccination
A client who has recently received chemotherapy may be
immunocompromised and should be protected from infectious contacts.
However, the client is not radioactive or infectious and the nurse will not be
administering or handling the chemotherapeutic agents. Therefore, it is
safe for the pregnant nurse to care for the client.
A client with AIDS treated for intractable seizure is transferred from the
intensive care unit to the medical unit. There are 4 semiprivate room beds
available. Which room assignment does the charge nurse choose as the
best option for this client?
1. Room 1 - client with Clostridium difficile
2. Room 2 - client with fever of unknown origin
3. Room 3 - client with bacterial pneumonia
3
, 4. Room 4 - client with upper gastrointestinal bleed - ANS4. Room 4 - client
with upper gastrointestinal bleed
The best option is room 4 as the client with the upper gastrointestinal bleed
does not put the immunocompromised client with AIDS at increased risk for
infection.
A client with end stage renal disease, oxygen dependent chronic
obstructive pulmonary disease (COPD), and a Do Not Resuscitate (DNR)
code status is admitted to the medical floor for COPD exacerbation. The
nurse walks into the room and finds that the client is not breathing. What
should the nurse do first?
1. Activate the code system
2. Call the health care provider (HCP) stat
3. Check the apical pulse
4. Check the blood pressure - ANS3. Check the apical pulse
The nurse should assess the client first and then call the HCP. A stat page
is not needed when the client is DNR.
A client with metastatic esophageal cancer says, "I don't want to be kept
alive being fed by a tube." What are the most appropriate ways for the
nurse to ensure that this information is available to all who may need it for
future decision-making? Select all that apply.
1. Document this communication in the electronic health record
4
