RN LEADERSHIP ONLINE PRACTICE A EXAM
2026 WITH VERIFIED QUESTIONS AND
ANSWERS
A nurse on a mental health unit is teaching a newly licensed nurse about client
rights. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
a. "A nurse can provide basic treatment information to the client's employer."
b. "A nurse can inform the client about the risks and benefits of
electroconvulsive therapy."
c. "Clients on a mental health unit who are admitted voluntarily cannot leave
against medical advice."
d. "Clients on a mental health unit can refuse their medication." - ANSWER-
"Clients on a mental health unit can refuse their medication."
Regardless of the type of health care facility or admission status, clients
maintain the right to refuse medications.
When participating in the informed consent process prior to surgery, which of
the following actions should the nurse take?
a. Explain the nature of and reason for the procedure.
b. Explain the possible risks and benefits of the procedure.
c. Review previously provided information about the procedure.
d. Review potential alternatives to the procedure. - ANSWER-Review
previously provided information about the procedure
,The nurse is responsible for reviewing and reinforcing information the provider
gives regarding the procedure and should avoid giving new information.
A nurse is teaching a newly licensed nurse about using electronic medical
records. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
a. "There is a 24-hour delay for client data to update in the medical record."
b. "My access to client electronic records might be tracked by my nurse
manager."
c. "A client's medical record can only be accessed by one person at a time."
d. "I can look at every client's medical record on the unit." - ANSWER-"My
access to client electronic records might be tracked by my nurse manager."
The nurse should be aware that the nurse manager might track access to client
records to ensure client confidentiality.
A nurse is reviewing safe use of a wheelchair with a group of assistive
personnel. Which of the following instructions should the nurse include?
a. Raise the footplates of the wheelchair before transferring the client.
b. Lock the brake on one wheel of the chair when transferring the client.
c. Push the wheelchair into the elevator with the front wheels first.
d. Stand behind the wheelchair when moving a client down a ramp. -
ANSWER-Raise the footplates of the wheelchair before transferring the client
The nurse should raise the footplates of the wheelchair before transferring the
client to prevent injury.
A nurse is presenting information on health care law to a group of newly
licensed nurses. Which of the following information should the nurse include?
a. Good Samaritan laws provide protection for nurses who are negligent when
providing volunteer services.
,b. The Emergency Medical Treatment and Active Labor Act (EMTALA)
provides nursing guidelines for providing client care outside the health care
facility.
c. The Patient Self-Determination Act (PSDA) requires a nurse to give clients
information about end-of-life options.
d.State nurse practice acts are informal guidelines that direct professional
nursing practice. - ANSWER-The Patient Self-Determination Act (PSDA)
requires a nurse to give clients information about end-of-life options
The PSDA was designed to help clients make informed decisions about care;
therefore, the nurse should include this information in the presentation.
A charge nurse on a medical unit hears the fire alarm and announcement that a
fire is occurring on the unit. Which of the following is the priority action by the
charge nurse?
a. Turn off the oxygen supply valve to the unit.
b. Instruct ambulatory clients to go to a safe area.
c. Verify that unit fire doors are closed.
d. Direct personnel to use fire extinguishers. - ANSWER-Instruct ambulatory
clients to go to a safe area
Using the safety and risk reduction priority setting framework and the RACE
protocol, rescuing clients from the area is the priority action.
A nurse manager is coordinating staff assignments for RNs and licensed
practical nurses (LPNs) following a local disaster. Which of the following is an
appropriate assignment by the nurse manager to provide safe and effective
client care?
a. RNs transport class IV (black tag) clients.
, b. LPNs provide care to class III (green tag) clients.
c. LPNs initiate care to class I (red tag) clients.
d. LPNs facilitate care to class II (yellow tag) clients. - ANSWER-LPNs
provide care to class III (green tag) clients
LPNs can provide care for class III clients, who have nonurgent, minor injuries.
Class IV clients are expected to die or have died. This would be an appropriate
assignment for assistive personnel, not an RN.
Class I clients require immediate attention typically due to airway obstruction or
shock. This would not be an appropriate assignment for the LPNs due to the
need for an initial nursing assessment.
Class II clients require treatment within 30 min to 2 hrs. This would not be an
appropriate assignment for the LPNs due to the need for an initial nursing
assessment.
A nurse is working in the emergency department when there is an explosion in a
local chemical plant. Multiple victims are expected at the facility. Which of the
following should be the nurse's priority intervention upon client arrival?
a. Call for additional help to support increased client volume.
b. Isolate the clients and irrigate with water.
c. Provide an area for family members to wait.
d. Obtain medical histories of each client. - ANSWER-Isolate the clients and
irrigate with water
When using the urgent vs. nonurgent approach to care, the nurse determines the
priority action is to reduce mortality and morbidity.
2026 WITH VERIFIED QUESTIONS AND
ANSWERS
A nurse on a mental health unit is teaching a newly licensed nurse about client
rights. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
a. "A nurse can provide basic treatment information to the client's employer."
b. "A nurse can inform the client about the risks and benefits of
electroconvulsive therapy."
c. "Clients on a mental health unit who are admitted voluntarily cannot leave
against medical advice."
d. "Clients on a mental health unit can refuse their medication." - ANSWER-
"Clients on a mental health unit can refuse their medication."
Regardless of the type of health care facility or admission status, clients
maintain the right to refuse medications.
When participating in the informed consent process prior to surgery, which of
the following actions should the nurse take?
a. Explain the nature of and reason for the procedure.
b. Explain the possible risks and benefits of the procedure.
c. Review previously provided information about the procedure.
d. Review potential alternatives to the procedure. - ANSWER-Review
previously provided information about the procedure
,The nurse is responsible for reviewing and reinforcing information the provider
gives regarding the procedure and should avoid giving new information.
A nurse is teaching a newly licensed nurse about using electronic medical
records. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching?
a. "There is a 24-hour delay for client data to update in the medical record."
b. "My access to client electronic records might be tracked by my nurse
manager."
c. "A client's medical record can only be accessed by one person at a time."
d. "I can look at every client's medical record on the unit." - ANSWER-"My
access to client electronic records might be tracked by my nurse manager."
The nurse should be aware that the nurse manager might track access to client
records to ensure client confidentiality.
A nurse is reviewing safe use of a wheelchair with a group of assistive
personnel. Which of the following instructions should the nurse include?
a. Raise the footplates of the wheelchair before transferring the client.
b. Lock the brake on one wheel of the chair when transferring the client.
c. Push the wheelchair into the elevator with the front wheels first.
d. Stand behind the wheelchair when moving a client down a ramp. -
ANSWER-Raise the footplates of the wheelchair before transferring the client
The nurse should raise the footplates of the wheelchair before transferring the
client to prevent injury.
A nurse is presenting information on health care law to a group of newly
licensed nurses. Which of the following information should the nurse include?
a. Good Samaritan laws provide protection for nurses who are negligent when
providing volunteer services.
,b. The Emergency Medical Treatment and Active Labor Act (EMTALA)
provides nursing guidelines for providing client care outside the health care
facility.
c. The Patient Self-Determination Act (PSDA) requires a nurse to give clients
information about end-of-life options.
d.State nurse practice acts are informal guidelines that direct professional
nursing practice. - ANSWER-The Patient Self-Determination Act (PSDA)
requires a nurse to give clients information about end-of-life options
The PSDA was designed to help clients make informed decisions about care;
therefore, the nurse should include this information in the presentation.
A charge nurse on a medical unit hears the fire alarm and announcement that a
fire is occurring on the unit. Which of the following is the priority action by the
charge nurse?
a. Turn off the oxygen supply valve to the unit.
b. Instruct ambulatory clients to go to a safe area.
c. Verify that unit fire doors are closed.
d. Direct personnel to use fire extinguishers. - ANSWER-Instruct ambulatory
clients to go to a safe area
Using the safety and risk reduction priority setting framework and the RACE
protocol, rescuing clients from the area is the priority action.
A nurse manager is coordinating staff assignments for RNs and licensed
practical nurses (LPNs) following a local disaster. Which of the following is an
appropriate assignment by the nurse manager to provide safe and effective
client care?
a. RNs transport class IV (black tag) clients.
, b. LPNs provide care to class III (green tag) clients.
c. LPNs initiate care to class I (red tag) clients.
d. LPNs facilitate care to class II (yellow tag) clients. - ANSWER-LPNs
provide care to class III (green tag) clients
LPNs can provide care for class III clients, who have nonurgent, minor injuries.
Class IV clients are expected to die or have died. This would be an appropriate
assignment for assistive personnel, not an RN.
Class I clients require immediate attention typically due to airway obstruction or
shock. This would not be an appropriate assignment for the LPNs due to the
need for an initial nursing assessment.
Class II clients require treatment within 30 min to 2 hrs. This would not be an
appropriate assignment for the LPNs due to the need for an initial nursing
assessment.
A nurse is working in the emergency department when there is an explosion in a
local chemical plant. Multiple victims are expected at the facility. Which of the
following should be the nurse's priority intervention upon client arrival?
a. Call for additional help to support increased client volume.
b. Isolate the clients and irrigate with water.
c. Provide an area for family members to wait.
d. Obtain medical histories of each client. - ANSWER-Isolate the clients and
irrigate with water
When using the urgent vs. nonurgent approach to care, the nurse determines the
priority action is to reduce mortality and morbidity.
