NLN NEX TEST SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
▶ What is a defining feature of the laissez-faire leadership style? Answer:
Laissez-faire leadership gives away responsibility and authority to
employees.
▶ What does situational leadership require from the LPN? Answer:
Situational leadership involves varying your style to meet the demands of
the work environment.
▶ What is required of LPNs in their expanded roles regarding
collaboration? Answer: LPNs must collaborate with RNs and other
providers according to NPA guidelines.
▶ Which statement best defines delegation in nursing practice? Answer:
Delegation is the transfer of responsibility for performing an activity to
another individual while retaining accountability.
▶ What are the Five Rights of Delegation as defined by the NCSBN?
Answer: Right task, right circumstance, right person, right
direction/communication, and right supervision.
▶ What is true regarding the role of unlicensed assistive personnel (UAP)
in care delivery systems? Answer: Unlicensed assistive personnel (UAP)
must be supervised and cannot practice nursing.
▶ What does the acronym SMART stand for in the context of setting goals
for delegation? Answer: SMART goals are Specific, Measurable,
Attainable, Relevant, and Time-bound.
▶ What is the role of healthcare organizations in supporting delegation?
Answer: Organizations must provide resources and access to competency
information for safe delegation.
▶ Who is accountable for establishing systems to assess, monitor, verify,
and communicate ongoing competence requirements in areas related to
, delegation? Answer: Nurse manager, nurse leader, and nursing supervisor
are all accountable.
▶ What can be delegated to a patient care technician (PCT) for a patient
with an acute myocardial infarction? Answer: Physical care can be
delegated to the PCT.
▶ What is the primary difference between leadership and management in
healthcare organizations? Answer: Leadership is future-oriented and
visionary, while management focuses on present operations and efficiency.
▶ What characterizes trait theory in leadership? Answer: Trait theory
suggests leaders possess inherent qualities such as drive and self-
confidence.
▶ What exemplifies transformational leadership in nursing? Answer: A
nurse manager who motivates staff to embrace change and empowers
them to act.
▶ What is the central idea of contingency theory in leadership? Answer:
Contingency theory emphasizes adapting leadership style to the situation.
▶ What accurately describes shared governance in nursing leadership?
Answer: Shared governance involves collaborative decision-making and
accountability among nurses.
▶ What is a key responsibility of middle-level nurse managers in healthcare
organizations? Answer: Middle-level nurse managers supervise multiple
first-level managers and focus on planning and coordination.
▶ What describes practices associated with transformational leadership?
Answer: Transformational leaders challenge the process, inspire a shared
vision, and recognize contributions.
▶ What is a primary role of first-level nurse managers? Answer: First-level
nurse managers supervise nonmanagerial staff and oversee daily unit
activities.
QUESTIONS AND SOLUTIONS GRADED A+
▶ What is a defining feature of the laissez-faire leadership style? Answer:
Laissez-faire leadership gives away responsibility and authority to
employees.
▶ What does situational leadership require from the LPN? Answer:
Situational leadership involves varying your style to meet the demands of
the work environment.
▶ What is required of LPNs in their expanded roles regarding
collaboration? Answer: LPNs must collaborate with RNs and other
providers according to NPA guidelines.
▶ Which statement best defines delegation in nursing practice? Answer:
Delegation is the transfer of responsibility for performing an activity to
another individual while retaining accountability.
▶ What are the Five Rights of Delegation as defined by the NCSBN?
Answer: Right task, right circumstance, right person, right
direction/communication, and right supervision.
▶ What is true regarding the role of unlicensed assistive personnel (UAP)
in care delivery systems? Answer: Unlicensed assistive personnel (UAP)
must be supervised and cannot practice nursing.
▶ What does the acronym SMART stand for in the context of setting goals
for delegation? Answer: SMART goals are Specific, Measurable,
Attainable, Relevant, and Time-bound.
▶ What is the role of healthcare organizations in supporting delegation?
Answer: Organizations must provide resources and access to competency
information for safe delegation.
▶ Who is accountable for establishing systems to assess, monitor, verify,
and communicate ongoing competence requirements in areas related to
, delegation? Answer: Nurse manager, nurse leader, and nursing supervisor
are all accountable.
▶ What can be delegated to a patient care technician (PCT) for a patient
with an acute myocardial infarction? Answer: Physical care can be
delegated to the PCT.
▶ What is the primary difference between leadership and management in
healthcare organizations? Answer: Leadership is future-oriented and
visionary, while management focuses on present operations and efficiency.
▶ What characterizes trait theory in leadership? Answer: Trait theory
suggests leaders possess inherent qualities such as drive and self-
confidence.
▶ What exemplifies transformational leadership in nursing? Answer: A
nurse manager who motivates staff to embrace change and empowers
them to act.
▶ What is the central idea of contingency theory in leadership? Answer:
Contingency theory emphasizes adapting leadership style to the situation.
▶ What accurately describes shared governance in nursing leadership?
Answer: Shared governance involves collaborative decision-making and
accountability among nurses.
▶ What is a key responsibility of middle-level nurse managers in healthcare
organizations? Answer: Middle-level nurse managers supervise multiple
first-level managers and focus on planning and coordination.
▶ What describes practices associated with transformational leadership?
Answer: Transformational leaders challenge the process, inspire a shared
vision, and recognize contributions.
▶ What is a primary role of first-level nurse managers? Answer: First-level
nurse managers supervise nonmanagerial staff and oversee daily unit
activities.
