Leadership, Management & Team Working
5 free practice questions with explanations
PassNova has 5 free NMC CBT (Overseas Nurses) practice questions on Leadership, Management & Team Working, each with a clear explanation. Practise them in the browser with instant feedback — 100% free, no sign-up, on any device. Updated for 2026.
Leadership, Management & Team Working: example questions & answers
5 worked examples with answers and explanations below. Practise them in the browser with instant feedback on every answer.
A registered nurse delegates a task to a healthcare assistant. Where does accountability for the decision to delegate lie?
- AEntirely with the healthcare assistant
- BWith the registered nurse who delegated the task✓
- CWith the ward manager only
- DWith the patient who received care
Answer: The registered nurse remains accountable for the decision to delegate and must ensure the task is appropriate and the person is competent. The healthcare assistant is responsible for carrying out the task safely.
When delegating a task, which factor is most important for the registered nurse to confirm first?
- AThat the task will save the nurse time
- BThat the person delegated to is competent to perform it safely✓
- CThat the task is the least pleasant on the ward
- DThat no one else is available
Answer: Safe delegation requires confirming the person has the competence to perform the task and the patient will not be put at risk. The NMC Code makes the delegating nurse responsible for ensuring this.
A newly qualified nurse is unsure about a complex decision during a busy shift. What does effective team working suggest they do?
- AGuess to avoid appearing inexperienced
- BSeek advice and support from a senior colleague✓
- CDelay all care until the next shift
- DMake the decision alone and not tell anyone
Answer: Effective team working and the NMC Code support asking for help and seeking advice when unsure. Seeking timely support from senior colleagues protects patient safety and aids professional development.
A nurse leading a shift notices the ward is short-staffed and patient safety may be compromised. What is the most appropriate action?
- ACarry on without informing anyone to avoid complaints
- BEscalate the staffing concern to the senior manager and document it✓
- CSend patients home early to reduce workload
- DRefuse to provide any care until staffing improves
Answer: The NMC Code requires nurses to raise concerns about anything that may compromise safe care, including inadequate staffing. Escalating to management and documenting the concern is the responsible leadership action.
Which statement best describes good practice when raising a concern (whistleblowing) about patient safety?
- AConcerns should only be raised if you have absolute proof
- BConcerns should be raised promptly through the appropriate channels even if you are not certain✓
- CConcerns are best kept anonymous on social media
- DConcerns should be ignored if a colleague might be affected
Answer: The NMC Code expects nurses to raise concerns promptly and through the correct channels whenever they believe patient safety may be at risk. Certainty is not required, and concerns must never be aired on social media.