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SNLE Leadership, Ethics & Prioritisation Practice Questions
Leadership questions test which patient to see first, what can be delegated, ethical principles and safe communication such as SBAR handover. Below are 5 free sample questions for the Saudi Nursing Licensure Exam (SNLE), each with the answer and a rationale.
What this topic covers
- Prioritisation: ABCs and unstable vs stable
- Delegation to nursing assistants
- SBAR handover
- Ethical principles and confidentiality
- Informed consent and advocacy
- Disaster triage (START)
The full bank has 70 leadership, ethics & prioritisation questions, part of 1,500 questions across 16 nursing topics.
Free SNLE leadership, ethics & prioritisation questions
1. A nurse returns to a patient in 15 minutes with pain relief exactly as promised. Which ethical principle does this demonstrate?
- A. Justice
- B. Veracity
- C. Fidelity
- D. Autonomy
Show answer and rationale
Fidelity means being faithful to commitments and keeping promises.
Reference: Standard nursing ethics – ethical principles
2. A ward has an increase in patient falls. What is the most appropriate first step in a quality improvement approach?
- A. Restrain all high-risk patients
- B. Blame the night staff
- C. Collect and analyse data on when and how the falls occurred
- D. Stop all patients from walking
Show answer and rationale
Quality improvement starts with gathering data to understand the problem and its causes before planning interventions.
Reference: Standard nursing leadership – quality improvement
3. Two nurses disagree about how to allocate patients. Which approach to conflict resolution usually produces the best long-term outcome?
- A. Avoiding the issue until it goes away
- B. Collaborating to find a solution that meets both parties' needs
- C. One nurse forcing a decision
- D. Asking patients to vote
Show answer and rationale
Collaboration (win–win) addresses underlying concerns and is the most effective approach for lasting resolution.
Reference: Standard nursing leadership – conflict resolution
4. A nursing assistant reports that a patient's blood pressure is 82/50 mmHg. What should the registered nurse do?
- A. Assess the patient personally straight away
- B. Ask the assistant to recheck it in 4 hours
- C. Document the value and continue with other tasks
- D. Tell the assistant to give the patient a drink
Show answer and rationale
Abnormal findings reported by an assistant must be assessed by the registered nurse, who interprets the data and decides on action.
Reference: Saunders NCLEX review – delegation and supervision
5. In START triage, a casualty is not breathing even after the airway is repositioned. How is this casualty tagged?
- A. Red (immediate)
- B. Yellow (delayed)
- C. Green (minor)
- D. Black (deceased/expectant)
Show answer and rationale
A casualty who does not breathe after airway repositioning is tagged black; in mass casualty incidents resources are directed to those most likely to survive.
Reference: START triage – mass casualty principles
Study tip
For 'who first' questions, look for the patient whose airway, breathing or circulation is at risk right now.
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