Management of care NCLEX questions - 90 free questions 2024

Welcome to our Management of care NCLEX questions article. In this article, you will have 3 sets of 25 quizzes.

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NCLEX RN Management of Care Quizzes

NCLEX RN Management of Care Quizzes

NCLEX RN Management of Care (Quiz 2)

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Welcome to your NCLEX-RN Practice Quizzes.

Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions.

Domain 1 (Quiz 2): Management of Care. (25 questions)

Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away.

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[RN Management of Care,NCLEX-RN]

Many lawsuits involving a nursing professional happen when the nurse

A. abandons patients when going to lunch

B. follows an order that is incomplete or incorrect

C. documents the physician's errors

D. watches a new employee to verify the employee's skills level

[RN Management of Care,NCLEX-RN]

A healthcare provider is planning care for four patients. Which patient is most in need of interventions aimed at preventing anemia?

A. The patient who is a vegetarian

B. The patient with renal failure on hemodialysis

C. The patient with a Jackson-Pratt drain

D. The patient who has been NPO for 3 days

[RN Management of Care,NCLEX-RN]

A staff nurse approaches the nurse manager to complain that an unlicensed assistive personnel (UAP) is not completing assignments. What is the nurse manager's BEST action?

A. Ask the staff nurse if they have already spoken with the UAP

B. Add communication tips to the next staff meeting agenda

C. Arrange for a 3-way meeting with the nurse and the UAP

D. Assure the staff nurse that their complaints are noted

[RN Management of Care,NCLEX-RN]

The nursing instructor is preparing a lecture on medical billing. What is the purpose of the Diagnosis Related Group (DRG) Manual?

A. To correlate the client's health history with nursing care plans

B. To assist in identifying symptoms of the medical condition

C. To establish nurse case manager coordination protocols

D. To determine reimbursement for a specific diagnosis

[RN Management of Care,NCLEX-RN]

As a preceptor, the RN helps a graduate nurse learn to organize and prioritize tasks. Which action by the graduate nurse requires intervention by the preceptor?

A. The graduate nurse prioritizes client needs for the shift

B. The graduate nurse waits to document until the end of the shift

C. The graduate nurse makes lists of supplies for tasks

D. The graduate nurse allows time for unexpected situations

[RN Management of Care,NCLEX-RN]

An unlicensed assistive personnel (UAP) who works in a rehab unit is floated to the pediatric unit for the shift. Which question should the charge nurse ask the UAP before making an assignment?

A. What is your favorite kind of client to care for in the rehab unit?

B. How long have you been working as a UAP at this hospital?

C. Can you wait a minute so we can review your competency checklist?

D. Will you feel comfortable caring for sick babies and children?

[RN Management of Care,NCLEX-RN]

When the nurse is assigning care of a newly admitted client to an unlicensed assistive personnel (UAP), which instruction is BEST?

A. Starting at 9 a.m., empty the Foley every hour and write the output on the board by his bed

B. Before you go to lunch, give him a bath and put the sequential compression device on

C. Put his compression stockings on and try to get him up to ambulate a couple of times

D. Take his vital signs often and let me know if anything else seems to be abnormal

[RN Management of Care,NCLEX-RN]

On reporting to his Med-Surg unit, a nurse is told that he has been pulled to the ICU. The nurse has never worked in the ICU and is hesitant to "float" for his shift. What should he do?

A. Refuse to float in the ICU

B. Check with the hospital's attorney

C. Go to the ICU and perform safe tasks

D. Call the nursing supervisor

[RN Management of Care,NCLEX-RN]

A client with a history of chronic cirrhosis of the liver was admitted two days ago to treat an infection. Today, during the initial shift assessment, the nurse notes that the client appears lethargic and their breath has a sweet, musty odor. Which assessment should the nurse perform NEXT?

A. Measure client's abdominal girth

B. Observe for flapping hand tremors

C. Obtain a full set of vital signs

D. Review recent serum bilirubin result

10.

[RN Management of Care,NCLEX-RN]

The team leader assigns a new nurse to change a client's tracheostomy tube. The new nurse has never performed this procedure before. What should the nurse do?

A. Ask another nurse to trade assignments

B. Request the team leader's assistance

C. Check the procedure manual before starting

D. Watch the procedure on YouTube first

11.

[RN Management of Care,NCLEX-RN]

The nurse working in a long-term care facility is assigning tasks for a 77-year-old resident who is experiencing hyperglycemia. Which of the following tasks is appropriate for the unlicensed assistive personnel (UAP)?

A. Revise the resident's care plan to reflect the current status

B. Record the resident's food and fluid intake during the shift

C. Monitor the resident for changes in level of consciousness

D. Assess the resident's ankle edema after giving the person a bed bath

12.

[RN Management of Care,NCLEX-RN]

A client with a previous diagnosis of early-onset Alzheimer's disease is scheduled for a common surgical procedure. If the nurse is concerned about the client's ability to give informed consent, which of the following actions would be most appropriate?

A. Contact administration for hospital policy

B. Ask two other nurses to witness the signature

C. Allow the client to sign the informed consent

D. Notify the surgeon to countersign the consent

13.

[RN Management of Care,NCLEX-RN]

Parents bring their 7-year-old son to the Emergency Department, because they think he has a fractured ankle. During the physical assessment, the nurse notes multiple bruises and cigarette burns on the boy's arms and trunk. Which is the nurse's most appropriate action?

A. Notify the supervisor to report suspected child abuse

B. Inform the parents they may not take their son home

C. Demand that the parents explain the cigarette burns

D. Privately ask the boy what happened to cause his injuries

14.

[RN Management of Care,NCLEX-RN]

After the shift report, a male nurse reviews his assignment for the day. Which client is the nurse's FIRST priority?

A. The client with a fresh arm cast who is complaining of numb fingers

B. The diabetic client who is waiting for discharge instructions

C. The client with an infected wound who has a temperature of 100.2 °F

D. The client who is 1 day post-op and requesting pain medication

15.

[RN Management of Care,NCLEX-RN]

The RN in a medical-surgical unit is making assignments for the day shift. Which of the following clients is appropriate to assign to the LPN/LVN?

A. An adult male with asthma, waiting for transport to surgery for a TURP

B. An older female with hypertension, who is noncompliant with her medication therapy

C. An admit from the night shift, with a diagnosis of transient ischemic attacks and syncope

D. An admit from the ED, with peripheral vascular disease and lower leg ulceration

16.

[RN Management of Care,NCLEX-RN]

A client with a known history of asthma comes to the surgicenter for a minor procedure. The nurse measures the client's pre-procedure peak flow at 520 liters/minute. Following the procedure, the client complains of "a tight chest" and their peak flow is 250 liters/minute. What is the nurse's PRIORITY action?

A. Apply oxygen at 2LPM via nasal cannula

B. Repeat the peak flow reading in 15 minutes

C. Notify the health care provider (HCP

D. Administer a PRN dose of albuterol

17.

[RN Management of Care,NCLEX-RN]

During a pandemic, a television celebrity is admitted to the ICU for respiratory distress. The client's nurse observes another staff member reading the client's medical record. Which of the following laws or declarations does this violate?

A. Standard Patient's Bill of Rights

B. Federal Patient Self-Determination Act

C. Health Insurance Portability and Accountability Act

D. Physician-Patient Confidentiality Act

18.

[RN Management of Care,NCLEX-RN]

A client with a diagnosis of aspiration pneumonia started intravenous (IV) antibiotic therapy eight hours ago. When the nurse enters the client's room to perform a respiratory assessment, the nurse notes an unpleasant odor in the room. Which comment by the client BEST indicates that a complication has developed?

A. I'm coughing up thick, brown sputum

B. The diarrhea is really bothering me

C. I've been sweating all day long

D. My chest hurts when I take deep breaths

19.

[RN Management of Care,NCLEX-RN]

The following clients arrive for their appointments at the diabetic clinic. Whom should the nurse see first?

A. A type 1 diabetes client who feels weak but is eating a simple-carb snack

B. A type 2 diabetes client who is to receive education about her diet

C. A type 1 diabetes client who needs a dressing change for his foot ulcer

D. A type 2 diabetes client who presents with a headache and a fruity odor on his breath

20.

[RN Management of Care,NCLEX-RN]

A nurse manager learns that the staff feels that weekend scheduling is unfair. What is the BEST action for the nurse manager to take?

A. Include the staff in discussing alternatives

B. Dictate the terms for future assignments

C. Educate about the scheduling process

D. Permit the staff to trade their assignments

21.

[RN Management of Care,NCLEX-RN]

When preparing a chart before transporting a patient to surgery, which document is NOT necessary?

A. Lab test results

B. Operative consent

C. History & Physical

D. Anesthesiology record

22.

[RN Management of Care,NCLEX-RN]

A nurse watches a new nursing assistant care for a post-stroke patient with left-sided paralysis. Which action by the nursing assistant requires the nurse to intervene?

A. The nursing assistant applies a gait belt around the patient's waist prior to ambulating

B. The nursing assistant praises the patient for attempting to perform all ADLs with minimal help

C. The nursing assistant tries to move the patient up in bed by placing a hand under the patient's left axilla

D. The nursing assistant places the patient in the supine position with the head turned to the side

23.

[RN Management of Care,NCLEX-RN]

A client is admitted to the outpatient surgery center for an inguinal hernia repair. Which of the following must be included in the informed consent?

A. Risks and benefits of the procedure

B. Details of the client's insurance carrier

C. Expected outcome of the procedure

D. Names of the surgical team members

24.

[RN Management of Care,NCLEX-RN]

A nurse works in a unit in which two other RNs do not get along. Their conflict has started to affect staff morale and team productivity. What is the nurse's most appropriate action?

A. Express concern and offer to mediate

B. Take each one aside and tell them to stop

C. Report their behavior to the unit manager

D. Ignore the conflict and focus on client needs

25.

[RN Management of Care,NCLEX-RN]

A patient who is confused is left unattended with the side rails down and the bed in a high position. If the patient falls and breaks a hip, what can the nurse be charged with?

A. Battery

B. Negligence

C. Assault

D. Malpractice

1 out of 25

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NCLEX-RN Management of Care (Quiz 3)

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Welcome to your NCLEX-RN Practice Quizzes.

Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions.

Domain 1 (Quiz 3): Management of Care. (25 questions)

Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away.

Best of Luck!

[RN Management of Care,NCLEX-RN]

As the nurse does the admission process for a client with a diagnosis of alcoholism, the client reports that his last drink was three days ago and he's "feeling shaky." What will the initial nursing care goal be?

A. Ineffective coping

B. Physiological stability

C. Nutritional status

D. Interpersonal issues

[RN Management of Care,NCLEX-RN]

A hospitalized client has developed a postoperative complication. The nurse case manager contacts the client's third-party payer about extending the client's stay. This is called

A. concurrent review

B. urgent authorization

C. retrospective review

D. prior authorization

[RN Management of Care,NCLEX-RN]

Which of the following actions occurs during the Evaluation phase of the nursing process?

A. Examining outcomes

B. Data collection

C. Potential client needs

D. Patient-specific care

[RN Management of Care,NCLEX-RN]

If a patient asks to see her chart, what should the nurse do?

A. Give the patient her chart and answer her questions

B. Answer her questions without giving the patient her chart

C. Tell the patient she can see her chart when her doctor is present

D. Call the doctor to get an order for the patient to read her chart

[RN Management of Care,NCLEX-RN]

Which of the following is an appropriate assignment that a nurse can delegate to an unlicensed assistive personnel (UAP)?

A. Administer a nebulizer treatment

B. Obtain a clean catch urine specimen

C. Take vital signs from a fresh post-op-client

D. Monitor a blood transfusion

[RN Management of Care,NCLEX-RN]

Which of the following findings is consistent with a diagnosis of portal hypertension?

A. Abdominal distention

B. Increased WBC count

C. Gross hematuria

D. Decreased spleen size

[RN Management of Care,NCLEX-RN]

Which of the following is included in the Safety level of Maslow's Hierarchy of Needs?

A. Friends

B. Laws

C. Clothes

D. Sex

[RN Management of Care,NCLEX-RN]

Performing a non-emergency invasive procedure on a client without first obtaining informed consent can be considered

A. fraud

B. harassment

C. malpractice

D. battery

[RN Management of Care,NCLEX-RN]

The nurse in a medical-surgical unit may allow all of the following people to view a patient's medical record EXCEPT

A. the patient's documented healthcare power of attorney

B. the nursing instructor who is making clinical assignments

C. a researcher seeking data for a study with the patient's consent

D. an ED nurse who wants to know the patient's current condition

10.

[RN Management of Care,NCLEX-RN]

As client advocates, nurses can refer clients when they recognize a need. At which stage of the nursing process does the need for a referral become evident?

A. Assessment

B. Evaluation

C. Implementation

D. Planning

11.

[RN Management of Care,NCLEX-RN]

The RN is making assignments for the shift, with a team of an LPN and a CNA. Based on license and scope of practice, which of the following patients is most appropriate for the LPN?

A. A patient who requires help with toileting

B. A patient who had a mastectomy yesterday

C. A patient with Alzheimer's disease

D. A patient who needs help ambulating

12.

[RN Management of Care,NCLEX-RN]

During shift report, the charge nurse notes that the unit has had a sudden increase in admissions of very sick clients. In order to balance the shift's assignments, the charge nurse will LIKELY divide the clients according to

A. scope of practice

B. staff experience

C. client acuity

D. client ages

13.

[RN Management of Care,NCLEX-RN]

The nurse in a surgical unit is making assignments for the shift. Which task is appropriate for the unlicensed assistive personnel (UAP)?

A. Apply TED hose and ambulate in the hall

B. Change a dressing after a JP drain is removed

C. Feed a client and assess their ability to swallow

D. Ask a client to describe their level of pain

14.

[RN Management of Care,NCLEX-RN]

Which is appropriate to include in a staff nurse's performance evaluation?

A. List of strengths and weaknesses

B. General praise for the nurse's abilities

C. Documentation of skills needing improvement

D. Input from other staff nurses

15.

[RN Management of Care,NCLEX-RN]

The RN in a busy pediatric unit is making shift assignments. Which of the following patients is most appropriate for a new graduate nurse?

A. A 12-year-old newly diagnosed with T1D, whose parents need education on insulin

B. A 3-year-old with hemophilia B who has suddenly become less responsive

C. A 7-year-old who had a T&A 2 hours ago and is now swallowing frequently

D. A 13-year-old with sickle cell disease c/o lower right quadrant abdominal pain

16.

[RN Management of Care,NCLEX-RN]

When a nurse is making shift assignments, which patient is most appropriate for a nursing assistant?

A. A post-op laparotomy patient who needs education

B. A newly admitted patient with a seizure disorder

C. A dehydrated patient with an electrolyte imbalance

D. A post-hysterectomy patient who needs to ambulate

17.

[RN Management of Care,NCLEX-RN]

The Quality Improvement Team is considering an initiative to prevent falls. Which action will be most successful?

A. Putting a "Fall Risk" sign on patient doors

B. Using color-coded wristbands

C. Placing all beds in the low position

D. Frequent rounds of patient rooms

18.

[RN Management of Care,NCLEX-RN]

A client who was admitted for observation following a heroin overdose gets dressed and informs the nurse that he is leaving. He has no discharge order. What is the nurse's best action?

A. Physically restrain and sedate him for his own safety

B. Call security to detain him while obtaining the order

C. Ask him to sign an Against Medical Advice (AMA) form

D. Tell the client he cannot leave without permission

19.

[RN Management of Care,NCLEX-RN]

A nurse who works in the oncology unit has been floated to the intensive care unit (ICU) for the shift. Which client is most appropriate to assign to the nurse?

A. The client fresh from thoracic surgery

B. A client being weaned off a ventilator

C. The client with a diagnosis of COVID-19

D. A client with a pulmonary embolism

20.

[RN Management of Care,NCLEX-RN]

A client with an aggressive glioblastoma discusses treatment options with his oncologist. When he considers two drastically different options, which ethical term describes his right to make a self-directed decision?

A. Autonomy

B. Beneficence

C. Consequential

D. Non-maleficence

21.

[RN Management of Care,NCLEX-RN]

When the home health nurse checks on a client, the client's attorney is present and asks for the nurse's signature as a witness on a living will. What is the nurse's most appropriate action?

A. Decline to witness the client's signature on the living will

B. Agree to the request and sign the living will as a witness

C. Notify the supervisor before witnessing the living will

D. Sign the living will as a witness-only to the client's signature

22.

[RN Management of Care,NCLEX-RN]

Following surgery, the patient was returned to the unit and is complaining of pain on a level of 9 out of 10. The nurse reviews the chart and finds the surgeon's order for "10 mg MSO4" written postoperatively. Before administering morphine, what should the nurse do first?

A. Prepare the medication for administration

B. Contact the surgeon before proceeding

C. Call the pharmacy to send the morphine

D. Set up a piggyback infusion system

23.

[RN Management of Care,NCLEX-RN]

During an annual check-up, a 50-year-old client asks the nurse about Advance Directives. Which of the following statements by the nurse is correct?

A. They're only for end-of-life decisions if no one else is around

B. It is a legal document that states your wishes if you can't

C. Don't worry, you don't need to worry about that yet

D. Everyone who goes into the hospital must have one

24.

[RN Management of Care,NCLEX-RN]

When signing a document as a witness, your signature indicates that the patient

A. was of legal age and the correct person to be signing the form

B. was alert and not medicated with narcotics

C. was fully informed about the form, including all consequences

D. signed the document without coercion or distress

25.

[RN Management of Care,NCLEX-RN]

A 16-year-old male calls the clinic because he's worried that he might have gonorrhea. However, he doesn't want his parents to know. What should the nurse tell him?

A. We can test and treat you. All results will be kept confidential

B. I'm sorry, but you're a minor. We'll need a parent's consent before we can do anything

C. We can test you without parental consent, but if there are positive results, we must notify the health department

D. We can test and treat you, but your parents will see it on your chart

1 out of 25

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