RN Domain 1: Management of Care (Quiz 2) 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. Best of Luck! 1. 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 None 2. 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 None 3. 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 None 4. 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 None 5. 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 None 6. 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? None 7. 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 None 8. 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 None 9. 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 1 out of 25 Time is Up! Time's up
