RN Domain 1: Management of Care (Quiz 3) 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 NEXTÂ to start your Free NCLEX-RN Practice Quizzes right away. Best of Luck! 1. 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 None 2. 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 None 3. 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 None 4. 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 None 5. 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 None 6. 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 None 7. 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 None 8. 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 None 9. 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 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 None 1 out of 25 Time is Up! Time's up
