Management of Care (RN) Examination
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1. Which task is appropriate for the RN to delegate to an experienced UAP?
A. Initial assessment of a new admission
B. Teaching a patient about insulin administration
C. Obtaining routine vital signs on a stable patient
D. Evaluating pain after medication
Routine, non-invasive, predictable tasks for stable patients may be delegated to
UAP.
2. Which patient should the RN assess first?
A. Post-op patient with pain 6/10
B. COPD patient requesting breathing treatment
C. Patient with sudden chest pain and diaphoresis
D. Patient awaiting discharge instructions
Acute chest pain may indicate myocardial infarction and requires immediate
assessment.
3. Which assignment is appropriate for a float nurse from pediatrics?
A. Fresh post-op abdominal surgery
B. Patient receiving chemotherapy
C. Stable adult with pneumonia
D. Patient on a ventilator
Float nurses should receive stable patients with predictable care needs.
4. Which action by the RN demonstrates appropriate supervision of UAP?
A. Delegating without instructions
B. Providing clear instructions and expected outcomes
C. Assuming competency without validation
,D. Allowing independent patient teaching
Effective delegation includes clear direction and expected results.
5. A patient refuses medication. What is the RN’s priority action?
A. Notify provider immediately
B. Ask family to convince patient
C. Assess the reason for refusal
D. Document and discard medication
Understanding the patient’s concern is essential before further action.
6. Which situation requires an incident report?
A. Patient complaint about food
B. Medication given 30 minutes late
C. Patient fall without injury
D. Change in provider orders
Any unusual event or potential harm requires an incident report.
7. Which patient is appropriate for LPN assignment?
A. Newly admitted chest pain
B. Stable patient needing wound care
C. Patient requiring initial teaching
D. Patient with unstable vital signs
LPNs manage stable patients with predictable outcomes.
8. Which task cannot be delegated to an LPN?
A. Foley catheter insertion
B. Medication administration
C. Initial patient assessment
D. Reinforcing teaching
Initial assessments require RN-level clinical judgment.
9. Which principle guides triage in disaster situations?
A. Treat the sickest first
, B. First-come, first-served
C. Greatest good for the greatest number
D. Treat children first
Disaster triage focuses on maximizing survival.
10. A nurse suspects abuse. What is the priority action?
A. Ask family members
B. Report according to policy/law
C. Document and observe
D. Confront the suspected abuser
Healthcare providers are mandated reporters.
11. Which patient requires immediate intervention?
A. Potassium 3.4 mEq/L
B. Hemoglobin 10 g/dL
C. Potassium 6.2 mEq/L
D. Sodium 134 mEq/L
Hyperkalemia can cause life-threatening arrhythmias.
12. Which action protects patient confidentiality?
A. Discussing care at nurses’ station loudly
B. Leaving chart open
C. Logging off computer after use
D. Sharing info with friend
Electronic privacy must be maintained.
13. Which assignment is best for a new graduate RN?
A. ICU unstable patient
B. Stable post-op day 2 patient
C. Ventilated patient
D. Multiple complex admissions
New nurses should begin with stable assignments.
Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1. Which task is appropriate for the RN to delegate to an experienced UAP?
A. Initial assessment of a new admission
B. Teaching a patient about insulin administration
C. Obtaining routine vital signs on a stable patient
D. Evaluating pain after medication
Routine, non-invasive, predictable tasks for stable patients may be delegated to
UAP.
2. Which patient should the RN assess first?
A. Post-op patient with pain 6/10
B. COPD patient requesting breathing treatment
C. Patient with sudden chest pain and diaphoresis
D. Patient awaiting discharge instructions
Acute chest pain may indicate myocardial infarction and requires immediate
assessment.
3. Which assignment is appropriate for a float nurse from pediatrics?
A. Fresh post-op abdominal surgery
B. Patient receiving chemotherapy
C. Stable adult with pneumonia
D. Patient on a ventilator
Float nurses should receive stable patients with predictable care needs.
4. Which action by the RN demonstrates appropriate supervision of UAP?
A. Delegating without instructions
B. Providing clear instructions and expected outcomes
C. Assuming competency without validation
,D. Allowing independent patient teaching
Effective delegation includes clear direction and expected results.
5. A patient refuses medication. What is the RN’s priority action?
A. Notify provider immediately
B. Ask family to convince patient
C. Assess the reason for refusal
D. Document and discard medication
Understanding the patient’s concern is essential before further action.
6. Which situation requires an incident report?
A. Patient complaint about food
B. Medication given 30 minutes late
C. Patient fall without injury
D. Change in provider orders
Any unusual event or potential harm requires an incident report.
7. Which patient is appropriate for LPN assignment?
A. Newly admitted chest pain
B. Stable patient needing wound care
C. Patient requiring initial teaching
D. Patient with unstable vital signs
LPNs manage stable patients with predictable outcomes.
8. Which task cannot be delegated to an LPN?
A. Foley catheter insertion
B. Medication administration
C. Initial patient assessment
D. Reinforcing teaching
Initial assessments require RN-level clinical judgment.
9. Which principle guides triage in disaster situations?
A. Treat the sickest first
, B. First-come, first-served
C. Greatest good for the greatest number
D. Treat children first
Disaster triage focuses on maximizing survival.
10. A nurse suspects abuse. What is the priority action?
A. Ask family members
B. Report according to policy/law
C. Document and observe
D. Confront the suspected abuser
Healthcare providers are mandated reporters.
11. Which patient requires immediate intervention?
A. Potassium 3.4 mEq/L
B. Hemoglobin 10 g/dL
C. Potassium 6.2 mEq/L
D. Sodium 134 mEq/L
Hyperkalemia can cause life-threatening arrhythmias.
12. Which action protects patient confidentiality?
A. Discussing care at nurses’ station loudly
B. Leaving chart open
C. Logging off computer after use
D. Sharing info with friend
Electronic privacy must be maintained.
13. Which assignment is best for a new graduate RN?
A. ICU unstable patient
B. Stable post-op day 2 patient
C. Ventilated patient
D. Multiple complex admissions
New nurses should begin with stable assignments.