1. During interdisciplinary rounds, a competent adult refuses a recommended blood
transfusion for personal beliefs. Which nursing action best demonstrates appropriate
management of care?
A. Share information broadly so everyone is aware, regardless of client consent.
B. Delay addressing the issue until after discharge.
C. Respect the refusal after ensuring the client understands the risks, benefits, and
alternatives.
D. Ignore the concern because it is outside direct bedside care.
Correct Answer: C. Respect the refusal after ensuring the client understands the risks,
benefits, and alternatives.
Rationale: A competent adult has the right to refuse treatment. The nurse should verify
informed decision-making, communicate the refusal to the team, and continue supportive care
without coercion.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Generate solutions
2. During interdisciplinary rounds, a client has a valid advance directive naming a
healthcare proxy. Which nursing action best demonstrates appropriate management of
care?
A. Delay addressing the issue until after discharge.
B. Proceed without clarification because another professional initiated the plan.
C. Ignore the concern because it is outside direct bedside care.
D. Follow the directive and involve the designated proxy when the client lacks decision-
making capacity.
Correct Answer: D. Follow the directive and involve the designated proxy when the
client lacks decision-making capacity.
,Rationale: Advance directives guide care when the client cannot speak for themselves. The
nurse should advocate for the documented wishes and ensure the interprofessional team is
aware of them.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Take action
3. During interdisciplinary rounds, a client is being discharged with multiple
medications and limited health literacy. Which nursing action best demonstrates
appropriate management of care?
A. Proceed without clarification because another professional initiated the plan.
B. Delay addressing the issue until after discharge.
C. Ignore the concern because it is outside direct bedside care.
D. Use plain language, teach-back, and a simplified medication schedule before discharge.
Correct Answer: D. Use plain language, teach-back, and a simplified medication
schedule before discharge.
Rationale: Teach-back verifies understanding rather than assuming comprehension.
Simplifying instructions and reconciling medications reduce preventable readmissions and
medication errors.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Evaluate outcomes
4. During interdisciplinary rounds, a nurse overhears staff discussing a client in a
public elevator. Which nursing action best demonstrates appropriate management of
care?
A. Ignore the concern because it is outside direct bedside care.
B. Share information broadly so everyone is aware, regardless of client consent.
C. Stop the conversation and remind staff to protect confidential information.
D. Delay addressing the issue until after discharge.
,Correct Answer: C. Stop the conversation and remind staff to protect confidential
information.
Rationale: Protected health information should only be discussed in appropriate settings and
with people involved in care. Immediate correction protects privacy and reinforces professional
standards.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Take action
5. During interdisciplinary rounds, a client with complex needs is frequently readmitted
because follow-up services are fragmented. Which nursing action best demonstrates
appropriate management of care?
A. Request case management to coordinate services across settings.
B. Proceed without clarification because another professional initiated the plan.
C. Ignore the concern because it is outside direct bedside care.
D. Delay addressing the issue until after discharge.
Correct Answer: A. Request case management to coordinate services across settings.
Rationale: Case management supports continuity, resource coordination, and reduction of
gaps in care. It is especially useful when multiple providers and community services are
involved.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Generate solutions
6. During interdisciplinary rounds, a client states that the surgeon has not explained the
risks of a planned procedure but asks the nurse to witness consent. Which nursing
action best demonstrates appropriate management of care?
A. Proceed without clarification because another professional initiated the plan.
B. Share information broadly so everyone is aware, regardless of client consent.
, C. Notify the surgeon/provider that additional informed-consent discussion is needed before
witnessing the signature.
D. Delay addressing the issue until after discharge.
Correct Answer: C. Notify the surgeon/provider that additional informed-consent
discussion is needed before witnessing the signature.
Rationale: The provider performing the procedure is responsible for explaining risks, benefits,
alternatives, and answering procedure-specific questions. The nurse may witness the
signature and assess voluntariness but should not replace the provider’s informed-consent
discussion.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Take action
7. During interdisciplinary rounds, two clients need the same limited piece of equipment
at the same time. Which nursing action best demonstrates appropriate management of
care?
A. Share information broadly so everyone is aware, regardless of client consent.
B. Use objective clinical need and institutional policy to allocate the resource fairly.
C. Ignore the concern because it is outside direct bedside care.
D. Proceed without clarification because another professional initiated the plan.
Correct Answer: B. Use objective clinical need and institutional policy to allocate the
resource fairly.
Rationale: Resource allocation should be based on transparent clinical criteria rather than
favoritism or social status. The nurse should escalate conflicts through the chain of command
when necessary.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Prioritize hypotheses
transfusion for personal beliefs. Which nursing action best demonstrates appropriate
management of care?
A. Share information broadly so everyone is aware, regardless of client consent.
B. Delay addressing the issue until after discharge.
C. Respect the refusal after ensuring the client understands the risks, benefits, and
alternatives.
D. Ignore the concern because it is outside direct bedside care.
Correct Answer: C. Respect the refusal after ensuring the client understands the risks,
benefits, and alternatives.
Rationale: A competent adult has the right to refuse treatment. The nurse should verify
informed decision-making, communicate the refusal to the team, and continue supportive care
without coercion.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Generate solutions
2. During interdisciplinary rounds, a client has a valid advance directive naming a
healthcare proxy. Which nursing action best demonstrates appropriate management of
care?
A. Delay addressing the issue until after discharge.
B. Proceed without clarification because another professional initiated the plan.
C. Ignore the concern because it is outside direct bedside care.
D. Follow the directive and involve the designated proxy when the client lacks decision-
making capacity.
Correct Answer: D. Follow the directive and involve the designated proxy when the
client lacks decision-making capacity.
,Rationale: Advance directives guide care when the client cannot speak for themselves. The
nurse should advocate for the documented wishes and ensure the interprofessional team is
aware of them.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Take action
3. During interdisciplinary rounds, a client is being discharged with multiple
medications and limited health literacy. Which nursing action best demonstrates
appropriate management of care?
A. Proceed without clarification because another professional initiated the plan.
B. Delay addressing the issue until after discharge.
C. Ignore the concern because it is outside direct bedside care.
D. Use plain language, teach-back, and a simplified medication schedule before discharge.
Correct Answer: D. Use plain language, teach-back, and a simplified medication
schedule before discharge.
Rationale: Teach-back verifies understanding rather than assuming comprehension.
Simplifying instructions and reconciling medications reduce preventable readmissions and
medication errors.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Evaluate outcomes
4. During interdisciplinary rounds, a nurse overhears staff discussing a client in a
public elevator. Which nursing action best demonstrates appropriate management of
care?
A. Ignore the concern because it is outside direct bedside care.
B. Share information broadly so everyone is aware, regardless of client consent.
C. Stop the conversation and remind staff to protect confidential information.
D. Delay addressing the issue until after discharge.
,Correct Answer: C. Stop the conversation and remind staff to protect confidential
information.
Rationale: Protected health information should only be discussed in appropriate settings and
with people involved in care. Immediate correction protects privacy and reinforces professional
standards.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Take action
5. During interdisciplinary rounds, a client with complex needs is frequently readmitted
because follow-up services are fragmented. Which nursing action best demonstrates
appropriate management of care?
A. Request case management to coordinate services across settings.
B. Proceed without clarification because another professional initiated the plan.
C. Ignore the concern because it is outside direct bedside care.
D. Delay addressing the issue until after discharge.
Correct Answer: A. Request case management to coordinate services across settings.
Rationale: Case management supports continuity, resource coordination, and reduction of
gaps in care. It is especially useful when multiple providers and community services are
involved.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Generate solutions
6. During interdisciplinary rounds, a client states that the surgeon has not explained the
risks of a planned procedure but asks the nurse to witness consent. Which nursing
action best demonstrates appropriate management of care?
A. Proceed without clarification because another professional initiated the plan.
B. Share information broadly so everyone is aware, regardless of client consent.
, C. Notify the surgeon/provider that additional informed-consent discussion is needed before
witnessing the signature.
D. Delay addressing the issue until after discharge.
Correct Answer: C. Notify the surgeon/provider that additional informed-consent
discussion is needed before witnessing the signature.
Rationale: The provider performing the procedure is responsible for explaining risks, benefits,
alternatives, and answering procedure-specific questions. The nurse may witness the
signature and assess voluntariness but should not replace the provider’s informed-consent
discussion.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Take action
7. During interdisciplinary rounds, two clients need the same limited piece of equipment
at the same time. Which nursing action best demonstrates appropriate management of
care?
A. Share information broadly so everyone is aware, regardless of client consent.
B. Use objective clinical need and institutional policy to allocate the resource fairly.
C. Ignore the concern because it is outside direct bedside care.
D. Proceed without clarification because another professional initiated the plan.
Correct Answer: B. Use objective clinical need and institutional policy to allocate the
resource fairly.
Rationale: Resource allocation should be based on transparent clinical criteria rather than
favoritism or social status. The nurse should escalate conflicts through the chain of command
when necessary.
NCLEX Client Need: Management of Care
Clinical Judgment Focus: Prioritize hypotheses
