NCLEX RN Management of Care
Practice Exam 1 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
Question 1
The RN is caring for four clients. Which client should the nurse assess first?
A. A client with chronic heart failure who reports a 2-lb weight gain in 24 hours
B. A client with pneumonia whose oxygen saturation is 91% on 2 L/min via
nasal cannula
C. A client 1 day after abdominal surgery who reports sudden shortness of
breath and chest pain
D. A client with diabetes whose blood glucose is 186 mg/dL before lunch
Answer: The client 1 day after abdominal surgery who reports sudden
shortness of breath and chest pain
Rationale: Sudden dyspnea and chest pain after surgery may indicate a
pulmonary embolism, which is life-threatening and requires immediate
assessment and intervention.
Question 2
The RN is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
A. Assessing a client with new-onset confusion
B. Teaching a client how to use an incentive spirometer
,C. Obtaining vital signs for a stable client
D. Evaluating pain relief after medication administration
Answer: Obtaining vital signs for a stable client
Rationale: UAPs may perform routine, predictable tasks such as obtaining
vital signs on stable clients. Assessment, teaching, and evaluation remain the
RN's responsibilities.
Question 3
A client refuses a prescribed blood transfusion for religious reasons. What is
the nurse's priority action?
A. Notify the health care provider
B. Ask the family to persuade the client
C. Respect the client's decision and assess understanding
D. Explain that the transfusion is medically necessary
Answer: Respect the client's decision and assess understanding
Rationale: A competent adult has the right to refuse treatment. The nurse
should ensure that the client understands the consequences and
communicate the decision to the health care team.
Question 4
Which client assignment is most appropriate for an experienced LPN/LVN?
A. A client admitted with acute chest pain
B. A client requiring initial discharge teaching after a new diagnosis
C. A stable client receiving routine wound care
D. A client experiencing sudden neurological changes
Answer: A stable client receiving routine wound care
Rationale: LPN/LVNs can provide care to stable clients with predictable
outcomes. Initial assessments, unstable clients, and initial teaching require
RN-level judgment.
,Question 5
The nurse receives a prescription that appears unusually high for a medication.
What should the nurse do first?
A. Administer the medication as prescribed
B. Ask another nurse to verify the prescription
C. Clarify the prescription with the prescriber
D. Document that the medication was refused
Answer: Clarify the prescription with the prescriber
Rationale: The nurse has a responsibility to question prescriptions that appear
unsafe. The prescription should be clarified before administration.
Question 6
Which action demonstrates appropriate use of the chain of command?
A. Ignoring an unsafe prescription
B. Contacting the nursing supervisor when the prescriber does not respond to
an urgent safety concern
C. Asking the client's family to contact the prescriber
D. Waiting until the end of the shift to report the concern
Answer: Contacting the nursing supervisor when the prescriber does not
respond to an urgent safety concern
Rationale: The chain of command provides a structured method for escalating
unresolved concerns related to client safety.
Question 7
A client is being discharged after treatment for heart failure. Which finding
indicates that additional teaching is needed?
A. The client weighs themselves each morning
B. The client reports limiting sodium intake
, C. The client states, "I will stop my diuretic when my swelling disappears."
D. The client knows when to contact the provider for worsening symptoms
Answer: The client states, "I will stop my diuretic when my swelling
disappears."
Rationale: Clients should not stop prescribed medications without consulting
the provider. Abruptly stopping heart failure therapy may worsen the
condition.
Question 8
Which action by the nurse best demonstrates advocacy?
A. Following every client request without question
B. Supporting the client's informed choices and communicating concerns to the
health care team
C. Making decisions for the client
D. Asking the family to make all treatment decisions
Answer: Supporting the client's informed choices and communicating
concerns to the health care team
Rationale: Advocacy involves protecting the client's rights, supporting
informed decision-making, and communicating the client's preferences and
concerns.
Question 9
The RN is assigning clients to another RN. Which client is most appropriate for
a newly licensed RN?
A. A client with a stable postoperative course
B. A client requiring titration of multiple vasoactive medications
C. A client experiencing acute respiratory failure
D. A client with rapidly changing neurological status
Answer: A client with a stable postoperative course
Practice Exam 1 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
Question 1
The RN is caring for four clients. Which client should the nurse assess first?
A. A client with chronic heart failure who reports a 2-lb weight gain in 24 hours
B. A client with pneumonia whose oxygen saturation is 91% on 2 L/min via
nasal cannula
C. A client 1 day after abdominal surgery who reports sudden shortness of
breath and chest pain
D. A client with diabetes whose blood glucose is 186 mg/dL before lunch
Answer: The client 1 day after abdominal surgery who reports sudden
shortness of breath and chest pain
Rationale: Sudden dyspnea and chest pain after surgery may indicate a
pulmonary embolism, which is life-threatening and requires immediate
assessment and intervention.
Question 2
The RN is delegating tasks to an unlicensed assistive personnel (UAP). Which
task is appropriate to delegate?
A. Assessing a client with new-onset confusion
B. Teaching a client how to use an incentive spirometer
,C. Obtaining vital signs for a stable client
D. Evaluating pain relief after medication administration
Answer: Obtaining vital signs for a stable client
Rationale: UAPs may perform routine, predictable tasks such as obtaining
vital signs on stable clients. Assessment, teaching, and evaluation remain the
RN's responsibilities.
Question 3
A client refuses a prescribed blood transfusion for religious reasons. What is
the nurse's priority action?
A. Notify the health care provider
B. Ask the family to persuade the client
C. Respect the client's decision and assess understanding
D. Explain that the transfusion is medically necessary
Answer: Respect the client's decision and assess understanding
Rationale: A competent adult has the right to refuse treatment. The nurse
should ensure that the client understands the consequences and
communicate the decision to the health care team.
Question 4
Which client assignment is most appropriate for an experienced LPN/LVN?
A. A client admitted with acute chest pain
B. A client requiring initial discharge teaching after a new diagnosis
C. A stable client receiving routine wound care
D. A client experiencing sudden neurological changes
Answer: A stable client receiving routine wound care
Rationale: LPN/LVNs can provide care to stable clients with predictable
outcomes. Initial assessments, unstable clients, and initial teaching require
RN-level judgment.
,Question 5
The nurse receives a prescription that appears unusually high for a medication.
What should the nurse do first?
A. Administer the medication as prescribed
B. Ask another nurse to verify the prescription
C. Clarify the prescription with the prescriber
D. Document that the medication was refused
Answer: Clarify the prescription with the prescriber
Rationale: The nurse has a responsibility to question prescriptions that appear
unsafe. The prescription should be clarified before administration.
Question 6
Which action demonstrates appropriate use of the chain of command?
A. Ignoring an unsafe prescription
B. Contacting the nursing supervisor when the prescriber does not respond to
an urgent safety concern
C. Asking the client's family to contact the prescriber
D. Waiting until the end of the shift to report the concern
Answer: Contacting the nursing supervisor when the prescriber does not
respond to an urgent safety concern
Rationale: The chain of command provides a structured method for escalating
unresolved concerns related to client safety.
Question 7
A client is being discharged after treatment for heart failure. Which finding
indicates that additional teaching is needed?
A. The client weighs themselves each morning
B. The client reports limiting sodium intake
, C. The client states, "I will stop my diuretic when my swelling disappears."
D. The client knows when to contact the provider for worsening symptoms
Answer: The client states, "I will stop my diuretic when my swelling
disappears."
Rationale: Clients should not stop prescribed medications without consulting
the provider. Abruptly stopping heart failure therapy may worsen the
condition.
Question 8
Which action by the nurse best demonstrates advocacy?
A. Following every client request without question
B. Supporting the client's informed choices and communicating concerns to the
health care team
C. Making decisions for the client
D. Asking the family to make all treatment decisions
Answer: Supporting the client's informed choices and communicating
concerns to the health care team
Rationale: Advocacy involves protecting the client's rights, supporting
informed decision-making, and communicating the client's preferences and
concerns.
Question 9
The RN is assigning clients to another RN. Which client is most appropriate for
a newly licensed RN?
A. A client with a stable postoperative course
B. A client requiring titration of multiple vasoactive medications
C. A client experiencing acute respiratory failure
D. A client with rapidly changing neurological status
Answer: A client with a stable postoperative course
