NCLEX RN Management of Care
Practice Exam 3 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
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1. The nurse is caring for four clients. Which client should the nurse assess
first?
A. A client with pneumonia who has a temperature of 38.2°C (100.8°F)
B. A client with heart failure who reports a 2-kg (4.4-lb) weight gain over 3 days
C. A client 1 day postoperative who suddenly reports shortness of breath
D. A client with diabetes whose blood glucose is 198 mg/dL
Answer: A client 1 day postoperative who suddenly reports shortness of
breath
Rationale: Sudden postoperative dyspnea may indicate a pulmonary
embolism, which is potentially life-threatening and requires immediate
assessment and intervention.
2. The nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A. Assessing a newly admitted client
B. Teaching a client how to use an incentive spirometer
C. Obtaining vital signs for a stable client
D. Evaluating a client's response to pain medication
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 require the
RN.
3. A client refuses a prescribed blood transfusion because of religious
beliefs. What is the nurse's best action?
A. Ask the family to convince the client
B. Administer the transfusion because it is medically necessary
C. Respect the client's decision and notify the healthcare provider
D. Delay the decision until the client becomes unstable
Answer: Respect the client's decision and notify the healthcare provider
Rationale: Competent adults have the right to refuse treatment. The nurse
should respect the client's autonomy and communicate the refusal to the
healthcare team.
4. Which client should the charge nurse assign to the most experienced
RN?
A. A client awaiting discharge after uncomplicated surgery
B. A stable client receiving oral antibiotics
C. A client with a newly inserted chest tube and worsening respiratory distress
D. A client requiring assistance with bathing
Answer: A client with a newly inserted chest tube and worsening respiratory
distress
Rationale: A client with an invasive device and deteriorating respiratory
status requires advanced assessment and clinical judgment from an
experienced RN.
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 administer it
C. Clarify the prescription with the prescribing provider
D. Document the medication as refused
,Answer: Clarify the prescription with the prescribing provider
Rationale: The nurse is responsible for recognizing potentially unsafe
prescriptions and clarifying them before administration.
6. Which action best demonstrates effective prioritization?
A. Completing the easiest task first
B. Seeing clients in order of admission
C. Addressing the client with the most immediate threat to life first
D. Completing all scheduled medications before assessing clients
Answer: Addressing the client with the most immediate threat to life first
Rationale: Prioritization is based on acuity and threats to airway, breathing,
circulation, and other life-sustaining functions.
7. A nurse is caring for a client who speaks limited English. What is the best
method for communication?
A. Ask a family member to interpret
B. Use a qualified medical interpreter
C. Speak loudly and slowly
D. Ask another client who speaks the same language to interpret
Answer: Use a qualified medical interpreter
Rationale: A qualified interpreter promotes accurate communication and
protects client confidentiality and informed decision-making.
8. The nurse discovers that a medication error has occurred. What is the
nurse's priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client for harm
D. Document the error in the incident report only
Answer: Assess the client for harm
Rationale: The client's immediate safety is the priority. After assessment and
necessary treatment, the nurse should notify the appropriate provider and
follow organizational reporting procedures.
, 9. Which task is most appropriate for an LPN/LVN?
A. Developing the nursing care plan for a newly admitted unstable client
B. Performing the initial assessment of a client
C. Administering routine medications to a stable client
D. Providing discharge teaching to a newly diagnosed client
Answer: Administering routine medications to a stable client
Rationale: LPN/LVNs can provide care to stable clients within their scope of
practice. Initial assessment, comprehensive planning, and complex teaching
are RN responsibilities.
10.A client asks the nurse to explain the risks and benefits of a surgical
procedure before signing consent. What should the nurse do?
A. Explain the procedure in detail
B. Tell the client to sign because the provider recommended surgery
C. Notify the healthcare provider to provide the explanation
D. Ask the family to explain the procedure
Answer: Notify the healthcare provider to provide the explanation
Rationale: The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The nurse may
witness the signature and verify understanding.
11.Which client should the nurse see first?
A. Client reporting pain rated 7/10 after surgery
B. Client with chronic arthritis requesting assistance to the bathroom
C. Client with asthma who has difficulty speaking in complete sentences
D. Client awaiting routine dressing change
Answer: Client with asthma who has difficulty speaking in complete
sentences
Rationale: Difficulty speaking because of respiratory distress indicates
possible severe airway or breathing compromise and requires immediate
intervention.
Practice Exam 3 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
1. The nurse is caring for four clients. Which client should the nurse assess
first?
A. A client with pneumonia who has a temperature of 38.2°C (100.8°F)
B. A client with heart failure who reports a 2-kg (4.4-lb) weight gain over 3 days
C. A client 1 day postoperative who suddenly reports shortness of breath
D. A client with diabetes whose blood glucose is 198 mg/dL
Answer: A client 1 day postoperative who suddenly reports shortness of
breath
Rationale: Sudden postoperative dyspnea may indicate a pulmonary
embolism, which is potentially life-threatening and requires immediate
assessment and intervention.
2. The nurse is delegating tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A. Assessing a newly admitted client
B. Teaching a client how to use an incentive spirometer
C. Obtaining vital signs for a stable client
D. Evaluating a client's response to pain medication
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 require the
RN.
3. A client refuses a prescribed blood transfusion because of religious
beliefs. What is the nurse's best action?
A. Ask the family to convince the client
B. Administer the transfusion because it is medically necessary
C. Respect the client's decision and notify the healthcare provider
D. Delay the decision until the client becomes unstable
Answer: Respect the client's decision and notify the healthcare provider
Rationale: Competent adults have the right to refuse treatment. The nurse
should respect the client's autonomy and communicate the refusal to the
healthcare team.
4. Which client should the charge nurse assign to the most experienced
RN?
A. A client awaiting discharge after uncomplicated surgery
B. A stable client receiving oral antibiotics
C. A client with a newly inserted chest tube and worsening respiratory distress
D. A client requiring assistance with bathing
Answer: A client with a newly inserted chest tube and worsening respiratory
distress
Rationale: A client with an invasive device and deteriorating respiratory
status requires advanced assessment and clinical judgment from an
experienced RN.
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 administer it
C. Clarify the prescription with the prescribing provider
D. Document the medication as refused
,Answer: Clarify the prescription with the prescribing provider
Rationale: The nurse is responsible for recognizing potentially unsafe
prescriptions and clarifying them before administration.
6. Which action best demonstrates effective prioritization?
A. Completing the easiest task first
B. Seeing clients in order of admission
C. Addressing the client with the most immediate threat to life first
D. Completing all scheduled medications before assessing clients
Answer: Addressing the client with the most immediate threat to life first
Rationale: Prioritization is based on acuity and threats to airway, breathing,
circulation, and other life-sustaining functions.
7. A nurse is caring for a client who speaks limited English. What is the best
method for communication?
A. Ask a family member to interpret
B. Use a qualified medical interpreter
C. Speak loudly and slowly
D. Ask another client who speaks the same language to interpret
Answer: Use a qualified medical interpreter
Rationale: A qualified interpreter promotes accurate communication and
protects client confidentiality and informed decision-making.
8. The nurse discovers that a medication error has occurred. What is the
nurse's priority action?
A. Complete an incident report
B. Notify the nurse manager
C. Assess the client for harm
D. Document the error in the incident report only
Answer: Assess the client for harm
Rationale: The client's immediate safety is the priority. After assessment and
necessary treatment, the nurse should notify the appropriate provider and
follow organizational reporting procedures.
, 9. Which task is most appropriate for an LPN/LVN?
A. Developing the nursing care plan for a newly admitted unstable client
B. Performing the initial assessment of a client
C. Administering routine medications to a stable client
D. Providing discharge teaching to a newly diagnosed client
Answer: Administering routine medications to a stable client
Rationale: LPN/LVNs can provide care to stable clients within their scope of
practice. Initial assessment, comprehensive planning, and complex teaching
are RN responsibilities.
10.A client asks the nurse to explain the risks and benefits of a surgical
procedure before signing consent. What should the nurse do?
A. Explain the procedure in detail
B. Tell the client to sign because the provider recommended surgery
C. Notify the healthcare provider to provide the explanation
D. Ask the family to explain the procedure
Answer: Notify the healthcare provider to provide the explanation
Rationale: The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The nurse may
witness the signature and verify understanding.
11.Which client should the nurse see first?
A. Client reporting pain rated 7/10 after surgery
B. Client with chronic arthritis requesting assistance to the bathroom
C. Client with asthma who has difficulty speaking in complete sentences
D. Client awaiting routine dressing change
Answer: Client with asthma who has difficulty speaking in complete
sentences
Rationale: Difficulty speaking because of respiratory distress indicates
possible severe airway or breathing compromise and requires immediate
intervention.
