Module 5: Management of Care Exam
2026 Questions and Answers
A registered nurse (RN) must determine how best to assign co-workers (another
RN and one licensed practical nurse [LPN]) to provide care to a group of clients.
Which of the following is the best assignment? - Correct answer-The RN is
assigned to care for a woman with newly diagnosed leukemia who has a newborn
at home.
Rationale: To determine what may and may not be delegated to the various co-
worker, the RN making the assignment must take into account several factors: the
level of care required by each client, both immediately and in the future; the
competencies possessed by the co-workers; and the legal limitations on the practice
of those co-workers. Self administration of insulin and discharge instructions on
dressing changes and medications require teaching, a professional responsibility
that the RN may not delegate to anyone except another RN.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A man who is visiting his wife in a LT care facility for people with Alzheimer's
disease collapses and is transported to a hospital. The client remains unconscious,
and testing reveals that he has cancer that has metastasized to bone, brain, and
liver. The nursing staff at wife's care facility report to the hospital physician that
the client has no other family members and that his wife is mentally incompetent.
What information regarding DNR orders does the nurse remember? - Correct
answer-That a DNR order may be written by a client's physician.
Rationale: In a situation in which a client has no family members who can provide
permission for treatment, the physician may write a DNR order if he or she is
reasonably and medically certain that resuscitation would be futile.
A registered nurse (RN) is supervising a nursing assistant ambulating a client with
right-sided weakness. The RN would conclude that the nursing assistant is
performing the procedure incorrectly after observing that the nursing assistant -
Correct answer-Stands behind the client
Rationale: When walking with a client, the nurse should stand on the affected side
and grasp the security belt in the mid-spine area of the small of the client's back.
The nurse should position the free hand at the shoulder area so that the client may
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,be pulled toward the nurse in the event that there is a forward fall. The client is
instructed to look up and outward rather than at his or her feet.
A nurse manager has announced a change to computerized documentation of
nursing care. A licensed practical nurse (LPN) on the team, resistant to the change,
is not taking an active part in facilitating implementation of the new procedure.
Which of the following strategies would be the best approach to dealing with the
conflict? - Correct answer-Confronting the LPN and encouraging him to express
his feelings regarding the change
Rationale: Confrontation is an important strategy in dealing with resistance. Face-
to-face meetings to confront the issue at hand allow verbalization of feelings,
identification of problems and issues, and development of strategies to solve the
problem.
A nurse and a nursing assistant enter a client's room to provide care and find the
client lying on the floor. The nurse should first - Correct answer-Check the client's
LOC and VS
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Rationale: When a client sustains a fall, the nurse must first assess the client. The
nurse should check the client's level of consciousness and vital signs and look for
any bruises or injuries sustained in the fall.
A nurse is taking a morning break with the unit secretary in the nurses' lounge. The
unit secretary says to the nurse, "I read in Mr. Gage's medical record that he has
gonorrhea." How should the nurse respond to the secretary? - Correct answer-"We
can't discuss a client's medical condition."
Rationale: A client's medical condition is confidential and should never be
discussed with anyone other than the client and the client's HCP.
A married couple is attending a hospital program about in vitro fertilization.
During the program, a crew from a local television station arrives to film the
proceedings because the station is publicizing a series on hospital services. The
nurse conducting the program should - Correct answer-Explain to the television
crew that videotaping is not allowed.
Rationale: Privacy is a client's right to be free from unwanted intrusion into his or
her private affairs. Videotaping constitutes an invasion of a client's privacy, and
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
2026 Questions and Answers
A registered nurse (RN) must determine how best to assign co-workers (another
RN and one licensed practical nurse [LPN]) to provide care to a group of clients.
Which of the following is the best assignment? - Correct answer-The RN is
assigned to care for a woman with newly diagnosed leukemia who has a newborn
at home.
Rationale: To determine what may and may not be delegated to the various co-
worker, the RN making the assignment must take into account several factors: the
level of care required by each client, both immediately and in the future; the
competencies possessed by the co-workers; and the legal limitations on the practice
of those co-workers. Self administration of insulin and discharge instructions on
dressing changes and medications require teaching, a professional responsibility
that the RN may not delegate to anyone except another RN.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,A man who is visiting his wife in a LT care facility for people with Alzheimer's
disease collapses and is transported to a hospital. The client remains unconscious,
and testing reveals that he has cancer that has metastasized to bone, brain, and
liver. The nursing staff at wife's care facility report to the hospital physician that
the client has no other family members and that his wife is mentally incompetent.
What information regarding DNR orders does the nurse remember? - Correct
answer-That a DNR order may be written by a client's physician.
Rationale: In a situation in which a client has no family members who can provide
permission for treatment, the physician may write a DNR order if he or she is
reasonably and medically certain that resuscitation would be futile.
A registered nurse (RN) is supervising a nursing assistant ambulating a client with
right-sided weakness. The RN would conclude that the nursing assistant is
performing the procedure incorrectly after observing that the nursing assistant -
Correct answer-Stands behind the client
Rationale: When walking with a client, the nurse should stand on the affected side
and grasp the security belt in the mid-spine area of the small of the client's back.
The nurse should position the free hand at the shoulder area so that the client may
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,be pulled toward the nurse in the event that there is a forward fall. The client is
instructed to look up and outward rather than at his or her feet.
A nurse manager has announced a change to computerized documentation of
nursing care. A licensed practical nurse (LPN) on the team, resistant to the change,
is not taking an active part in facilitating implementation of the new procedure.
Which of the following strategies would be the best approach to dealing with the
conflict? - Correct answer-Confronting the LPN and encouraging him to express
his feelings regarding the change
Rationale: Confrontation is an important strategy in dealing with resistance. Face-
to-face meetings to confront the issue at hand allow verbalization of feelings,
identification of problems and issues, and development of strategies to solve the
problem.
A nurse and a nursing assistant enter a client's room to provide care and find the
client lying on the floor. The nurse should first - Correct answer-Check the client's
LOC and VS
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Rationale: When a client sustains a fall, the nurse must first assess the client. The
nurse should check the client's level of consciousness and vital signs and look for
any bruises or injuries sustained in the fall.
A nurse is taking a morning break with the unit secretary in the nurses' lounge. The
unit secretary says to the nurse, "I read in Mr. Gage's medical record that he has
gonorrhea." How should the nurse respond to the secretary? - Correct answer-"We
can't discuss a client's medical condition."
Rationale: A client's medical condition is confidential and should never be
discussed with anyone other than the client and the client's HCP.
A married couple is attending a hospital program about in vitro fertilization.
During the program, a crew from a local television station arrives to film the
proceedings because the station is publicizing a series on hospital services. The
nurse conducting the program should - Correct answer-Explain to the television
crew that videotaping is not allowed.
Rationale: Privacy is a client's right to be free from unwanted intrusion into his or
her private affairs. Videotaping constitutes an invasion of a client's privacy, and
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
