NCLEX RN Management of Care Practice
Exam 1 Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
101.
A registered nurse (RN) is caring for four clients. Which client should
the nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10
B. A client with pneumonia whose oxygen saturation is 91% on 2 L/min
C. A client 2 days postoperative reporting incisional pain
D. A client with diabetes whose blood glucose is 168 mg/dL
Answer: B. A client with pneumonia whose oxygen saturation is 91%
on 2 L/min
The client with pneumonia and impaired oxygenation has the highest
priority because airway and breathing take precedence.
102.
The nurse receives change-of-shift report. Which client should the
nurse see first?
A. Client awaiting discharge instructions
B. Client requesting medication for constipation
C. Client with chest pain and diaphoresis
D. Client with chronic back pain
Answer: C. Client with chest pain and diaphoresis
,Chest pain accompanied by diaphoresis may indicate acute myocardial
ischemia and requires immediate assessment.
103.
Which task is appropriate for the RN to delegate to an experienced
unlicensed assistive personnel (UAP)?
A. Assessing a new client's neurological status
B. Teaching a client how to use a walker
C. Obtaining vital signs on a stable client
D. Evaluating a client's response to medication
Answer: C. Obtaining vital signs on a stable client
Routine vital-sign measurement for a stable client is within the UAP role
when the RN provides appropriate supervision.
104.
Which client should the nurse assign to the most experienced RN?
A. Client with stable hypertension
B. Client receiving routine oral antibiotics
C. Client with a newly inserted chest tube
D. Client awaiting a routine laboratory test
Answer: C. Client with a newly inserted chest tube
Newly inserted chest tubes require close assessment for complications
such as respiratory distress, bleeding, and improper drainage.
105.
The nurse is delegating tasks to a UAP. Which statement indicates
appropriate delegation?
,A. “Tell me what you think is wrong with the client.”
B. “Report the client's blood pressure to me immediately if it is outside
the ordered parameters.”
C. “Decide whether the client needs additional pain medication.”
D. “Teach the client about fall prevention.”
Answer: B. “Report the client's blood pressure to me immediately if it
is outside the ordered parameters.”
The RN may delegate measurement while retaining responsibility for
assessment, clinical judgment, and interventions.
106.
A nurse is caring for a client who refuses a prescribed blood transfusion
because of personal beliefs. What should the nurse do first?
A. Ask the healthcare provider to obtain a court order
B. Explain that the transfusion is medically necessary
C. Respect the client's decision and assess understanding
D. Ask the family to convince the client
Answer: C. Respect the client's decision and assess understanding
Competent adults have the right to refuse treatment. The nurse should
ensure that the refusal is informed and communicate the decision to the
healthcare team.
107.
Which action demonstrates effective interprofessional collaboration?
A. Making decisions independently without consulting other disciplines
B. Sharing relevant client information with the healthcare team
C. Asking family members to perform nursing assessments
D. Delegating all client-care decisions to the provider
, Answer: B. Sharing relevant client information with the healthcare
team
Effective collaboration requires timely communication of relevant
information among healthcare professionals.
108.
A client is being discharged with several new medications. Which action
is most appropriate?
A. Give written instructions only
B. Ask the client to sign the discharge form
C. Use teach-back to evaluate understanding
D. Tell the client to call if questions arise
Answer: C. Use teach-back to evaluate understanding
Teach-back verifies whether the client understands medication
instructions and identifies areas requiring additional teaching.
109.
The nurse discovers that a medication error occurred. What is the
nurse's priority action?
A. Document the error and take no further action
B. Assess the client for adverse effects
C. Notify the nurse manager before assessing the client
D. Ask another nurse to determine what happened
Answer: B. Assess the client for adverse effects
The client's safety is the immediate priority after a medication error.
The nurse should assess the client, then notify the appropriate
personnel and complete required documentation.
110.
Exam 1 Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
101.
A registered nurse (RN) is caring for four clients. Which client should
the nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10
B. A client with pneumonia whose oxygen saturation is 91% on 2 L/min
C. A client 2 days postoperative reporting incisional pain
D. A client with diabetes whose blood glucose is 168 mg/dL
Answer: B. A client with pneumonia whose oxygen saturation is 91%
on 2 L/min
The client with pneumonia and impaired oxygenation has the highest
priority because airway and breathing take precedence.
102.
The nurse receives change-of-shift report. Which client should the
nurse see first?
A. Client awaiting discharge instructions
B. Client requesting medication for constipation
C. Client with chest pain and diaphoresis
D. Client with chronic back pain
Answer: C. Client with chest pain and diaphoresis
,Chest pain accompanied by diaphoresis may indicate acute myocardial
ischemia and requires immediate assessment.
103.
Which task is appropriate for the RN to delegate to an experienced
unlicensed assistive personnel (UAP)?
A. Assessing a new client's neurological status
B. Teaching a client how to use a walker
C. Obtaining vital signs on a stable client
D. Evaluating a client's response to medication
Answer: C. Obtaining vital signs on a stable client
Routine vital-sign measurement for a stable client is within the UAP role
when the RN provides appropriate supervision.
104.
Which client should the nurse assign to the most experienced RN?
A. Client with stable hypertension
B. Client receiving routine oral antibiotics
C. Client with a newly inserted chest tube
D. Client awaiting a routine laboratory test
Answer: C. Client with a newly inserted chest tube
Newly inserted chest tubes require close assessment for complications
such as respiratory distress, bleeding, and improper drainage.
105.
The nurse is delegating tasks to a UAP. Which statement indicates
appropriate delegation?
,A. “Tell me what you think is wrong with the client.”
B. “Report the client's blood pressure to me immediately if it is outside
the ordered parameters.”
C. “Decide whether the client needs additional pain medication.”
D. “Teach the client about fall prevention.”
Answer: B. “Report the client's blood pressure to me immediately if it
is outside the ordered parameters.”
The RN may delegate measurement while retaining responsibility for
assessment, clinical judgment, and interventions.
106.
A nurse is caring for a client who refuses a prescribed blood transfusion
because of personal beliefs. What should the nurse do first?
A. Ask the healthcare provider to obtain a court order
B. Explain that the transfusion is medically necessary
C. Respect the client's decision and assess understanding
D. Ask the family to convince the client
Answer: C. Respect the client's decision and assess understanding
Competent adults have the right to refuse treatment. The nurse should
ensure that the refusal is informed and communicate the decision to the
healthcare team.
107.
Which action demonstrates effective interprofessional collaboration?
A. Making decisions independently without consulting other disciplines
B. Sharing relevant client information with the healthcare team
C. Asking family members to perform nursing assessments
D. Delegating all client-care decisions to the provider
, Answer: B. Sharing relevant client information with the healthcare
team
Effective collaboration requires timely communication of relevant
information among healthcare professionals.
108.
A client is being discharged with several new medications. Which action
is most appropriate?
A. Give written instructions only
B. Ask the client to sign the discharge form
C. Use teach-back to evaluate understanding
D. Tell the client to call if questions arise
Answer: C. Use teach-back to evaluate understanding
Teach-back verifies whether the client understands medication
instructions and identifies areas requiring additional teaching.
109.
The nurse discovers that a medication error occurred. What is the
nurse's priority action?
A. Document the error and take no further action
B. Assess the client for adverse effects
C. Notify the nurse manager before assessing the client
D. Ask another nurse to determine what happened
Answer: B. Assess the client for adverse effects
The client's safety is the immediate priority after a medication error.
The nurse should assess the client, then notify the appropriate
personnel and complete required documentation.
110.
