NCLEX RN Management of Care Practice
Exam 2 Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
100. The nurse 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%
C. A client with diabetes requesting a snack
D. A client awaiting discharge instructions
Answer: B. A client with pneumonia whose oxygen saturation is 91%
Rationale: Airway and breathing take priority. The client with
pneumonia and decreased oxygen saturation requires immediate
assessment.
101. Which task is appropriate for the RN to delegate to an
experienced practical nurse?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Administration of routine oral medications to a stable client
D. Evaluation of a client's response to treatment
Answer: C. Administration of routine oral medications to a stable
client
,Rationale: Routine medication administration for a stable client is
generally within the practical nurse's scope. Initial assessment, care
planning, and evaluation remain RN responsibilities.
102. Which task is most appropriate for the RN to delegate to
unlicensed assistive personnel (UAP)?
A. Assessing a client's surgical incision
B. Teaching a client how to use a walker
C. Obtaining vital signs for a stable client
D. Evaluating a client's pain medication response
Answer: C. Obtaining vital signs for a stable client
Rationale: UAP may collect routine data on stable clients but cannot
assess, teach, or evaluate.
103. A nurse receives a prescription that appears unsafe. 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 prescriber
D. Document refusal to administer it
Answer: C. Clarify the prescription with the prescriber
Rationale: The nurse has a responsibility to question prescriptions that
appear unsafe before administering them.
104. Which client should the charge nurse assign to the most
experienced RN?
A. A stable client awaiting discharge
B. A client requiring routine wound care
C. A client with unstable hemodynamic status
D. A client needing assistance with bathing
,Answer: C. A client with unstable hemodynamic status
Rationale: Unstable clients require advanced assessment, clinical
judgment, and rapid intervention.
105. The nurse is preparing to transfer a client to another unit.
Which information is most important to communicate?
A. The client's preferred television programs
B. The client's current condition and recent changes
C. The client's family occupation
D. The client's meal preferences from yesterday
Answer: B. The client's current condition and recent changes
Rationale: Effective handoff communication must emphasize current
status, changes, risks, treatments, and immediate care needs.
106. A nurse discovers that a medication was administered to the
wrong client. What is the priority action?
A. Complete an incident report
B. Notify the pharmacy
C. Assess the client
D. Notify the client's family
Answer: C. Assess the client
Rationale: The client's safety is the immediate priority. Assessment
determines whether the medication error caused harm and guides
further intervention.
107. Which statement demonstrates effective delegation?
A. "Take care of this client when you have time."
B. "Please obtain the vital signs and report abnormal findings
immediately."
, C. "Do whatever is needed for room 12."
D. "You know what to do with this client."
Answer: B. "Please obtain the vital signs and report abnormal findings
immediately."
Rationale: Appropriate delegation clearly identifies the task, client,
expected outcome, and reporting requirements.
108. The RN delegates ambulation of a stable client to UAP.
Which action by the UAP requires intervention?
A. Applying nonskid footwear
B. Using the prescribed gait belt
C. Reporting that the client became dizzy
D. Changing the client's pain medication schedule
Answer: D. Changing the client's pain medication schedule
Rationale: Medication management is outside the UAP's role.
109. Which situation requires the nurse to use the chain of
command?
A. A client requests a different meal
B. A provider refuses to address a potentially life-threatening change in
condition
C. A family member asks about visiting hours
D. A client asks for an extra blanket
Answer: B. A provider refuses to address a potentially life-threatening
change in condition
Rationale: When a serious safety concern is not appropriately
addressed, the nurse should escalate the concern through the chain of
command.
Exam 2 Questions And Correct Answers
(Verified Answers) Plus Rationales 2026
Q&A Instant Download Pdf
100. The nurse 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%
C. A client with diabetes requesting a snack
D. A client awaiting discharge instructions
Answer: B. A client with pneumonia whose oxygen saturation is 91%
Rationale: Airway and breathing take priority. The client with
pneumonia and decreased oxygen saturation requires immediate
assessment.
101. Which task is appropriate for the RN to delegate to an
experienced practical nurse?
A. Initial assessment of a newly admitted client
B. Development of a nursing care plan
C. Administration of routine oral medications to a stable client
D. Evaluation of a client's response to treatment
Answer: C. Administration of routine oral medications to a stable
client
,Rationale: Routine medication administration for a stable client is
generally within the practical nurse's scope. Initial assessment, care
planning, and evaluation remain RN responsibilities.
102. Which task is most appropriate for the RN to delegate to
unlicensed assistive personnel (UAP)?
A. Assessing a client's surgical incision
B. Teaching a client how to use a walker
C. Obtaining vital signs for a stable client
D. Evaluating a client's pain medication response
Answer: C. Obtaining vital signs for a stable client
Rationale: UAP may collect routine data on stable clients but cannot
assess, teach, or evaluate.
103. A nurse receives a prescription that appears unsafe. 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 prescriber
D. Document refusal to administer it
Answer: C. Clarify the prescription with the prescriber
Rationale: The nurse has a responsibility to question prescriptions that
appear unsafe before administering them.
104. Which client should the charge nurse assign to the most
experienced RN?
A. A stable client awaiting discharge
B. A client requiring routine wound care
C. A client with unstable hemodynamic status
D. A client needing assistance with bathing
,Answer: C. A client with unstable hemodynamic status
Rationale: Unstable clients require advanced assessment, clinical
judgment, and rapid intervention.
105. The nurse is preparing to transfer a client to another unit.
Which information is most important to communicate?
A. The client's preferred television programs
B. The client's current condition and recent changes
C. The client's family occupation
D. The client's meal preferences from yesterday
Answer: B. The client's current condition and recent changes
Rationale: Effective handoff communication must emphasize current
status, changes, risks, treatments, and immediate care needs.
106. A nurse discovers that a medication was administered to the
wrong client. What is the priority action?
A. Complete an incident report
B. Notify the pharmacy
C. Assess the client
D. Notify the client's family
Answer: C. Assess the client
Rationale: The client's safety is the immediate priority. Assessment
determines whether the medication error caused harm and guides
further intervention.
107. Which statement demonstrates effective delegation?
A. "Take care of this client when you have time."
B. "Please obtain the vital signs and report abnormal findings
immediately."
, C. "Do whatever is needed for room 12."
D. "You know what to do with this client."
Answer: B. "Please obtain the vital signs and report abnormal findings
immediately."
Rationale: Appropriate delegation clearly identifies the task, client,
expected outcome, and reporting requirements.
108. The RN delegates ambulation of a stable client to UAP.
Which action by the UAP requires intervention?
A. Applying nonskid footwear
B. Using the prescribed gait belt
C. Reporting that the client became dizzy
D. Changing the client's pain medication schedule
Answer: D. Changing the client's pain medication schedule
Rationale: Medication management is outside the UAP's role.
109. Which situation requires the nurse to use the chain of
command?
A. A client requests a different meal
B. A provider refuses to address a potentially life-threatening change in
condition
C. A family member asks about visiting hours
D. A client asks for an extra blanket
Answer: B. A provider refuses to address a potentially life-threatening
change in condition
Rationale: When a serious safety concern is not appropriately
addressed, the nurse should escalate the concern through the chain of
command.
