NCLEX RN Management of Care Practice
Exam 3 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 who has an oxygen saturation of 88%
C. A client awaiting discharge instructions
D. A client requesting assistance to the bathroom
Answer: B. A client with pneumonia who has an oxygen saturation of
88%
The client with impaired oxygenation has the highest priority because
airway and breathing problems take precedence over pain, discharge
needs, and routine assistance.
101. Which task is appropriate for the nurse to delegate to an
unlicensed assistive personnel (UAP)?
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 medication
Answer: C. Obtaining vital signs for a stable client
Routine vital signs on a stable client can be delegated. Assessment,
teaching, and evaluation remain nursing responsibilities.
,102. The 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 prescribing provider
D. Document that the prescription appears unsafe
Answer: C. Clarify the prescription with the prescribing provider
The nurse has a responsibility to question prescriptions that may be
unsafe before carrying them out.
103. Which client should the nurse assign to the most experienced
registered nurse?
A. A client requiring routine discharge instructions
B. A client with a stable fracture
C. A client with septic shock receiving vasopressors
D. A client awaiting a routine dressing change
Answer: C. A client with septic shock receiving vasopressors
Septic shock is life-threatening and requires complex assessment, rapid
intervention, and continuous evaluation by an experienced nurse.
104. A nurse discovers that a medication was administered to the
wrong client. What is the nurse's priority action?
A. Complete an incident report
B. Notify the charge nurse
C. Assess the client
D. Document the error in the incident report only
Answer: C. Assess the client
,The client's safety is the immediate priority. The nurse should assess for
adverse effects and then notify the appropriate personnel and complete
required documentation.
105. Which action best demonstrates effective advocacy by the nurse?
A. Making decisions for the client
B. Supporting the client's informed healthcare choices
C. Persuading the client to accept treatment
D. Asking the family to make all decisions
Answer: B. Supporting the client's informed healthcare choices
Advocacy means protecting the client's rights, preferences, safety, and
ability to make informed decisions.
106. A client refuses a prescribed blood transfusion for religious
reasons. What should the nurse do?
A. Administer the transfusion because it was prescribed
B. Ask the family to convince the client
C. Respect the client's decision and notify the provider
D. Delay the decision until the client becomes unstable
Answer: C. Respect the client's decision and notify the provider
Competent adults have the right to refuse treatment, even when refusal
could result in serious harm.
107. Which statement by a nurse indicates correct understanding of
informed consent?
A. "The nurse is responsible for explaining all risks of surgery."
B. "The provider performing the procedure is responsible for obtaining
informed consent."
C. "The family can sign consent for any adult client."
D. "Consent is unnecessary for invasive procedures."
, Answer: B. "The provider performing the procedure is responsible for
obtaining informed consent."
The provider performing the procedure is responsible for explaining its
nature, benefits, risks, alternatives, and consequences of refusal.
108. Which client is most appropriate for assignment to a newly
licensed RN?
A. A client with unstable gastrointestinal bleeding
B. A client receiving titrated vasoactive medication
C. A stable client recovering from an uncomplicated appendectomy
D. A client experiencing acute respiratory failure
Answer: C. A stable client recovering from an uncomplicated
appendectomy
New nurses should initially receive stable clients with predictable
outcomes rather than unstable clients requiring complex interventions.
109. Which action by the nurse violates client confidentiality?
A. Discussing care with the assigned nurse
B. Giving report in a private area
C. Discussing a client's diagnosis in a public elevator
D. Reviewing the chart before administering medication
Answer: C. Discussing a client's diagnosis in a public elevator
Confidential health information should only be discussed with
individuals who have a legitimate need to know and in appropriate
private settings.
110. The nurse is preparing to transfer a client to another unit. Which
information is most important to communicate?
Exam 3 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 who has an oxygen saturation of 88%
C. A client awaiting discharge instructions
D. A client requesting assistance to the bathroom
Answer: B. A client with pneumonia who has an oxygen saturation of
88%
The client with impaired oxygenation has the highest priority because
airway and breathing problems take precedence over pain, discharge
needs, and routine assistance.
101. Which task is appropriate for the nurse to delegate to an
unlicensed assistive personnel (UAP)?
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 medication
Answer: C. Obtaining vital signs for a stable client
Routine vital signs on a stable client can be delegated. Assessment,
teaching, and evaluation remain nursing responsibilities.
,102. The 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 prescribing provider
D. Document that the prescription appears unsafe
Answer: C. Clarify the prescription with the prescribing provider
The nurse has a responsibility to question prescriptions that may be
unsafe before carrying them out.
103. Which client should the nurse assign to the most experienced
registered nurse?
A. A client requiring routine discharge instructions
B. A client with a stable fracture
C. A client with septic shock receiving vasopressors
D. A client awaiting a routine dressing change
Answer: C. A client with septic shock receiving vasopressors
Septic shock is life-threatening and requires complex assessment, rapid
intervention, and continuous evaluation by an experienced nurse.
104. A nurse discovers that a medication was administered to the
wrong client. What is the nurse's priority action?
A. Complete an incident report
B. Notify the charge nurse
C. Assess the client
D. Document the error in the incident report only
Answer: C. Assess the client
,The client's safety is the immediate priority. The nurse should assess for
adverse effects and then notify the appropriate personnel and complete
required documentation.
105. Which action best demonstrates effective advocacy by the nurse?
A. Making decisions for the client
B. Supporting the client's informed healthcare choices
C. Persuading the client to accept treatment
D. Asking the family to make all decisions
Answer: B. Supporting the client's informed healthcare choices
Advocacy means protecting the client's rights, preferences, safety, and
ability to make informed decisions.
106. A client refuses a prescribed blood transfusion for religious
reasons. What should the nurse do?
A. Administer the transfusion because it was prescribed
B. Ask the family to convince the client
C. Respect the client's decision and notify the provider
D. Delay the decision until the client becomes unstable
Answer: C. Respect the client's decision and notify the provider
Competent adults have the right to refuse treatment, even when refusal
could result in serious harm.
107. Which statement by a nurse indicates correct understanding of
informed consent?
A. "The nurse is responsible for explaining all risks of surgery."
B. "The provider performing the procedure is responsible for obtaining
informed consent."
C. "The family can sign consent for any adult client."
D. "Consent is unnecessary for invasive procedures."
, Answer: B. "The provider performing the procedure is responsible for
obtaining informed consent."
The provider performing the procedure is responsible for explaining its
nature, benefits, risks, alternatives, and consequences of refusal.
108. Which client is most appropriate for assignment to a newly
licensed RN?
A. A client with unstable gastrointestinal bleeding
B. A client receiving titrated vasoactive medication
C. A stable client recovering from an uncomplicated appendectomy
D. A client experiencing acute respiratory failure
Answer: C. A stable client recovering from an uncomplicated
appendectomy
New nurses should initially receive stable clients with predictable
outcomes rather than unstable clients requiring complex interventions.
109. Which action by the nurse violates client confidentiality?
A. Discussing care with the assigned nurse
B. Giving report in a private area
C. Discussing a client's diagnosis in a public elevator
D. Reviewing the chart before administering medication
Answer: C. Discussing a client's diagnosis in a public elevator
Confidential health information should only be discussed with
individuals who have a legitimate need to know and in appropriate
private settings.
110. The nurse is preparing to transfer a client to another unit. Which
information is most important to communicate?
