NCLEX RN Management of Care Practice
Exam 5 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 awaiting discharge instructions
C. A client with pneumonia who has an oxygen saturation of 84%
D. A client requesting assistance with bathing
Answer: C. A client with pneumonia who has an oxygen saturation of
84%
Rationale: An oxygen saturation of 84% indicates significant hypoxemia
and requires immediate assessment and intervention. Airway and
breathing take priority.
101. Which task is appropriate for the RN to delegate to an unlicensed
assistive personnel (UAP)?
A. Assessing a client's new onset of confusion
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
,Rationale: UAPs may obtain routine vital signs on stable clients.
Assessment, teaching, and evaluation require nursing judgment.
102. The nurse is assigning clients to a newly licensed practical nurse
(LPN/LVN). Which client is most appropriate?
A. A client requiring initial discharge teaching
B. A client with unstable chest pain
C. A client receiving routine oral medications for a stable condition
D. A client requiring an initial comprehensive assessment
Answer: C. A client receiving routine oral medications for a stable
condition
Rationale: LPN/LVNs can provide care to stable clients and administer
medications within their scope of practice. Initial assessment and
teaching are RN responsibilities.
103. A client refuses a prescribed surgical procedure. What should the
nurse do first?
A. Notify the surgeon immediately
B. Ask the client why the procedure is being refused
C. Have the family convince the client
D. Document that the client is noncompliant
Answer: B. Ask the client why the procedure is being refused
Rationale: The nurse should first determine the client's understanding,
concerns, and reasons for refusal. Clients have the right to make
informed decisions about their care.
,104. Which client should the nurse see first after receiving change-of-
shift report?
A. Client with a blood pressure of 138/82 mm Hg
B. Client with postoperative pain rated 7/10
C. Client with new stridor following thyroid surgery
D. Client requesting a sleeping medication
Answer: C. Client with new stridor following thyroid surgery
Rationale: Stridor suggests upper-airway obstruction, which is an
immediate airway emergency.
105. A 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
D. Document the error in the incident report only
Answer: C. Assess the client
Rationale: The client's safety is the priority. The nurse must immediately
assess for adverse effects and initiate appropriate interventions.
106. Which action demonstrates appropriate informed consent
practice?
A. The nurse explains all risks and alternatives of surgery
B. The nurse witnesses the client's signature after the provider explains
the procedure
, C. The nurse signs the consent form for the client
D. The nurse obtains consent from a sedated client
Answer: B. The nurse witnesses the client's signature after the
provider explains the procedure
Rationale: The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The nurse
may witness the signature and verify voluntariness.
107. A client says, "I don't understand what the surgeon told me about
my operation." What should the nurse do?
A. Explain the surgical procedure in detail
B. Ask the surgeon to return and clarify the information
C. Tell the client the procedure is routine
D. Ask a family member to explain it
Answer: B. Ask the surgeon to return and clarify the information
Rationale: The provider performing the procedure is responsible for
providing the required information for informed consent.
108. Which client assignment is most appropriate for an experienced
UAP?
A. Client with newly diagnosed diabetes requiring teaching
B. Client with unstable vital signs
C. Client who needs assistance with feeding and hygiene and is stable
D. Client requiring assessment of a surgical wound
Answer: C. Client who needs assistance with feeding and hygiene and
is stable
Exam 5 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 awaiting discharge instructions
C. A client with pneumonia who has an oxygen saturation of 84%
D. A client requesting assistance with bathing
Answer: C. A client with pneumonia who has an oxygen saturation of
84%
Rationale: An oxygen saturation of 84% indicates significant hypoxemia
and requires immediate assessment and intervention. Airway and
breathing take priority.
101. Which task is appropriate for the RN to delegate to an unlicensed
assistive personnel (UAP)?
A. Assessing a client's new onset of confusion
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
,Rationale: UAPs may obtain routine vital signs on stable clients.
Assessment, teaching, and evaluation require nursing judgment.
102. The nurse is assigning clients to a newly licensed practical nurse
(LPN/LVN). Which client is most appropriate?
A. A client requiring initial discharge teaching
B. A client with unstable chest pain
C. A client receiving routine oral medications for a stable condition
D. A client requiring an initial comprehensive assessment
Answer: C. A client receiving routine oral medications for a stable
condition
Rationale: LPN/LVNs can provide care to stable clients and administer
medications within their scope of practice. Initial assessment and
teaching are RN responsibilities.
103. A client refuses a prescribed surgical procedure. What should the
nurse do first?
A. Notify the surgeon immediately
B. Ask the client why the procedure is being refused
C. Have the family convince the client
D. Document that the client is noncompliant
Answer: B. Ask the client why the procedure is being refused
Rationale: The nurse should first determine the client's understanding,
concerns, and reasons for refusal. Clients have the right to make
informed decisions about their care.
,104. Which client should the nurse see first after receiving change-of-
shift report?
A. Client with a blood pressure of 138/82 mm Hg
B. Client with postoperative pain rated 7/10
C. Client with new stridor following thyroid surgery
D. Client requesting a sleeping medication
Answer: C. Client with new stridor following thyroid surgery
Rationale: Stridor suggests upper-airway obstruction, which is an
immediate airway emergency.
105. A 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
D. Document the error in the incident report only
Answer: C. Assess the client
Rationale: The client's safety is the priority. The nurse must immediately
assess for adverse effects and initiate appropriate interventions.
106. Which action demonstrates appropriate informed consent
practice?
A. The nurse explains all risks and alternatives of surgery
B. The nurse witnesses the client's signature after the provider explains
the procedure
, C. The nurse signs the consent form for the client
D. The nurse obtains consent from a sedated client
Answer: B. The nurse witnesses the client's signature after the
provider explains the procedure
Rationale: The provider performing the procedure is responsible for
explaining the procedure, risks, benefits, and alternatives. The nurse
may witness the signature and verify voluntariness.
107. A client says, "I don't understand what the surgeon told me about
my operation." What should the nurse do?
A. Explain the surgical procedure in detail
B. Ask the surgeon to return and clarify the information
C. Tell the client the procedure is routine
D. Ask a family member to explain it
Answer: B. Ask the surgeon to return and clarify the information
Rationale: The provider performing the procedure is responsible for
providing the required information for informed consent.
108. Which client assignment is most appropriate for an experienced
UAP?
A. Client with newly diagnosed diabetes requiring teaching
B. Client with unstable vital signs
C. Client who needs assistance with feeding and hygiene and is stable
D. Client requiring assessment of a surgical wound
Answer: C. Client who needs assistance with feeding and hygiene and
is stable
