MODULE 5: MANAGEMENT OF CARE
EXAM QUESTIONS AND DETAILED
ANSWERS. EXPERT VERIFIED FOR
GUARANTEED PASS.
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? - ANS 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.
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? -
ANS That a DNR order may be written by a client's physician.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,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 - ANS 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 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? - ANS 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 - ANS Check the client's LOC and VS
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
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,should the nurse respond to the secretary? - ANS "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 -
ANS 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 written permission is
required from the client for an action such as photographing or videotaping. Therefore the
nurse must explain to the television crew that videotaping is not allowed.
A nurse on the day shift is assigned to care for four clients. List the clients in order of priority for
nurse. - ANS A client with asthma who had shortness of breath during the night
A client scheduled to have a chest x-ray at 9 am
A client scheduled for an echocardiogram at 10 am
A client with pneumonia who is scheduled for discharge home
Rationale: Airway is always the priority, so the nurse would first assess the client with asthma
who had shortness of breath during the night. The nurse would next assess the client scheduled
for a chest x-ray, because the x-ray is scheduled at 9 am and the nurse would want to gather
data about the client before the client leaves the nursing unit. Next the nurse would assess the
client scheduled for an echocardiogram at 10 am, and finally the nurse would care for the client
scheduled for discharge. The client being discharged will have needs that must be addressed,
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, but there is nothing in the question to indicate that the client must have his or her discharge
needs addressed by a specific time.
An emergency department nurse is performing an assessment of a client who has sustained
circumferential burns of both legs. What should the nurse assess first? - ANS Peripheral
Pulses
Rationale: The client who has sustained circumferential burns to the extremities is at risk for
altered peripheral circulation. The priority assessment is to check the peripheral pulses to
ensure that circulation is adequate. Although the heart rate and BP would also be assessed, the
priority with a circumferential extremity burn is the assessment of peripheral pulses.
A registered nurse (RN) is planning client assignments for the day. Which clients should the
nurse assign to a nursing assistant (unlicensed assistive personnel)? Select all that apply. -
ANS A client who requires transport to the radiology department in a wheelchair
A client with a Foley catheter for whom a 24-hour urine collection is in progress
Rationale: The nurse must base assignments on the basis of the skills of the staff member and
the needs of the client. The nursing assistant is capable of caring for the client with a Foley
catheter for whom a 24-hour urine collection is in progress and the client who requires
transport to the radiology department in a wheelchair.
A 51-year-old client with amyotrophic lateral sclerosis (Lou Gehrig's disease) is admitted to the
hospital because his condition is deteriorating. The client tells the nurse that he wants a do-not-
resuscitate (DNR) order. The nurse should tell the client that: - ANS The DNR request should
be discussed with the physician, who will write the order
Rationale: A client may request a DNR order after being given the appropriate information by
the physician. Therefore, if a client requests a DNR order the nurse should contact the physician
so that the physician may discuss the request with the client.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
EXAM QUESTIONS AND DETAILED
ANSWERS. EXPERT VERIFIED FOR
GUARANTEED PASS.
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? - ANS 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.
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? -
ANS That a DNR order may be written by a client's physician.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,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 - ANS 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 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? - ANS 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 - ANS Check the client's LOC and VS
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
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,should the nurse respond to the secretary? - ANS "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 -
ANS 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 written permission is
required from the client for an action such as photographing or videotaping. Therefore the
nurse must explain to the television crew that videotaping is not allowed.
A nurse on the day shift is assigned to care for four clients. List the clients in order of priority for
nurse. - ANS A client with asthma who had shortness of breath during the night
A client scheduled to have a chest x-ray at 9 am
A client scheduled for an echocardiogram at 10 am
A client with pneumonia who is scheduled for discharge home
Rationale: Airway is always the priority, so the nurse would first assess the client with asthma
who had shortness of breath during the night. The nurse would next assess the client scheduled
for a chest x-ray, because the x-ray is scheduled at 9 am and the nurse would want to gather
data about the client before the client leaves the nursing unit. Next the nurse would assess the
client scheduled for an echocardiogram at 10 am, and finally the nurse would care for the client
scheduled for discharge. The client being discharged will have needs that must be addressed,
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, but there is nothing in the question to indicate that the client must have his or her discharge
needs addressed by a specific time.
An emergency department nurse is performing an assessment of a client who has sustained
circumferential burns of both legs. What should the nurse assess first? - ANS Peripheral
Pulses
Rationale: The client who has sustained circumferential burns to the extremities is at risk for
altered peripheral circulation. The priority assessment is to check the peripheral pulses to
ensure that circulation is adequate. Although the heart rate and BP would also be assessed, the
priority with a circumferential extremity burn is the assessment of peripheral pulses.
A registered nurse (RN) is planning client assignments for the day. Which clients should the
nurse assign to a nursing assistant (unlicensed assistive personnel)? Select all that apply. -
ANS A client who requires transport to the radiology department in a wheelchair
A client with a Foley catheter for whom a 24-hour urine collection is in progress
Rationale: The nurse must base assignments on the basis of the skills of the staff member and
the needs of the client. The nursing assistant is capable of caring for the client with a Foley
catheter for whom a 24-hour urine collection is in progress and the client who requires
transport to the radiology department in a wheelchair.
A 51-year-old client with amyotrophic lateral sclerosis (Lou Gehrig's disease) is admitted to the
hospital because his condition is deteriorating. The client tells the nurse that he wants a do-not-
resuscitate (DNR) order. The nurse should tell the client that: - ANS The DNR request should
be discussed with the physician, who will write the order
Rationale: A client may request a DNR order after being given the appropriate information by
the physician. Therefore, if a client requests a DNR order the nurse should contact the physician
so that the physician may discuss the request with the client.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
