NDEE Exam 6 Comprehensive Mock Exam
100 High-Yield Questions & Expert
Rationales | 2026/2027 Edition
SECTION 1: Management of Care (Questions 1-15)
Question 1
A charge nurse is making client assignments. Which client should
be assigned to the most experienced registered nurse?
A) A 45-year-old with pneumonia receiving IV antibiotics
B) A 68-year-old with diabetes requiring insulin administration
C) A 72-year-old with a new tracheostomy
D) A 55-year-old with hypertension and stable vital signs
Correct Answer: C
Rationale: The client with a new tracheostomy requires complex
assessment and intervention skills, including airway management
and emergency preparedness. This client requires the most
experienced nurse to ensure safe, competent care. Options A, B,
and D involve stable clients with predictable outcomes. The
charge nurse must consider the acuity of all clients, staff
competency, and continuity of care when making assignments.
The RN retains accountability for all delegated tasks and must
provide appropriate supervision.
,Question 2
A nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A) Measuring a client's intake and output
B) Assessing a client's pain level
C) Administering oral medications
D) Performing a sterile dressing change
Correct Answer: A
Rationale: Measuring intake and output is a task that can be
delegated to UAP as it does not require nursing judgment. Option
B requires assessment, which is within the RN scope. Option C
involves medication administration, which is not within UAP
scope. Option D requires sterile technique and clinical judgment.
The RN remains accountable for delegated tasks and must
provide appropriate supervision. The five rights of delegation
apply: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation.
Question 3
A nurse is providing discharge teaching to a client with a new
colostomy. Which statement indicates a need for further
teaching?
A) "I will change the pouch when it is one-third to one-half full"
B) "I should avoid gas-producing foods like broccoli and cabbage
initially"
C) "I can resume all physical activities immediately, including
heavy lifting"
D) "I need to check the skin around the stoma daily"
,Correct Answer: C
Rationale: Clients should gradually increase physical activity and
avoid heavy lifting (more than 10 pounds) for 6-8 weeks post-
surgery to prevent complications such as herniation and stoma
prolapse. Options A, B, and D are correct statements. The client's
statement in Option C indicates a significant misunderstanding of
activity restrictions post-surgery.
Question 4
A nurse is preparing to administer a blood transfusion. Which
action should the nurse take first?
A) Obtain baseline vital signs
B) Verify the client's identity using two unique identifiers
C) Prime the blood tubing with normal saline
D) Check the expiration date on the blood product
Correct Answer: B
Rationale: Verifying the client's identity using two unique
identifiers (e.g., full name and date of birth) is the priority action
to prevent transfusion errors. Options A, C, and D are important
but should occur after patient identification. The blood
transfusion verification process requires matching the client's
identification band with the blood product label, confirming blood
type and Rh compatibility, and verifying with another licensed
professional according to facility policy.
, Question 5
A nurse is caring for a client who has a valid do-not-resuscitate
(DNR) order. The client's family requests resuscitation. Which
response by the nurse is most appropriate?
A) "I understand your concern, but I am legally obligated to follow
the DNR order"
B) "I will resuscitate the client if you request it"
C) "Let me call the healthcare provider to change the order"
D) "DNR orders are not legally binding in emergencies"
Correct Answer: A
Rationale: The nurse must follow the legally binding DNR order.
Option A validates the family's concern while explaining the legal
and ethical obligation. Option B would violate the DNR order.
Option C requires the healthcare provider's input and the client's
consent. Option D is incorrect as DNR orders are legally binding
documents. The nurse should also provide emotional support to
the family and facilitate a discussion with the healthcare provider
if the family wishes to reconsider.
Question 6
A nurse is providing diabetes education to a client with newly
diagnosed type 2 diabetes. Which teaching strategy is most
effective?
A) Providing written materials only
B) Using a combination of verbal instruction, written materials,
and return demonstration
C) Providing verbal instruction only
D) Showing a video without additional explanation
100 High-Yield Questions & Expert
Rationales | 2026/2027 Edition
SECTION 1: Management of Care (Questions 1-15)
Question 1
A charge nurse is making client assignments. Which client should
be assigned to the most experienced registered nurse?
A) A 45-year-old with pneumonia receiving IV antibiotics
B) A 68-year-old with diabetes requiring insulin administration
C) A 72-year-old with a new tracheostomy
D) A 55-year-old with hypertension and stable vital signs
Correct Answer: C
Rationale: The client with a new tracheostomy requires complex
assessment and intervention skills, including airway management
and emergency preparedness. This client requires the most
experienced nurse to ensure safe, competent care. Options A, B,
and D involve stable clients with predictable outcomes. The
charge nurse must consider the acuity of all clients, staff
competency, and continuity of care when making assignments.
The RN retains accountability for all delegated tasks and must
provide appropriate supervision.
,Question 2
A nurse is delegating tasks to unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A) Measuring a client's intake and output
B) Assessing a client's pain level
C) Administering oral medications
D) Performing a sterile dressing change
Correct Answer: A
Rationale: Measuring intake and output is a task that can be
delegated to UAP as it does not require nursing judgment. Option
B requires assessment, which is within the RN scope. Option C
involves medication administration, which is not within UAP
scope. Option D requires sterile technique and clinical judgment.
The RN remains accountable for delegated tasks and must
provide appropriate supervision. The five rights of delegation
apply: right task, right circumstance, right person, right
direction/communication, and right supervision/evaluation.
Question 3
A nurse is providing discharge teaching to a client with a new
colostomy. Which statement indicates a need for further
teaching?
A) "I will change the pouch when it is one-third to one-half full"
B) "I should avoid gas-producing foods like broccoli and cabbage
initially"
C) "I can resume all physical activities immediately, including
heavy lifting"
D) "I need to check the skin around the stoma daily"
,Correct Answer: C
Rationale: Clients should gradually increase physical activity and
avoid heavy lifting (more than 10 pounds) for 6-8 weeks post-
surgery to prevent complications such as herniation and stoma
prolapse. Options A, B, and D are correct statements. The client's
statement in Option C indicates a significant misunderstanding of
activity restrictions post-surgery.
Question 4
A nurse is preparing to administer a blood transfusion. Which
action should the nurse take first?
A) Obtain baseline vital signs
B) Verify the client's identity using two unique identifiers
C) Prime the blood tubing with normal saline
D) Check the expiration date on the blood product
Correct Answer: B
Rationale: Verifying the client's identity using two unique
identifiers (e.g., full name and date of birth) is the priority action
to prevent transfusion errors. Options A, C, and D are important
but should occur after patient identification. The blood
transfusion verification process requires matching the client's
identification band with the blood product label, confirming blood
type and Rh compatibility, and verifying with another licensed
professional according to facility policy.
, Question 5
A nurse is caring for a client who has a valid do-not-resuscitate
(DNR) order. The client's family requests resuscitation. Which
response by the nurse is most appropriate?
A) "I understand your concern, but I am legally obligated to follow
the DNR order"
B) "I will resuscitate the client if you request it"
C) "Let me call the healthcare provider to change the order"
D) "DNR orders are not legally binding in emergencies"
Correct Answer: A
Rationale: The nurse must follow the legally binding DNR order.
Option A validates the family's concern while explaining the legal
and ethical obligation. Option B would violate the DNR order.
Option C requires the healthcare provider's input and the client's
consent. Option D is incorrect as DNR orders are legally binding
documents. The nurse should also provide emotional support to
the family and facilitate a discussion with the healthcare provider
if the family wishes to reconsider.
Question 6
A nurse is providing diabetes education to a client with newly
diagnosed type 2 diabetes. Which teaching strategy is most
effective?
A) Providing written materials only
B) Using a combination of verbal instruction, written materials,
and return demonstration
C) Providing verbal instruction only
D) Showing a video without additional explanation
