,
,NCLEX-RN NGN Comprehensive Practice Test Bank | Practice
Questions & Answers
CHAPTER 1 — SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF
CARE
**Q1.** Which action demonstrates the nurse's role as a client advocate?
A. Following physician orders without question
B. Supporting the client's right to make informed decisions
C. Ensuring family members agree with the treatment plan
D. Delegating all client education to unlicensed assistive personnel
**Correct Answer:** B
**Rationale:** Advocacy involves supporting and protecting the client's
rights, including the right to make informed decisions about their care.
Following orders without question (A) does not demonstrate advocacy;
clients have the right to refuse treatment. Family agreement (C) is not
required for client autonomy. Delegating education (D) to unlicensed
personnel is outside their scope of practice.
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**Q2.** A charge nurse is making assignments for a medical-surgical unit.
Which client should be assigned to the most experienced registered nurse?
A. A client with pneumonia who is stable and awaiting discharge
B. A client with heart failure who requires daily weights and diuretics
, C. A client with diabetic ketoacidosis who is on an insulin infusion
D. A client with osteoarthritis who needs assistance with ambulation
**Correct Answer:** C
**Rationale:** The client with diabetic ketoacidosis on an insulin infusion
requires complex monitoring and frequent assessment, making this the
highest-acuity assignment appropriate for the most experienced RN. Stable
clients (A, B, D) can be assigned to less experienced nurses or delegated
appropriately.
---
**Q3.** What is the primary purpose of the incident report (occurrence
report) in a healthcare facility?
A. To assign blame to the healthcare provider responsible
B. To provide documentation for the client's medical record
C. To identify risks and prevent future occurrences
D. To serve as a disciplinary action against staff members
**Correct Answer:** C
**Rationale:** The primary purpose of an incident report is to identify risks,
analyze system failures, and implement changes to prevent recurrence (C). It
is not used for blame (A), is not part of the medical record (B), and is not a
disciplinary tool (D).
---
,NCLEX-RN NGN Comprehensive Practice Test Bank | Practice
Questions & Answers
CHAPTER 1 — SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF
CARE
**Q1.** Which action demonstrates the nurse's role as a client advocate?
A. Following physician orders without question
B. Supporting the client's right to make informed decisions
C. Ensuring family members agree with the treatment plan
D. Delegating all client education to unlicensed assistive personnel
**Correct Answer:** B
**Rationale:** Advocacy involves supporting and protecting the client's
rights, including the right to make informed decisions about their care.
Following orders without question (A) does not demonstrate advocacy;
clients have the right to refuse treatment. Family agreement (C) is not
required for client autonomy. Delegating education (D) to unlicensed
personnel is outside their scope of practice.
---
**Q2.** A charge nurse is making assignments for a medical-surgical unit.
Which client should be assigned to the most experienced registered nurse?
A. A client with pneumonia who is stable and awaiting discharge
B. A client with heart failure who requires daily weights and diuretics
, C. A client with diabetic ketoacidosis who is on an insulin infusion
D. A client with osteoarthritis who needs assistance with ambulation
**Correct Answer:** C
**Rationale:** The client with diabetic ketoacidosis on an insulin infusion
requires complex monitoring and frequent assessment, making this the
highest-acuity assignment appropriate for the most experienced RN. Stable
clients (A, B, D) can be assigned to less experienced nurses or delegated
appropriately.
---
**Q3.** What is the primary purpose of the incident report (occurrence
report) in a healthcare facility?
A. To assign blame to the healthcare provider responsible
B. To provide documentation for the client's medical record
C. To identify risks and prevent future occurrences
D. To serve as a disciplinary action against staff members
**Correct Answer:** C
**Rationale:** The primary purpose of an incident report is to identify risks,
analyze system failures, and implement changes to prevent recurrence (C). It
is not used for blame (A), is not part of the medical record (B), and is not a
disciplinary tool (D).
---
