NCLEX-RN 2026 NGN MANAGEMENT OF CARE STUDY GUIDE |
FULL UNFOLDING CASE STUDY WITH CORRECT ANSWERS &
RATIONALES | NCSBN TEST PLAN & REPEAT-TAKER
STRATEGY
60 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NCLEX-RN 2026 NGN MANAGEMENT OF CARE STUDY GUIDE | FULL UNFOLDING CASE STUDY WITH
CORRECT ANSWERS & RATIONALES | NCSBN TEST PLAN & REPEAT-TAKER STRATEGY. It contains 60
carefully selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 60 Questions
Foundations - Application - Nclex-rn 2026 NGN Management OF CARE Study Guide FULL Unfolding
CASE Study WITH Correct & Rationales Ncsbn PLAN & Repeat-taker Strategy Nclex-rn 2026 NGN
Management OF CARE Study Guide FULL Unfolding CASE Study WITH Correct & Rationales Ncsbn PLAN
& Repeat-taker Strategy University
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-10 Appropriate, Patients, Preparing, Administer, Reviewing
Safety AND Infection Control 11-20 Medication, Strategy, Administer, DRUG S Steady-state
Concentration, Patient S Renal Function
Health Promotion AND 21-30 Identifies, Demonstrates, Triaging, Emergency, First
Maintenance
Psychosocial Integrity 31-40 Demonstrates, Blood Transfusion, Assigned, Patients, First
Basic CARE AND Comfort 41-50 Incident, Demonstrates, Reviewing, Medication, Clients
Pharmacological Therapies 51-60 Finding, Indicates, Diabetes, Reviewing, Receiving
TOTAL 60 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
In delegating tasks to unlicensed assistive personnel (UAP) on a medical-surgical unit,
which assignment demonstrates the RN's appropriate use of the 'five rights' of
delegation?
A. Delegating the initial assessment of a B. Delegating the measurement of routine
newly admitted patient to the UAP, with a vital signs for a stable postoperative patient
plan to verify findings within 30 minutes. to the UAP, providing clear parameters for
reporting abnormal findings.
C. Delegating the administration of oral D. Delegating the reinforcement of teaching
medications to a UAP who has completed a about a low-sodium diet to a UAP who has
state-approved medication aide training received dietary instruction from the RN.
program.
Correct: B - Delegating the measurement of routine vital signs for a stable postoperative
patient to the UAP, providing clear parameters for reporting abnormal findings.
Rationale:Delegating routine vital sign measurement for a stable patient is within the UAP's
scope, and the RN retains accountability by providing clear parameters for reporting
abnormalities. The other options involve tasks that require nursing judgment, assessment, or
teaching, which cannot be delegated to UAP.
Why the other answers are wrong:
A. Initial patient assessment requires nursing judgment and cannot be delegated.
C. Medication administration is not within the UAP scope of practice, regardless of training.
D. Patient teaching requires nursing knowledge and evaluation, and is not delegable.
Reference: NCLEX-RN 2026 NCSBN Test Plan: Management of Care - Delegation
Q2.
A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a history of hypertension B. A patient with chronic obstructive
reporting a mild headache and blood pulmonary disease (COPD) who has an
pressure 150/90 mm Hg. oxygen saturation of 91% on 2 L nasal
cannula.
C. A patient with a new tracheostomy who is D. A patient with diabetes mellitus who has
expectorating copious thick secretions and a capillary blood glucose of 180 mg/dL and
has a respiratory rate of 28 breaths/min. is scheduled for a procedure.
Correct: C - A patient with a new tracheostomy who is expectorating copious thick
secretions and has a respiratory rate of 28 breaths/min.
Page 3
, Section A - Management OF CARE
Rationale: Airway and breathing are always the priority. The patient with a new tracheostomy
and copious secretions is at risk for airway obstruction and respiratory distress, requiring
immediate intervention. The other patients have findings that are abnormal but not
immediately life-threatening.
Why the other answers are wrong:
A. Mild headache and BP 150/90 are concerning but not as urgent as airway compromise.
B. O2 sat 91% is low but the patient is stable on 2 L; not the first priority.
D. Blood glucose of 180 mg/dL is not an immediate threat compared to a potential airway
obstruction.
Reference: NCLEX-RN 2026 NCSBN Test Plan: Management of Care - Prioritization
Q3.
A nurse is preparing to administer 0.9% sodium chloride 500 mL IV to infuse over 4 hours.
The drop factor is 15 gtt/mL. What is the flow rate in drops per minute? Round to the
nearest whole number.
A. 21 gtt/min B. 31 gtt/min
C. 42 gtt/min D. 63 gtt/min
Correct: B - 31 gtt/min
Rationale:Use the formula: (Volume in mL / Time in minutes) × Drop factor. Time = 4 hours ×
60 min = 240 min. (500 mL / 240 min) × 15 gtt/mL = 31.25, round to 31 gtt/min.
Why the other answers are wrong:
A. 21 gtt/min results from using 20 gtt/mL incorrectly or miscalculating time.
C. 42 gtt/min results from using 2 hours instead of 4 hours.
D. 63 gtt/min results from using a drop factor of 30 gtt/mL.
Reference: NCLEX-RN 2026 NCSBN Test Plan: Management of Care - Dosage Calculation
Q4.
A nurse is reviewing the medical record of a patient who is scheduled for surgery. Which
finding indicates a potential risk for malignant hyperthermia?
A. History of asthma B. Family history of sudden death during
anesthesia
C. Current use of anticoagulant therapy D. Allergy to penicillin
Correct: B - Family history of sudden death during anesthesia
Page 4
FULL UNFOLDING CASE STUDY WITH CORRECT ANSWERS &
RATIONALES | NCSBN TEST PLAN & REPEAT-TAKER
STRATEGY
60 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NCLEX-RN 2026 NGN MANAGEMENT OF CARE STUDY GUIDE | FULL UNFOLDING CASE STUDY WITH
CORRECT ANSWERS & RATIONALES | NCSBN TEST PLAN & REPEAT-TAKER STRATEGY. It contains 60
carefully selected questions that reflect the most current exam content and testing strategies. Each question is
accompanied by a correct answer and a detailed rationale that explains the underlying pathophysiology,
pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 60 Questions
Foundations - Application - Nclex-rn 2026 NGN Management OF CARE Study Guide FULL Unfolding
CASE Study WITH Correct & Rationales Ncsbn PLAN & Repeat-taker Strategy Nclex-rn 2026 NGN
Management OF CARE Study Guide FULL Unfolding CASE Study WITH Correct & Rationales Ncsbn PLAN
& Repeat-taker Strategy University
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Management OF CARE 1-10 Appropriate, Patients, Preparing, Administer, Reviewing
Safety AND Infection Control 11-20 Medication, Strategy, Administer, DRUG S Steady-state
Concentration, Patient S Renal Function
Health Promotion AND 21-30 Identifies, Demonstrates, Triaging, Emergency, First
Maintenance
Psychosocial Integrity 31-40 Demonstrates, Blood Transfusion, Assigned, Patients, First
Basic CARE AND Comfort 41-50 Incident, Demonstrates, Reviewing, Medication, Clients
Pharmacological Therapies 51-60 Finding, Indicates, Diabetes, Reviewing, Receiving
TOTAL 60 All questions include answers and detailed rationales
,Section A - Management OF CARE
Q1.
In delegating tasks to unlicensed assistive personnel (UAP) on a medical-surgical unit,
which assignment demonstrates the RN's appropriate use of the 'five rights' of
delegation?
A. Delegating the initial assessment of a B. Delegating the measurement of routine
newly admitted patient to the UAP, with a vital signs for a stable postoperative patient
plan to verify findings within 30 minutes. to the UAP, providing clear parameters for
reporting abnormal findings.
C. Delegating the administration of oral D. Delegating the reinforcement of teaching
medications to a UAP who has completed a about a low-sodium diet to a UAP who has
state-approved medication aide training received dietary instruction from the RN.
program.
Correct: B - Delegating the measurement of routine vital signs for a stable postoperative
patient to the UAP, providing clear parameters for reporting abnormal findings.
Rationale:Delegating routine vital sign measurement for a stable patient is within the UAP's
scope, and the RN retains accountability by providing clear parameters for reporting
abnormalities. The other options involve tasks that require nursing judgment, assessment, or
teaching, which cannot be delegated to UAP.
Why the other answers are wrong:
A. Initial patient assessment requires nursing judgment and cannot be delegated.
C. Medication administration is not within the UAP scope of practice, regardless of training.
D. Patient teaching requires nursing knowledge and evaluation, and is not delegable.
Reference: NCLEX-RN 2026 NCSBN Test Plan: Management of Care - Delegation
Q2.
A nurse is prioritizing care for four patients. Which patient should the nurse assess first?
A. A patient with a history of hypertension B. A patient with chronic obstructive
reporting a mild headache and blood pulmonary disease (COPD) who has an
pressure 150/90 mm Hg. oxygen saturation of 91% on 2 L nasal
cannula.
C. A patient with a new tracheostomy who is D. A patient with diabetes mellitus who has
expectorating copious thick secretions and a capillary blood glucose of 180 mg/dL and
has a respiratory rate of 28 breaths/min. is scheduled for a procedure.
Correct: C - A patient with a new tracheostomy who is expectorating copious thick
secretions and has a respiratory rate of 28 breaths/min.
Page 3
, Section A - Management OF CARE
Rationale: Airway and breathing are always the priority. The patient with a new tracheostomy
and copious secretions is at risk for airway obstruction and respiratory distress, requiring
immediate intervention. The other patients have findings that are abnormal but not
immediately life-threatening.
Why the other answers are wrong:
A. Mild headache and BP 150/90 are concerning but not as urgent as airway compromise.
B. O2 sat 91% is low but the patient is stable on 2 L; not the first priority.
D. Blood glucose of 180 mg/dL is not an immediate threat compared to a potential airway
obstruction.
Reference: NCLEX-RN 2026 NCSBN Test Plan: Management of Care - Prioritization
Q3.
A nurse is preparing to administer 0.9% sodium chloride 500 mL IV to infuse over 4 hours.
The drop factor is 15 gtt/mL. What is the flow rate in drops per minute? Round to the
nearest whole number.
A. 21 gtt/min B. 31 gtt/min
C. 42 gtt/min D. 63 gtt/min
Correct: B - 31 gtt/min
Rationale:Use the formula: (Volume in mL / Time in minutes) × Drop factor. Time = 4 hours ×
60 min = 240 min. (500 mL / 240 min) × 15 gtt/mL = 31.25, round to 31 gtt/min.
Why the other answers are wrong:
A. 21 gtt/min results from using 20 gtt/mL incorrectly or miscalculating time.
C. 42 gtt/min results from using 2 hours instead of 4 hours.
D. 63 gtt/min results from using a drop factor of 30 gtt/mL.
Reference: NCLEX-RN 2026 NCSBN Test Plan: Management of Care - Dosage Calculation
Q4.
A nurse is reviewing the medical record of a patient who is scheduled for surgery. Which
finding indicates a potential risk for malignant hyperthermia?
A. History of asthma B. Family history of sudden death during
anesthesia
C. Current use of anticoagulant therapy D. Allergy to penicillin
Correct: B - Family history of sudden death during anesthesia
Page 4
