1
MANAGEMENT OF CARE (Q1–12)
1. A nurse is delegating to a UAP. Which task is appropriate?
A. Assessing a client's pain
B. Obtaining vital signs
C. Administering medication
D. Teaching a client about insulin
Answer: B — UAP can obtain vital signs.
2. A nurse is prioritizing care. Which client should be seen first?
A. Client requesting water
B. Client with new-onset chest pain
C. Client with a mild headache
D. Client asking for a blanket
Answer: B — Chest pain is a medical emergency.
3. Which action violates client confidentiality?
A. Discussing in a private team meeting
B. Sharing information with the client's employer without consent
C. Documenting in the chart
D. Reporting suspected abuse
Answer: B — Disclosure without consent is a breach.
4. A nurse is making an incident report. Which statement is correct?
A. Document in the chart that an incident report was filed
B. Do not document the incident report in the chart
C. Blame the staff member
D. Ignore the incident
Answer: B — Incident reports are not documented in the chart.
5. Which is an example of a nurse advocating for a client?
A. Ignoring the client's wishes
B. Speaking up for the client's rights
C. Making decisions for the client
D. Restricting visitors
Answer: B — Advocacy means supporting client rights.
6. A client refuses medication. The nurse should:
A. Force the medication
B. Respect the refusal and document
C. Hide it in food
D. Restrain the client
Answer: B — Clients have the right to refuse.
, 2
7. Which is the priority when a client is suicidal?
A. Safety
B. Nutrition
C. Hygiene
D. Socialization
Answer: A — Safety is the priority.
8. A nurse is discharging a client. Which is the priority?
A. Teaching
B. Documentation
C. Follow-up care
D. All of the above
Answer: D — All are important for discharge.
9. Which is an appropriate task for an LPN?
A. Performing an initial assessment
B. Administering oral medication
C. Developing the care plan
D. Teaching a new diagnosis
Answer: B — LPNs can administer medications.
10. A nurse is assigning clients. Which client should be assigned to the most experienced
nurse?
A. Client with stable vital signs
B. Client with a new tracheostomy
C. Client requesting a snack
D. Client with a mild headache
Answer: B — Complex clients need experienced nurses.
11. Which is a client right?
A. Right to refuse treatment
B. Right to unlimited visitors
C. Right to leave anytime
D. Right to avoid all medications
Answer: A — Clients have the right to refuse.
12. A nurse is teaching about informed consent. Which is the nurse's role?
A. Obtaining consent
B. Witnessing consent
C. Explaining the procedure
D. Obtaining the provider's signature
Answer: B — Nurses witness consent; providers explain.
, 3
SAFETY AND INFECTION CONTROL (Q13–24)
13. Which is the priority when a client is on airborne precautions?
A. N95 respirator
B. Surgical mask
C. Gloves
D. Gown
Answer: A — N95 is required for airborne precautions.
14. A client with C. difficile requires:
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: A — C. diff requires contact precautions.
15. Which is the correct order for donning PPE?
A. Gown, mask, goggles, gloves
B. Gloves, gown, mask, goggles
C. Mask, gloves, gown, goggles
D. Goggles, gown, mask, gloves
Answer: A — Gown → mask → goggles → gloves.
16. Which is the correct order for removing PPE?
A. Gloves, goggles, gown, mask
B. Mask, gown, gloves, goggles
C. Gown, gloves, mask, goggles
D. Goggles, mask, gloves, gown
Answer: A — Gloves → goggles → gown → mask.
17. A nurse is caring for a client with a new tracheostomy. Which is the priority?
A. Maintain airway patency
B. Encourage talking
C. Give oral fluids
D. Ambulate
Answer: A — Airway is priority.
18. Which is a fall risk factor?
A. Use of assistive devices
B. History of falls
C. Age 30
D. Normal vision
Answer: B — History of falls is a risk factor.
MANAGEMENT OF CARE (Q1–12)
1. A nurse is delegating to a UAP. Which task is appropriate?
A. Assessing a client's pain
B. Obtaining vital signs
C. Administering medication
D. Teaching a client about insulin
Answer: B — UAP can obtain vital signs.
2. A nurse is prioritizing care. Which client should be seen first?
A. Client requesting water
B. Client with new-onset chest pain
C. Client with a mild headache
D. Client asking for a blanket
Answer: B — Chest pain is a medical emergency.
3. Which action violates client confidentiality?
A. Discussing in a private team meeting
B. Sharing information with the client's employer without consent
C. Documenting in the chart
D. Reporting suspected abuse
Answer: B — Disclosure without consent is a breach.
4. A nurse is making an incident report. Which statement is correct?
A. Document in the chart that an incident report was filed
B. Do not document the incident report in the chart
C. Blame the staff member
D. Ignore the incident
Answer: B — Incident reports are not documented in the chart.
5. Which is an example of a nurse advocating for a client?
A. Ignoring the client's wishes
B. Speaking up for the client's rights
C. Making decisions for the client
D. Restricting visitors
Answer: B — Advocacy means supporting client rights.
6. A client refuses medication. The nurse should:
A. Force the medication
B. Respect the refusal and document
C. Hide it in food
D. Restrain the client
Answer: B — Clients have the right to refuse.
, 2
7. Which is the priority when a client is suicidal?
A. Safety
B. Nutrition
C. Hygiene
D. Socialization
Answer: A — Safety is the priority.
8. A nurse is discharging a client. Which is the priority?
A. Teaching
B. Documentation
C. Follow-up care
D. All of the above
Answer: D — All are important for discharge.
9. Which is an appropriate task for an LPN?
A. Performing an initial assessment
B. Administering oral medication
C. Developing the care plan
D. Teaching a new diagnosis
Answer: B — LPNs can administer medications.
10. A nurse is assigning clients. Which client should be assigned to the most experienced
nurse?
A. Client with stable vital signs
B. Client with a new tracheostomy
C. Client requesting a snack
D. Client with a mild headache
Answer: B — Complex clients need experienced nurses.
11. Which is a client right?
A. Right to refuse treatment
B. Right to unlimited visitors
C. Right to leave anytime
D. Right to avoid all medications
Answer: A — Clients have the right to refuse.
12. A nurse is teaching about informed consent. Which is the nurse's role?
A. Obtaining consent
B. Witnessing consent
C. Explaining the procedure
D. Obtaining the provider's signature
Answer: B — Nurses witness consent; providers explain.
, 3
SAFETY AND INFECTION CONTROL (Q13–24)
13. Which is the priority when a client is on airborne precautions?
A. N95 respirator
B. Surgical mask
C. Gloves
D. Gown
Answer: A — N95 is required for airborne precautions.
14. A client with C. difficile requires:
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Answer: A — C. diff requires contact precautions.
15. Which is the correct order for donning PPE?
A. Gown, mask, goggles, gloves
B. Gloves, gown, mask, goggles
C. Mask, gloves, gown, goggles
D. Goggles, gown, mask, gloves
Answer: A — Gown → mask → goggles → gloves.
16. Which is the correct order for removing PPE?
A. Gloves, goggles, gown, mask
B. Mask, gown, gloves, goggles
C. Gown, gloves, mask, goggles
D. Goggles, mask, gloves, gown
Answer: A — Gloves → goggles → gown → mask.
17. A nurse is caring for a client with a new tracheostomy. Which is the priority?
A. Maintain airway patency
B. Encourage talking
C. Give oral fluids
D. Ambulate
Answer: A — Airway is priority.
18. Which is a fall risk factor?
A. Use of assistive devices
B. History of falls
C. Age 30
D. Normal vision
Answer: B — History of falls is a risk factor.
