Papanikolla - NCLEX Management of Care
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The nurse manager plans to conduct a performance appraisal. The nurse manager knows which
action is MOST important during the interview phase?
1. Discuss mutual social interests with the staff member initially to put the staff member at ease
2. Emphasize areas of needed improvement and specific actions to take to address these
3. Maintain the focus on job position requirements, standards of care, and actual employee
behaviors
4. Highlight which personality traits and attitudes of the employee are helpful and which are not
- CORRECT ANSWER - Maintain the focus on job position requirements, standards of
care, and actual employee behaviors
A day shift nurse gives change of shift report to the next nurse. The nurse knows which
information is inappropriate for the nurse to include in the change of shift report?
1. Clients' names and room numbers
2. Clients' responses to tests
3. Client adverse incident
4. Nurses' opinions about clients - CORRECT ANSWER - Nurses' opinions about clients
The nurse is seeing clients in the pediatric clinic. Which of the following clients should the nurse
see FIRST?
1. A 9-month-old infant with failure to gain weight a blood lead level of 70
2. A preschool child who fears bodily mutilation
3. A 6-year-old who has repeated involuntary urination at night
,4. A 7-year-old with a persistent fear of attending school - CORRECT ANSWER - A 9-
month-old infant with failure to gain weight and a blood lead level of 70
qThe nurse reviews 10 charts on the medical unit. The nurse identifies which of the following
actions is appropriate?
1. Failure to obtain informed consent
2. Failure to document in the patient's record
3. Failure to document changes in the patient's condition
4. Failure to document that an incident report was completed - CORRECT ANSWER -
Failure to document than an incident report was completed
An RN from the psychiatric unit is reassigned to the pediatric unit. Which client assignment is
MOST appropriate for this nurse?
1. A child diagnosed with type 1 diabetes admitted with a blood glucose of 370 mg/dL reporting
thirst and frequent urination
2. A child diagnosed with hemophilia requiring discharge instruction about appropriate and safe
sports
3. A child experiencing separation anxiety who wants to stay home with parent instead of going
to school
4. A child with a newly diagnosed brain tumor reporting headaches and left-sided-weakness -
CORRECT ANSWER - A child experiencing separation anxiety who wants to stay home
with parent instead of going to school
The community health nurse plans visits for the day. Which client will the nurse see FIRST?
1. A 30-year-old diagnosed with type 2 diabetes reporting GI upset after taking chlorpropamide
2. A 45-year-old reporting vomiting after chemotherapy
3. A 62-year-old with a tonometer reading of 21 mm Hg
, 4. A 76-year-old with a laryngectomy reporting a greenish-yellow discharge - CORRECT
ANSWER - A 76-year-old with a laryngectomy reporting a greenish-yellow discharge
During the admission interview of a client admitted for cardiac surgery, the nurse inquires about
the existence of advance directives, using the terms "living will" and "durable power of attorney
for healthcare." The client becomes upset and shouts, "I do not need any advance directives. I
already have a will and an attorney who helps me with everything. Besides, I am not going to
die!" Which response by the nurse is BEST?
1. "Do not get angry with me. I am only trying to help!"
2. "A regular will and attorney do not cover healthcare situations, including if you cannot, even
temporarily, make your wishes known."
3. "You have to have advance directives in order to be treated here."
4. "A lot of people feel the way you do, but they get over it and sign the forms; they tell me later
that they are glad they did it." - CORRECT ANSWER - "A regular will and attorney do
not cover healthcare situations including if you cannot, even temporarily, make your wishes
known."
An RN from the maternity floor is reassigned to the emergency department. Which assignment is
MOST appropriate for the maternity nurse?
1. The client at 20 weeks gestation reporting a small amount of vaginal bleeding
2. The client being admitted for suicidal thoughts
3. The client reporting numbness and tingling on the right side
4. The client being admitted for chest pain - CORRECT ANSWER - The client at 20
weeks gestation reporting a small amount of vaginal bleeding
The nurse describes the nurse manager's style of leadership. The nurse states, "My nurse
manager involves us in making decisions about client care." The nurse is describing which
leadership style?
1. Autocratic
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The nurse manager plans to conduct a performance appraisal. The nurse manager knows which
action is MOST important during the interview phase?
1. Discuss mutual social interests with the staff member initially to put the staff member at ease
2. Emphasize areas of needed improvement and specific actions to take to address these
3. Maintain the focus on job position requirements, standards of care, and actual employee
behaviors
4. Highlight which personality traits and attitudes of the employee are helpful and which are not
- CORRECT ANSWER - Maintain the focus on job position requirements, standards of
care, and actual employee behaviors
A day shift nurse gives change of shift report to the next nurse. The nurse knows which
information is inappropriate for the nurse to include in the change of shift report?
1. Clients' names and room numbers
2. Clients' responses to tests
3. Client adverse incident
4. Nurses' opinions about clients - CORRECT ANSWER - Nurses' opinions about clients
The nurse is seeing clients in the pediatric clinic. Which of the following clients should the nurse
see FIRST?
1. A 9-month-old infant with failure to gain weight a blood lead level of 70
2. A preschool child who fears bodily mutilation
3. A 6-year-old who has repeated involuntary urination at night
,4. A 7-year-old with a persistent fear of attending school - CORRECT ANSWER - A 9-
month-old infant with failure to gain weight and a blood lead level of 70
qThe nurse reviews 10 charts on the medical unit. The nurse identifies which of the following
actions is appropriate?
1. Failure to obtain informed consent
2. Failure to document in the patient's record
3. Failure to document changes in the patient's condition
4. Failure to document that an incident report was completed - CORRECT ANSWER -
Failure to document than an incident report was completed
An RN from the psychiatric unit is reassigned to the pediatric unit. Which client assignment is
MOST appropriate for this nurse?
1. A child diagnosed with type 1 diabetes admitted with a blood glucose of 370 mg/dL reporting
thirst and frequent urination
2. A child diagnosed with hemophilia requiring discharge instruction about appropriate and safe
sports
3. A child experiencing separation anxiety who wants to stay home with parent instead of going
to school
4. A child with a newly diagnosed brain tumor reporting headaches and left-sided-weakness -
CORRECT ANSWER - A child experiencing separation anxiety who wants to stay home
with parent instead of going to school
The community health nurse plans visits for the day. Which client will the nurse see FIRST?
1. A 30-year-old diagnosed with type 2 diabetes reporting GI upset after taking chlorpropamide
2. A 45-year-old reporting vomiting after chemotherapy
3. A 62-year-old with a tonometer reading of 21 mm Hg
, 4. A 76-year-old with a laryngectomy reporting a greenish-yellow discharge - CORRECT
ANSWER - A 76-year-old with a laryngectomy reporting a greenish-yellow discharge
During the admission interview of a client admitted for cardiac surgery, the nurse inquires about
the existence of advance directives, using the terms "living will" and "durable power of attorney
for healthcare." The client becomes upset and shouts, "I do not need any advance directives. I
already have a will and an attorney who helps me with everything. Besides, I am not going to
die!" Which response by the nurse is BEST?
1. "Do not get angry with me. I am only trying to help!"
2. "A regular will and attorney do not cover healthcare situations, including if you cannot, even
temporarily, make your wishes known."
3. "You have to have advance directives in order to be treated here."
4. "A lot of people feel the way you do, but they get over it and sign the forms; they tell me later
that they are glad they did it." - CORRECT ANSWER - "A regular will and attorney do
not cover healthcare situations including if you cannot, even temporarily, make your wishes
known."
An RN from the maternity floor is reassigned to the emergency department. Which assignment is
MOST appropriate for the maternity nurse?
1. The client at 20 weeks gestation reporting a small amount of vaginal bleeding
2. The client being admitted for suicidal thoughts
3. The client reporting numbness and tingling on the right side
4. The client being admitted for chest pain - CORRECT ANSWER - The client at 20
weeks gestation reporting a small amount of vaginal bleeding
The nurse describes the nurse manager's style of leadership. The nurse states, "My nurse
manager involves us in making decisions about client care." The nurse is describing which
leadership style?
1. Autocratic
