1. Safe and Effective Care Environment
Management of Care (9 questions)
1. A nurse is planning discharge for a client with
heart failure. Which action best promotes
continuity of care?
A. Schedule a home health visit.
B. Instruct the client on low-sodium diet.
C. Provide written discharge instructions.
D. Review medication side effects.
Answer: A
Rationale: Coordination of community resources
ensures seamless transition from hospital to home,
which is a key aspect of Management of Care
(Wikipedia).
2. When delegating tasks to UAP, the RN should
first:
A. Explain the purpose of the tasks.
B. Confirm the UAP’s job description.
C. Ensure the UAP has demonstrated competency.
D. Assign tasks to free up RN time.
Answer: C
Rationale: Delegation requires validation of the
delegatee’s competency to maintain safety and legal
accountability (Wikipedia).
3. A client requests their medical record. The nurse
should:
, A. Provide photocopies immediately.
B. Direct the client to submit a written request.
C. Refuse, citing confidentiality.
D. Review the chart with the client.
Answer: B
Rationale: Release of records follows institutional
policy and requires a written release to protect
confidentiality (Wikipedia).
4. A case manager nurse is preparing a care
conference. Who should be included?
A. Client’s physician, social worker, and family.
B. Only the primary RN and physician.
C. Client, family, and insurance adjuster.
D. Social worker and hospital administrator.
Answer: A
Rationale: An interdisciplinary team—including the
client—yields comprehensive care planning
(Wikipedia).
5. The primary goal of utilization review is to:
A. Control costs and ensure appropriate care.
B. Improve patient satisfaction.
C. Enhance nurse autonomy.
D. Limit client hospital stays.
Answer: A
Rationale: Utilization review evaluates the necessity,
appropriateness, and efficiency of health care
services (Wikipedia).
, 6. Which action best demonstrates advocacy?
A. Administering pain meds as ordered.
B. Calling the physician for a dose increase.
C. Encouraging the client to sign a DNR.
D. Refusing to turn the client for comfort.
Answer: B
Rationale: Advocacy involves supporting the client’s
interests in health care decisions (Wikipedia).
7. The nurse recognizes an ethical dilemma when:
A. A client refuses treatment that is lifesaving.
B. A client requests pain medication.
C. A client seeks spiritual support.
D. A client asks for discharge.
Answer: A
Rationale: Ethical dilemmas involve conflicts
between moral principles, such as autonomy versus
beneficence (Wikipedia).
8. To uphold HIPAA, a nurse should:
A. Shred client-related printouts.
B. Discuss cases in the hallway.
C. Leave charts at bedside.
D. Share passwords with colleagues.
Answer: A
Rationale: Proper disposal of protected health
information prevents breaches of confidentiality
(Wikipedia).
9. A nurse leader uses which metric to evaluate staff
performance?
Management of Care (9 questions)
1. A nurse is planning discharge for a client with
heart failure. Which action best promotes
continuity of care?
A. Schedule a home health visit.
B. Instruct the client on low-sodium diet.
C. Provide written discharge instructions.
D. Review medication side effects.
Answer: A
Rationale: Coordination of community resources
ensures seamless transition from hospital to home,
which is a key aspect of Management of Care
(Wikipedia).
2. When delegating tasks to UAP, the RN should
first:
A. Explain the purpose of the tasks.
B. Confirm the UAP’s job description.
C. Ensure the UAP has demonstrated competency.
D. Assign tasks to free up RN time.
Answer: C
Rationale: Delegation requires validation of the
delegatee’s competency to maintain safety and legal
accountability (Wikipedia).
3. A client requests their medical record. The nurse
should:
, A. Provide photocopies immediately.
B. Direct the client to submit a written request.
C. Refuse, citing confidentiality.
D. Review the chart with the client.
Answer: B
Rationale: Release of records follows institutional
policy and requires a written release to protect
confidentiality (Wikipedia).
4. A case manager nurse is preparing a care
conference. Who should be included?
A. Client’s physician, social worker, and family.
B. Only the primary RN and physician.
C. Client, family, and insurance adjuster.
D. Social worker and hospital administrator.
Answer: A
Rationale: An interdisciplinary team—including the
client—yields comprehensive care planning
(Wikipedia).
5. The primary goal of utilization review is to:
A. Control costs and ensure appropriate care.
B. Improve patient satisfaction.
C. Enhance nurse autonomy.
D. Limit client hospital stays.
Answer: A
Rationale: Utilization review evaluates the necessity,
appropriateness, and efficiency of health care
services (Wikipedia).
, 6. Which action best demonstrates advocacy?
A. Administering pain meds as ordered.
B. Calling the physician for a dose increase.
C. Encouraging the client to sign a DNR.
D. Refusing to turn the client for comfort.
Answer: B
Rationale: Advocacy involves supporting the client’s
interests in health care decisions (Wikipedia).
7. The nurse recognizes an ethical dilemma when:
A. A client refuses treatment that is lifesaving.
B. A client requests pain medication.
C. A client seeks spiritual support.
D. A client asks for discharge.
Answer: A
Rationale: Ethical dilemmas involve conflicts
between moral principles, such as autonomy versus
beneficence (Wikipedia).
8. To uphold HIPAA, a nurse should:
A. Shred client-related printouts.
B. Discuss cases in the hallway.
C. Leave charts at bedside.
D. Share passwords with colleagues.
Answer: A
Rationale: Proper disposal of protected health
information prevents breaches of confidentiality
(Wikipedia).
9. A nurse leader uses which metric to evaluate staff
performance?
