NCLEX RN Management of Care
Practice Exam 2 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
Question 1
The nurse is caring for four clients. Which client should the nurse assess first?
A. A client with chronic heart failure who has 2+ bilateral ankle edema
B. A client with pneumonia who has an oxygen saturation of 89% on room air
C. A client with diabetes who has a blood glucose of 178 mg/dL
D. A client 2 days after surgery reporting incisional pain rated 6/10
Answer: B. A client with pneumonia who has an oxygen saturation of 89% on
room air
Rationale: Airway and breathing problems take priority. An oxygen
saturation of 89% indicates hypoxemia and requires prompt assessment and
intervention.
Question 2
A registered nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A. Assessing a newly admitted client
B. Teaching a client how to use an incentive spirometer
C. Obtaining vital signs for a stable client
D. Evaluating a client's response to pain medication
Answer: C. Obtaining vital signs for a stable client
,Rationale: Routine vital-sign measurement for a stable client is within the
UAP's scope when the nurse provides appropriate supervision. Assessment,
teaching, and evaluation remain nursing responsibilities.
Question 3
The nurse receives report on four clients. Which client should be seen first?
A. A client with a urinary tract infection who reports burning with urination
B. A client with COPD who is newly confused and restless
C. A client with osteoarthritis who reports chronic knee pain
D. A client awaiting discharge instructions
Answer: B. A client with COPD who is newly confused and restless
Rationale: New confusion and restlessness may indicate worsening
hypoxemia in a client with COPD. This acute change requires immediate
assessment.
Question 4
A client refuses a prescribed blood transfusion because of personal beliefs.
What is the nurse's best action?
A. Tell the client the transfusion is medically necessary
B. Ask the family to convince the client
C. Respect the refusal and notify the health care provider
D. Administer the transfusion because it is prescribed
Answer: C. Respect the refusal and notify the health care provider
Rationale: Competent adults have the right to refuse treatment. The nurse
should respect autonomy, document the refusal, and notify the provider.
Question 5
Which action by the nurse demonstrates appropriate use of the nursing
process?
A. Delegating assessment to the UAP
B. Evaluating the client's response after an intervention
C. Allowing the provider to determine nursing diagnoses
D. Documenting care before it is performed
,Answer: B. Evaluating the client's response after an intervention
Rationale: Evaluation is a fundamental step of the nursing process. The nurse
determines whether interventions achieved the desired outcomes.
Question 6
A nurse is caring for a client who has just returned from surgery. Which finding
requires immediate intervention?
A. Temperature of 37.4°C (99.3°F)
B. Blood pressure of 118/72 mm Hg
C. Respiratory rate of 8/min
D. Pain rating of 5/10
Answer: C. Respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates respiratory depression and
threatens airway and breathing. Immediate assessment and intervention are
required.
Question 7
Which client is most appropriate for assignment to an experienced LPN/LVN?
A. A client requiring initial assessment after admission
B. A client receiving routine oral medications for a stable chronic condition
C. A client experiencing new-onset chest pain
D. A client requiring complex discharge teaching
Answer: B. A client receiving routine oral medications for a stable chronic
condition
Rationale: LPN/LVN assignments should generally involve stable clients with
predictable outcomes. Initial assessments, unstable conditions, and complex
teaching require an RN.
Question 8
The nurse suspects that an older adult is being financially exploited by a family
member. What should the nurse do first?
, A. Confront the family member
B. Ignore the concern unless the client complains
C. Follow agency policy for reporting suspected abuse
D. Ask another client whether abuse has occurred
Answer: C. Follow agency policy for reporting suspected abuse
Rationale: Nurses are mandated reporters in many jurisdictions and must
follow applicable laws and agency procedures when abuse or exploitation is
suspected.
Question 9
A nurse is preparing to administer medication to a client. Which action best
promotes medication safety?
A. Ask the client to identify the medication by appearance
B. Compare the medication label with the medication administration record
C. Prepare medications for several clients simultaneously
D. Leave prepared medications at the bedside
Answer: B. Compare the medication label with the medication administration
record
Rationale: Medication labels should be checked against the medication
administration record according to the required medication-safety checks.
Question 10
A client falls while walking to the bathroom. What should the nurse do first?
A. Complete an incident report
B. Notify the family
C. Assess the client for injury
D. Move the client back to bed immediately
Answer: C. Assess the client for injury
Rationale: The client's immediate safety and condition take priority. The
nurse should assess for injury before moving the client unless remaining in
place creates additional danger.
Question 11
Practice Exam 2 100 Questions And
Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
Question 1
The nurse is caring for four clients. Which client should the nurse assess first?
A. A client with chronic heart failure who has 2+ bilateral ankle edema
B. A client with pneumonia who has an oxygen saturation of 89% on room air
C. A client with diabetes who has a blood glucose of 178 mg/dL
D. A client 2 days after surgery reporting incisional pain rated 6/10
Answer: B. A client with pneumonia who has an oxygen saturation of 89% on
room air
Rationale: Airway and breathing problems take priority. An oxygen
saturation of 89% indicates hypoxemia and requires prompt assessment and
intervention.
Question 2
A registered nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which task is appropriate to delegate?
A. Assessing a newly admitted client
B. Teaching a client how to use an incentive spirometer
C. Obtaining vital signs for a stable client
D. Evaluating a client's response to pain medication
Answer: C. Obtaining vital signs for a stable client
,Rationale: Routine vital-sign measurement for a stable client is within the
UAP's scope when the nurse provides appropriate supervision. Assessment,
teaching, and evaluation remain nursing responsibilities.
Question 3
The nurse receives report on four clients. Which client should be seen first?
A. A client with a urinary tract infection who reports burning with urination
B. A client with COPD who is newly confused and restless
C. A client with osteoarthritis who reports chronic knee pain
D. A client awaiting discharge instructions
Answer: B. A client with COPD who is newly confused and restless
Rationale: New confusion and restlessness may indicate worsening
hypoxemia in a client with COPD. This acute change requires immediate
assessment.
Question 4
A client refuses a prescribed blood transfusion because of personal beliefs.
What is the nurse's best action?
A. Tell the client the transfusion is medically necessary
B. Ask the family to convince the client
C. Respect the refusal and notify the health care provider
D. Administer the transfusion because it is prescribed
Answer: C. Respect the refusal and notify the health care provider
Rationale: Competent adults have the right to refuse treatment. The nurse
should respect autonomy, document the refusal, and notify the provider.
Question 5
Which action by the nurse demonstrates appropriate use of the nursing
process?
A. Delegating assessment to the UAP
B. Evaluating the client's response after an intervention
C. Allowing the provider to determine nursing diagnoses
D. Documenting care before it is performed
,Answer: B. Evaluating the client's response after an intervention
Rationale: Evaluation is a fundamental step of the nursing process. The nurse
determines whether interventions achieved the desired outcomes.
Question 6
A nurse is caring for a client who has just returned from surgery. Which finding
requires immediate intervention?
A. Temperature of 37.4°C (99.3°F)
B. Blood pressure of 118/72 mm Hg
C. Respiratory rate of 8/min
D. Pain rating of 5/10
Answer: C. Respiratory rate of 8/min
Rationale: A respiratory rate of 8/min indicates respiratory depression and
threatens airway and breathing. Immediate assessment and intervention are
required.
Question 7
Which client is most appropriate for assignment to an experienced LPN/LVN?
A. A client requiring initial assessment after admission
B. A client receiving routine oral medications for a stable chronic condition
C. A client experiencing new-onset chest pain
D. A client requiring complex discharge teaching
Answer: B. A client receiving routine oral medications for a stable chronic
condition
Rationale: LPN/LVN assignments should generally involve stable clients with
predictable outcomes. Initial assessments, unstable conditions, and complex
teaching require an RN.
Question 8
The nurse suspects that an older adult is being financially exploited by a family
member. What should the nurse do first?
, A. Confront the family member
B. Ignore the concern unless the client complains
C. Follow agency policy for reporting suspected abuse
D. Ask another client whether abuse has occurred
Answer: C. Follow agency policy for reporting suspected abuse
Rationale: Nurses are mandated reporters in many jurisdictions and must
follow applicable laws and agency procedures when abuse or exploitation is
suspected.
Question 9
A nurse is preparing to administer medication to a client. Which action best
promotes medication safety?
A. Ask the client to identify the medication by appearance
B. Compare the medication label with the medication administration record
C. Prepare medications for several clients simultaneously
D. Leave prepared medications at the bedside
Answer: B. Compare the medication label with the medication administration
record
Rationale: Medication labels should be checked against the medication
administration record according to the required medication-safety checks.
Question 10
A client falls while walking to the bathroom. What should the nurse do first?
A. Complete an incident report
B. Notify the family
C. Assess the client for injury
D. Move the client back to bed immediately
Answer: C. Assess the client for injury
Rationale: The client's immediate safety and condition take priority. The
nurse should assess for injury before moving the client unless remaining in
place creates additional danger.
Question 11
