NCLEX Management of Care Questions and Answers [with Rationale]

NCLEX Management of Care Questions and Answers [with Rationale]. Free practice tests for the NCLEX-RN and NCLEX-PN exams. You can download the Safe and Effective Care Environment – Management of Care test in PDF format. Our 25 NCLEX Management of Care questions and answers are for Registered Nurses (RN) and Practical Nurses (PN) exams.

Safe and Effective Care Environment – Management of Care:

The content addressed in these questions focuses on nursing, which improves the care delivery setting. These questions may test your knowledge of client rights and nursing team collaboration and management. Expect questions on advocacy, self-determination, informed consent, advance directives and life planning, continuity of care, organ donation, referrals, and confidentiality, including information technology and security.

Questions will also cover interdisciplinary team collaboration, management, delegation, supervision, ethical practice, general legal issues, performance and quality improvement, setting priorities, and related issues.

NCLEX Management Care Questions Answers

Prepare for the NCLEX exam with our comprehensive NCLEX Management of Care questions and answers. Access free practice tests, download PDFs, and get detailed explanations for each question. Ideal for NCLEX-RN and NCLEX-PN candidates. Boost your chances of success with our expertly crafted study materials.

Q1. A nurse is preparing to discharge a client with newly diagnosed diabetes. How should the nurse ensure the client understands their discharge instructions?

  • (A) Provide written instructions and ask if the client has any questions
  • (B) Ask the client to repeat the instructions back to the nurse
  • (C) Tell the client to call the office if they have any questions later
  • (D) Have the client’s family member read the instructions
View Answer
Answer: (B)
Rationale: Asking the client to repeat the instructions back ensures they understand the information provided, which is known as the “teach-back” method.

Q2. A client refuses a blood transfusion due to religious beliefs. What should the nurse do?

  • (A) Convince the client to accept the transfusion
  • (B) Respect the client’s wishes and notify the healthcare provider
  • (C) Administer the transfusion without informing the client
  • (D) Discharge the client for non-compliance
View Answer
Answer: (B)
Rationale: Respecting the client’s wishes and notifying the healthcare provider ensures the client’s rights and autonomy are upheld.

Q3. The nurse is caring for a client with a do-not-resuscitate (DNR) order. The client’s family insists on CPR. What is the nurse’s best action?

  • (A) Perform CPR as the family requests
  • (B) Explain the DNR order and adhere to the client’s wishes
  • (C) Call the healthcare provider for guidance
  • (D) Ignore the family and leave the room
View Answer
Answer: (B)
Rationale: The nurse must respect the client’s advance directive and explain the DNR order to the family, ensuring the client’s wishes are followed.

Q4. Which task is appropriate for a nurse to delegate to an unlicensed assistive personnel (UAP)?

  • (A) Administering medications
  • (B) Assessing pain levels
  • (C) Assisting with bathing
  • (D) Performing wound care
View Answer
Answer: (C)
Rationale: Assisting with bathing is within the scope of practice for a UAP, while the other tasks require the clinical judgment of a licensed nurse.

Q5. A client expresses confusion about their upcoming surgery. What should the nurse do?

  • (A) Provide detailed written information about the surgery
  • (B) Contact the surgeon to explain the procedure again
  • (C) Reassure the client without explaining further
  • (D) Cancel the surgery until the client is less anxious
View Answer
Answer: (B)
Rationale: Contacting the surgeon to explain the procedure again ensures that the client receives accurate information from the appropriate source, helping them make an informed decision.

Q6. The nurse is part of an interdisciplinary team. Which action demonstrates effective collaboration?

  • (A) Working independently without consulting other team members
  • (B) Ignoring suggestions from other healthcare providers
  • (C) Sharing relevant client information with the team during meetings
  • (D) Delegating all responsibilities to the team leader
View Answer
Answer: (C)
Rationale: Sharing relevant client information with the team during meetings promotes effective communication and collaboration among healthcare providers.

Q7. A nurse is reviewing a client’s advance directive. Which statement indicates that the nurse understands the purpose of an advance directive?

  • (A) “It allows the client to request a specific nurse.”
  • (B) “It specifies the client’s wishes for medical treatment if they become incapacitated.”
  • (C) “It authorizes a family member to manage the client’s finances.”
  • (D) “It ensures the client will receive all possible life-saving treatments.”
View Answer
Answer: (B)
Rationale: An advance directive specifies the client’s wishes for medical treatment if they become incapacitated and unable to communicate their decisions.

Q8. A nurse needs to delegate tasks to a UAP. Which task should the nurse delegate?

  • (A) Administering a medication
  • (B) Performing a head-to-toe assessment
  • (C) Measuring and recording vital signs
  • (D) Creating a care plan
View Answer
Answer: (C)
Rationale: Measuring and recording vital signs is an appropriate task for a UAP, while the other tasks require the skills and judgment of a licensed nurse.

Q9. A client with end-stage renal disease decides to stop dialysis. How should the nurse respond?

  • (A) Encourage the client to continue treatment
  • (B) Respect the client’s decision and provide support
  • (C) Contact the client’s family to persuade them to continue dialysis
  • (D) Refer the client to a psychiatric evaluation
View Answer
Answer: (B)
Rationale: The nurse should respect the client’s decision and provide emotional and palliative support.

Q10. A nurse is involved in quality improvement efforts. Which activity demonstrates participation in quality improvement?

  • (A) Ignoring incident reports
  • (B) Collecting data on fall rates in the unit
  • (C) Delegating all quality improvement tasks to UAPs
  • (D) Avoiding discussions about errors
View Answer
Answer: (B)
Rationale: Collecting data on fall rates in the unit is part of quality improvement efforts to identify areas for improvement and implement strategies to enhance patient safety.

Q11. A client is scheduled for surgery and does not have a signed consent form. What is the nurse’s best action?

  • (A) Proceed with the surgery
  • (B) Notify the surgeon immediately
  • (C) Have the client sign the consent form postoperatively
  • (D) Ask the client to sign a waiver
View Answer
Answer: (B)
Rationale: The surgeon must obtain informed consent from the client before the surgery can proceed. The nurse should notify the surgeon if the consent form is not signed.

Q12. A nurse notices a colleague charting vital signs that were not taken. What should the nurse do first?

  • (A) Confront the colleague immediately
  • (B) Ignore the behavior to avoid conflict
  • (C) Report the incident to the charge nurse
  • (D) Take the vital signs and update the chart
View Answer
Answer: (C)
Rationale: Falsifying documentation is a serious ethical and legal issue. The nurse should report the incident to the charge nurse for further investigation and action.

Q13. The nurse is providing discharge teaching to a client. Which statement ensures the client understands how to manage their care at home?

  • (A) “I understand all of my medications perfectly.”
  • (B) “I will follow up with my primary care physician next week.”
  • (C) “I will call my doctor if I experience any side effects.”
  • (D) “Can you review the instructions again to make sure I understood everything?”
View Answer
Answer: (D)
Rationale: Asking the client to repeat the instructions back to ensure they understood everything helps confirm comprehension and readiness for self-care.

Q14. A nurse is part of an interdisciplinary team discussing a client’s care plan. Which action by the nurse demonstrates effective teamwork?

  • (A) Dominating the conversation with personal opinions
  • (B) Listening to and incorporating input from other team members
  • (C) Focusing solely on the nursing perspective
  • (D) Avoiding disagreements to keep the meeting short
View Answer
Answer: (B)
Rationale: Effective teamwork involves listening to and incorporating input from all team members to develop a comprehensive care plan.

Q15. A client asks about their right to refuse treatment. What is the nurse’s best response?

  • (A) “You cannot refuse treatment once admitted.”
  • (B) “You have the right to refuse treatment at any time.”
  • (C) “Refusing treatment will result in discharge.”
  • (D) “Only your family can make that decision.”
View Answer
Answer: (B)
Rationale: Clients have the right to refuse treatment at any time, and the nurse should respect and support the client’s autonomy.

Q16. A nurse is preparing a client for discharge who requires home health services. What is the nurse’s priority action?

  • (A) Schedule a follow-up appointment with the primary care provider
  • (B) Contact the home health agency to arrange services
  • (C) Provide the client with written discharge instructions
  • (D) Ensure the client has transportation home
View Answer
Answer: (B)
Rationale: Arranging home health services is crucial to ensure continuity of care and support for the client after discharge.

Q17. A client has an advance directive on file. Which statement by the nurse best explains the purpose of the advance directive to the client’s family?

  • (A) “It outlines the medical care the client wants if they can’t make decisions.”
  • (B) “It allows us to avoid discussing treatment options with the client.”
  • (C) “It means the client will receive all possible treatments.”
  • (D) “It permits the nurse to make medical decisions for the client.”
View Answer
Answer: (A)
Rationale: An advance directive outlines the medical care the client wants if they are unable to make decisions, ensuring their wishes are respected.

Q18. A nurse is reviewing a client’s chart and notices conflicting medication orders. What is the best action for the nurse to take?

  • (A) Administer the medication with the higher dosage
  • (B) Clarify the orders with the prescribing healthcare provider
  • (C) Follow the older medication order
  • (D) Hold all medications until the issue is resolved
View Answer
Answer: (B)
Rationale: Clarifying the orders with the prescribing healthcare provider ensures that the correct medication and dosage are administered.

Q19. A client needs an interpreter for discharge instructions. What is the nurse’s best action?

  • (A) Ask a bilingual family member to interpret
  • (B) Use a professional interpreter service
  • (C) Write the instructions in the client’s native language
  • (D) Use nonverbal communication to explain
View Answer
Answer: (B)
Rationale: Using a professional interpreter service ensures accurate and effective communication, avoiding potential misunderstandings.

Q20. A nurse observes a colleague failing to wash hands between client contacts. What is the nurse’s best initial action?

  • (A) Report the colleague to the charge nurse
  • (B) Remind the colleague about the importance of hand hygiene
  • (C) Ignore the behavior to avoid conflict
  • (D) Take over the colleague’s duties
View Answer
Answer: (B)
Rationale: Reminding the colleague about the importance of hand hygiene addresses the issue directly and promotes a culture of safety.

Q21. A nurse is planning care for a client who is at risk for falls. Which intervention should be included in the care plan?

  • (A) Keeping all lights off in the client’s room at night
  • (B) Placing the client’s call bell within reach
  • (C) Administering sedatives to keep the client calm
  • (D) Restricting the client to bed rest
View Answer
Answer: (B)
Rationale: Placing the client’s call bell within reach allows the client to call for assistance if needed, reducing the risk of falls.

Q22. A client asks the nurse to explain the benefits of having a healthcare proxy. What is the nurse’s best response?

  • (A) “It ensures you will receive all possible treatments.”
  • (B) “It allows someone you trust to make healthcare decisions if you are unable.”
  • (C) “It lets your family avoid making difficult decisions.”
  • (D) “It is only necessary for end-of-life care.”
View Answer
Answer: (B)
Rationale: A healthcare proxy allows someone the client trusts to make healthcare decisions on their behalf if they are unable to do so.

Q23. A nurse is reviewing incident reports. Which incident requires immediate follow-up?

  • (A) A client who fell without injury
  • (B) A medication error without adverse effects
  • (C) A client who developed a pressure ulcer
  • (D) A near miss in medication administration
View Answer
Answer: (C)
Rationale: A client who developed a pressure ulcer requires immediate follow-up to assess the cause and prevent further injury.

Q24. A nurse is caring for a client with a terminal illness who is in severe pain. What is the nurse’s priority action?

  • (A) Encourage the client to endure the pain
  • (B) Administer prescribed pain medication
  • (C) Provide distractions to take the client’s mind off the pain
  • (D) Suggest the client think positively
View Answer
Answer: (B)
Rationale: Administering prescribed pain medication is the priority action to manage the client’s severe pain effectively.

Q25. A nurse receives a client’s laboratory results showing a critical value. What is the nurse’s best action?

  • (A) Document the results in the client’s chart
  • (B) Notify the healthcare provider immediately
  • (C) Wait for the next shift to address the issue
  • (D) Discuss the results with the client
View Answer
Answer: (B)
Rationale: Notifying the healthcare provider immediately about a critical laboratory value ensures prompt intervention to address any potential complications.

See also:

Safe and Effective Care Environment

Health Promotion and Maintenance

Psychosocial Integrity