NCLEX REVIEW - MANAGEMENT OF
CARE 2026 QUESTIONS AND
ANSWERS | A+ GRADED | WITH
EXPERT SOLUTIONS
A client is being prepped for a surgical procedure and the nurse is
reviewing the informed consent with the client. The client asks, "Is
there any other way to take care of this without having surgery?"
The nurse has a duty to first:
1) Reassure the client that the surgery is the best treatment
option
2) Tell the client if they don't want the surgery, they don't have to
have it
3) Notify the surgeon that the client has additional questions
about alternatives to surgery
4) Call the surgeon and cancel the surgery until the consent form
is signed - correct answer-3
Rationale:
, Page | 2
The client has a right to an explanation of the treatment and its
expected results, anticipated risks and benefits, possible
alternative treatment options and all questions answered before a
consent form is signed. Remember, the client is not asking you for
your opinion. The client is asking about alternative treatments for
the condition. Notify the appropriate health care provider if the
client needs additional information that you cannot answer. Once
the client has all the necessary information then they can decide
not to sign the informed content and cancel the surgery.
A nurse is named in a lawsuit. Which of these factors will offer the
best protection for that nurse in a court of law?
1) Clinical specialty certification by an accredited organization
2) Complete and accurate documentation of assessments and
interventions
3) Above-average performance reviews prepared by nurse
manager
4) Sworn statement that health care provider orders were followed
- correct answer-2
Rationale:
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The medical record is a legal document. Documentation should
include all steps of the nursing process; it must be complete,
accurate, concise and in chronological order. Inaccurate or
incomplete documentation will raise red flags and may indicate
the nurse failed to meet the standards of care. The attorney will
review the medical record with the nurse before giving a
deposition (sworn pretrial testimony). Above-average
performance reviews could be considered supporting information.
Certification is an "extra" based on the nurse's initiative; it is,
however, unrelated to accurate charting.
The new graduate nurse interviews for a position in a nursing
department of a large health care agency that uses the approach
of shared governance. Which of these statements best illustrate
the shared governance model?
1) Staff groups are appointed to discuss nursing practice and
client education issues
2) Non-nurse managers supervise nursing staff in groups of units
3) Nursing departments share responsibility for client outcomes
4) An appointed board oversees any administrative decisions -
correct answer-3