NCLEX Management of Care Exam Newest
2026 Questions and Correct Detailed
Answers Already Graded A+
A client is admitted with a diagnosis of schizophrenia. The client refuses to take
any medication and states, "I don't think I need those medications. They make me
too sleepy and drowsy. I want you to explain their use and side effects of these
medications." The nurse should respond with an understanding of which
statement?
1) A referral is needed to the psychiatrist who should provide the client with
answers to the request
2) Such education is an independent decision of the individual nurse whether or
not to teach clients about their medications
3) Clients with schizophrenia are at a higher risk of psychosocial complications
when they know about their medication's uses and side effects
4) The client has a right to know about the use and side effects of the prescribed
medications - CORRECT ANSWER-4
,Rationale:
Clients have a right to informed consent, which includes detailed information
about medications, treatments and diagnostic studies. The other options are
incorrect approaches.
A newly graduated nurse, who has recently completed orientation, voices concern
about her assignment: "I have never taken care of anyone with a lumbar drain
before." Which action would be most appropriate for the charge nurse?
1) Check with the nurse and the client often during the shift
2) Provide an immediate one-on-one, personal in-service about the drain
3) Assign the graduated staff nurse to be transferred to another floor for the shift
4) Change the assignment; reassign the client with the lumbar drain to a different
nurse - CORRECT ANSWER-4
Rationale:
,One of the first principles of safe assignments is to match skills with the task. New
nurses should not be assigned tasks for which they are not competent. The
assignment needs to be changed. The other options simply help support the nurse
but may be dangerous for the client. And, of course, the new nurse will need
training about caring for a client with a lumbar drain.
The health care provider has finished writing admission orders for a client
diagnosed with pneumonia and sepsis who has a history of type 1 diabetes.
Prioritize how the nurse should complete the orders listed below (with 1 being
the top priority).
1) Blood and sputum cultures
2) Oxygen 2 liters nasal cannula
3) Fingerstick before each meal and at bedtime
4) Ceftriaxone (Rocephin) 1 gram every 12 hours IVPB
5) IV normal saline at 100 mL/hr - CORRECT ANSWER-2, 1, 5, 4, 3
Rationale:
For establishing priorities, first look at the ABCs. Oxygen administration is the first
priority (and the client's oxygen saturation is probably low given the patient has
pneumonia). The next priority would be to have the lab come and draw blood for
the cultures; this must be done prior to starting the antibiotics. Then an IV must
, be started (the antibiotic is ordered IV). Even though the patient is diabetic and it
is dinner time, a finger stick is the last thing on the list to complete.
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:
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
2026 Questions and Correct Detailed
Answers Already Graded A+
A client is admitted with a diagnosis of schizophrenia. The client refuses to take
any medication and states, "I don't think I need those medications. They make me
too sleepy and drowsy. I want you to explain their use and side effects of these
medications." The nurse should respond with an understanding of which
statement?
1) A referral is needed to the psychiatrist who should provide the client with
answers to the request
2) Such education is an independent decision of the individual nurse whether or
not to teach clients about their medications
3) Clients with schizophrenia are at a higher risk of psychosocial complications
when they know about their medication's uses and side effects
4) The client has a right to know about the use and side effects of the prescribed
medications - CORRECT ANSWER-4
,Rationale:
Clients have a right to informed consent, which includes detailed information
about medications, treatments and diagnostic studies. The other options are
incorrect approaches.
A newly graduated nurse, who has recently completed orientation, voices concern
about her assignment: "I have never taken care of anyone with a lumbar drain
before." Which action would be most appropriate for the charge nurse?
1) Check with the nurse and the client often during the shift
2) Provide an immediate one-on-one, personal in-service about the drain
3) Assign the graduated staff nurse to be transferred to another floor for the shift
4) Change the assignment; reassign the client with the lumbar drain to a different
nurse - CORRECT ANSWER-4
Rationale:
,One of the first principles of safe assignments is to match skills with the task. New
nurses should not be assigned tasks for which they are not competent. The
assignment needs to be changed. The other options simply help support the nurse
but may be dangerous for the client. And, of course, the new nurse will need
training about caring for a client with a lumbar drain.
The health care provider has finished writing admission orders for a client
diagnosed with pneumonia and sepsis who has a history of type 1 diabetes.
Prioritize how the nurse should complete the orders listed below (with 1 being
the top priority).
1) Blood and sputum cultures
2) Oxygen 2 liters nasal cannula
3) Fingerstick before each meal and at bedtime
4) Ceftriaxone (Rocephin) 1 gram every 12 hours IVPB
5) IV normal saline at 100 mL/hr - CORRECT ANSWER-2, 1, 5, 4, 3
Rationale:
For establishing priorities, first look at the ABCs. Oxygen administration is the first
priority (and the client's oxygen saturation is probably low given the patient has
pneumonia). The next priority would be to have the lab come and draw blood for
the cultures; this must be done prior to starting the antibiotics. Then an IV must
, be started (the antibiotic is ordered IV). Even though the patient is diabetic and it
is dinner time, a finger stick is the last thing on the list to complete.
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:
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
