2026: Real Exam
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PRACTICE EXAM: MANAGEMENT OF CARE & SAFETY
1. A nurse in the emergency department is performing triage for multiple
clients following a community disaster. To which of the following client types
should the nurse assign the highest priority (Red Tag)?
• A. A client who is ambulatory with minor abrasions on the arms.
• B. A client who has a sucking chest wound and a respiratory rate of 40/min.
• C. A client who has no pulse and is not breathing.
• D. A client who has a simple femur fracture with a palpable pedal pulse.
Rationale: Red tag (Immediate) clients have life-threatening injuries that are
survivable with immediate intervention. A sucking chest wound compromises
airway and breathing, requiring rapid treatment. Ambulatory clients are Green
(Minor). No pulse/breathing is Black (Expectant). A stable femur fracture is Yellow
(Delayed) .
2. A charge nurse is assigning rooms for new admissions. Which client
requires a private room based on infection control precautions?
• A. A client with bacterial pneumonia.
• B. A client with Clostridioides difficile (C. diff).
• C. A client with a urinary tract infection.
, • D. A client with a surgical wound infection (MRSA nares negative).
Rationale: C. diff requires Contact Precautions (private room or cohort, gloves,
gown). Airborne (TB) requires a negative pressure room, but standard bacterial
pneumonia usually requires Droplet precautions (or no precautions if not
contagious) .
3. A nurse discovers a small fire in a client's trash can. Place the following
actions in the correct order (Drag and Drop).
1. Pull the fire alarm.
2. Extinguish the fire.
3. Close the client's door.
4. Remove the client from the room.
Correct Order:
1. Remove the client from the room.
2. Pull the fire alarm.
3. Extinguish the fire.
4. Close the client's door.
Rationale: R.A.C.E. is the priority sequence: Rescue (remove client), Alarm (pull
alarm), Confine (close doors/windows), Extinguish (use fire extinguisher). Client
safety is always the first priority .
4. A nurse is delegating tasks to an Unlicensed Assistive Personnel (UAP).
Which of the following tasks is appropriate for the nurse to delegate?
• A. Assessing the skin condition of an incontinent client.
• B. Teaching a client how to use a patient-controlled analgesia (PCA) pump.
• C. Measuring the intake and output (I&O) for a client in heart failure.
• D. Suctioning a tracheostomy for a client with pneumonia.
Rationale: UAPs can measure and record I&O, vital signs on stable patients, and
assist with ADLs. Assessment, Teaching, and Sterile procedures (suctioning) are
responsibilities of the RN/LPN and cannot be delegated .