NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
1. A client with acute kidney failure is placed on fluid Offer the client pro-
restriction of 1000 mL of fluid over a 24-hour period. portioned fluids in
What is the priority nursing action? the day and less
during the night.
Explanation:
The client and nurse
should make a flu-
id schedule that
takes into consider-
ation factors such
as periods of wake-
fulness, number of
meals, oral medica-
tions, and personal
preferences. Avoid-
ing night fluids will
decrease risk for as-
piration.
2. While giving report to the oncoming night shift, the Report this to the
charge nurse smells alcohol on the breath of one of nursing supervisor
the nurses. The charge nurse should: immediately
Explanation:
This situation
should be report-
ed immediately to
the nursing supervi-
sor or manager at
the time. The nurse
is liable to report a
suspicious situation
that could create an
unsafe situation for
the clients. Report-
ing a suspicious sit-
uation does not im-
ply actual guilt; it
implies identification
of a high-risk sit-
, NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
uation. The super-
visor will then fol-
low the correct pro-
cedure for manage-
ment and follow-up
of the situation.
3. The nurse is caring for an adolescent with cancer Document the ado-
who is well informed about the medical condition lescent's choice and
and treatment. The adolescent refused the morning offer to discuss feel-
medications and states intentions of refusing all ings about the med-
future medications. What is the best action by the ication.
nurse? Explanation:
The client has the
right to choose
whether to take
the medication. The
nurse should try to
determine the rea-
son for the ado-
lescent not wanting
the medication oth-
er than choice (e.g.,
side effects, fear of
falling asleep and
not waking).
4. A nurse who is a case manager is responsible for The UCP with the
assigning client care to unregulated care providers appropriate knowl-
(UCPs). The nurse is planning the care for a new edge and skills to
client who requires several treatments. Which of the provide the care
following UCPs should the nurse assign to the new Explanation:
client? The nurse is ac-
countable for the as-
signment of tasks
to UCPs. The nurse
must ensure that
the care being as-
signed is consis-
, NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
tent with the UCP's
level of knowledge,
skill, and judgment.
Assignments must
also consider the
UCP job descrip-
tion, agency poli-
cy, legislation, and
client need.
5. A nurse is working within the managed care delivery All systems reflect
model. Which of the following is true regarding man- the values of effi-
aged care? ciency and effective-
ness.
Explanation:
All systems in the
managed care de-
livery model reflect
the values of effi-
ciency and effective-
ness. Different plans
may have differ-
ent values underly-
ing the delivery of
care. However, they
all reflect the busi-
ness plan values of
efficiency and effec-
tiveness.
6. The nurse is caring for several neonates in the new- Notifying the hos-
born nursery. Precautions that should be taken to pital's security staff
prevent an infant abduction include which of the about anyone who
following? appears unusual
Explanation:
The nurse should
notify the hospital's
security staff about
, NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
anyone who ap-
pears unusual.
7. In many institutions, which of the following tele- Orders for antibi-
phone or fax orders requires a signature within 24 otics.
hours by the ordering physician or nurse practition- Explanation:
er? Many institutional
policies dictate that
orders for restraints,
narcotics, anticoag-
ulants, and antibi-
otics require the or-
dering physician or
nurse practitioner to
sign the order within
24 hours.
8. An airplane crash results in mass casualties. The • triage priority
nurse is directing personnel to tag all victims. Which • medications and
information should be placed on the tag? Select all treatments adminis-
that apply. tered
• identifying informa-
tion when possible
(such as name, age,
and address)
Explanation:
Tracking victims of
disasters is impor-
tant for casualty
planning and man-
agement. All vic-
tims should receive
a tag, securely at-
tached, that indi-
cates the triage pri-
ority, any available
identifying informa-
tion, and what care,
if any, has been giv-
Verified Answers
1. A client with acute kidney failure is placed on fluid Offer the client pro-
restriction of 1000 mL of fluid over a 24-hour period. portioned fluids in
What is the priority nursing action? the day and less
during the night.
Explanation:
The client and nurse
should make a flu-
id schedule that
takes into consider-
ation factors such
as periods of wake-
fulness, number of
meals, oral medica-
tions, and personal
preferences. Avoid-
ing night fluids will
decrease risk for as-
piration.
2. While giving report to the oncoming night shift, the Report this to the
charge nurse smells alcohol on the breath of one of nursing supervisor
the nurses. The charge nurse should: immediately
Explanation:
This situation
should be report-
ed immediately to
the nursing supervi-
sor or manager at
the time. The nurse
is liable to report a
suspicious situation
that could create an
unsafe situation for
the clients. Report-
ing a suspicious sit-
uation does not im-
ply actual guilt; it
implies identification
of a high-risk sit-
, NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
uation. The super-
visor will then fol-
low the correct pro-
cedure for manage-
ment and follow-up
of the situation.
3. The nurse is caring for an adolescent with cancer Document the ado-
who is well informed about the medical condition lescent's choice and
and treatment. The adolescent refused the morning offer to discuss feel-
medications and states intentions of refusing all ings about the med-
future medications. What is the best action by the ication.
nurse? Explanation:
The client has the
right to choose
whether to take
the medication. The
nurse should try to
determine the rea-
son for the ado-
lescent not wanting
the medication oth-
er than choice (e.g.,
side effects, fear of
falling asleep and
not waking).
4. A nurse who is a case manager is responsible for The UCP with the
assigning client care to unregulated care providers appropriate knowl-
(UCPs). The nurse is planning the care for a new edge and skills to
client who requires several treatments. Which of the provide the care
following UCPs should the nurse assign to the new Explanation:
client? The nurse is ac-
countable for the as-
signment of tasks
to UCPs. The nurse
must ensure that
the care being as-
signed is consis-
, NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
tent with the UCP's
level of knowledge,
skill, and judgment.
Assignments must
also consider the
UCP job descrip-
tion, agency poli-
cy, legislation, and
client need.
5. A nurse is working within the managed care delivery All systems reflect
model. Which of the following is true regarding man- the values of effi-
aged care? ciency and effective-
ness.
Explanation:
All systems in the
managed care de-
livery model reflect
the values of effi-
ciency and effective-
ness. Different plans
may have differ-
ent values underly-
ing the delivery of
care. However, they
all reflect the busi-
ness plan values of
efficiency and effec-
tiveness.
6. The nurse is caring for several neonates in the new- Notifying the hos-
born nursery. Precautions that should be taken to pital's security staff
prevent an infant abduction include which of the about anyone who
following? appears unusual
Explanation:
The nurse should
notify the hospital's
security staff about
, NCLEX 10000 Management of Care Test Questions with 100%
Verified Answers
anyone who ap-
pears unusual.
7. In many institutions, which of the following tele- Orders for antibi-
phone or fax orders requires a signature within 24 otics.
hours by the ordering physician or nurse practition- Explanation:
er? Many institutional
policies dictate that
orders for restraints,
narcotics, anticoag-
ulants, and antibi-
otics require the or-
dering physician or
nurse practitioner to
sign the order within
24 hours.
8. An airplane crash results in mass casualties. The • triage priority
nurse is directing personnel to tag all victims. Which • medications and
information should be placed on the tag? Select all treatments adminis-
that apply. tered
• identifying informa-
tion when possible
(such as name, age,
and address)
Explanation:
Tracking victims of
disasters is impor-
tant for casualty
planning and man-
agement. All vic-
tims should receive
a tag, securely at-
tached, that indi-
cates the triage pri-
ority, any available
identifying informa-
tion, and what care,
if any, has been giv-
