NCLEX Review - Management of Care Test Questions with 100%
Verified Answers
1. A client is being prepped for a surgical pro- 3
cedure and the nurse is reviewing the in-
formed consent with the client. The client Rationale:
asks, "Is there any other way to take care of The client has a right to
this without having surgery?" The nurse has an explanation of the treat-
a duty to first: ment and its expected re-
sults, anticipated risks and
1) Reassure the client that the surgery is the benefits, possible alternative
best treatment option treatment options and all
questions answered before
2) Tell the client if they don't want the a consent form is signed.
surgery, they don't have to have it Remember, the client is not
asking you for your opinion.
3) Notify the surgeon that the client has The client is asking about al-
additional questions about alternatives to ternative treatments for the
surgery condition. Notify the appro-
priate health care provider
4) Call the surgeon and cancel the surgery if the client needs addition-
until the consent form is signed al information that you can-
not answer. Once the client
has all the necessary infor-
mation then they can decide
not to sign the informed con-
tent and cancel the surgery.
2. A nurse is named in a lawsuit. Which of these 2
factors will offer the best protection for that
nurse in a court of law? Rationale:
The medical record is a le-
1) Clinical specialty certification by an ac- gal document. Documenta-
credited organization tion should include all steps
of the nursing process; it
2) Complete and accurate documentation of must be complete, accurate,
assessments and interventions concise and in chronologi-
cal order. Inaccurate or in-
3) Above-average performance reviews pre- complete documentation will
pared by nurse manager raise red flags and may indi-
cate the nurse failed to meet
the standards of care. The at-
, NCLEX Review - Management of Care Test Questions with 100%
Verified Answers
4) Sworn statement that health care provider torney will review the med-
orders were followed ical record with the nurse
before giving a deposition
(sworn pretrial testimony).
Above-average performance
reviews could be considered
supporting information. Cer-
tification is an "extra" based
on the nurse's initiative; it is,
however, unrelated to accu-
rate charting.
3. The new graduate nurse interviews for a po- 3
sition in a nursing department of a large
health care agency that uses the approach Rationale:
of shared governance. Which of these state- Shared governance or
ments best illustrate the shared governance self-governance is a method
model? of organizational design. It
promotes empowerment of
1) Staff groups are appointed to discuss nurses to give them respon-
nursing practice and client education issues sibility for client care issues
and outcomes with other di-
2) Non-nurse managers supervise nursing visions in the agency.
staff in groups of units
3) Nursing departments share responsibility
for client outcomes
4) An appointed board oversees any admin-
istrative decisions
4. The registered nurse (RN) and the unli- 3, 4, 5
censed assistive person (UAP) are caring for
clients on a surgical unit. Which action(s)Rationale:
by the UAP warrant immediate intervention? The UAP can perform a num-
(Select all that apply.) ber of nursing tasks, such as
emptying an indwelling uri-
1) The UAP empties the indwelling catheter nary catheter bag and apply-
bag for the client who had a transurethral ing moisture barrier cream
, NCLEX Review - Management of Care Test Questions with 100%
Verified Answers
resection of the prostate (TURP) yesterday after peri care. However, it
is unsafe for the UAP to
2) The UAP applies moisture barrier cream to ambulate a client who re-
the client's excoriated perianal area cently received an IV push
narcotic. Although UAP can
3) The UAP assists a client, who received shave clients, it is unsafe
an IV narcotic analgesic 30 minutes ago, to to shave someone using a
ambulate in the hall straight-edge razor because
a client who had knee re-
4) The UAP applies a fingertip pulse oximeter placement surgery is prob-
on a client whose fingernail is painted dark ably taking an anticoagu-
blue lant; only an electric ra-
zor should be used. Pulse
5) The UAP assists a client, who had a total oximeter readings must be
knee replacement two days ago, to shave done on a finger that is warm
using a straight-edge razor and free from dark fingernail
polish.
5. An elderly client is admitted to a home care 3, 4, 2, 5, 1
agency following hospitalization for exacer-
bation of heart failure. The client lives alone, Rationale:
has difficulty completing activities of daily Case management is a col-
living (ADLs) and is unable to drive. laborative process that as-
sesses, plans, implements,
Reorder the steps in the case management coordinates, monitors and
process by dragging and dropping the op- evaluates options and ser-
tions below. vices to meet an individual's
health needs.
1) Evaluation of progress towards client's
goals
2) Referral to personal care attendant and
transportation services
3) Assessment of biophysical and sociocul-
tural considerations
4) Identification of nursing diagnoses
Verified Answers
1. A client is being prepped for a surgical pro- 3
cedure and the nurse is reviewing the in-
formed consent with the client. The client Rationale:
asks, "Is there any other way to take care of The client has a right to
this without having surgery?" The nurse has an explanation of the treat-
a duty to first: ment and its expected re-
sults, anticipated risks and
1) Reassure the client that the surgery is the benefits, possible alternative
best treatment option treatment options and all
questions answered before
2) Tell the client if they don't want the a consent form is signed.
surgery, they don't have to have it Remember, the client is not
asking you for your opinion.
3) Notify the surgeon that the client has The client is asking about al-
additional questions about alternatives to ternative treatments for the
surgery condition. Notify the appro-
priate health care provider
4) Call the surgeon and cancel the surgery if the client needs addition-
until the consent form is signed al information that you can-
not answer. Once the client
has all the necessary infor-
mation then they can decide
not to sign the informed con-
tent and cancel the surgery.
2. A nurse is named in a lawsuit. Which of these 2
factors will offer the best protection for that
nurse in a court of law? Rationale:
The medical record is a le-
1) Clinical specialty certification by an ac- gal document. Documenta-
credited organization tion should include all steps
of the nursing process; it
2) Complete and accurate documentation of must be complete, accurate,
assessments and interventions concise and in chronologi-
cal order. Inaccurate or in-
3) Above-average performance reviews pre- complete documentation will
pared by nurse manager raise red flags and may indi-
cate the nurse failed to meet
the standards of care. The at-
, NCLEX Review - Management of Care Test Questions with 100%
Verified Answers
4) Sworn statement that health care provider torney will review the med-
orders were followed ical record with the nurse
before giving a deposition
(sworn pretrial testimony).
Above-average performance
reviews could be considered
supporting information. Cer-
tification is an "extra" based
on the nurse's initiative; it is,
however, unrelated to accu-
rate charting.
3. The new graduate nurse interviews for a po- 3
sition in a nursing department of a large
health care agency that uses the approach Rationale:
of shared governance. Which of these state- Shared governance or
ments best illustrate the shared governance self-governance is a method
model? of organizational design. It
promotes empowerment of
1) Staff groups are appointed to discuss nurses to give them respon-
nursing practice and client education issues sibility for client care issues
and outcomes with other di-
2) Non-nurse managers supervise nursing visions in the agency.
staff in groups of units
3) Nursing departments share responsibility
for client outcomes
4) An appointed board oversees any admin-
istrative decisions
4. The registered nurse (RN) and the unli- 3, 4, 5
censed assistive person (UAP) are caring for
clients on a surgical unit. Which action(s)Rationale:
by the UAP warrant immediate intervention? The UAP can perform a num-
(Select all that apply.) ber of nursing tasks, such as
emptying an indwelling uri-
1) The UAP empties the indwelling catheter nary catheter bag and apply-
bag for the client who had a transurethral ing moisture barrier cream
, NCLEX Review - Management of Care Test Questions with 100%
Verified Answers
resection of the prostate (TURP) yesterday after peri care. However, it
is unsafe for the UAP to
2) The UAP applies moisture barrier cream to ambulate a client who re-
the client's excoriated perianal area cently received an IV push
narcotic. Although UAP can
3) The UAP assists a client, who received shave clients, it is unsafe
an IV narcotic analgesic 30 minutes ago, to to shave someone using a
ambulate in the hall straight-edge razor because
a client who had knee re-
4) The UAP applies a fingertip pulse oximeter placement surgery is prob-
on a client whose fingernail is painted dark ably taking an anticoagu-
blue lant; only an electric ra-
zor should be used. Pulse
5) The UAP assists a client, who had a total oximeter readings must be
knee replacement two days ago, to shave done on a finger that is warm
using a straight-edge razor and free from dark fingernail
polish.
5. An elderly client is admitted to a home care 3, 4, 2, 5, 1
agency following hospitalization for exacer-
bation of heart failure. The client lives alone, Rationale:
has difficulty completing activities of daily Case management is a col-
living (ADLs) and is unable to drive. laborative process that as-
sesses, plans, implements,
Reorder the steps in the case management coordinates, monitors and
process by dragging and dropping the op- evaluates options and ser-
tions below. vices to meet an individual's
health needs.
1) Evaluation of progress towards client's
goals
2) Referral to personal care attendant and
transportation services
3) Assessment of biophysical and sociocul-
tural considerations
4) Identification of nursing diagnoses
