NS119 ACTUAL EXAM EVALUATION QUESTIONS WITH
ANSWERS 2025/2026
A nurse manager is assigning care of a client who is being admitted from the PACU
following thoracic surgery. The nurse manager should assign the client to which of the
following staff members?
A. Charge nurse
B. Registered Nurse
C LPN
D. CNA - B
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP (Assistive personnel). Which of the following information should the nurse
share with the AP?
A. The roommate ambulates independently
B. The client ambulates wearing slippers over antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning
(Select all that apply) - B, C, D
A charge nurse is assigning client care for four clients. Which of the following tasks
should the nurse assign to a PN?
A. Creating a plan of care for a client who is recovering following a stroke.
B. Assessing a pressure injury on a client who is on bed rest
C. Providing NG suctioning for a client who has pneumonia
D. Teaching a client who has asthma to use a metered-dose inhaler - C
A nurse is preparing an in-service program about delegation. Which of the following are
components of the five rights of delegation (select all that apply)
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. right documentation
E. Right circumstances - B, C, E
A nurse enters the room of a client and finds the client lying on the floor. Which of the
following actions should the nurse take first?
A. call the provider
B. ask a staff member for assistance getting the client back in bed.
C. inspect the client for injuries
D. instruct the client to ask for help if they need to get out of bed - C. inspect the client
for injuries
,An RN on a medical-surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the LPN?
A. obtain vital signs for a client who is 2 hour post-op following a cardiac catheterization.
B. Administer a unit of packed red blood cells (RBCs) to a client who has cancer
C. Instruct a client who is scheduled for discharge in the performance of wound care
D. Develop a plan of care for a newly admitted client who has pneumonia. - A.
A PN ending their shift reports to the RN that a newly hired AP has not calculated the
intake and output for several clients. Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if they need assistance
D. Notify the nurse manager. - C
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following should the manager include in the plan? (Select all that apply)
A. Skill proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures - A, B, D, E , F
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following should the nurse manager include? (select all)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care
E. After data collection is completed, it is compared to a benchmark - A, B, C, E
A nurse is participating in quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding the
efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed - C
A nurse is hired to replace a staff member who has resigned. After working on the unit
for several weeks, the nurse notices that the unit manager does not intervene when
there is conflict between team members, even when it escalates. Which of the following
conflict resolution strategies is the manager demonstrating?
A. Avoidance
B. Smoothing
C. Cooperating
, D. Negotiating - A
A nurse is preparing to transfer a client who is 72 hr postoperative to a long-term care
facility. Which of the following information should the nurse include in the transfer
report? (select all that apply)
A. Type of anesthesia used
B. Advance directives status
C. Vital signs on day of admission
D. Medical diagnosis
E. Need for specific equipment - B, D, E
A nurse is assisting with the discharge planning for a client. Which of the following
actions should the nurse take? (Select all that apply)
A. Determine the client's need for home medical equipment.
B. Provide a list of all the medications the client received in the facility
C. Obtain printed instructions for medication self-administration.
D. Provide the family with a list of community agencies that can provide assistance
E. Discuss the importance of attending follow-up appointments. - C, D, E
A case manager is discussing critical pathways with a group of newly hired nurses.
Which of the following statements indicates understanding?
A. The time to fill out the pathways often increases the cost of care.
B. The pathway shows an estimate of the number of days the client will be hospitalized.
C. Deviance from the pathway is a sign of improved care quality.
D. The pathway includes information about the client's history. - B.
A nurse who has just assumed the role of unit manager is examining her skills in
interprofessional collaboration. Which of the following actions support interprofessional
collaboration?
(select all that apply)
A. Use aggressive communication when addressing the team.
B. Recognize the knowledge and skills of each member of the team.
C. Ensure that a nurse is assigned to serve as the group facilitator for all
interprofessional meetings.
D. Encourage the client and family to participate in the team meeting
E. Support the team member requests for referral. - B, D, E
A nurse is caring for a client who has chest pain. The client says "I am going home
immediately." Which of the following actions should the nurse take? (Select all that
apply).
A. Notify the client's family of their intent to leave the facility
B. Document the client's intent to leave the facility against medical advice.
C. Explain to the client the risks involved if they choose to leave.
D. Ask the client to sign a form relinquishing responsibility of the facility
E.Prevent the client from leaving the facility until the provider arrives - B, C, D,
ANSWERS 2025/2026
A nurse manager is assigning care of a client who is being admitted from the PACU
following thoracic surgery. The nurse manager should assign the client to which of the
following staff members?
A. Charge nurse
B. Registered Nurse
C LPN
D. CNA - B
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP (Assistive personnel). Which of the following information should the nurse
share with the AP?
A. The roommate ambulates independently
B. The client ambulates wearing slippers over antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning
(Select all that apply) - B, C, D
A charge nurse is assigning client care for four clients. Which of the following tasks
should the nurse assign to a PN?
A. Creating a plan of care for a client who is recovering following a stroke.
B. Assessing a pressure injury on a client who is on bed rest
C. Providing NG suctioning for a client who has pneumonia
D. Teaching a client who has asthma to use a metered-dose inhaler - C
A nurse is preparing an in-service program about delegation. Which of the following are
components of the five rights of delegation (select all that apply)
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. right documentation
E. Right circumstances - B, C, E
A nurse enters the room of a client and finds the client lying on the floor. Which of the
following actions should the nurse take first?
A. call the provider
B. ask a staff member for assistance getting the client back in bed.
C. inspect the client for injuries
D. instruct the client to ask for help if they need to get out of bed - C. inspect the client
for injuries
,An RN on a medical-surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the LPN?
A. obtain vital signs for a client who is 2 hour post-op following a cardiac catheterization.
B. Administer a unit of packed red blood cells (RBCs) to a client who has cancer
C. Instruct a client who is scheduled for discharge in the performance of wound care
D. Develop a plan of care for a newly admitted client who has pneumonia. - A.
A PN ending their shift reports to the RN that a newly hired AP has not calculated the
intake and output for several clients. Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if they need assistance
D. Notify the nurse manager. - C
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following should the manager include in the plan? (Select all that apply)
A. Skill proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures - A, B, D, E , F
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following should the nurse manager include? (select all)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care
E. After data collection is completed, it is compared to a benchmark - A, B, C, E
A nurse is participating in quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding the
efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed - C
A nurse is hired to replace a staff member who has resigned. After working on the unit
for several weeks, the nurse notices that the unit manager does not intervene when
there is conflict between team members, even when it escalates. Which of the following
conflict resolution strategies is the manager demonstrating?
A. Avoidance
B. Smoothing
C. Cooperating
, D. Negotiating - A
A nurse is preparing to transfer a client who is 72 hr postoperative to a long-term care
facility. Which of the following information should the nurse include in the transfer
report? (select all that apply)
A. Type of anesthesia used
B. Advance directives status
C. Vital signs on day of admission
D. Medical diagnosis
E. Need for specific equipment - B, D, E
A nurse is assisting with the discharge planning for a client. Which of the following
actions should the nurse take? (Select all that apply)
A. Determine the client's need for home medical equipment.
B. Provide a list of all the medications the client received in the facility
C. Obtain printed instructions for medication self-administration.
D. Provide the family with a list of community agencies that can provide assistance
E. Discuss the importance of attending follow-up appointments. - C, D, E
A case manager is discussing critical pathways with a group of newly hired nurses.
Which of the following statements indicates understanding?
A. The time to fill out the pathways often increases the cost of care.
B. The pathway shows an estimate of the number of days the client will be hospitalized.
C. Deviance from the pathway is a sign of improved care quality.
D. The pathway includes information about the client's history. - B.
A nurse who has just assumed the role of unit manager is examining her skills in
interprofessional collaboration. Which of the following actions support interprofessional
collaboration?
(select all that apply)
A. Use aggressive communication when addressing the team.
B. Recognize the knowledge and skills of each member of the team.
C. Ensure that a nurse is assigned to serve as the group facilitator for all
interprofessional meetings.
D. Encourage the client and family to participate in the team meeting
E. Support the team member requests for referral. - B, D, E
A nurse is caring for a client who has chest pain. The client says "I am going home
immediately." Which of the following actions should the nurse take? (Select all that
apply).
A. Notify the client's family of their intent to leave the facility
B. Document the client's intent to leave the facility against medical advice.
C. Explain to the client the risks involved if they choose to leave.
D. Ask the client to sign a form relinquishing responsibility of the facility
E.Prevent the client from leaving the facility until the provider arrives - B, C, D,
