NCLEX 10000 MANAGEMENT OF CARE.
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
A client with acute kidney failure is placed on fluid restriction of 1000 mL of fluid over a 24-hour
period. What is the priority nursing action? - ANS Offer the client proportioned fluids in the
day and less during the night.
Explanation:
The client and nurse should make a fluid schedule that takes into consideration factors such as
periods of wakefulness, number of meals, oral medications, and personal preferences. Avoiding
night fluids will decrease risk for aspiration.
While giving report to the oncoming night shift, the charge nurse smells alcohol on the breath
of one of the nurses. The charge nurse should: - ANS Report this to the nursing supervisor
immediately
Explanation:
This situation should be reported immediately to the nursing supervisor or manager at the
time. The nurse is liable to report a suspicious situation that could create an unsafe situation for
the clients. Reporting a suspicious situation does not imply actual guilt; it implies identification
of a high-risk situation. The supervisor will then follow the correct procedure for management
and follow-up of the situation.
The nurse is caring for an adolescent with cancer who is well informed about the medical
condition and treatment. The adolescent refused the morning medications and states
intentions of refusing all future medications. What is the best action by the nurse? -
ANS Document the adolescent's choice and offer to discuss feelings about the medication.
pg. 1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Explanation:
The client has the right to choose whether to take the medication. The nurse should try to
determine the reason for the adolescent not wanting the medication other than choice (e.g.,
side effects, fear of falling asleep and not waking).
A nurse who is a case manager is responsible for assigning client care to unregulated care
providers (UCPs). The nurse is planning the care for a new client who requires several
treatments. Which of the following UCPs should the nurse assign to the new client? -
ANS The UCP with the appropriate knowledge and skills to provide the care
Explanation:
The nurse is accountable for the assignment of tasks to UCPs. The nurse must ensure that the
care being assigned is consistent with the UCP's level of knowledge, skill, and judgment.
Assignments must also consider the UCP job description, agency policy, legislation, and client
need.
A nurse is working within the managed care delivery model. Which of the following is true
regarding managed care? - ANS All systems reflect the values of efficiency and effectiveness.
Explanation:
All systems in the managed care delivery model reflect the values of efficiency and
effectiveness. Different plans may have different values underlying the delivery of care.
However, they all reflect the business plan values of efficiency and effectiveness.
The nurse is caring for several neonates in the newborn nursery. Precautions that should be
taken to prevent an infant abduction include which of the following? - ANS Notifying the
hospital's security staff about anyone who appears unusual
Explanation:
The nurse should notify the hospital's security staff about anyone who appears unusual.
In many institutions, which of the following telephone or fax orders requires a signature within
24 hours by the ordering physician or nurse practitioner? - ANS Orders for antibiotics.
Explanation:
Many institutional policies dictate that orders for restraints, narcotics, anticoagulants, and
antibiotics require the ordering physician or nurse practitioner to sign the order within 24
hours.
pg. 2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, An airplane crash results in mass casualties. The nurse is directing personnel to tag all victims.
Which information should be placed on the tag? Select all that apply. - ANS • triage priority
• medications and treatments administered
• identifying information when possible (such as name, age, and address)
Explanation:
Tracking victims of disasters is important for casualty planning and management. All victims
should receive a tag, securely attached, that indicates the triage priority, any available
identifying information, and what care, if any, has been given along with time and date. Tag
information should be recorded in a disaster log and used to track victims and inform families.
A mother reports she cannot afford the antibiotic azithromycin, which was prescribed by the
physician for her toddler's otitis media. The nurse's best response is to: - ANS Confer with
the physician about whether a less expensive drug could be ordered.
The nurse must act as an advocate for the client when the client cannot afford treatment. It is
possible to substitute a less expensive antibiotic. Correct procedure includes contacting the
physician to explain the mother's economic situation and request a substitution. For example,
amoxicillin is more economical than azithromycin
The nurse's unit council in the telemetry unit is responsible for performance improvement
studies. What information should they gather to study whether client education about
resuming sexual activity after an acute myocardial infarction (MI) is being taught? - ANS The
percentage of clients on the unit diagnosed with an acute MI who were taught about resuming
sexual activity
Explanation:
The unit council needs to assess the number of clients diagnosed with an acute MI on the
telemetry unit who were actually taught about resuming sexual activity. The unit council needs
to identify the number of clients who were taught, not the quality of the teaching. Only
education about resuming sexual activity is pertinent to this performance improvement study.
A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is
coming to prepare a living will and requests the nurse to sign as witness. Which of the following
actions should the nurse take? - ANS Note that the nurse caring for the client cannot be a
witness.
Explanation:
pg. 3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
EXAM 2025/2026 QUESTIONS AND
ANSWERS 100% PASS
A client with acute kidney failure is placed on fluid restriction of 1000 mL of fluid over a 24-hour
period. What is the priority nursing action? - ANS Offer the client proportioned fluids in the
day and less during the night.
Explanation:
The client and nurse should make a fluid schedule that takes into consideration factors such as
periods of wakefulness, number of meals, oral medications, and personal preferences. Avoiding
night fluids will decrease risk for aspiration.
While giving report to the oncoming night shift, the charge nurse smells alcohol on the breath
of one of the nurses. The charge nurse should: - ANS Report this to the nursing supervisor
immediately
Explanation:
This situation should be reported immediately to the nursing supervisor or manager at the
time. The nurse is liable to report a suspicious situation that could create an unsafe situation for
the clients. Reporting a suspicious situation does not imply actual guilt; it implies identification
of a high-risk situation. The supervisor will then follow the correct procedure for management
and follow-up of the situation.
The nurse is caring for an adolescent with cancer who is well informed about the medical
condition and treatment. The adolescent refused the morning medications and states
intentions of refusing all future medications. What is the best action by the nurse? -
ANS Document the adolescent's choice and offer to discuss feelings about the medication.
pg. 1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Explanation:
The client has the right to choose whether to take the medication. The nurse should try to
determine the reason for the adolescent not wanting the medication other than choice (e.g.,
side effects, fear of falling asleep and not waking).
A nurse who is a case manager is responsible for assigning client care to unregulated care
providers (UCPs). The nurse is planning the care for a new client who requires several
treatments. Which of the following UCPs should the nurse assign to the new client? -
ANS The UCP with the appropriate knowledge and skills to provide the care
Explanation:
The nurse is accountable for the assignment of tasks to UCPs. The nurse must ensure that the
care being assigned is consistent with the UCP's level of knowledge, skill, and judgment.
Assignments must also consider the UCP job description, agency policy, legislation, and client
need.
A nurse is working within the managed care delivery model. Which of the following is true
regarding managed care? - ANS All systems reflect the values of efficiency and effectiveness.
Explanation:
All systems in the managed care delivery model reflect the values of efficiency and
effectiveness. Different plans may have different values underlying the delivery of care.
However, they all reflect the business plan values of efficiency and effectiveness.
The nurse is caring for several neonates in the newborn nursery. Precautions that should be
taken to prevent an infant abduction include which of the following? - ANS Notifying the
hospital's security staff about anyone who appears unusual
Explanation:
The nurse should notify the hospital's security staff about anyone who appears unusual.
In many institutions, which of the following telephone or fax orders requires a signature within
24 hours by the ordering physician or nurse practitioner? - ANS Orders for antibiotics.
Explanation:
Many institutional policies dictate that orders for restraints, narcotics, anticoagulants, and
antibiotics require the ordering physician or nurse practitioner to sign the order within 24
hours.
pg. 2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, An airplane crash results in mass casualties. The nurse is directing personnel to tag all victims.
Which information should be placed on the tag? Select all that apply. - ANS • triage priority
• medications and treatments administered
• identifying information when possible (such as name, age, and address)
Explanation:
Tracking victims of disasters is important for casualty planning and management. All victims
should receive a tag, securely attached, that indicates the triage priority, any available
identifying information, and what care, if any, has been given along with time and date. Tag
information should be recorded in a disaster log and used to track victims and inform families.
A mother reports she cannot afford the antibiotic azithromycin, which was prescribed by the
physician for her toddler's otitis media. The nurse's best response is to: - ANS Confer with
the physician about whether a less expensive drug could be ordered.
The nurse must act as an advocate for the client when the client cannot afford treatment. It is
possible to substitute a less expensive antibiotic. Correct procedure includes contacting the
physician to explain the mother's economic situation and request a substitution. For example,
amoxicillin is more economical than azithromycin
The nurse's unit council in the telemetry unit is responsible for performance improvement
studies. What information should they gather to study whether client education about
resuming sexual activity after an acute myocardial infarction (MI) is being taught? - ANS The
percentage of clients on the unit diagnosed with an acute MI who were taught about resuming
sexual activity
Explanation:
The unit council needs to assess the number of clients diagnosed with an acute MI on the
telemetry unit who were actually taught about resuming sexual activity. The unit council needs
to identify the number of clients who were taught, not the quality of the teaching. Only
education about resuming sexual activity is pertinent to this performance improvement study.
A nurse is caring for a client with multiple sclerosis. The client informs the nurse that a lawyer is
coming to prepare a living will and requests the nurse to sign as witness. Which of the following
actions should the nurse take? - ANS Note that the nurse caring for the client cannot be a
witness.
Explanation:
pg. 3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
