NCLEX REVIEW - MANAGEMENT OF CARE QUESTIONS AND
ANSWERS NEWEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% ACCURATE BEST
GRADED A+ FOR SUCCESS
The nurse manager overhears a health care provider loudly criticize one of the staff nurses
within hearing range of other staff and visitors. Which approach by the nurse manager is
indicated in this situation?
1) Request an immediate private meeting with the health care provider and staff nurse
2) Notify the chief nursing officer about the breach of professional conduct
3) Walk up to the health care provider and quietly state: "Stop this unacceptable behavior."
4) Stay neutral and allow the staff nurse to handle this situation independently - CORRECT
ANSWERS 1
Rationale:
Assertive communication respects the needs of all parties to express themselves, but not at the
expense of being in front of non-involved staff, visitors or clients. The nurse manager first needs
to protect clients and other staff from this display of negative behavior and come to the
assistance of the nurse employee. Privacy is a priority, as well as limiting the communication to
only those involved.
A client is admitted with a diagnosis of schizophrenia. The client refuses to take any medication
and states, "I don't think I need those medications. They make me too sleepy and drowsy. I
want you to explain their use and side effects of these medications." The nurse should respond
with an understanding of which statement?
1) A referral is needed to the psychiatrist who should provide the client with answers to the
request
,NCLEX REVIEW - MANAGEMENT OF CARE QUESTIONS AND
ANSWERS NEWEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% ACCURATE BEST
GRADED A+ FOR SUCCESS
2) Such education is an independent decision of the individual nurse whether or not to teach
clients about their medications
3) Clients with schizophrenia are at a higher risk of psychosocial complications when they know
about their medication's uses and side effects
4) The client has a right to know about the use and side effects of the prescribed medications -
CORRECT ANSWERS 4
Rationale:
Clients have a right to informed consent, which includes detailed information about
medications, treatments and diagnostic studies. The other options are incorrect approaches.
A newly graduated nurse, who has recently completed orientation, voices concern about her
assignment: "I have never taken care of anyone with a lumbar drain before." Which action
would be most appropriate for the charge nurse?
1) Check with the nurse and the client often during the shift
2) Provide an immediate one-on-one, personal in-service about the drain
3) Assign the graduated staff nurse to be transferred to another floor for the shift
4) Change the assignment; reassign the client with the lumbar drain to a different nurse -
CORRECT ANSWERS 4
, NCLEX REVIEW - MANAGEMENT OF CARE QUESTIONS AND
ANSWERS NEWEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% ACCURATE BEST
GRADED A+ FOR SUCCESS
Rationale:
One of the first principles of safe assignments is to match skills with the task. New nurses
should not be assigned tasks for which they are not competent. The assignment needs to be
changed. The other options simply help support the nurse but may be dangerous for the client.
And, of course, the new nurse will need training about caring for a client with a lumbar drain.
The health care provider has finished writing admission orders for a client diagnosed with
pneumonia and sepsis who has a history of type 1 diabetes. Prioritize how the nurse should
complete the orders listed below (with 1 being the top priority).
1) Blood and sputum cultures
2) Oxygen 2 liters nasal cannula
3) Fingerstick before each meal and at bedtime
4) Ceftriaxone (Rocephin) 1 gram every 12 hours IVPB
5) IV normal saline at 100 mL/hr - CORRECT ANSWERS 2, 1, 5, 4, 3
Rationale:
For establishing priorities, first look at the ABCs. Oxygen administration is the first priority (and
the client's oxygen saturation is probably low given the patient has pneumonia). The next
priority would be to have the lab come and draw blood for the cultures; this must be done prior
to starting the antibiotics. Then an IV must be started (the antibiotic is ordered IV). Even though
the patient is diabetic and it is dinner time, a finger stick is the last thing on the list to complete.
A woman dressed in a business suit with no visible identification is at the nurses station looking
at client charts. What nursing action is most appropriate?
ANSWERS NEWEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% ACCURATE BEST
GRADED A+ FOR SUCCESS
The nurse manager overhears a health care provider loudly criticize one of the staff nurses
within hearing range of other staff and visitors. Which approach by the nurse manager is
indicated in this situation?
1) Request an immediate private meeting with the health care provider and staff nurse
2) Notify the chief nursing officer about the breach of professional conduct
3) Walk up to the health care provider and quietly state: "Stop this unacceptable behavior."
4) Stay neutral and allow the staff nurse to handle this situation independently - CORRECT
ANSWERS 1
Rationale:
Assertive communication respects the needs of all parties to express themselves, but not at the
expense of being in front of non-involved staff, visitors or clients. The nurse manager first needs
to protect clients and other staff from this display of negative behavior and come to the
assistance of the nurse employee. Privacy is a priority, as well as limiting the communication to
only those involved.
A client is admitted with a diagnosis of schizophrenia. The client refuses to take any medication
and states, "I don't think I need those medications. They make me too sleepy and drowsy. I
want you to explain their use and side effects of these medications." The nurse should respond
with an understanding of which statement?
1) A referral is needed to the psychiatrist who should provide the client with answers to the
request
,NCLEX REVIEW - MANAGEMENT OF CARE QUESTIONS AND
ANSWERS NEWEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% ACCURATE BEST
GRADED A+ FOR SUCCESS
2) Such education is an independent decision of the individual nurse whether or not to teach
clients about their medications
3) Clients with schizophrenia are at a higher risk of psychosocial complications when they know
about their medication's uses and side effects
4) The client has a right to know about the use and side effects of the prescribed medications -
CORRECT ANSWERS 4
Rationale:
Clients have a right to informed consent, which includes detailed information about
medications, treatments and diagnostic studies. The other options are incorrect approaches.
A newly graduated nurse, who has recently completed orientation, voices concern about her
assignment: "I have never taken care of anyone with a lumbar drain before." Which action
would be most appropriate for the charge nurse?
1) Check with the nurse and the client often during the shift
2) Provide an immediate one-on-one, personal in-service about the drain
3) Assign the graduated staff nurse to be transferred to another floor for the shift
4) Change the assignment; reassign the client with the lumbar drain to a different nurse -
CORRECT ANSWERS 4
, NCLEX REVIEW - MANAGEMENT OF CARE QUESTIONS AND
ANSWERS NEWEST DOWNLOADED 2025/2026 A COMPLETE
SOLUTION ALL ANSWERS GET IT 100% ACCURATE BEST
GRADED A+ FOR SUCCESS
Rationale:
One of the first principles of safe assignments is to match skills with the task. New nurses
should not be assigned tasks for which they are not competent. The assignment needs to be
changed. The other options simply help support the nurse but may be dangerous for the client.
And, of course, the new nurse will need training about caring for a client with a lumbar drain.
The health care provider has finished writing admission orders for a client diagnosed with
pneumonia and sepsis who has a history of type 1 diabetes. Prioritize how the nurse should
complete the orders listed below (with 1 being the top priority).
1) Blood and sputum cultures
2) Oxygen 2 liters nasal cannula
3) Fingerstick before each meal and at bedtime
4) Ceftriaxone (Rocephin) 1 gram every 12 hours IVPB
5) IV normal saline at 100 mL/hr - CORRECT ANSWERS 2, 1, 5, 4, 3
Rationale:
For establishing priorities, first look at the ABCs. Oxygen administration is the first priority (and
the client's oxygen saturation is probably low given the patient has pneumonia). The next
priority would be to have the lab come and draw blood for the cultures; this must be done prior
to starting the antibiotics. Then an IV must be started (the antibiotic is ordered IV). Even though
the patient is diabetic and it is dinner time, a finger stick is the last thing on the list to complete.
A woman dressed in a business suit with no visible identification is at the nurses station looking
at client charts. What nursing action is most appropriate?