Nursing Exit Exam | Management of Care | HESI &
NCLEX RN Test Bank | Questions with Rationales
Question 1
A nurse is managing a medical-surgical unit. Which task demonstrates effective time
management?
A. Prioritizing clients with unstable vital signs for immediate assessment
B. Completing paperwork before seeing any clients
C. Waiting to call the provider until all clients are assessed
D. Responding to non-urgent requests immediately
Correct Answer: A
Rationale:
Effective time management prioritizes tasks based on urgency and patient safety, ensuring
unstable clients are assessed first while non-urgent tasks are deferred.
Why the others are not correct:
A. Correct — prioritization based on acuity demonstrates effective time management.
B. Paperwork before patient care delays critical interventions.
C. Delaying communication with the provider could compromise patient care.
D. Responding to non-urgent requests first wastes critical time.
Question 2
A new RN is planning client assignments on a med-surg unit. Which action demonstrates
effective management of care?
A. Assigning clients based on complexity and acuity, not just room location
B. Assigning clients alphabetically
C. Allowing staff to choose clients based on preference
D. Assigning clients in the order they were admitted
Correct Answer: A
Rationale:
Management of care includes delegating tasks and assigning clients based on complexity and
patient acuity, ensuring safe and efficient care.
Why the others are not correct:
A. Correct — prioritizing complexity and acuity improves patient outcomes.
, B. Alphabetical assignment ignores patient needs.
C. Staff preference may compromise safety and workflow.
D. Admission order does not consider urgency or acuity.
Question 3
A charge nurse is delegating tasks to staff. Which assignment is appropriate for a UAP?
A. Assisting a stable post-op client with feeding and hygiene
B. Administering PRN pain medication
C. Evaluating client responses to IV medications
D. Performing initial client assessments
Correct Answer: A
Rationale:
UAPs may perform ADLs for stable clients. Assessment and medication administration require
licensed nurse judgment.
Why the others are not correct:
A. Correct — feeding and hygiene are within UAP scope.
B. PRN medications require RN or LPN.
C. Evaluation requires RN judgment.
D. Initial assessments require RN expertise.
Question 4
Which action by an RN demonstrates effective resource management?
A. Prioritizing supplies and staffing for the clients with highest acuity
B. Using the same nurse for all clients regardless of workload
C. Ignoring staff skill levels when assigning tasks
D. Delaying tasks until the end of the shift
Correct Answer: A
Rationale:
Effective management includes allocating resources and staff based on patient acuity to
optimize outcomes and ensure safe, efficient care.
Why the others are not correct:
A. Correct — prioritizing by acuity is effective resource management.
B. Overloading one nurse risks errors and burnout.
NCLEX RN Test Bank | Questions with Rationales
Question 1
A nurse is managing a medical-surgical unit. Which task demonstrates effective time
management?
A. Prioritizing clients with unstable vital signs for immediate assessment
B. Completing paperwork before seeing any clients
C. Waiting to call the provider until all clients are assessed
D. Responding to non-urgent requests immediately
Correct Answer: A
Rationale:
Effective time management prioritizes tasks based on urgency and patient safety, ensuring
unstable clients are assessed first while non-urgent tasks are deferred.
Why the others are not correct:
A. Correct — prioritization based on acuity demonstrates effective time management.
B. Paperwork before patient care delays critical interventions.
C. Delaying communication with the provider could compromise patient care.
D. Responding to non-urgent requests first wastes critical time.
Question 2
A new RN is planning client assignments on a med-surg unit. Which action demonstrates
effective management of care?
A. Assigning clients based on complexity and acuity, not just room location
B. Assigning clients alphabetically
C. Allowing staff to choose clients based on preference
D. Assigning clients in the order they were admitted
Correct Answer: A
Rationale:
Management of care includes delegating tasks and assigning clients based on complexity and
patient acuity, ensuring safe and efficient care.
Why the others are not correct:
A. Correct — prioritizing complexity and acuity improves patient outcomes.
, B. Alphabetical assignment ignores patient needs.
C. Staff preference may compromise safety and workflow.
D. Admission order does not consider urgency or acuity.
Question 3
A charge nurse is delegating tasks to staff. Which assignment is appropriate for a UAP?
A. Assisting a stable post-op client with feeding and hygiene
B. Administering PRN pain medication
C. Evaluating client responses to IV medications
D. Performing initial client assessments
Correct Answer: A
Rationale:
UAPs may perform ADLs for stable clients. Assessment and medication administration require
licensed nurse judgment.
Why the others are not correct:
A. Correct — feeding and hygiene are within UAP scope.
B. PRN medications require RN or LPN.
C. Evaluation requires RN judgment.
D. Initial assessments require RN expertise.
Question 4
Which action by an RN demonstrates effective resource management?
A. Prioritizing supplies and staffing for the clients with highest acuity
B. Using the same nurse for all clients regardless of workload
C. Ignoring staff skill levels when assigning tasks
D. Delaying tasks until the end of the shift
Correct Answer: A
Rationale:
Effective management includes allocating resources and staff based on patient acuity to
optimize outcomes and ensure safe, efficient care.
Why the others are not correct:
A. Correct — prioritizing by acuity is effective resource management.
B. Overloading one nurse risks errors and burnout.
