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NCLEX-PN management of care practice questions, set 2

NCLEX-PN · management of care

NCLEX-PN management of care practice questions set 2

You decide who to see first, what to delegate, and which order cannot wait. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the NCLEX-PN exam guide or more NCLEX-PN practice questions.

Five management of care questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

Delegation of tasks to appropriate personnel allows the nurse to:

  1. A. ensure tasks are appropriately distributed.
  2. B. keep other members of the team productive.
  3. C. maintain tight control of all aspects of the workflow.
  4. D. recognize the importance of team members' roles.
Show answer and rationale

Correct answer: B — keep other members of the team productive.

Delegating tasks to appropriate personnel is essential for a nurse to keep other team members productive. By assigning tasks that align with the specific roles and responsibilities of team members, the nurse can enhance work effectiveness and efficiency. Option A is incorrect because delegation is not primarily about ensuring tasks are evenly distributed but rather about utilizing team members' skills effectively. Option C is incorrect as maintaining tight control of all aspects of the workflow can hinder teamwork and limit individual growth. Option D is incorrect because effective delegation involves empowering team members to make decisions within their scope of practice, rather than solely recognizing the importance of their roles.

Question 2

When a drug is listed as Category X and prescribed to women of child-bearing age/capacity, the nurse and the interdisciplinary team should counsel the client that:

  1. A. Pregnancy tests are not reliable while taking the drug.
  2. B. She must use a reliable form of birth control.
  3. C. She should not take the Category X drug on days she has intercourse.
  4. D. She must follow up with an endocrinologist.
Show answer and rationale

Correct answer: B — She must use a reliable form of birth control.

When a drug is categorized as Category X, it signifies that there are significant risks of fetal abnormalities if taken during pregnancy. For this reason, women of child-bearing age/capacity should use reliable forms of birth control to prevent pregnancy while on the medication. This ensures that the client avoids the potential harm to the fetus. Option A is incorrect because pregnancy tests are not unreliable due to the drug, but rather the risk is related to potential harm to the fetus. Option C is incorrect as avoiding the drug only on days of intercourse does not provide sufficient protection against pregnancy. Option D is incorrect as the need for an endocrinologist is not directly related to the use of Category X drugs.

Question 3

A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:

  1. A. the client has been admitted to the hospital three times in the last 2 months.
  2. B. the client has a Foley catheter.
  3. C. the client's family is available to care for him 24 hours a day.
  4. D. the client is ordered to continue IV antibiotics 5 days post discharge.
Show answer and rationale

Correct answer: V

Family availability to provide care and assistance is not an indicator for skilled home care services. In fact, the nurse might see an opportunity for family education to meet the client's needs so that less community support is needed. This should be discussed and negotiated with the family. Frequent hospital readmissions indicate that the client has not been able to manage either due to condition instability or lack of care needs being met, which is a red flag for home care services to monitor and meet those needs appropriately. A Foley catheter requires home health care due to infection potential and care requirements. IV antibiotics also necessitate home care for maintaining line patency and assessing the site.

Question 4

When assessing a client with amyotrophic lateral sclerosis (ALS), the nurse should expect which of the following findings?

  1. A. mental confusion
  2. B. muscular weakness
  3. C. sensory loss
  4. D. emotional liability
Show answer and rationale

Correct answer: B — muscular weakness

Clients with ALS typically present with progressive muscular weakness and wasting as a hallmark feature of the disease. This weakness affects voluntary muscles, leading to challenges in mobility and daily activities. Sensory loss is not a characteristic feature of ALS, and individuals usually maintain their mental clarity without experiencing mental confusion. Emotional liability, characterized by sudden, uncontrolled changes in emotions, is not a common finding in ALS. While individuals may experience periods of grief due to the progressive nature of the disease, emotional liability is not a usual manifestation. Therefore, the correct finding to expect when assessing a client with ALS is muscular weakness.

Question 5

The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

  1. A. Pull the client toward you, and pivot him on the unaffected limb.
  2. B. Pull the client toward you, and pivot him on the affected limb.
  3. C. Push the client toward the bed, and pivot him on the affected limb.
  4. D. Stand the client on both legs, and push him toward the bed.
Show answer and rationale

Correct answer: A — Pull the client toward you, and pivot him on the unaffected limb.

When transferring a client from a wheelchair to the bed, the correct procedure is to pull the client toward you, which reduces workload force. By pivoting the client on the unaffected limb, strength is maintained to support the affected limb while moving towards the bed. Choice A is correct because it ensures a safe and effective transfer technique. Choices B, C, and D are incorrect as they involve incorrect positioning and movements that could potentially harm the client or increase the risk of injury. Pulling the client towards you puts less strain on your back and reduces the risk of injury. Pivoting on the unaffected limb ensures better support for the client's affected limb during the transfer process.

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Question 6

A child comes to the clinic with a skin rash. The maculopapular lesions are distributed around the mouth and have honey-colored drainage. The caregiver states that the rash is getting worse and seems to spread with the child's scratching. Which of the following advisory comments should be given?

  1. A. The history and presentation might indicate chickenpox, a highly contagious disease.
  2. B. The lesions might indicate a noncontagious infection that does not require isolation.
  3. C. The history and presentation might indicate an infectious illness called impetigo.
  4. D. The lesions are not contagious unless others have open wounds or lesions themselves.
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Question 7

Which of the following adverse effects should the client on Floxin be alerted to?

  1. A. stunting of height in teens and young adults
  2. B. propensity for anovulatory uterine bleeding
  3. C. intractable diarrhea
  4. D. tendon rupture
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Question 8

The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:

  1. A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area.
  2. B. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report.
  3. C. request that the family have a seat in the station rather than stand while awaiting its loved one.
  4. D. request that the family wait for its loved one in the Emergency Department waiting room.
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Question 9

Under what circumstances can an individual receive medical care without giving informed consent?

  1. A. when the durable power of attorney for health care is not available
  2. B. in an emergency, life-or-death situation
  3. C. when the physician is not available for discussion with the client
  4. D. when they (clients) are not able to speak for themselves
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Question 10

After securing the client's safety from a faulty electric bed, what should the nurse do next?

  1. A. Discuss the matter with the client's significant others.
  2. B. Document the incident in the client's record in detail.
  3. C. Notify the physician.
  4. D. Prepare an incident report.
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Question 11

When working with elderly clients, the healthcare provider should keep in mind that falls are most likely to happen to the elderly who are:

  1. A. in their 80s.
  2. B. living at home.
  3. C. hospitalized.
  4. D. living on only Social Security income.
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Question 12

The nurse is preparing to administer the 9 am dose of IV antibiotics when she notes the IVAC cord is frayed with wiring visible. What action should be her priority for this client?

  1. A. Notify maintenance to come and check the pump immediately.
  2. B. Continue with the administration of the antibiotic and fill out an equipment maintenance request.
  3. C. Immediately discontinue the use of this IVAC pump and obtain a replacement.
  4. D. Tag the equipment for maintenance.
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Question 13

Which of the following clients requires airborne precautions?

  1. A. a client with fever, chills, vomiting, and diarrhea
  2. B. a client suspected of varicella (chickenpox)
  3. C. a client with abdominal pain and purpura
  4. D. a client diagnosed with AIDS
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Question 14

A test that can correctly identify those who do not have a given disease is:

  1. A. specific.
  2. B. sensitive.
  3. C. negative culture
  4. D. marginal finding.
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Question 15

What is involved in client education by the nurse?

  1. A. Telling the client everything about their disease, what will happen in the course of the disease, and the outcome.
  2. B. Giving information to the client that is accurate and understandable.
  3. C. Informing the client that the pain they experience might not be real.
  4. D. Administering medication to the client when they experience pain.
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About these NCLEX-PN management of care questions

NCLEX-PN management of care practice questions, set 2 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the NCLEX-PN exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

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