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NCLEX-PN management of care practice questions, set 3

NCLEX-PN · management of care

NCLEX-PN management of care practice questions set 3

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

A 20-year-old male client had a diving accident with subsequent paraplegia. He says to the nurse, "No woman will ever want to marry me now."? Which of the following responses by the nurse is most therapeutic?

  1. A. "Don't worry. Maybe you'll meet a paraplegic woman."?
  2. B. "There is someone for everyone in this world."?
  3. C. "You are still an attractive man, even though you can't walk."?
  4. D. "Tell me more about your feelings on this issue."?
Show answer and rationale

Correct answer: D — "Tell me more about your feelings on this issue."?

The correct response is 'Tell me more about your feelings on this issue.' This answer is the most therapeutic as it encourages the client to express his emotions and concerns, fostering a supportive and open dialogue between the client and the nurse. Option A may come across as dismissive and does not directly address the client's emotional state. Option B, while positive, oversimplifies the client's complex feelings. Option C focuses only on physical appearance, missing the opportunity to delve deeper into the client's emotional well-being. Therefore, the most therapeutic response is to encourage further discussion about the client's feelings.

Question 2

To ensure proper immobilization and increase client comfort when using a rigid splint, what should be done?

  1. A. Place the client on a stretcher before splinting.
  2. B. Place the client on a long spine board before splinting.
  3. C. Pad the spaces between the body part and the splint.
  4. D. Ensure that the splint conforms to the body curves.
Show answer and rationale

Correct answer: C — Pad the spaces between the body part and the splint.

Correct. When using a rigid splint, it is essential to pad the spaces between the body part and the splint to ensure proper immobilization and increase client comfort. This padding helps prevent pressure points and ensures a proper fit of the splint without causing discomfort. Placing the client on a stretcher or a long spine board before splinting (choices A and B) may be necessary for transportation but does not directly relate to the proper use of a rigid splint. Ensuring that the splint conforms to the body curves (choice D) is important but not as crucial as padding the spaces to prevent discomfort and ensure proper immobilization.

Question 3

What instruction should a client who is about to undergo pelvic ultrasonography be given by a healthcare provider?

  1. A. "Urinate prior to the test."?
  2. B. "Have someone drive you home."?
  3. C. "Do not drink after midnight."?
  4. D. "Drink plenty of water."?
Show answer and rationale

Correct answer: D — "Drink plenty of water."?

The correct instruction for a client about to undergo pelvic ultrasonography is to 'Drink plenty of water.' A full bladder is required to serve as a landmark to define pelvic organs during the procedure. It is important to ensure the bladder is adequately filled. 'Urinate prior to the test' (Choice A) would not be appropriate as a full bladder is needed for better visualization. 'Have someone drive you home' (Choice B) is unnecessary as no sedation is given during the procedure, so the client can drive home on their own. 'Do not drink after midnight' (Choice C) is unrelated and not necessary for a pelvic ultrasonography examination.

Question 4

When observing a dressing change by a graduate nurse on a Stage III pressure ulcer to the greater trochanter by the staff nurse, a need for further teaching is indicated after the following observation by the nurse:

  1. A. The new graduate nurse irrigates the pressure ulcer with 50cc of NS.
  2. B. The new graduate irrigates the pressure ulcer with half-strength hydrogen peroxide.
  3. C. The new graduate packs the wound with sterile kerlix soaked in NS.
  4. D. The new graduate applies a Duoderm dressing over the wound after cleansing.
Show answer and rationale

Correct answer: B — The new graduate irrigates the pressure ulcer with half-strength hydrogen peroxide.

The correct answer is that the new graduate irrigates the pressure ulcer with half-strength hydrogen peroxide. Pressure ulcers should not be cleaned with substances that are cytotoxic, such as hydrogen peroxide or betadine. This can cause further damage to the wound and delay the healing process. Choice A is incorrect because irrigating the pressure ulcer with normal saline is an appropriate practice. Choice C is incorrect because packing the wound with sterile kerlix soaked in normal saline is also an appropriate step. Choice D is incorrect because applying a Duoderm dressing after cleansing is a standard procedure in wound care.

Question 5

What intervention should the nurse take for a client who has sustained a hyphema?

  1. A. Instruct the client to wear eye protectors in the future
  2. B. Keep the client at bed rest, typically with the head of the bed propped up
  3. C. Apply atropine eyedrops
  4. D. Apply an ice pack to the site of injury
Show answer and rationale

Correct answer: B — Keep the client at bed rest, typically with the head of the bed propped up

The correct intervention for a client who has sustained a hyphema is to keep them at bed rest, usually with the head of the bed raised. This positioning helps to reduce intraocular pressure and prevent further damage or rebleeding. Instructing the client to wear eye protectors in the future (Choice A) is not the immediate intervention required for a hyphema. Applying atropine eyedrops (Choice C) is not typically indicated for a hyphema. Applying an ice pack to the site of injury (Choice D) is not recommended for a hyphema as it can increase the risk of rebleeding. Therefore, the correct answer is to keep the client at bed rest.

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Question 6

When a client's postoperative pain seems to be getting worse due to grief over the recent death of their spouse, what should the nurse consider?

  1. A. calling the physician for an increased dosage of pain medication
  2. B. calling the physician for a sedative
  3. C. referring the client for a psychiatric consult
  4. D. developing interventions for grief and loss
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Question 7

When the healthcare provider is determining the appropriate size of a nasopharyngeal airway to insert, which body part should be measured on the client?

  1. A. corner of the mouth to tragus of the ear
  2. B. corner of the eye to top of the ear
  3. C. tip of the chin to the sternum
  4. D. tip of the nose to the earlobe
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Question 8

Which of the following enzymes is indicative of pancreatitis?

  1. A. alkaline phosphatase
  2. B. acid phosphatase
  3. C. creatine phosphokinase
  4. D. amylase
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Question 9

Which medication might the healthcare provider prescribe if the client expresses discomfort with being in the enclosed space of a CT scanner?

  1. A. Valium (diazepam)
  2. B. Clozaril (clozapine)
  3. C. Catapres (clonidine)
  4. D. Lasix (furosemide)
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Question 10

The nurse on the 3-11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action?

  1. A. Call the surgeon and ask them to see the client to clarify the information
  2. B. Explain the procedure and complications to the client
  3. C. Check the physician's progress notes to see if understanding has been documented
  4. D. Check with the client's family to see if they understand the procedure fully
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Question 11

Which of the following foods present a problem for a client diagnosed with Celiac Disease?

  1. A. butter
  2. B. oats or barley cereal
  3. C. fresh vegetables
  4. D. coffee or tea
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Question 12

A client with a pleural drainage system to suction has gentle bubbling of the water seal. What should the nurse do?

  1. A. Notify the physician.
  2. B. Clamp the chest tube.
  3. C. Replace the system.
  4. D. Document the finding
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Question 13

When are pressure ulcers most likely to occur?

  1. A. when clients are left in one position in bed for extended periods of time.
  2. B. when clients are underweight.
  3. C. when clients are overweight.
  4. D. only in underweight and overweight clients.
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Question 14

The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation:

  1. A. on the client's driver's license.
  2. B. in the client's safety deposit box.
  3. C. in the client's last will and testament.
  4. D. on the client's insurance card.
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Question 15

To assess a client's ankle ROM, which ROM exercises should the nurse have them perform?

  1. A. flexion, extension, hyperextension
  2. B. flexion, extension, abduction, adduction
  3. C. external rotation, internal rotation
  4. D. extension, flexion, inversion, eversion
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About these NCLEX-PN management of care questions

NCLEX-PN management of care practice questions, set 3 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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