This is a NCLEX practice test for management of care. Taking this NCLEX-RN practice test on Management of Care will help you better understand and prepare for the questions you’ll encounter on the actual exam. This subject matter is a subcategory of one of the four client needs, Safe and Effective Care Environment. Additionally, Management of Care questions make up the largest area on the NCLEX-RN examination; you can expect approximately 20% of the questions come up on the exam.
Simply put, Management of Care is when “the nurse provides and directs nursing care that enhances the care delivery setting to protect the client and health care personnel.” Registered nurses have many responsibilities, including delegating client care to staff, following ethical and legal standards, maintaining strict client confidentiality, prioritizing and organizing efficient client care, educating clients and their families, and participating in interprofessional care. In this first practice test, you will be asked questions about prioritization, delegating care to team members, legal terminology, informed consent, and the role of the case manager.
You may begin this test at any time. If you leave a test before it is finished, it will automatically save your progress. When you return, the test will begin where you left off. Be sure to read each question carefully and take your time thinking of the answer. If you choose the correct answer, the answer will be marked with a green background and a massage will appear. Click next for the next questions. However, if you make a mistake, an explanation will show up immediately. This will help reinforce your learning. It is important to note that each time you take the test, the questions and options will be shuffled into a different, random order.
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Question 1 of 40
1. Question
Nursing care plans are ________.
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Question 2 of 40
2. Question
Nursing care plans contain which of the following?
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Question 3 of 40
3. Question
One major difference between long term care and respite centers is the fact that long term care facilities:
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Question 4 of 40
4. Question
Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices?
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Question 5 of 40
5. Question
A patient will be discharged from the hospital today. Which person will most likely arrange the discharge of this patient to his or her own home, to a nursing home, or assisted living facility?
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Question 6 of 40
6. Question
Who is the center of care?
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Question 7 of 40
7. Question
A staff nurse working on a medical-surgical unit witnesses another nurse reviewing a patient’s EMR that she is not assigned. What should the staff nurse do next?
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Question 8 of 40
8. Question
You are working as a valued member of the team in your nursing care unit. You are trying to figure out whether or not the team is doing well. Which of the following is a sign that your team is doing well?
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Question 9 of 40
9. Question
The primary purpose of a patient care meeting or conference is to determine which of the following?
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Question 10 of 40
10. Question
Who should be members of a patient care conference?
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Question 11 of 40
11. Question
An 18 year old female is admitted to the emergency room complaining of abdominal pain, nausea, and vomiting. Lab results indicated an elevation in alkaline phosphatase, bilirubin and a positive HCG. The patient’s parents are at the bedside. Which of the following actions, if taken by a nurse, would signify that the nurse is acting as a patient advocate?
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Question 12 of 40
12. Question
Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their own?
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Question 13 of 40
13. Question
Patients have a right to ___________.
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Question 14 of 40
14. Question
You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have _____________.
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Question 15 of 40
15. Question
A patient is being discharged from an acute care rehabilitation facility to home following a CVA with left sided hemi-paresis and dysphagia. Which of the following disciplines would the case manager include in the patient’s discharge planning meeting?
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Question 16 of 40
16. Question
You are taking care of 5 patients today. One of your patients wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first?
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Question 17 of 40
17. Question
You are taking care of 7 patients today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care is the lowest in terms of priority?
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Question 18 of 40
18. Question
The nurse is gathering necessary materials to change the patient’s abdominal dressing at the end of her shift. The nurse is concerned she will not have time to document the dressing change thoroughly and accurately. When should the nurse document the care?
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Question 19 of 40
19. Question
You are caring for Mrs. Thomas. You see a notation on the nursing care plan that states “ambulate at least 10 yards qid”. This patient will be assisted with ambulation at which of the following times?
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Question 20 of 40
20. Question
The supervising RN asks you to bring the unit’s collected lab specimens to the lab “stat”. You should ______________.
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Question 21 of 40
21. Question
You are working the 4 pm to 12 midnight evening shift. You are taking care of a group of patients. The supervising RN identifies 5 patients who get medication at “HS”. When will you give this medication?
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Question 22 of 40
22. Question
You are caring for Mr. Charles Y. You see a notation on the nursing care plan that states, “remind the patient to use the incentive spirometer tid”. This patient will be reminded at which of the following times?
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Question 23 of 40
23. Question
A nursing care plan states, “Assist the patient to the bedside commode prn”. When will this patient get this assistance to the commode?
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Question 24 of 40
24. Question
You see a sign over Mary Jones’ bed when you arrive at 7 am to begin your day shift. The sign says, “NPO”. Ms. Jones is on a regular diet. The patient asks for milk and some crackers. You ________.
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Question 25 of 40
25. Question
A case manager is planning a discharge for a patient after being admitted to the hospital for an exacerbation of COPD. What information would be a priority in identifying the home care needs for the patient?
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Question 26 of 40
26. Question
Match the abbreviation with the correct definition:
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Question 27 of 40
27. Question
Which is NOT an acceptable abbreviation?
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Question 28 of 40
28. Question
You are taking Mr. D’s blood pressure. The first sound that you hear is at 162 and the second sound that you hear is at 86. You should document and report that the blood pressure is ________________.
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Question 29 of 40
29. Question
Your elderly patient has a temperature of 98.5 degrees. Is there anything else that a nurse should do, in addition to documenting this temperature?
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Question 30 of 40
30. Question
The abbreviation ac is defined as ______________.
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Question 31 of 40
31. Question
The abbreviation pc is defined as _______________.
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Question 32 of 40
32. Question
At the beginning of the shift, a nurse receives a report for her daily assignment. Which of the following situations should the nurse give first priority?
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Question 33 of 40
33. Question
Mr. W has orders for a physical therapy consultation. The nurse contacts the appropriate department but 12 hours later, no one has come to see the client. Which is the most appropriate action of the nurse?
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Question 34 of 40
34. Question
The “B” in the SBAR acronym stands for:
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Question 35 of 40
35. Question
A case manager is planning a discharge for a patient who will be placed on long-term antibiotics secondary to a left hip replacement that has become septic. To facilitate a safe discharge, prioritize the following four “at risk” problems for the discharge plan:
1. infection
2. self-care deficit
3. impaired skin integrity
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Question 36 of 40
36. Question
Decide which of the following tasks may be delegated to unlicensed assistive personnel.
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Question 37 of 40
37. Question
According to HIPAA, which of the following is considered an individual right for privacy of a client’s protected health information?
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Question 38 of 40
38. Question
Which of the following clients is most likely ready to be dismissed from an inpatient care setting to home?
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Question 39 of 40
39. Question
The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her husband is present for the teaching. While explaining the prescription for antiplatelet medication to use at home, Mrs. S’s husband states, “I don’t think I can afford to refill that medication.” What is the most appropriate response of the nurse?
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Question 40 of 40
40. Question
The discharge planning team is discussing plans for the dismissal of a 16-year old admitted for complications associated with asthma. The client’s mother has not participated in any of the discharge planning process, but has stated that she wants to be involved. Which of the following reasons might prohibit this mother from participating in discharge planning?
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