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    Management of Care NCLEX-RN Practice Exam — Set 3

    20 NCLEX-style Management of Care questions covering communication, advocacy, ethics, RCA, handoff, staffing, restraint, and discharge — rationales after submit.

    20 questions · Free · Rationales after submit

    Question 1

    Therapeutic Communication

    Client about to receive ECT asks if memory loss is permanent. Correct response?

    Question 2

    Quality/RCA

    Three falls have occurred at night near the bathroom. First manager action?

    Question 3

    Communication/Handoff

    Most important handoff info for a client with a new tracheostomy?

    Question 4

    Staffing

    Best staffing model during short staffing?

    Question 5

    Ethics/Bias

    Client with opioid use disorder requests pain medication. Most appropriate action?

    Question 6

    Medication Safety

    Two-identifier policy — which staff statement needs further education?

    Question 7

    Informed Consent

    Client about to sign consent asks about risks; provider hasn't discussed them. Action?

    Question 8

    Therapeutic Communication

    UAP tells client "You need to eat all your food or the nurse will be upset." Action?

    Question 9

    Floating

    Floating to unfamiliar telemetry unit — best action?

    Question 10

    Cultural Competence

    Hispanic clients have higher readmission rates. First manager action?

    Question 11

    Prioritization (Chest Tube)

    Chest tube client with sudden SOB; tidaling stopped. First action?

    Question 12

    Delegation

    Which task is INAPPROPRIATELY delegated to a UAP?

    Question 13

    QI/Hourly Rounding

    Successful hourly rounding outcome?

    Question 14

    Restraint

    Restraint order is about to expire and provider hasn't seen client. Action?

    Question 15

    Handoff

    Most important info during PACU handoff?

    Question 16

    Documentation

    Most appropriate documentation of medication refusal?

    Question 17

    Infection Control

    C. difficile contact precautions — most appropriate UAP assignment?

    Question 18

    Communication/Interpreters

    Discharging a client with limited English. Best action?

    Question 19

    Ethics/Falsification

    Colleague documenting vital signs that weren't measured. First action?

    Question 20

    Staffing

    Best approach for an understaffed shift?