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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?