Management of Care NCLEX Practice Questions

Which client care task can the RN delegate to an LPN?

1. A. Giving the first dose of IV vancomycin to a newly admitted client
2. B. Triaging clients who walk into the clinic
3. C. Developing the plan of care for a client with new heart failure
4. D. Administering a scheduled oral antibiotic to a stable client

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Which client should the nurse in the psychiatric unit see first?

1. A. A client who says the voices are telling him to hurt his roommate
2. B. A client who refuses to attend group therapy
3. C. A client with depression who is tearful after a phone call
4. D. A client asking for a snack

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Which client should the nurse in a pediatric clinic see first?

1. A. A 3-year-old who is drooling, sitting forward, and has muffled speech
2. B. A 7-year-old needing a school physical
3. C. A 5-year-old with an ear infection and a temperature of 101°F (38.3°C)
4. D. A 2-year-old with a diaper rash

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The RN is caring for clients with an LPN and AP. Which tasks are appropriate to delegate to the AP? Select all that apply.

1. A. Teaching a client to use an insulin pen
2. B. Helping a client with a hip fracture use the bedpan
3. C. Recording a client's food intake
4. D. Measuring vital signs on a stable client after a cholecystectomy
5. E. Monitoring a client who just received the first dose of a new opioid

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Which event is considered a sentinel event?

1. A. A client's IV infiltrates without injury
2. B. A client has mild nausea after a new medication
3. C. A client refuses breakfast
4. D. A client dies after receiving an incompatible blood transfusion

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Which client in a long-term care facility should the nurse see first?

1. A. A resident whose family wants an update on weight
2. B. A resident with a new onset of confusion and a temperature of 100.8°F (38.2°C)
3. C. A resident who wants to change rooms
4. D. A resident with chronic knee pain asking for a scheduled analgesic

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Under Medicare, which client is most likely to qualify for home health services?

1. A. A client who needs only meal delivery
2. B. A client who needs only transportation to appointments
3. C. A homebound client who needs skilled nursing for wound care
4. D. A client who drives to work daily and wants help with cleaning

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Four clients have new lab results. Which result requires immediate action?

1. A. Cholesterol of 238 mg/dL in a client on a statin
2. B. INR of 2.6 in a client taking warfarin for atrial fibrillation
3. C. Glucose of 42 mg/dL in a client receiving insulin
4. D. Hemoglobin A1C of 7.8% in a client with type 2 diabetes

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