NCSBN - National Council of State Boards of Nursing Management of Care Questions and Answers

Question 1

A nurse is prioritizing care for four clients at the beginning of the shift. Which client should the nurse assess first?

Accepted Answer

A client with a history of asthma who has a new onset of wheezing and shortness of breath.

Answer

A client scheduled for a routine dressing change for a surgical wound with no signs of infection.

Answer

An elderly client who needs assistance with breakfast and morning medications.

Answer

A client awaiting discharge who has a prescription for a new antihypertensive medication.

Question 2

A registered nurse (RN) is delegating tasks to an unlicensed assistive personnel (UAP). Which of the following tasks is appropriate for the RN to delegate?

Accepted Answer

Assisting a stable client with ambulation to the bathroom.

Answer

Administering a scheduled oral pain medication to a client with chronic pain.

Answer

Performing a sterile dressing change on a client with a central line.

Answer

Developing a plan of care for a newly admitted client with diabetes.

Question 3

A client with a terminal illness tells the nurse, 'I have a living will, and I don't want any heroic measures.' The client's family, however, insists on aggressive treatment. What is the nurse's primary responsibility in this situation?

Accepted Answer

Explain the client's wishes to the family and facilitate a discussion with the healthcare provider.

Answer

Follow the family's wishes as they are the client's support system.

Answer

Contact the hospital's ethics committee immediately to make the decision.

Answer

Inform the family that they have no legal right to make decisions for the client.

Question 4

A nurse is preparing to obtain informed consent from a client for a surgical procedure. Which of the following is a key element of informed consent?

Accepted Answer

A description of alternative treatments and the risks of no treatment.

Answer

The nurse's personal opinion about the procedure.

Answer

A guarantee of a successful outcome.

Answer

The cost of the procedure and the client's insurance coverage.

Question 5

During a team meeting, a nurse and a physical therapist have a disagreement about the best mobility plan for a client. Which of the following actions demonstrates effective conflict resolution?

Accepted Answer

Arranging a private meeting to discuss their different perspectives and find a mutually agreeable solution.

Answer

Avoiding the physical therapist and creating a separate mobility plan.

Answer

Asking the nurse manager to decide who is right.

Answer

Voicing the disagreement loudly in the hallway to get input from other staff.

Question 6

A nurse is providing a hand-off report to the oncoming nurse for a client being transferred to another unit. Which information is most essential to include in the report to ensure continuity of care?

Accepted Answer

The client's current vital signs, pending lab results, and response to recent interventions.

Answer

The client's family visiting hours and preferences.

Answer

A detailed social history of the client from admission.

Answer

The nurse's personal feelings about the client's progress.