NCLEX 2025 Management of Care – 100 Question Mock Test

Question 1:
A nurse is caring for a client who has just been diagnosed with terminal cancer. The client expresses interest in completing advance directives. Which action should the nurse take first?
A) Notify the hospital ethics committee
B) Refer the client to a palliative care specialist
C) Provide written information and explain advance directives
D) Contact the client’s family for input

Question 2:
A nurse observes that a coworker is consistently arriving late and appears impaired during shifts. What is the nurse’s most appropriate action?
A) Confront the coworker directly
B) Notify the nursing supervisor immediately
C) Document the coworker’s behavior
D) Ignore the situation to avoid conflict

Question 3:
A client recovering from surgery voices dissatisfaction with their care team. What is the nurse’s best role in advocacy?
A) Advise the client to remain quiet to avoid complications
B) Report the concern to the nurse manager
C) Document the concern and reassure the client
D) Arrange for a care team meeting with the client present

Question 4:
Which client care task can be delegated by the RN to the unlicensed assistive personnel (UAP)?
A) Assessing for pressure ulcers
B) Administering a cleansing enema
C) Evaluating pain response to medication
D) Teaching about diabetic foot care

Question 5:
A nurse is planning care for four clients. Which client should the nurse assess first?
A) A client with COPD requesting assistance to the bathroom
B) A client with pneumonia with a respiratory rate of 30
C) A client with diabetes who needs a routine insulin dose
D) A client scheduled for discharge today

Question 6:
A client’s daughter requests information about her father’s condition. Which response by the nurse maintains client confidentiality?
A) “I’m not allowed to share that information without permission.”
B) “His condition is stable.”
C) “Let me get his chart first.”
D) “You should talk to his doctor.”

Question 7:
A nurse is coordinating the discharge of a client who requires home wound care. What is the priority referral?
A) A social worker
B) A home health nurse
C) A physical therapist
D) A wound care specialist

Question 8:
A client with expressive aphasia needs help communicating with multiple specialists. What interdisciplinary team member should be involved?
A) Case manager
B) Physical therapist
C) Social worker
D) Speech-language pathologist

Question 9:
A nurse is teaching a new graduate how to assign care. Which statement demonstrates understanding of effective delegation?
A) “I can delegate IV medication administration to a UAP.”
B) “I’ll assign sterile dressing changes to the LPN.”
C) “LPNs can assess post-operative clients.”
D) “UAPs can document wound assessments.”

Question 10:
During a shift report, which type of communication ensures continuity of care?
A) Giving a written report to the oncoming team
B) Sharing lab values only
C) Using SBAR format to relay client information
D) Emailing detailed updates

Question 11:
A client refuses a blood transfusion due to religious beliefs. What is the nurse’s priority action?
A) Notify the provider
B) Respect the client’s decision and document it
C) Ask the family to persuade the client
D) Explain the risks of refusing treatment

Question 12:
A nurse working in an interdisciplinary team meeting advocates for increased home care hours for a client. This is an example of:
A) Legal intervention
B) Risk management
C) Client advocacy
D) Quality assurance

Question 13:
Which of the following is a nurse’s ethical responsibility when obtaining informed consent?
A) Signing the consent form as a witness
B) Explaining the procedure in detail
C) Providing the diagnosis to the client
D) Discussing potential costs with the client

Question 14:
A nurse finds a client’s medical record open on an unattended computer. What action should the nurse take?
A) Inform the client immediately
B) Report the breach to the IT department
C) Log off the computer
D) Close the screen and find the staff member responsible

Question 15:
A nurse manager is planning assignments. Which task should be delegated to an LPN?
A) Initial pain assessment
B) Developing a care plan
C) Monitoring a client with a nasogastric tube
D) Administering IV push morphine

Question 16:
A client who just had surgery expresses concern about being discharged too early. What is the most appropriate nursing action?
A) Reassure the client that recovery will occur at home
B) Contact the case manager to discuss discharge needs
C) Ask the physician to delay discharge
D) Recommend a follow-up with the primary care provider

Question 17:
Which action demonstrates a nurse upholding the principle of beneficence?
A) Maintaining client confidentiality
B) Acting in the best interest of the client
C) Allowing client autonomy
D) Avoiding harm to the client

Question 18:
A nurse is assigned to four clients. Which client should the nurse assess first?
A) A client with chronic back pain asking for PRN meds
B) A client with a new onset of confusion
C) A client who needs wound care before discharge
D) A client requesting help ambulating

Question 19:
A nurse is collaborating with a social worker and dietitian to address a malnourished client’s needs. This exemplifies:
A) Delegation
B) Advocacy
C) Interdisciplinary collaboration
D) Case management

Question 20:
A nurse is prioritizing care during a mass casualty event. Which client should be seen first?
A) A client with an open fracture
B) A client with third-degree burns
C) A client with a tension pneumothorax
D) A client with multiple minor abrasions

Question 21:
Which statement by the nurse manager reflects effective delegation?
A) “I’ll follow up with you to ensure the task is done properly.”
B) “You’re expected to complete all assignments without help.”
C) “You must do this because I said so.”
D) “Let me show you how to assess the incision site.”

Question 22:
A client is confused about their medications. What should the nurse do to promote client rights?
A) Tell them to trust the physician’s order
B) Reassure them that the medications are standard
C) Explain each medication and verify understanding
D) Encourage them not to question orders

Question 23:
What is the nurse’s responsibility during the informed consent process?
A) Explaining alternatives to treatment
B) Ensuring the provider signed the form
C) Witnessing the client’s signature
D) Clarifying billing information

Question 24:
A nurse is using an electronic medical record. What action ensures client confidentiality?
A) Sharing access with temporary staff
B) Using a personal password to log in
C) Writing notes on scrap paper
D) Leaving the workstation open during breaks

Question 25:
A client reports they don’t understand the reason for a scheduled surgery. What should the nurse do?
A) Educate the client about the procedure
B) Cancel the procedure
C) Notify the surgeon for clarification
D) Ask the client to sign the consent anyway

Question 26:
A nurse needs to prioritize care for four clients. Which client is the highest priority?
A) Client with a stage II pressure ulcer
B) Client requesting pain medication
C) Client with blood glucose of 65 mg/dL
D) Client who needs assistance with toileting

Question 27:
Which of the following tasks can a nurse delegate to unlicensed assistive personnel?
A) Performing post-op dressing changes
B) Documenting intake and output
C) Administering oral medications
D) Developing nursing care plans

Question 28:
A client insists on leaving the hospital against medical advice. What should the nurse do first?
A) Call security
B) Restrain the client
C) Explain the risks and ask them to sign AMA forms
D) Hide the discharge paperwork

Question 29:
A nurse sees another nurse documenting in a chart they did not access. What is the best action?
A) Ignore the behavior
B) Ask for an explanation
C) Report to the nurse manager
D) Tell the client

Question 30:
The nurse is preparing to discharge a client needing a wheelchair and home oxygen. Who is the most appropriate team member to coordinate these needs?
A) Respiratory therapist
B) Case manager
C) Physical therapist
D) Social worker

Question 31:
During shift change, which client should the nurse assess first?
A) Client with a heart rate of 58
B) Client who received IV morphine 15 minutes ago
C) Client complaining of chest pain
D) Client with a urinary catheter

Question 32:
Which of the following is an example of appropriate client advocacy?
A) Withholding information to avoid upsetting the client
B) Supporting a client’s decision to decline chemotherapy
C) Ignoring a client’s request for a second opinion
D) Telling the client to follow the physician’s orders

Question 33:
A nurse caring for a terminally ill client should recognize which intervention as promoting ethical practice?
A) Encouraging aggressive treatment
B) Telling the family not to grieve yet
C) Providing options for comfort care
D) Repeating religious phrases for comfort

Question 34:
Which situation best exemplifies the principle of autonomy?
A) A nurse administering prescribed medications
B) A nurse assigning tasks to the UAP
C) A client refusing treatment despite medical advice
D) A provider choosing the best antibiotic

Question 35:
Which task is appropriate to assign to an LPN?
A) Assessing a newly admitted client
B) Teaching insulin administration
C) Administering enteral feedings
D) Creating a care plan

Question 36:
A nurse receives orders for four clients. Which order should be clarified first?
A) Furosemide 40 mg IV now
B) Warfarin 5 mg with INR of 4.5
C) Acetaminophen 650 mg every 6 hours
D) Metoprolol 25 mg PO for BP 140/88

Question 37:
A client is scheduled for surgery but does not understand the risks. What should the nurse do?
A) Cancel the procedure
B) Explain the risks in detail
C) Notify the surgeon immediately
D) Ask the family to explain

Question 38:
A nurse is caring for a client who is dying. Which action supports ethical end-of-life care?
A) Encouraging hydration despite client refusal
B) Administering pain meds as prescribed
C) Explaining all medications thoroughly
D) Transferring to ICU without consent

Question 39:
Which client assignment is most appropriate for a UAP?
A) Monitoring chest tube output
B) Measuring and recording vital signs
C) Changing a central line dressing
D) Teaching incentive spirometry

Question 40:
A nurse is documenting client care on a shared computer. Which action protects confidentiality?
A) Leaving the computer unlocked briefly
B) Writing notes on paper first
C) Logging off when done
D) Sharing login credentials with another nurse

Question 41:
Which of the following clients needs immediate intervention?
A) Client with BP 170/90
B) Client reporting dizziness after standing
C) Client with O₂ saturation of 82%
D) Client requesting pain meds for headache

Question 42:
What is the first action a nurse should take during a code blue?
A) Start documentation
B) Call the chaplain
C) Initiate CPR
D) Contact the family

Question 43:
A client has a living will. What should the nurse do during a cardiac arrest?
A) Follow code blue protocol
B) Contact the ethics committee
C) Review the living will immediately
D) Resuscitate until told otherwise

Question 44:
Which action supports continuity of care?
A) Assigning a new nurse daily
B) Completing handoff using SBAR
C) Not sharing information with new staff
D) Refusing to answer UAP’s questions

Question 45:
A nurse manager needs to intervene when a staff nurse:
A) Reviews their own client’s lab values
B) Calls a provider to clarify a prescription
C) Accesses a chart of a non-assigned client
D) Refers a client to case management

Question 46:
A nurse overhears two coworkers discussing a client in the elevator. What is the priority action?
A) Join the conversation
B) Report to the nurse manager
C) Ask them to stop immediately
D) Do nothing if no names are used

Question 47:
What principle is upheld when the nurse honors a client’s decision to refuse surgery?
A) Nonmaleficence
B) Beneficence
C) Autonomy
D) Justice

Question 48:
A nurse is caring for four clients. Which client should the nurse assess first?
A) A diabetic client needing insulin before breakfast
B) A client reporting shortness of breath
C) A client who needs wound care
D) A client requesting a bed bath

Question 49:
Which task should be assigned to the RN?
A) Turning a client every 2 hours
B) Teaching post-op care
C) Feeding a client
D) Measuring urinary output

Question 50:
Which referral is appropriate for a client unable to afford medications?
A) Case manager
B) Physical therapist
C) Pharmacist
D) Chaplain

Question 51:
A client with limited English proficiency needs discharge instructions. What is the nurse’s priority action?
A) Speak slowly and loudly
B) Use family members as interpreters
C) Use a certified medical interpreter
D) Give written materials in English

Question 52:
A nurse is working with a client who has signed a DNR order. What is the appropriate response if the client codes?
A) Start chest compressions
B) Give IV medications only
C) Allow natural death
D) Call rapid response

Question 53:
A nurse assigns a newly admitted client to an LPN. Which action by the nurse requires intervention?
A) LPN collects vital signs
B) LPN teaches insulin injection
C) LPN gives oral medications
D) LPN reports changes to the RN

Question 54:
A nurse is developing a care plan for a client with multiple chronic illnesses. Who should be consulted to ensure coordinated services?
A) Nutritionist
B) Case manager
C) Primary nurse
D) Chaplain

Question 55:
Which action shows the nurse is protecting a client’s legal rights?
A) Encouraging a client to follow doctor’s orders
B) Assisting with advance directive completion
C) Giving medication without consent
D) Sharing client data with staff on another unit

Question 56:
A nurse overhears a physician speaking disrespectfully to a client. What is the appropriate action?
A) Report to the nurse manager
B) Document the event in the client chart
C) Ignore the comment
D) Confront the physician in front of the client

Question 57:
Which task can the nurse safely assign to a UAP?
A) Inserting a Foley catheter
B) Assessing pain
C) Assisting with ambulation
D) Teaching range-of-motion exercises

Question 58:
A nurse caring for a terminally ill client discusses palliative care. This is an example of:
A) Advocacy
B) Delegation
C) Quality improvement
D) Ethical misconduct

Question 59:
Which information should be included in a handoff report?
A) Last meal time
B) Marital status
C) Current vital signs and changes in condition
D) Full medication history

Question 60:
A client asks to review their medical record. What is the nurse’s best response?
A) “You’ll need a court order.”
B) “Let me contact medical records for you.”
C) “You’re not allowed to see that.”
D) “Only your physician can authorize that.”

Question 61:
Which action by a nurse ensures safe delegation?
A) Assigning a UAP to assess pain
B) Asking the LPN to administer IV push meds
C) Delegating a bed bath to UAP
D) Instructing the UAP to interpret lab results

Question 62:
A client is experiencing homelessness. Which team member is best for coordinating shelter and follow-up?
A) Occupational therapist
B) Discharge planner
C) Social worker
D) Case manager

Question 63:
Which ethical principle involves doing no harm?
A) Beneficence
B) Veracity
C) Nonmaleficence
D) Fidelity

Question 64:
A nurse receives new prescriptions for multiple clients. Which should be implemented first?
A) Administer acetaminophen PRN
B) Start a blood transfusion
C) Change wound dressing
D) Ambulate client post-op

Question 65:
Who should be consulted for a client needing assistive devices at home?
A) Physical therapist
B) Nutritionist
C) Social worker
D) Pharmacist

Question 66:
Which client statement indicates informed consent?
A) “I trust my doctor to decide.”
B) “I have no idea what the surgery is.”
C) “I understand the risks and benefits.”
D) “The nurse said I had to do this.”

Question 67:
A nurse is floating to a new unit. Which client should be assigned?
A) A newly diagnosed diabetic requiring teaching
B) A stable post-op client 2 days after surgery
C) A client with multiple IV drips
D) A client scheduled for complex wound care

Question 68:
Which action represents a breach of client confidentiality?
A) Faxing records to the provider’s office
B) Discussing a client’s condition with family without consent
C) Sharing updates in shift report
D) Documenting care in the EMR

Question 69:
Who is responsible for explaining a surgical procedure?
A) Nurse
B) Physician
C) Case manager
D) RN supervisor

Question 70:
What should the nurse do first when a client refuses medications?
A) Hide the medication
B) Document the refusal
C) Report to the supervisor
D) Ask the client why

Question 71:
A client wants to appoint a health care proxy. What should the nurse do first?
A) Explain the responsibilities of the proxy
B) Provide the hospital’s legal team
C) Ask the client’s family to decide
D) Fill out the form for the client

Question 72:
A nurse notes a client’s medication dose seems unusually high. What is the appropriate action?
A) Administer the dose
B) Contact the pharmacy
C) Question the order with the provider
D) Hold the dose and notify the client

Question 73:
Which intervention promotes client autonomy?
A) Explaining care options and asking the client to decide
B) Telling the client what treatment is best
C) Asking the family to choose for the client
D) Initiating treatment without consent

Question 74:
Which of the following is appropriate to delegate to an experienced LPN?
A) Developing the nursing diagnosis
B) Initial client assessment
C) Administering tube feedings
D) Teaching self-catheterization

Question 75:
A client who is DNR is found unresponsive. What should the nurse do?
A) Call a code blue
B) Start chest compressions
C) Provide comfort care
D) Notify the chaplain

Question 76:
A nurse is providing discharge instructions to a confused client. What is the best action?
A) Continue anyway and document confusion
B) Ask a family member to sign in their place
C) Delay teaching until the client is oriented
D) Refer them to their primary care provider

Question 77:
A nurse must transfer a client to a long-term care facility. What ensures continuity of care?
A) Providing a full SBAR report
B) Sending only lab reports
C) Documenting a brief note
D) Leaving follow-up to the receiving nurse

Question 78:
Which action by a nurse promotes justice in care delivery?
A) Giving extra care to higher-paying clients
B) Prioritizing clients based on race or gender
C) Providing equal care to all clients
D) Letting personal values guide treatment

Question 79:
A nurse suspects a co-worker of being under the influence. What is the appropriate action?
A) Confront the coworker
B) Notify the charge nurse immediately
C) Ignore the situation
D) Tell other coworkers

Question 80:
A nurse is teaching new staff about informed consent. Which statement is correct?
A) “Nurses are responsible for obtaining consent.”
B) “Only the provider can explain the procedure.”
C) “Consent is implied if the client is admitted.”
D) “Only verbal consent is valid.”

Question 81:
Which client situation requires the nurse to intervene?
A) UAP helping a client ambulate
B) LPN administering oral medications
C) UAP checking a client’s IV site
D) RN teaching a client post-op care

Question 82:
A nurse is preparing to discharge a client with new medications. What is the nurse’s priority?
A) Print medication list
B) Provide general instructions
C) Verify the client understands each medication
D) Tell them to ask their pharmacist

Question 83:
Which principle is violated when a nurse withholds information about treatment?
A) Autonomy
B) Fidelity
C) Justice
D) Nonmaleficence

Question 84:
A client is confused and cannot make healthcare decisions. What should the nurse confirm?
A) Living will or healthcare proxy
B) Family’s permission
C) Physician order
D) Emergency contact

Question 85:
A nurse is planning care for four clients. Which client should be seen first?
A) Client with urinary output of 35 mL/hr
B) Client with a new onset of slurred speech
C) Client requesting assistance with toileting
D) Client due for routine wound care

Question 86:
Which task can the RN delegate to a UAP?
A) Ambulating a post-op client
B) Evaluating wound healing
C) Teaching about insulin
D) Assessing a fall risk

Question 87:
A client declines to participate in a research study. What should the nurse do?
A) Explain that they must participate
B) Respect the decision
C) Call the ethics board
D) Ask family to convince them

Question 88:
A client is being discharged to a skilled nursing facility. What ensures safe transfer?
A) Sending discharge paperwork
B) Making a verbal handoff report
C) Giving client a referral card
D) Calling family to notify

Question 89:
Which client should the nurse see first?
A) Client with pain rating 8/10
B) Client requesting ambulation
C) Client with oxygen saturation 88%
D) Client due for dressing change

Question 90:
A client reports that a family member is making medical decisions without permission. What should the nurse do?
A) Notify the healthcare provider
B) Call hospital security
C) Document the incident only
D) Refer to social services

Question 91:
A client with a DNR is receiving aggressive treatment. What should the nurse do?
A) Continue treatment as ordered
B) Stop treatment and notify the physician
C) Review the chart for DNR orders
D) Disregard the DNR since treatment has begun

Question 92:
A nurse is planning discharge for a client needing wound care at home. Which referral is most appropriate?
A) Social worker
B) Physical therapist
C) Home health nurse
D) Pharmacist

Question 93:
A nurse needs to assign care during a short-staffed shift. Which client should be assigned to a UAP?
A) Post-op client 1 hour after surgery
B) Client on fall precautions needing ambulation
C) Client with new chest pain
D) Client on IV antibiotics

Question 94:
A client is confused about a scheduled diagnostic test. What is the nurse’s best action?
A) Explain the test in detail
B) Tell the client to ask the doctor later
C) Notify the provider for clarification
D) Cancel the procedure

Question 95:
A nurse needs to contact a client’s power of attorney (POA). What must be verified first?
A) The client’s diagnosis
B) The POA’s availability
C) The validity of the POA documentation
D) The physician’s consent

Question 96:
Which of the following violates HIPAA?
A) Discussing client care at the nurses’ station
B) Sharing information with a family member with permission
C) Leaving printed documents at a public workstation
D) Faxing reports with a cover sheet

Question 97:
Which situation requires the nurse to advocate for the client?
A) A client who refuses medication due to cost
B) A client who accepts care blindly
C) A family demanding discharge
D) A provider giving frequent updates

Question 98:
A nurse must prioritize care for four clients. Which client should be seen first?
A) Client who is due for medication
B) Client with new difficulty speaking
C) Client requesting discharge teaching
D) Client needing assistance with meals

Question 99:
Which role does the case manager fulfill in client care?
A) Perform head-to-toe assessment
B) Administer all medications
C) Coordinate interdisciplinary services
D) Document surgical consent

Question 100:
A nurse suspects elder abuse. What is the nurse’s legal responsibility?
A) Report to supervisor and document findings
B) Ask the client to confront the abuser
C) Ignore unless family confirms
D) Wait for another staff to report