Management of Care & Legal Delegation practice test: free NCLEX-RN questions

Sample Practice Questions for Management of Care & Legal Delegation

1. Question 1Ref: Safe Care Environment — Management of Care

   A charge nurse observes that a newly licensed nurse is administering medications without scanning the barcode on the client's wristband. What is the best initial action?

   AProvide immediate feedback and demonstrate proper scanning techniqueBDocument the error in the client's medical recordCNotify the nurse manager right awayDFile an incident report immediately
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   Correct Answer
   A. Provide immediate feedback and demonstrate proper scanning technique

   The keyed answer is "Provide immediate feedback and demonstrate proper scanning technique". The charge nurse should provide immediate feedback to correct the behavior and prevent harm. Filing an incident report or notifying the manager before addressing the issue directly is premature. The priority is correcting the unsafe practice in real time.

2. Question 2Ref: Safe Care Environment — Management of Care

   A nurse manager receives a call from a family member complaining about the quality of care. The family member is upset and raising their voice. What is the best initial response?

   ATransfer the call to the hospital administrator immediatelyBExplain hospital policy regarding visitor behaviorCTell the family member to calm down or leave the unitDListen actively, acknowledge the concern, and gather facts
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   Correct Answer
   D. Listen actively, acknowledge the concern, and gather facts

   The keyed answer is "Listen actively, acknowledge the concern, and gather facts". Active listening and acknowledging the family's concerns de-escalates the situation and demonstrates empathy. Telling them to leave or quoting policy is dismissive. Escalating before gathering information is premature.

3. Question 3Ref: Safe Care Environment — Management of Care

   A nurse is preparing to float to a medical-surgical unit. The nurse has not worked on that unit before. What is the BEST action?

   AAccept the assignment and figure it out on the unitBRefuse the assignment because of lack of experienceCRequest an orientation to the unit, medications, and emergency equipment before accepting the assignmentDAsk another nurse to take the assignment instead
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   Correct Answer
   C. Request an orientation to the unit, medications, and emergency equipment before accepting the assignment

   The keyed answer is "Request an orientation to the unit, medications, and emergency equipment before accepting the ass...". The nurse should request an orientation to the unit to ensure safe care. Refusing or passing the assignment without attempting accommodation is inappropriate. Accepting without orientation may compromise client safety.