Exam (elaborations)

NCLEX 10000 Management of Care Questions and Correct Answers the Latest Update and Recommended Version

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NCLEX

Institution
NCLEX

A client with acute kidney failure is placed on fluid restriction of 1000 mL of fluid over a 24- hour period. What is the priority nursing action? • Offer the client proportioned fluids in the day and less during the night. • Explanation: • The client and nurse should make a fluid schedu...

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nclex 10000 management of care questions and corre
a client with acute kidney failure is placed on fl

Institution NCLEX
Course NCLEX

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NCLEX 10000 Management of Care
Questions and Correct Answers the
Latest Update and Recommended
Version
A client with acute kidney failure is placed on fluid restriction of 1000 mL of fluid over a 24-

hour period. What is the priority nursing action?

• Offer the client proportioned fluids in the day and less during the night.
• Explanation:
• The client and nurse should make a fluid schedule that takes into consideration factors
such as periods of wakefulness, number of meals, oral medications, and personal
preferences. Avoiding night fluids will decrease risk for aspiration.

While giving report to the oncoming night shift, the charge nurse smells alcohol on the breath

of one of the nurses. The charge nurse should:

• Report this to the nursing supervisor immediately
• Explanation:
• This situation should be reported immediately to the nursing supervisor or manager at
the time. The nurse is liable to report a suspicious situation that could create an unsafe
situation for the clients. Reporting a suspicious situation does not imply actual guilt; it
implies identification of a high-risk situation. The supervisor will then follow the correct
procedure for management and follow-up of the situation.

The nurse is caring for an adolescent with cancer who is well informed about the medical

condition and treatment. The adolescent refused the morning medications and states intentions

of refusing all future medications. What is the best action by the nurse?

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• Document the adolescent's choice and offer to discuss feelings about the medication.
• Explanation:
• The client has the right to choose whether to take the medication. The nurse should try
to determine the reason for the adolescent not wanting the medication other than
choice (e.g., side effects, fear of falling asleep and not waking).

A nurse who is a case manager is responsible for assigning client care to unregulated care

providers (UCPs). The nurse is planning the care for a new client who requires several

treatments. Which of the following UCPs should the nurse assign to the new client?

• The UCP with the appropriate knowledge and skills to provide the care
• Explanation:
• The nurse is accountable for the assignment of tasks to UCPs. The nurse must ensure that
the care being assigned is consistent with the UCP's level of knowledge, skill, and
judgment. Assignments must also consider the UCP job description, agency policy,
legislation, and client need.

A nurse is working within the managed care delivery model. Which of the following is true

regarding managed care?

• All systems reflect the values of efficiency and effectiveness.
• Explanation:
• All systems in the managed care delivery model reflect the values of efficiency and
effectiveness. Different plans may have different values underlying the delivery of
care. However, they all reflect the business plan values of efficiency and effectiveness.

The nurse is caring for several neonates in the newborn nursery. Precautions that should be

taken to prevent an infant abduction include which of the following?

• Notifying the hospital's security staff about anyone who appears unusual
• Explanation:
• The nurse should notify the hospital's security staff about anyone who appears unusual.

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In many institutions, which of the following telephone or fax orders requires a signature within

24 hours by the ordering physician or nurse practitioner?

• Orders for antibiotics.
• Explanation:
• Many institutional policies dictate that orders for restraints, narcotics, anticoagulants,
and antibiotics require the ordering physician or nurse practitioner to sign the order
within 24 hours.

An airplane crash results in mass casualties. The nurse is directing personnel to tag all victims.

Which information should be placed on the tag? Select all that apply.

• • triage priority
• • medications and treatments administered
• • identifying information when possible (such as name, age, and address)
• Explanation:
• Tracking victims of disasters is important for casualty planning and management. All
victims should receive a tag, securely attached, that indicates the triage priority, any
available identifying information, and what care, if any, has been given along with
time and date. Tag information should be recorded in a disaster log and used to track
victims and inform families.

A mother reports she cannot afford the antibiotic azithromycin, which was prescribed by the

physician for her toddler's otitis media. The nurse's best response is to:

• Confer with the physician about whether a less expensive drug could be ordered.
• The nurse must act as an advocate for the client when the client cannot afford
treatment. It is possible to substitute a less expensive antibiotic. Correct procedure
includes contacting the physician to explain the mother's economic situation and request
a substitution. For example, amoxicillin is more economical than azithromycin

The nurse's unit council in the telemetry unit is responsible for performance improvement

studies. What information should they gather to study whether client education about resuming

sexual activity after an acute myocardial infarction (MI) is being taught?

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Exam (elaborations)

NCLEX 10000 Management of Care Questions and Correct Answers the Latest Update and Recommended Version

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