Nclex Management Of Care Mastery: High-Yield Review Questions

NCLEX MANAGEMENT OF CARE MASTERY: HIGH-YIELD REVIEW QUESTIONS & VERIFIED RATIONALES (A+ GUARANTEED PREP) Question 1: Priority (ABCs) A nurse is assigned four clients. Which client should the nurse assess first? A. A client with COPD who has an oxygen saturation of 90% on 2 L nasal cannula B. A client 1 hour post-op thyroidectomy who reports tingling around the mouth C. A client with diabetes whose blood glucose is 250 mg/dL D. A client with hypertension reporting a mild headache Correct Answer: B Rationale: Tingling around the mouth after thyroidectomy suggests hypocalcemia due to possible parathyroid damage. This can progress to laryngospasm and airway obstruction, which is life-threatening. Using ABCs (Airway, Breathing, Circulation), airway complications take priority. Question 2: Delegation to UAP Which task is appropriate to delegate to an unlicensed assistive personnel (UAP)? A. Assess pain level of a postoperative client B. Reinforce teaching about insulin administration C. Obtain vital signs for a stable client D. Evaluate effectiveness of antihypertensive medicationCorrect Answer: C Rationale: UAP can perform routine, non-invasive, stable tasks such as vital signs. Assessment, teaching, and evaluation require nursing judgment and cannot be delegated. Question 3: Assignment - LPN/LVN Which client is appropriate for assignment to