NCLEX REVIEW EXAM (COMPLETE & VERIFIED) REAL FULL 120+ QUESTIONSWITH WELL DETAILED ANSWERS-ALREADY Category 1: Safe and Effective Care Environment Management of Care 1. The charge nurse is making assignments on a busy medical-surgical unit. Which client should be assigned to the most experienced RN? a) A 24-year-old client with a sickle cell crisis requiring IV hydromorphone via PCA pump b) A 55-year-old client with pneumonia who is stable and receiving oral antibiotics c) A 68-year-old client with urosepsis who has a blood pressure of 88/50 and heart rate of 120 d) A 72-year-old client with a hip fracture who needs assistance with activities of daily living Answer: c) A 68-year-old client with urosepsis who has a blood pressure of 88/50 and heart rate of 120 Rationale: This client is hemodynamically unstable with signs of septic shock (hypotension, tachycardia). This client requires the highest level of critical thinking, assessment skills, and rapid intervention, making it most appropriate for the most experienced RN. The other clients are stable or have predictable needs.2. A nurse discovers that a client received a double dose of insulin due to a medication error. The client is currently asymptomatic with a blood glucose of 110 mg/dL.