Management of Care Practice Questions
Master Management of Care for the NCLEX-RN exam with comprehensive practice questions, detailed explanations, and proven study strategies.
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What You'll Learn
The Management of Care topic on the NCLEX-RN exam focuses on a nurse's role in coordinating, delegating, and supervising patient care. This includes understanding the nurse's scope of practice, working effectively with the interprofessional team, and ensuring safe, high-quality care delivery. Mastering this content is critical, as it accounts for a significant portion of the NCLEX-RN and is essential for providing excellent patient care as a registered nurse.
Key Concepts
Scope of Practice
The legal and ethical boundaries that define the limitations and responsibilities of a nurse's role. Nurses must practice within their scope to ensure safe, appropriate care.
Delegation
The process of transferring responsibility for the performance of an activity to another individual. Nurses must effectively delegate tasks to unlicensed assistive personnel while maintaining accountability.
Supervision
The act of directing, guiding, and influencing the outcome of an individual's performance. Nurses are responsible for appropriately supervising staff to ensure safe, quality care.
Interprofessional Collaboration
The process of multiple healthcare professionals from different backgrounds working together to provide high-quality, patient-centered care. Effective communication and teamwork are essential.
Case Management
The coordination of care and services to meet a patient's comprehensive health needs. This involves assessing, planning, implementing, coordinating, monitoring, and evaluating options and services.
Common Mistakes to Avoid
- Delegating tasks that are outside the scope of practice of unlicensed assistive personnel
- Failing to provide appropriate supervision for delegated tasks
- Ineffective communication and collaboration with the interprofessional team
- Lack of understanding of one's own scope of practice as a registered nurse
- Neglecting to consider the patient's preferences and goals when coordinating care
Sample Management of Care Questions
Question 1
A patient suddenly reports weakness and nausea, prompting a nurse's aide to call you to their room. You assess the patient and find their blood pressure has dropped significantly from 130/78 to 80/42. Before contacting the healthcare provider, in which position should you place the patient?
Modified Trendelenburg
(Correct)Lithotomy position
Sims' position
Dorsal recumbent
Explanation:
Correct answer: Modified Trendelenburg In this position, the feet are slightly elevated (approximately 20 degrees), the knees are straight, the trunk is flat and the head is slightly elevated. This position enhances venous return, making it beneficial in cases of shock. The lithotomy position is uti...
Question 2
A physician writes a new medication order prescribing a medication four times daily, differing from the usual twice-daily frequency. What action should you take?
Hold the medication until you can clarify the order with the physician
(Correct)Administer the medication twice a day
Administer the medication four times a day as ordered by the physician
Ask pharmacy staff to clarify the order with the physician
Explanation:
Correct answer: Hold the medication until you can clarify the order with the physician. It is essential to question any unsafe behavior or practice. Never administer a medication if the medication order is unclear. While pharmacy staff may also question potentially unsafe medication orders, the nurs...
Question 3
A 38-year-old female presents to the emergency department with palpitations. Upon assessment, she is placed on a monitor which reveals a narrow complex tachyarrhythmia at a rate of 150 bpm. Her vital signs are within normal limits. What is the most appropriate initial intervention?
Vagal maneuvers
(Correct)Initiate an IV line with normal saline
Perform cardioversion on the patient
Defibrillate the patient
Explanation:
Correct answer: Vagal maneuvers Vagal maneuvers are non-pharmacological methods used to stimulate the vagus nerve and potentially terminate a narrow complex tachyarrhythmia. These may include techniques like the Valsalva maneuver, coughing, or breath-holding. Defibrillation is not appropriate for ta...
Study Tips for Management of Care
Familiarize yourself with your state's Nurse Practice Act to understand the legal scope of practice for registered nurses
Practice effective delegation by identifying appropriate tasks to delegate and clearly communicating expectations to unlicensed assistive personnel
Develop strong interprofessional communication skills, including active listening, clear information sharing, and conflict resolution
Review case studies and scenarios that highlight the nurse's role in care coordination and management
Prioritize patient-centered care by considering the individual's preferences, goals, and unique needs when planning and delivering care
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Related NCLEX-RN Topics
NCLEX-RN Question Types
Frequently Asked Questions
How many Management of Care questions are on the NCLEX-RN?
Management of Care makes up approximately 20% of the NCLEX-RN exam. Upsero includes hundreds of practice questions covering all aspects of this topic.
How do I study for Management of Care?
Start with understanding the key concepts, then practice with realistic exam questions. Upsero's ReadyScore tracks your mastery of Management of Care so you know when you're ready for the real exam.
Are the practice questions similar to the real NCLEX-RN?
Yes! Our Management of Care questions are designed to match the exact format, difficulty, and style of the actual NCLEX-RN exam. Many students say our questions are even harder than the real exam.
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