15–21% of the NCLEX-RN
Management of Care NCLEX practice questions
Delegation, prioritization, assignment, legal and ethical practice, informed consent, advance directives, and continuity of care. The single largest category on the exam.
15–21%of scored items on the 2026 test plan
166Management of Care questions in the Aegis bank
5free samples below
Question 1 Multiple choice hard
An RN charge nurse is making assignments. Four clients need care. Which client should be assigned to the LPN?
- A.A new admission with chest pain
- B.Stable post-op day 3 client requiring routine medications and dressing changes
- C.A client receiving blood transfusion that just started
- D.A client awaiting initial discharge teaching
Show answer and rationale
Correct answer: B · LPN assignment
LPN scope: stable predictable clients with established plans. Initial assessment, blood transfusion (RN-only initiation), and initial teaching require RN.
Question 2 Multiple choice hard
A nurse is being floated to a unit with unfamiliar specialty patients. The nurse should:
- A.Refuse the assignment
- B.Accept assignments within scope of practice, request orientation, communicate with charge nurse about competency limits
- C.Pretend competency in all areas
- D.Leave the shift
Show answer and rationale
Correct answer: B · Floating / competency
Floating: accept within scope; communicate competency limits clearly; request appropriate assignments and resources. Patient safety first.
Question 3 Multiple choice hard
During a mass casualty, START triage RED tag means:
- A.Walking wounded
- B.Delayed care
- C.Immediate, life-threatening but salvageable (RR > 30, weak pulse, AMS)
- D.Expectant/dead
Show answer and rationale
Correct answer: C · START triage
START: GREEN walking, YELLOW delayed, RED immediate (life-threatening salvageable), BLACK expectant.
Question 4 Select all that apply hard
Which tasks may the nurse delegate to unlicensed assistive personnel (UAP)? Select all that apply.
- A.Measuring vital signs on a stable client
- B.Assisting a stable client with ambulation
- C.Performing initial admission assessment
- D.Feeding a client who has no swallowing difficulty
- E.Administering an oral medication
Show answer and rationale
Correct answer: A, B, D · Five rights of delegation
UAPs can perform routine tasks for stable clients (vitals, ambulation, feeding without dysphagia). Initial assessment and medication administration require a licensed nurse.
Question 5 Select all that apply medium
Which documents are types of advance directives? Select all that apply.
- A.Living will
- B.Durable Power of Attorney for Health Care
- C.POLST/MOLST (Physician/Medical Orders for Life-Sustaining Treatment)
- D.Last will and testament
- E.DNR (Do Not Resuscitate) order
Show answer and rationale
Correct answer: A, B, C, E · Types of advance directives
Advance directives: living will, DPAHC, POLST/MOLST, DNR. Last will and testament addresses property after death — not medical care.
