Safe & Effective Care Environment · 15–21% of the exam

Management of Care

Module 2 of 9 · Free NCLEX Prep Course · The RN Network

The largest single category on the NCLEX. Management of Care tests whether you can direct traffic safely: who does what, who is seen first, what is legal, and how care moves across the team.

Delegation and Supervision

  • The five rights of delegation: right task, right circumstance, right person, right direction/communication, right supervision/evaluation.
  • Delegate to UAP: ADLs, hygiene, ambulation of stable clients, vital signs on stable clients, I&O measurement, turning/repositioning, feeding clients without swallowing precautions.
  • Delegate to LPN/LVN: care of stable clients, medication administration (oral, SQ, IM; IV varies by state), reinforcing teaching the RN initiated, sterile dressing changes, tube feeding for established tubes.
  • Keep for the RN: initial and ongoing assessment, care planning, teaching, evaluation, IV push medications, blood products, unstable clients, and anything requiring clinical judgment.
  • When supervising delegated work, the RN verifies completion and evaluates outcomes — accountability is retained even when the task is transferred.

Prioritization and Triage

  • Emergency department triage: emergent (threat to life/limb — chest pain, airway compromise, active hemorrhage), urgent (needs care within hours — stable fracture, persistent vomiting), non-urgent (rash, sprain, medication refill).
  • Disaster/mass-casualty triage flips the logic: care goes to those most likely to survive with intervention. Clients with catastrophic injuries and minimal survival odds are triaged expectant (black tag).
  • On the unit, see first: airway/breathing compromise, hemodynamic instability, acute neurological changes, new-onset chest pain, and any sudden unexpected change.
  • A client who becomes suddenly quiet after being agitated, or whose respiratory rate is slowing after tachypnea, may be decompensating — trending matters more than single values.
  • When two clients are both unstable, choose the one whose problem is most immediately lethal and most fixable by nursing action.

Legal and Ethical Practice

  • Informed consent is obtained by the provider performing the procedure; the nurse witnesses the signature, verifies the client is competent and unmedicated by sedating drugs, and advocates if understanding is lacking.
  • Emancipated minors, and minors seeking care for pregnancy, STIs, or substance use (state-dependent), may consent for themselves. In a life-threatening emergency, consent is implied.
  • Advance directives: a living will states treatment wishes; a durable power of attorney for healthcare names a decision-maker. A DNR must be an active provider order — family wishes alone do not change code status.
  • Confidentiality (HIPAA): share information only with those directly involved in care. No hallway conversations, no information to callers without client authorization, no accessing charts out of curiosity.
  • Torts to know: assault (threat), battery (touching without consent), false imprisonment (unauthorized restraint), negligence (breach of duty causing harm), malpractice (professional negligence). Restraining a competent client who refuses care is false imprisonment.
  • Ethical principles: autonomy (client's right to decide), beneficence (do good), nonmaleficence (do no harm), justice (fairness), fidelity (keep promises), veracity (truthfulness). A competent adult may refuse any treatment — even life-sustaining treatment.

Care Coordination and Continuity

  • Use SBAR (Situation, Background, Assessment, Recommendation) for handoffs and provider calls; read back verbal and telephone orders.
  • Referrals: PT for mobility/strength, OT for ADLs and fine motor, speech-language pathology for swallowing and communication, social work for finances/placement/resources, case management for the discharge plan across settings.
  • Discharge planning starts at admission. Confirm the client can obtain medications, perform self-care, and state follow-up plans before discharge — teach-back verifies understanding.
  • Interdisciplinary conflict about client care goes up the chain of command: charge nurse → nursing supervisor — after direct, respectful communication with the provider fails.
  • Continuity items on NGN often hinge on what is missing from a handoff — scan for unreported abnormal findings.

Quality, Safety, and Incident Reporting

  • Complete an incident/occurrence report for errors, near-misses, falls, and equipment failures. Document facts objectively in the chart, but never chart that an incident report was completed — the report itself is an internal QI tool.
  • National Patient Safety Goals themes: two client identifiers before any care, medication reconciliation at every transition, marking surgical sites, time-outs before procedures, fall risk assessment, and clear alarm management.
  • Root cause analysis looks for system causes, not individual blame; a just culture separates human error from reckless behavior.
  • Report unsafe practice by a colleague (impairment, diversion, practicing beyond scope) to the charge nurse/supervisor immediately — client safety outranks collegial loyalty.
  • Never accept an assignment you are not competent to perform; communicate the limitation and negotiate a safe assignment rather than abandoning the shift.

Practice Questions

Answer each question, then read the rationale — the rationale is where the learning happens.

1.The RN is working with an LPN and a UAP. Which set of tasks is correctly assigned?
Rationale: A sterile dressing change on a stable client is within LPN scope, and ambulating a stable post-op client is within UAP scope. Initial assessments and discharge teaching are RN-only; IV push opioids are outside LPN scope in most states; clients with dysphagia should not be fed by UAP.
2.During a mass-casualty event, which victim should be triaged with a black (expectant) tag?
Rationale: In disaster triage, resources go to those most likely to survive. Agonal respirations with 95% full-thickness burns indicate minimal survival probability — expectant (black). The chest wound is immediate (red), the fracture is delayed (yellow), the ambulatory victim is minimal (green).
3.A competent adult client with a bowel obstruction refuses placement of a nasogastric tube. What is the nurse's BEST action?
Rationale: Autonomy: a competent adult may refuse any treatment. The nurse assesses the reason, ensures the refusal is informed, documents, and notifies the provider. Inserting anyway is battery; pressuring via family or threats is coercion.
4.The nurse finds a client on the floor beside the bed. After assessing and assisting the client, which action regarding documentation is correct?
Rationale: The medical record gets the objective facts (found on floor, assessment findings, provider notified). The incident report is a separate internal quality tool and is never referenced in the chart — referencing it destroys its legal protection.
5.A client scheduled for surgery received morphine 4 mg IV 30 minutes ago. The surgeon arrives to obtain informed consent. What should the nurse do?
Rationale: Consent requires an unimpaired decision-maker. A client medicated with IV opioids 30 minutes prior cannot give valid consent. The spouse cannot substitute for a client who is expected to regain capacity, and nurses never obtain surgical consent — the provider does.
6.The nurse suspects a coworker is diverting opioids and appears impaired during the shift. What is the priority action?
Rationale: An impaired nurse is an immediate client safety threat. Report up the chain of command now — the supervisor removes the nurse from care and initiates the required process. Private confrontation, informal warnings, or waiting all leave clients at risk.
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