Preparing for the NCLEX-RN (National Council Licensure Examination for Registered Nurses) exam? Management is one of the areas our deck drills hardest: 90 of its 1030 flashcards focus on management, covering topics like PSDA, Patient Self, Determination Act, Living Will. Try the sample questions below — every card is a real question-and-answer pair from the full deck.
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An adult client is admitted for elective surgery and asks about advance directives. According to the Patient Self-Determination Act (PSDA), what is the nurse's primary responsibility?
Show answer →The PSDA requires healthcare facilities to: 1. Provide written information regarding the right to accept or refuse treatment. 2. Ask if the client has an advance directive and document its existence in the medical record. 3. Ensure that the client's directives are implemented. NCLEX Strategy: The nurse's role is verification and facilitation. If a client wants to create one, the nurse should notify the provider or a social worker. The nurse does not provide legal advice or draft the document.
A client has a Living Will and a Durable Power of Attorney for Healthcare (DPOA-HC). Who makes the medical decisions if the client becomes temporarily unconscious due to anesthesia?
Show answer →The DPOA-HC (also known as a Healthcare Proxy or Surrogate) makes decisions. While a Living Will outlines specific treatment preferences (e.g., ventilator use), the DPOA-HC is an individual designated to speak for the client when they lack capacity. Clinical Pearl: The DPOA-HC's authority only activates when the client is deemed to lack decision-making capacity by a provider. As long as the client is alert and oriented, they make their own decisions.
A client is ready to sign their Living Will and asks the nurse to be a witness to the signature. What is the most appropriate action by the nurse?
Show answer →The nurse should decline and suggest an alternative witness, such as a social worker or a non-involved third party, per facility policy. Rationale: Most state laws and facility policies prohibit healthcare providers directly involved in the client's care from witnessing advance directives to avoid potential conflicts of interest or legal challenges. NCLEX Tip: Witnessing is a common trap. The nurse verifies that the document is on the chart, but usually should not be the legal witness to the signing.
A client with a terminal diagnosis tells the nurse, I signed that Living Will last year, but I've changed my mind and want full treatment now. What is the nurse's priority action?
Show answer →The nurse must immediately notify the healthcare provider and document the client's verbal revocation in the medical record. Rationale: A client can revoke an advance directive at any time, either orally or in writing, regardless of their physical or mental state, as long as they can communicate their intent. The most recent statement of intent takes precedence over written documents. Exam Tip: NCLEX prioritizes client autonomy. Verbal revocation is legally binding in the clinical setting.
An unconscious client is brought to the Emergency Department with severe trauma. No family is present, and no advance directive is on file. What is the legal standard for treatment?
Show answer →The nurse and medical team must proceed with life-saving treatment under the principle of Implied Consent. Rationale: In an emergency where the client is unable to consent and no surrogate is available, the law presumes the client would want life-saving intervention. Treatment continues until the client regains capacity, an advance directive is located, or a legal surrogate is identified to provide informed consent or refusal.
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Try 30 free NCLEX-RN cards firstThe full NCLEX-RN deck contains 1030 flashcards, and 90 of them focus on management. This page shows 5 free samples.
Our NCLEX-RN deck dedicates 90 of 1030 cards (9%) to management — always cross-check the official NCSBN exam outline for the current blueprint weighting.
Yes — the samples on this page are free, and the NCLEX-RN preview page has 30 more free cards. Full access to all 1030 cards is a one-time $7.
Obstetrics
70 cards
Pathology
210 cards
Pediatrics
70 cards
Pharmacology
120 cards
Procedures
120 cards
Psychology
90 cards
NCLEX-RN practice test
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