NCLEX-RN Management of Care practice test

Delegation, prioritization, advocacy, legal and ethical practice.

15–21% of the real exam 85–150 items, adaptive 2026 test plan
NCLEX-RN — Management of Care Question 1 of 10

A nurse administers a medication to the wrong client. After assessing the client and notifying the provider, what is the correct documentation?

What this section asks

The largest category on the exam by weight, and the one that most rewards thinking like a nurse rather than remembering like a student. Almost every item is a judgment call: which client to see first, what can be handed to an LPN/VN or assistive personnel, when an order should be questioned, what a client is entitled to refuse. The content is not obscure; the trap is answering as the person you are now rather than as the licensed nurse you are being tested as.

Prioritizing care by acuityDelegation and supervisionAdvance directives and consentClient rights and advocacyConfidentiality and privacyHandoff and documentationLegal scope of practice and ethicsMandatory reporting

Frequently asked

How much of the NCLEX-RN is Management of Care?
15–21% of the items, under the 2026 NCLEX-RN Test Plan. The exam is adaptive — between 85 and 150 items — so the count you meet depends on how long your exam runs.
Is there a passing score on the NCLEX?
Not as a percentage. The exam is computer-adaptive and ends when the computer is 95% sure your ability is above or below the passing standard, a level NCSBN sets rather than a number of correct answers.
Is this the official NCLEX?
No. These are original practice questions written for study from the categories in the published test plan. The official exam is administered by NCSBN (National Council of State Boards of Nursing).

Other NCLEX-RN sections

Mixed practice test Safety and Infection Prevention and ControlHealth Promotion and MaintenancePsychosocial IntegrityBasic Care and ComfortPharmacological and Parenteral TherapiesReduction of Risk PotentialPhysiological Adaptation

Sources

Every figure on this page comes from one of the documents below, with the date it was read. Requirements change; if a source has moved on since that date, the source is right and this page is out of date.

Not affiliated with, endorsed by, or authorized by ATI (Assessment Technologies Institute), Elsevier, NCSBN, or any nursing program or board of nursing. TEAS®, HESI® and NCLEX® are trademarks of their respective owners. Practice questions here are original study material, not the official exams.