NURS 465 practice questions on priority setting Questions
With Complete Solutions
"What are the voices telling you?" Correct Answers a nurse is
caring for a client who has schizophrenia and is experiencing
auditory hallucinations. Which of the following responses
should the nurse make first?
a client admitted 1 hr ago for ectopic pregnancy Correct
Answers a nurse on an obstetrics gynecology unit is planning
care for four clients after receiving change of shift report. Which
of the following clients should the nurse assess first?
a client asking about his PCA pump that contains morphine
Correct Answers a nurse is assigned a group of clients at the
start of the shift. Which of the following clients should the nurse
plan to care for first?
a client who had an indewelling urinary catheter removed 5 hr
ago and has not voided Correct Answers a nurse is caring for
four clients on medical-surgical unit
a client who is at 28 weeks gestation and reports painless
vaginal bleeding Correct Answers a nurse is an antepartum unit
is triaging clients. Which of the following clients should the
nurse see first?
a client who told an assistive personnel he is short of breath
Correct Answers a nurse is prioritizing client care after
receiving change of shift report. Which of the following clients
should the nurse plan to see first?
, a client who was admitted for chest pain and is reporting a new
onset of indigestion Correct Answers a nurse has received
change of shift report on a group of clients and is preparing her
assignment. Which of the following clients should the nurse
asses first?
administer epinephrine subcut Correct Answers a nurse is
caring for a client who received an injection of penicillin G
procaine
administer IV fluids Correct Answers a nurse in the emergency
department is caring for a client who has a 30%burn injury to
her lower extremities. Which of the following interventions
should the nurse perform first?
administer oxygen therapy Correct Answers a nurse is caring
for a client who develops a pulmonary embolism. Which of the
following interventions should the nurse implement first?
administer the abdominal thrust maneuver Correct Answers a
nurse is caring for a client who develops an airway obstruction
from a foreign body but remains conscious. Which of the
following actions should the nurse take first?
an infant who has pertussis and is receiving oxygen via nasal
cannula Correct Answers a nurse on a pediatric unit is
reviewing her client assignment following the shift report.
Which of the following clients should the nurse plan to assess
first?
With Complete Solutions
"What are the voices telling you?" Correct Answers a nurse is
caring for a client who has schizophrenia and is experiencing
auditory hallucinations. Which of the following responses
should the nurse make first?
a client admitted 1 hr ago for ectopic pregnancy Correct
Answers a nurse on an obstetrics gynecology unit is planning
care for four clients after receiving change of shift report. Which
of the following clients should the nurse assess first?
a client asking about his PCA pump that contains morphine
Correct Answers a nurse is assigned a group of clients at the
start of the shift. Which of the following clients should the nurse
plan to care for first?
a client who had an indewelling urinary catheter removed 5 hr
ago and has not voided Correct Answers a nurse is caring for
four clients on medical-surgical unit
a client who is at 28 weeks gestation and reports painless
vaginal bleeding Correct Answers a nurse is an antepartum unit
is triaging clients. Which of the following clients should the
nurse see first?
a client who told an assistive personnel he is short of breath
Correct Answers a nurse is prioritizing client care after
receiving change of shift report. Which of the following clients
should the nurse plan to see first?
, a client who was admitted for chest pain and is reporting a new
onset of indigestion Correct Answers a nurse has received
change of shift report on a group of clients and is preparing her
assignment. Which of the following clients should the nurse
asses first?
administer epinephrine subcut Correct Answers a nurse is
caring for a client who received an injection of penicillin G
procaine
administer IV fluids Correct Answers a nurse in the emergency
department is caring for a client who has a 30%burn injury to
her lower extremities. Which of the following interventions
should the nurse perform first?
administer oxygen therapy Correct Answers a nurse is caring
for a client who develops a pulmonary embolism. Which of the
following interventions should the nurse implement first?
administer the abdominal thrust maneuver Correct Answers a
nurse is caring for a client who develops an airway obstruction
from a foreign body but remains conscious. Which of the
following actions should the nurse take first?
an infant who has pertussis and is receiving oxygen via nasal
cannula Correct Answers a nurse on a pediatric unit is
reviewing her client assignment following the shift report.
Which of the following clients should the nurse plan to assess
first?
