BSN 335 Prioritization In Nursing Quiz With Complete
Questions And Answers
The clinic nurse is evaluating a client who had coronary artery stenting through the right
femoral artery a week previously and is taking metoprolol, clopidogrel, and aspirin.
Which information reported by the client is most important to report to the health care
provider?
Bruising is present at the right groin.
Home radial pulse rate has been 55 to 60 beats/min.
Client is experiencing shortness of breath and fatigue.
Home blood pressure today was 104/52 mm Hg. - ANSWER Client is experiencing
shortness of breath and fatigue.
A client is admitted to the intensive care unit with disseminated intravascular
coagulation (DIC) associated with a gram-negative infection. Which assessment
information has the most immediate implications for the client's care?
There is mottling of the hands and feet.
The client's oxygen saturation is 87%.
The client reports chest pain.
There is no palpable radial or pedal pulse. - ANSWER The client's oxygen saturation is
87%.
The nurse is caring for an older client with type 1 diabetes and diabetic retinopathy.
What is the nurse's priority concern for assessing this client?
Assess which modifiable risk factors can be reduced.
Assess ability to measure and inject insulin and to monitor blood glucose levels.
Assess for damage to motor fibers, which can result in muscle weakness.
Assess for albuminuria, which may indicate kidney disease. - ANSWER Assess ability to
measure and inject insulin and to monitor blood glucose levels.
The nurse is caring for a client with intractable nausea and vomiting. They have a
temperature of 99°F, a pulse of 104, a respiratory rate of 26, a blood pressure of 90/60,
and oxygen saturation of 90%. What is the first action the nurse should take?
Make sure the wall suction is fully functioning.
Questions And Answers
The clinic nurse is evaluating a client who had coronary artery stenting through the right
femoral artery a week previously and is taking metoprolol, clopidogrel, and aspirin.
Which information reported by the client is most important to report to the health care
provider?
Bruising is present at the right groin.
Home radial pulse rate has been 55 to 60 beats/min.
Client is experiencing shortness of breath and fatigue.
Home blood pressure today was 104/52 mm Hg. - ANSWER Client is experiencing
shortness of breath and fatigue.
A client is admitted to the intensive care unit with disseminated intravascular
coagulation (DIC) associated with a gram-negative infection. Which assessment
information has the most immediate implications for the client's care?
There is mottling of the hands and feet.
The client's oxygen saturation is 87%.
The client reports chest pain.
There is no palpable radial or pedal pulse. - ANSWER The client's oxygen saturation is
87%.
The nurse is caring for an older client with type 1 diabetes and diabetic retinopathy.
What is the nurse's priority concern for assessing this client?
Assess which modifiable risk factors can be reduced.
Assess ability to measure and inject insulin and to monitor blood glucose levels.
Assess for damage to motor fibers, which can result in muscle weakness.
Assess for albuminuria, which may indicate kidney disease. - ANSWER Assess ability to
measure and inject insulin and to monitor blood glucose levels.
The nurse is caring for a client with intractable nausea and vomiting. They have a
temperature of 99°F, a pulse of 104, a respiratory rate of 26, a blood pressure of 90/60,
and oxygen saturation of 90%. What is the first action the nurse should take?
Make sure the wall suction is fully functioning.
