2026 KEY CONCEPTS AND REVISION NOTES
◉ An office nurse just checked her secure email. Which message
should the nurse return first?
A- Multipara at 34 weeks with headache and blurred vision
B- Primipara at 22 weeks with supine dizziness
C- Primipara at 15 weeks says she has not felt baby move
D- Multipara at 12 weeks with white vaginal discharge.
Answer: A- multipara at 34 weeks with headache and blurred vision
*this is preeclampsia and that can be life threatening- think in order
of severity
◉ The nurse is caring for clients in a rural hospital. Which client
should be seen first?
A- A young child with a sore throat after tonsillectomy
B- A client 2 days postpartum with pain during breastfeeding
C- A client with a long leg cast with pain after taking vicodin
D- A client with pain 2 hours after a liver biopsy.
Answer: C- A client with a long leg cast with pain after taking vicodin
,*think compartment syndrome
◉ The staff nurse just received report for her shift. Which client will
she need to assess first?
A- A client with a left femur fracture in a cast
B- A client complainin of a headache of 2/10
C- A client that had a laryngectomy 5 hours ago
D- A client with a lung lobectomy 1 day ago.
Answer: C- A client with a laryngectomy 5 hours ago
*concern for airway/laryngospasm
◉ As the triage nurse in the emergency department which client
would be assessed first?
A- 78 year old with an uncontrolled nosebleed
B- 36 year old with nausea and comiting for 3 hours
C- 6 year old with arm pain after falling off a chair
D- 3 year old with a temp of 38.2.
Answer: A- 78 year old with uncontrolled nosebleed
*think most severe, ABCs bleeding=circulation and uncontrolled is
bad
, ◉ A nurse is managing clients during an outbreak of Legionnaire's
Disease. Which client is most at risk?
A- 63 year old with end stage renal disease
B- 79 year old with Alzheimer's
C- 86 year old with right-sided cerebrovascular accident
D- 82 year old with a fractured hip.
Answer: A- 63 year old with end stage renal disease
*chronic condition that leads to immunospression- think
immunospressed and avenues for infection
◉ In the care of clients with pain and discomfort, which task is most
appropriate to delegate to the UAP?
A- Assissting a client with preparation of a sitz bath
B- Monitoring the client for signs of discomfort while ambulation
C- Coaching the client to deep breathe during painful procedures
D- Evaluating relief after applying a cold compress.
Answer: A- assisting the client with preparation of a sitz bath
*UAPs can't assess, teach or evaluate