PRIORITIZATION AND DELEGATION - ML8 QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
A client displays signs associated with a possible ruptured aortic aneurysm. What is the priority nursing
intervention? - (ANSWER)Prepare the client for surgical intervention
A nurse is preparing a client for cardiac catheterization. What is the nurse's priority assessment? -
(ANSWER)Known allergies
A client, who underwent femoral-popliteal (fem-pop) bypass surgery, is scheduled to return from the
post-anesthesia care unit. Which staff member should receive this client? - (ANSWER)Registered nurse
with one year of experience
The nurse is monitoring a client, who is six hours post embolectomy, for an acute arterial occlusion of
the left leg. When a Doppler ultrasound fails to detect a pedal pulse, the nurse notifies the surgeon who
requests that the client be prepared for immediate surgery. The client refuses to consider additional
surgery. What is the nurse's initial intervention? - (ANSWER)Notify the provider immediately
A nurse has been assigned to four clients. Which client should the nurse see first? - (ANSWER)A client
with hemophilia who is receiving acetylsalicylic acid (ASA) for joint pain
The nurse is making assignments for the next shift. Which client can be assigned to a licensed practical
nurse/licensed vocational nurse (LPN/LVN)? Select all that apply. - (ANSWER)A client who needs
assistance with colostomy irrigation
A client who is receiving glargine subcutaneously
The nurse is examining charts to identify clients at risk for developing multiple myeloma. Which client is
most at risk? - (ANSWER)a 60-year-old Black man
Multiple myeloma is more common in middle-aged and older adult clients. The median age at diagnosis
is 60 years. It is twice as common in Black clients as it is in White clients, and it occurs most often in
Black men.
, PRIORITIZATION AND DELEGATION - ML8 QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
A child is admitted to the pediatric unit with an unknown mass in her lower left abdomen. Which is the
nurse's priority action? - (ANSWER)Place a "do not palpate abdomen" sign over the child's bed
Which client is most at risk for developing acute lymphocytic leukemia? - (ANSWER)A 4-year-old white
female
Acute lymphocytic leukemia is most common in young children and in adults age 65 and older. It's also
more common in whites than in blacks or Asians.
A nurse, working in a rural county's public health department, has been alerted that there is an outbreak
of tuberculosis (TB) in the area. Which client is at highest risk for developing TB? - (ANSWER)A 43-year-
old homeless man with a history of alcoholism
A 24-year-old client comes into the clinic reporting sudden-onset, right-sided chest pain and shortness of
breath. While assessing the client, the nurse determines that the most important intervention is to: -
(ANSWER)auscultate the breath sounds.
Because this client is short of breath, listening to breath sounds will allow the nurse to obtain
information to support care decisions and report information that will help identify the problem. Breath
sounds may be decreased, abnormal or absent when a client is short of breath. The client may need a
chest X-ray and an ECG, but a health care provider must order these tests. Unless a cardiac source for the
client's pain is identified, an echocardiogram won't be necessary.
A client with a pulmonary embolism is experiencing chest pain and apprehension. What is the nurse's
priority intervention? - (ANSWER)Administering ordered analgesic
The nurse is planning interventions for a client who is having an acute gout attack. What is the priority
nursing intervention for this client? - (ANSWER)Administer prescribed analgesics
The nurse is caring for a client admitted with Addisonian crisis. Which outcome is the priority? -
(ANSWER)Preventing irreversible shock
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
A client displays signs associated with a possible ruptured aortic aneurysm. What is the priority nursing
intervention? - (ANSWER)Prepare the client for surgical intervention
A nurse is preparing a client for cardiac catheterization. What is the nurse's priority assessment? -
(ANSWER)Known allergies
A client, who underwent femoral-popliteal (fem-pop) bypass surgery, is scheduled to return from the
post-anesthesia care unit. Which staff member should receive this client? - (ANSWER)Registered nurse
with one year of experience
The nurse is monitoring a client, who is six hours post embolectomy, for an acute arterial occlusion of
the left leg. When a Doppler ultrasound fails to detect a pedal pulse, the nurse notifies the surgeon who
requests that the client be prepared for immediate surgery. The client refuses to consider additional
surgery. What is the nurse's initial intervention? - (ANSWER)Notify the provider immediately
A nurse has been assigned to four clients. Which client should the nurse see first? - (ANSWER)A client
with hemophilia who is receiving acetylsalicylic acid (ASA) for joint pain
The nurse is making assignments for the next shift. Which client can be assigned to a licensed practical
nurse/licensed vocational nurse (LPN/LVN)? Select all that apply. - (ANSWER)A client who needs
assistance with colostomy irrigation
A client who is receiving glargine subcutaneously
The nurse is examining charts to identify clients at risk for developing multiple myeloma. Which client is
most at risk? - (ANSWER)a 60-year-old Black man
Multiple myeloma is more common in middle-aged and older adult clients. The median age at diagnosis
is 60 years. It is twice as common in Black clients as it is in White clients, and it occurs most often in
Black men.
, PRIORITIZATION AND DELEGATION - ML8 QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
A child is admitted to the pediatric unit with an unknown mass in her lower left abdomen. Which is the
nurse's priority action? - (ANSWER)Place a "do not palpate abdomen" sign over the child's bed
Which client is most at risk for developing acute lymphocytic leukemia? - (ANSWER)A 4-year-old white
female
Acute lymphocytic leukemia is most common in young children and in adults age 65 and older. It's also
more common in whites than in blacks or Asians.
A nurse, working in a rural county's public health department, has been alerted that there is an outbreak
of tuberculosis (TB) in the area. Which client is at highest risk for developing TB? - (ANSWER)A 43-year-
old homeless man with a history of alcoholism
A 24-year-old client comes into the clinic reporting sudden-onset, right-sided chest pain and shortness of
breath. While assessing the client, the nurse determines that the most important intervention is to: -
(ANSWER)auscultate the breath sounds.
Because this client is short of breath, listening to breath sounds will allow the nurse to obtain
information to support care decisions and report information that will help identify the problem. Breath
sounds may be decreased, abnormal or absent when a client is short of breath. The client may need a
chest X-ray and an ECG, but a health care provider must order these tests. Unless a cardiac source for the
client's pain is identified, an echocardiogram won't be necessary.
A client with a pulmonary embolism is experiencing chest pain and apprehension. What is the nurse's
priority intervention? - (ANSWER)Administering ordered analgesic
The nurse is planning interventions for a client who is having an acute gout attack. What is the priority
nursing intervention for this client? - (ANSWER)Administer prescribed analgesics
The nurse is caring for a client admitted with Addisonian crisis. Which outcome is the priority? -
(ANSWER)Preventing irreversible shock
