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2026
,A nurse is assisting with client triage at the scene of a mass casualty event. Which of the
following clients should the nurse recommend for transport first?
-A client who has an abdominal wound that is actively bleeding.
A nurse is admitting a client who has hypertension. Using the nursing process, which of
the following actions should the nurse take first?
-Perform a physical assessment
A nurse is caring for a client who reports feeling inferior and states that they are not good
enough. The nurse should recognize that these feelings fall under which of the following
categories of Maslow's Hierarchy of Needs?
-Self-esteem
A nurse has received change-of-shift report for a group of clients. Which of the following
clients should the nurse plan to see first?
-A client who is receiving a blood transfusion and reports urticaria
, A nurse is assessing a client using the ABCDE priority-setting approach. Which of the
following should the nurse take when completing the exposure component of this priority
setting method? Select all that apply.
-Observe the client's lower extremities for indications of deep vein thrombosis
-Measure the client's temperature
-Check the client for bruising
A nurse is prioritizing care for a client. Identify the priority order of client needs using
Maslow's Hierarchy of Needs.
Physiological needs (highest priority)
Safety
Love and belonging
Esteem
Self-actualization (lowest priority)
A nurse has received change-of-shift report on four clients. Which of the following clients
should the nurse plan to see first.
-A client who has audible wheezing during respirations
A nurse is performing an admission assessment on a client. Using the safety and risk
reduction priority setting framework, which of the following findings should the nurse
identify as the priority?
-The client reports dizziness when standing.
A nurse is caring for a client who reports new onset of abdominal pain. The nurse should
assign the client's condition to which of the following categories when prioritizing care?
-Urgent