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A nurse on a medical-surgical unit receives morning report on four clients. Which client should the nurse assess
first?
A client who is postoperative day 1 following a total knee replacement and reports pain of 4 on a scale of 0 to 10
A client who was admitted with pneumonia and has a new onset of confusion and restlessness
A client with heart failure who reports mild dyspnea on exertion that is relieved by rest
A client with type 2 diabetes mellitus who has a fasting blood glucose of 180 mg/dL
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,Question: 2 of 150 × CLOSE
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A nurse is caring for a client who is 6 hours postoperative following abdominal surgery. The client's heart rate has
increased from 88 to 120/min over the past 2 hours. What is the priority nursing action?
Administer the prescribed PRN analgesic medication
Assess the surgical incision site and drain output for signs of hemorrhage
Instruct the client to use the incentive spirometer every hour
Document the findings and continue to monitor the client
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,Question: 3 of 150 × CLOSE
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A nurse receives a change-of-shift report on four clients. Which client should the nurse plan to assess first?
A client with a Stage 3 pressure injury who needs a dressing change
A client who is 1 day postoperative from a cholecystectomy and has not yet passed flatus
A client with chronic obstructive pulmonary disease (COPD) whose oxygen saturation is 88% on room air
A client with depression who refuses to attend group therapy sessions
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, Question: 4 of 150 × CLOSE
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A charge nurse is making client assignments. Which client should be assigned to the most experienced RN?
Client with pneumonia on oral antibiotics
Client with a hip fracture awaiting surgery
Client with unstable atrial fibrillation on a continuous heparin drip
Client with a urinary tract infection on IV fluids
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Please Note. Attempting to exit out of full screen mode or pressing the escape button will result in an alert message sent to the proctor and may result in the termination of this assessment.
Copyright © 2026 Assessment Technologies Institute, L.L.C. All rights reserved.