Nurs 465 Practice Questions on Setting Priorities Questions
With Complete Solutions
A charge nurse is working with an assistive personnel who
provides excellent care to clients and is an effective team
member. Which of the following actions should the nurse take
first to recognize the AP's contributions to client care? Correct
Answers Give positive feedback directly to the AP
A client receives a wrong medication. The nurse who made the
medication error should take which of the following actions
first? Correct Answers Assess the client
A client who has bipolar disorder approaches the nurse and
reveals fresh, self-inflicted, superficial cuts going up and down
his right arm. Which of the following actions should the nurse
take first? Correct Answers Inspect the cuts for debris
A nurse accidentally sticks her hand with a syringe needle after
administering an IM injection to a client. Which of the following
actions should the nurse take first? Correct Answers Wash the
area of the puncture thoroughly with soap and water
A nurse at a community health clinic is caring for a client who
reports a headache and stiff neck. Which of the following
actions should the nurse take first? Correct Answers Evaluate
the client's neurological status
A nurse enters a client's room and finds him unresponsive. After
notifying the rapid response team, which of the following
,actions should the nurse take first? Correct Answers Check for
a carotid pulse
A nurse enters a client's room and sees that ashes from a
cigarette are beginning to ignite trash in the waste basket. Which
of the following actions should the nurse take first? Correct
Answers Rescue the client from immediate danger
A nurse enters an adult client's room and finds him
unresponsive. After determining that the client is not breathing
and does not have a pulse, which of the following actions should
the nurse take first? Correct Answers Summon the code team
A nurse finds radioactive pellets on the floor of the surgical unit.
Which of the following actions should the nurse take first?
Correct Answers Follow safety data sheet (SDS) instructions
A nurse has been reassigned from her regular area of work to a
unit that is short staffed. Which of the following actions should
the nurse take first? Correct Answers Ask what she will be
assigned to do
A nurse has completed care procedures for a client who requires
airborne precautions. Which of the following items of PPE
should the nurse remove first? Correct Answers Gloves
A nurse has just finished a wound irrigation for a client who
requires contact precautions. Which of the following pieces of
PPE should the nurse remove first? Correct Answers Gloves
, A nurse has received change of shift report on a group of clients
and is preparing her assignment. Which of the following clients
should the nurse assess first? Correct Answers A client who
was admitted for chest pain and is reporting a new onset of
indigestion
A nurse has received morning report on the following four
clients. Which of the following clients should the nurse assess
first? Correct Answers A client who was administered glipizide
for type 2 diabetes mellitus and has a blood glucose of 68 mg/Dl
A nurse has several tasks to delegate to an assistive personnel.
Which of the following tasks should the nurse ask the AP to
perform? Correct Answers Take an arterial blood gas (ABG)
specimen to the laboratory
A nurse if caring for a client who has an evacuation of a
subdural hematoma. Which of the following actions should the
nurse take first? Correct Answers Check the oximeter
A nurse in a clinic is collecting a history from a client who
reports that a member of his family just received a diagnosis of
pulmonary tuberculosis. The nurse should expect that the
provider will prescribe which of the following diagnostic tests
first? Correct Answers Nucleic acid amplification test (NAAT)
A nurse in a mental health facility is caring for a client in the
busy facility dining room during lunchtime when suddenly the
client becomes angry and throws a chair. Which of the following
interventions should the nurse perform first? Correct Answers
Attempt to talk the client down
With Complete Solutions
A charge nurse is working with an assistive personnel who
provides excellent care to clients and is an effective team
member. Which of the following actions should the nurse take
first to recognize the AP's contributions to client care? Correct
Answers Give positive feedback directly to the AP
A client receives a wrong medication. The nurse who made the
medication error should take which of the following actions
first? Correct Answers Assess the client
A client who has bipolar disorder approaches the nurse and
reveals fresh, self-inflicted, superficial cuts going up and down
his right arm. Which of the following actions should the nurse
take first? Correct Answers Inspect the cuts for debris
A nurse accidentally sticks her hand with a syringe needle after
administering an IM injection to a client. Which of the following
actions should the nurse take first? Correct Answers Wash the
area of the puncture thoroughly with soap and water
A nurse at a community health clinic is caring for a client who
reports a headache and stiff neck. Which of the following
actions should the nurse take first? Correct Answers Evaluate
the client's neurological status
A nurse enters a client's room and finds him unresponsive. After
notifying the rapid response team, which of the following
,actions should the nurse take first? Correct Answers Check for
a carotid pulse
A nurse enters a client's room and sees that ashes from a
cigarette are beginning to ignite trash in the waste basket. Which
of the following actions should the nurse take first? Correct
Answers Rescue the client from immediate danger
A nurse enters an adult client's room and finds him
unresponsive. After determining that the client is not breathing
and does not have a pulse, which of the following actions should
the nurse take first? Correct Answers Summon the code team
A nurse finds radioactive pellets on the floor of the surgical unit.
Which of the following actions should the nurse take first?
Correct Answers Follow safety data sheet (SDS) instructions
A nurse has been reassigned from her regular area of work to a
unit that is short staffed. Which of the following actions should
the nurse take first? Correct Answers Ask what she will be
assigned to do
A nurse has completed care procedures for a client who requires
airborne precautions. Which of the following items of PPE
should the nurse remove first? Correct Answers Gloves
A nurse has just finished a wound irrigation for a client who
requires contact precautions. Which of the following pieces of
PPE should the nurse remove first? Correct Answers Gloves
, A nurse has received change of shift report on a group of clients
and is preparing her assignment. Which of the following clients
should the nurse assess first? Correct Answers A client who
was admitted for chest pain and is reporting a new onset of
indigestion
A nurse has received morning report on the following four
clients. Which of the following clients should the nurse assess
first? Correct Answers A client who was administered glipizide
for type 2 diabetes mellitus and has a blood glucose of 68 mg/Dl
A nurse has several tasks to delegate to an assistive personnel.
Which of the following tasks should the nurse ask the AP to
perform? Correct Answers Take an arterial blood gas (ABG)
specimen to the laboratory
A nurse if caring for a client who has an evacuation of a
subdural hematoma. Which of the following actions should the
nurse take first? Correct Answers Check the oximeter
A nurse in a clinic is collecting a history from a client who
reports that a member of his family just received a diagnosis of
pulmonary tuberculosis. The nurse should expect that the
provider will prescribe which of the following diagnostic tests
first? Correct Answers Nucleic acid amplification test (NAAT)
A nurse in a mental health facility is caring for a client in the
busy facility dining room during lunchtime when suddenly the
client becomes angry and throws a chair. Which of the following
interventions should the nurse perform first? Correct Answers
Attempt to talk the client down
