NURS 465 Practice Questions On
Priority Setting With Complete Solutions
cover cthe carea cwith ca csterile cdressing cmoistened cwith c0.9% csodium cchloride
cirrigation c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho cis c2 cdays
cpostoperative cfollowing cabdominal csurgery cand cobserves cthat cthe cclient's cwound
chas ceviscerated. cAfter ccalling cfor chelp. cWhich cof cthe cfollowing cactions cshould cthe
cnurse cfirst ctake?
a cclient cwho ctold can cassistive cpersonnel che cis cshort cof cbreath c- cCORRECT
cANS✔✔a cnurse cis cprioritizing cclient ccare cafter creceiving cchange cof cshift creport.
cWhich cof cthe cfollowing cclients cshould cthe cnurse cplan cto csee cfirst?
collect cand corganize cclient cdata c- cCORRECT cANS✔✔a cnurse cis creceiving cchange
cof cshift creport cfor ca cgroup cof cassigned cclients. cThe cnurse canticipates cwhich cof cthe
cfollowing cactivities cfirst cin cdelivering cclient ccare cusing cthe cnursing cprocess?
set cbehavioral climits cfor cthe cclient c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca
cclient cwho cattacked cone cof cher cfriends cand cis cadmitted cto cthe cpsychiatric cunit.
cWhich cof cthe cfollowing cactions cshould cthe cnurse cfirst ctake?
verbal cadmonishment c- cCORRECT cANS✔✔a cnurse cmanager cis cplanning cto
cdiscipline ca cnurse cafter cdiscovering cthat cthe cnurse cwas cdiscourteous cto ca cclient.
cWhich cof cthe cfollowing csteps cshould cthe cnurse cmanager ctake cfirst?
stop cthe cinfusion cof cblood c- cCORRECT cANS✔✔a cnurse cis cassessing ca cclient cwho
cis creceiving cone cunit cof cpacked cRBCs cto ctreat cintraoperative cblood closs. cThe
cclient creports cchills cand cback cpain, cand cthe cclient's cblood cpressure cis c80/64
cmmHg. cWhich cof cthe cfollowing caction cshould cthe cnurse ctake cfirst?
choose cthe chighest clevel c- cCORRECT cANS✔✔a cnurse cis camong cthe cfirst
cresponders cto ca cmass ccasualty cincident cand cdoes cnot cknow cwhat ctype cof
cpersonal cprotective cequipment c(PPE) cis cneeded. cWhich cof cthe cfollowing cactions
cshould cthe cnurse ctake?
, was cthe carea cof cthe cpuncture cwith csoap cand cwater c- cCORRECT cANS✔✔a cnurse
caccidentaly csticks cher chand cwith ca csyringe cneedle cafter cadministering can cIM
cinjection cto ca cclient. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst?
stop cthe cinfusion c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho chas
cstreptococcal cpneumonia cand ca cprescription cfor cpenicillin cG cby cintermittent cIV
cbolus. c10 cminutes cinto cthe cinfusion cof cthe cthird cdose, cthe cclient creports cthat cthe
cIV csite citches cand cthat che cfeels cdizzy cand cshort cof cbreath. cWhich cof cthe cfollowing
cactions cshould cthe cnurse ctake cfirst?
gloves c- cCORRECT cANS✔✔a cnurse chas ccompleted ccare cprocedures cfor ca cclient
cwho crequires cairborne cprecautions. cWhich cof cthe cfollowing citems cof cpersonal
cprotective cequipment cshould cthe cnurse cremove cfirst?
perform ca cbladder cscan c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho
chas cnot cvoided cfor c8 chr cfollowing cthe cremoval cof can cindwelling curinary ccatheter.
cWhich cof cthe cfollow cactions cshould cthe cnurse ctake cfirst?
administer coxygen ctherapy c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho
cdevelops ca cpulmonary cembolism. cWhich cof cthe cfollowing cinterventions cshould cthe
cnurse cimplement cfirst?
place cthe cclient cin ca chigh-fowlers cposition c- cCORRECT cANS✔✔a cnurse cis ccaring
cfor ca cclient cwho chas cquadriplegia cform ca cspinal ccord cinjury cand creports chaving ca
csevere cheadache. cThe cnurse cobtains ca cblood cpressure creading cof c210/108 cmmHg
cand csuspects cthe cclient cis cexperiencing cautonomic cdysreflexia. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cfirst?
place ca cseat calarm con cthe cclients cchair c- cCORRECT cANS✔✔a cnurse cis ccaring cfor
ca cclient cwho chas cdementia. cThe cclient cis cagitated cand cis chaving cdifficulty cstaying
cin chis cchair. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst.
an cinfant cwho chas cpertussis cand cis creceiving coxygen cvia cnasal ccannula c-
cCORRECT cANS✔✔a cnurse con ca cpediatric cunit cis creviewing cher cclient cassignment
cfollowing cthe cshift creport. cWhich cof cthe cfollowing cclients cshould cthe cnurse cplan cto
cassess cfirst?
change cthe cclients cposition c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient
cwho cis cin cactive clabor cand cnotes clate cdecelerations cin cthe cFHR. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cfirst?
evaluate cthe cfirmness cof cthe cuterus c- cCORRECT cANS✔✔a cnurse cis ccaring cfor
caclient cwho cgave cbirth c2 chr cago. cThe cnurse cnotes ctaht cthe cclinets cblood cpressure
cis c60/50 cmmHg. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst?
Priority Setting With Complete Solutions
cover cthe carea cwith ca csterile cdressing cmoistened cwith c0.9% csodium cchloride
cirrigation c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho cis c2 cdays
cpostoperative cfollowing cabdominal csurgery cand cobserves cthat cthe cclient's cwound
chas ceviscerated. cAfter ccalling cfor chelp. cWhich cof cthe cfollowing cactions cshould cthe
cnurse cfirst ctake?
a cclient cwho ctold can cassistive cpersonnel che cis cshort cof cbreath c- cCORRECT
cANS✔✔a cnurse cis cprioritizing cclient ccare cafter creceiving cchange cof cshift creport.
cWhich cof cthe cfollowing cclients cshould cthe cnurse cplan cto csee cfirst?
collect cand corganize cclient cdata c- cCORRECT cANS✔✔a cnurse cis creceiving cchange
cof cshift creport cfor ca cgroup cof cassigned cclients. cThe cnurse canticipates cwhich cof cthe
cfollowing cactivities cfirst cin cdelivering cclient ccare cusing cthe cnursing cprocess?
set cbehavioral climits cfor cthe cclient c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca
cclient cwho cattacked cone cof cher cfriends cand cis cadmitted cto cthe cpsychiatric cunit.
cWhich cof cthe cfollowing cactions cshould cthe cnurse cfirst ctake?
verbal cadmonishment c- cCORRECT cANS✔✔a cnurse cmanager cis cplanning cto
cdiscipline ca cnurse cafter cdiscovering cthat cthe cnurse cwas cdiscourteous cto ca cclient.
cWhich cof cthe cfollowing csteps cshould cthe cnurse cmanager ctake cfirst?
stop cthe cinfusion cof cblood c- cCORRECT cANS✔✔a cnurse cis cassessing ca cclient cwho
cis creceiving cone cunit cof cpacked cRBCs cto ctreat cintraoperative cblood closs. cThe
cclient creports cchills cand cback cpain, cand cthe cclient's cblood cpressure cis c80/64
cmmHg. cWhich cof cthe cfollowing caction cshould cthe cnurse ctake cfirst?
choose cthe chighest clevel c- cCORRECT cANS✔✔a cnurse cis camong cthe cfirst
cresponders cto ca cmass ccasualty cincident cand cdoes cnot cknow cwhat ctype cof
cpersonal cprotective cequipment c(PPE) cis cneeded. cWhich cof cthe cfollowing cactions
cshould cthe cnurse ctake?
, was cthe carea cof cthe cpuncture cwith csoap cand cwater c- cCORRECT cANS✔✔a cnurse
caccidentaly csticks cher chand cwith ca csyringe cneedle cafter cadministering can cIM
cinjection cto ca cclient. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst?
stop cthe cinfusion c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho chas
cstreptococcal cpneumonia cand ca cprescription cfor cpenicillin cG cby cintermittent cIV
cbolus. c10 cminutes cinto cthe cinfusion cof cthe cthird cdose, cthe cclient creports cthat cthe
cIV csite citches cand cthat che cfeels cdizzy cand cshort cof cbreath. cWhich cof cthe cfollowing
cactions cshould cthe cnurse ctake cfirst?
gloves c- cCORRECT cANS✔✔a cnurse chas ccompleted ccare cprocedures cfor ca cclient
cwho crequires cairborne cprecautions. cWhich cof cthe cfollowing citems cof cpersonal
cprotective cequipment cshould cthe cnurse cremove cfirst?
perform ca cbladder cscan c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho
chas cnot cvoided cfor c8 chr cfollowing cthe cremoval cof can cindwelling curinary ccatheter.
cWhich cof cthe cfollow cactions cshould cthe cnurse ctake cfirst?
administer coxygen ctherapy c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient cwho
cdevelops ca cpulmonary cembolism. cWhich cof cthe cfollowing cinterventions cshould cthe
cnurse cimplement cfirst?
place cthe cclient cin ca chigh-fowlers cposition c- cCORRECT cANS✔✔a cnurse cis ccaring
cfor ca cclient cwho chas cquadriplegia cform ca cspinal ccord cinjury cand creports chaving ca
csevere cheadache. cThe cnurse cobtains ca cblood cpressure creading cof c210/108 cmmHg
cand csuspects cthe cclient cis cexperiencing cautonomic cdysreflexia. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cfirst?
place ca cseat calarm con cthe cclients cchair c- cCORRECT cANS✔✔a cnurse cis ccaring cfor
ca cclient cwho chas cdementia. cThe cclient cis cagitated cand cis chaving cdifficulty cstaying
cin chis cchair. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst.
an cinfant cwho chas cpertussis cand cis creceiving coxygen cvia cnasal ccannula c-
cCORRECT cANS✔✔a cnurse con ca cpediatric cunit cis creviewing cher cclient cassignment
cfollowing cthe cshift creport. cWhich cof cthe cfollowing cclients cshould cthe cnurse cplan cto
cassess cfirst?
change cthe cclients cposition c- cCORRECT cANS✔✔a cnurse cis ccaring cfor ca cclient
cwho cis cin cactive clabor cand cnotes clate cdecelerations cin cthe cFHR. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cfirst?
evaluate cthe cfirmness cof cthe cuterus c- cCORRECT cANS✔✔a cnurse cis ccaring cfor
caclient cwho cgave cbirth c2 chr cago. cThe cnurse cnotes ctaht cthe cclinets cblood cpressure
cis c60/50 cmmHg. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst?
