NU 456 Prioritization EAQ Questions With Complete
Solutions
Pericarditis
Pericarditis is a late effect of radiation therapy on the heart.
Trismus is a late effect of radiation therapy on the head and
neck. Lymphedema is a late effect of radiation therapy on the
chest wall of the client. Pulmonary fibrosis is a late effect of
radiation therapy on the lungs of the client.
Which late effect of radiation therapy on the heart would the
nurse monitor as a priority?
Trismus
Pericarditis
Lymphedema
Pulmonary fibrosis
Client A with an airway obstruction has an immediate threat to
life and the condition is considered emergent, which meets the
criteria for class 1. Client B with extensive full-thickness burns
should be triaged under class 4 because the client with this
condition is expected to die. Client C with open fractures
implies a major injury that requires treatment and is considered
urgent. This client is triaged under class 2. Client D with a
,closed fracture and abrasions indicates a minor injury that does
not require immediate treatment and is triaged under class 3.
Test-Taking Tip: Key words or phrases in the question stem
such as first, primary, early, or best are important. Similarly,
words such as only, always, never, and all in the alternatives are
frequently evidence of a wrong response. No real absolutes exist
in life; however, every rule has its exceptions, so answer with
care.
Which client would be treated first?
A
B
C
D
Prevention
,The primary priority for decreasing the risk for morbidity and
mortality is prevention. Treatment and surgical therapy are
secondary priorities. Rehabilitation is a tertiary priority.
Which intervention is the primary priority for decreasing a
client's risk for morbidity and mortality?
Treatment
Prevention
Rehabilitation
Surgical therapy
Setting priorities
Setting priorities is an essential nursing skill for the triage, or
assessment, process that occurs in the ED. Evaluating care,
formulating diagnoses, and implementing interventions are all
nursing skills used in the ED; however, these are not essential
during the triage process.
Which nursing skill is essential for the triage process in the
emergency department (ED)?
Evaluating care
Setting priorities
, Formulating diagnoses
Implementing interventions
Black
The disaster triage tag system categorizes triage priority by
color. The clients who are expected to die after a disaster are
marked with a black tag. The clients who have an immediate
threat to life and need emergency treatment are marked with a
red tag. The clients who have minor injuries that do not require
immediate treatment are marked with a green tag. The clients
who have major injuries and require treatment are marked with a
yellow tag.
Test-Taking Tip: Identify option components as correct or
incorrect. This may help you identify a wrong answer.
Which color tag is used for a client who is expected to die after a
disaster with mass casualties?
Red
Black
Green
Yellow
Solutions
Pericarditis
Pericarditis is a late effect of radiation therapy on the heart.
Trismus is a late effect of radiation therapy on the head and
neck. Lymphedema is a late effect of radiation therapy on the
chest wall of the client. Pulmonary fibrosis is a late effect of
radiation therapy on the lungs of the client.
Which late effect of radiation therapy on the heart would the
nurse monitor as a priority?
Trismus
Pericarditis
Lymphedema
Pulmonary fibrosis
Client A with an airway obstruction has an immediate threat to
life and the condition is considered emergent, which meets the
criteria for class 1. Client B with extensive full-thickness burns
should be triaged under class 4 because the client with this
condition is expected to die. Client C with open fractures
implies a major injury that requires treatment and is considered
urgent. This client is triaged under class 2. Client D with a
,closed fracture and abrasions indicates a minor injury that does
not require immediate treatment and is triaged under class 3.
Test-Taking Tip: Key words or phrases in the question stem
such as first, primary, early, or best are important. Similarly,
words such as only, always, never, and all in the alternatives are
frequently evidence of a wrong response. No real absolutes exist
in life; however, every rule has its exceptions, so answer with
care.
Which client would be treated first?
A
B
C
D
Prevention
,The primary priority for decreasing the risk for morbidity and
mortality is prevention. Treatment and surgical therapy are
secondary priorities. Rehabilitation is a tertiary priority.
Which intervention is the primary priority for decreasing a
client's risk for morbidity and mortality?
Treatment
Prevention
Rehabilitation
Surgical therapy
Setting priorities
Setting priorities is an essential nursing skill for the triage, or
assessment, process that occurs in the ED. Evaluating care,
formulating diagnoses, and implementing interventions are all
nursing skills used in the ED; however, these are not essential
during the triage process.
Which nursing skill is essential for the triage process in the
emergency department (ED)?
Evaluating care
Setting priorities
, Formulating diagnoses
Implementing interventions
Black
The disaster triage tag system categorizes triage priority by
color. The clients who are expected to die after a disaster are
marked with a black tag. The clients who have an immediate
threat to life and need emergency treatment are marked with a
red tag. The clients who have minor injuries that do not require
immediate treatment are marked with a green tag. The clients
who have major injuries and require treatment are marked with a
yellow tag.
Test-Taking Tip: Identify option components as correct or
incorrect. This may help you identify a wrong answer.
Which color tag is used for a client who is expected to die after a
disaster with mass casualties?
Red
Black
Green
Yellow