Beginning Test Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A nurse is caring for four clients. Which of the following should the nurse assess first?
A. A client scheduled for discharge in 2 hours
✔✔ B. A client reporting shortness of breath and restlessness
C. A client requesting assistance with toileting
D. A client waiting for a meal tray
Which of the following actions reflects the use of Maslow’s Hierarchy when prioritizing care?
✔✔ A. Administering pain medication before assisting with hygiene
B. Assisting a client to make a phone call to their family
C. Encouraging a client to attend group therapy
D. Teaching a client about dietary choices
A nurse has received report on four clients. Which client should the nurse prioritize based on the
ABC framework?
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,A. A client with a blood glucose of 210 mg/dL
✔✔ B. A client with inspiratory stridor and use of accessory muscles
C. A client with an indwelling catheter requesting ice chips
D. A client awaiting physical therapy
A client is newly admitted with pneumonia and has a respiratory rate of 28/min, temperature of
101.8°F, and reports chest pain with breathing. What is the nurse’s priority action?
✔✔ A. Apply oxygen and assess SpO₂
B. Administer acetaminophen
C. Notify the provider
D. Encourage fluid intake
Which action by the nurse best reflects the use of the “least restrictive” principle in client care?
A. Placing a client in soft wrist restraints for agitation
✔✔ B. Offering the client a quiet room and engaging in verbal de-escalation
C. Requesting a sedative from the provider
D. Applying a bed alarm without informing the client
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, A nurse is caring for a client who is postoperative and has not voided in 7 hours. What is the
priority action?
✔✔ A. Assess the bladder using a bladder scanner
B. Encourage oral fluid intake
C. Notify the surgeon
D. Offer the client a warm blanket
Which of the following situations represents a **first-level priority** in nursing care?
A. A client requesting their daily weight be recorded
✔✔ B. A client with new-onset confusion and decreased oxygen saturation
C. A client complaining of mild nausea
D. A client due for medication in 1 hour
What is the most appropriate use of the “acute vs. chronic” framework?
A. Prioritizing a client with chronic back pain
✔✔ B. Prioritizing a client with acute appendicitis
C. Prioritizing discharge teaching
D. Prioritizing routine vital signs
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