Test Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse receives report on four clients. Which client should the nurse assess first?
A. A client with chronic heart failure reporting mild ankle swelling
✔✔ B. A client with new onset of inspiratory stridor
C. A client with a pressure injury receiving dressing changes
D. A client who needs assistance with toileting
A client with pneumonia is scheduled for a chest x-ray. Which action should the nurse take first?
✔✔ A. Assess oxygen saturation
B. Ensure consent form is signed
C. Notify the transporter
D. Review the x-ray requisition
Which client need is the highest priority according to Maslow’s Hierarchy of Needs?
A. A client expressing anxiety about surgery
✔✔ B. A client with ineffective airway clearance
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,C. A client who missed their breakfast tray
D. A client refusing to bathe
The nurse is caring for four clients. Which task should be delegated to the unlicensed assistive
personnel (UAP)?
✔✔ A. Repositioning a client who is bedridden
B. Teaching incentive spirometry to a post-op client
C. Assessing a client’s pain level
D. Administering oral medications
A client who is postoperative reports feeling dizzy when standing. What is the nurse’s first
action?
A. Notify the provider
✔✔ B. Assist the client back to bed and check vital signs
C. Give prescribed antiemetic
D. Call for a rapid response
Which of the following clients requires immediate intervention by the nurse?
A. A client with type 2 diabetes awaiting lab results
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, ✔✔ B. A client with shortness of breath and a respiratory rate of 30/min
C. A client who needs assistance with a meal tray
D. A client requesting information on discharge instructions
A nurse enters the room and finds a client sitting on the floor, alert and oriented. What is the
priority action?
A. Call the provider immediately
✔✔ B. Assess for injuries
C. Ask the client why they got out of bed
D. Fill out an incident report
Which situation reflects use of the acute vs. chronic principle for setting priorities?
A. Choosing to feed a client with dementia before giving a medication
✔✔ B. Treating a client with sudden chest pain before assisting a client with chronic back pain
C. Repositioning a client with a pressure ulcer before giving insulin
D. Bathing a client with COPD before changing a dressing
Which client condition is most critical based on the ABC framework?
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