Priority Setting Frameworks Advanced Test Questions and
Answers Graded A+
A nurse is caring for a client who has a flaccid A nurses caring for a group of pediatric clients.
bladder following a spinal cord injury. Which of Which of the following clients requires immediate
the following actions should the nurse take first? intervention? - ANSWER -A client who is
- ANSWER -Initiate a bladder training prescribed digoxin (Lanoxin) and has had three
schedule episodes of vomiting
A nurse is caring for a client who is 48 hr post A nurses caring for a client who has a radial head
operative following an abdominal aortic fracture. Which of the following should be the
aneurysm resection. Which of the following priority action by the nurse following application
findings is the most urgent? - ANSWER - of the cast? - ANSWER -Evaluate
Absent dorsalis pedis pulse neurovascular status
A nurse is caring for a child who has sickle cell A nurse is caring for a client who has a fractured
disease and has been admitted in a vaso- hip and a respiratory rate of 26/min. Which of the
occlusive crisis. Which of the following is the following actions should the nurse take first? -
nurse's priority concern? - ANSWER - ANSWER -Evaluate level of consciousness
Promoting oxygenation
A nurse in a providers office is collecting data on
A nurse on a medical unit has received report on a group of clients who are pregnant. Which of the
four clients. Which of the following clients should following clients should be the nurses priority
the nurse evaluate first? - ANSWER -A concern? - ANSWER -A client who is 34
client who has a fever of 38.4°C (101.2°F) with weeks of just station and reporting abdominal
tenderness in the right lower quadrant tenderness
A nurse is caring for a client who has a A school nurse is reinforcing teaching regarding
compound fracture of the tibia and fibula and is bicycle safety to a group of school age children.
in skin traction. The client reports pain of a 6 on a Which of the following is the most important
scale of 0 to 10 under the traction bandage. concept to include in the teaching? -
Which of the following actions should the nurse ANSWER -Used properly fitted bicycle
take first? - ANSWER -Check pedal pulse helmet
Following morning report, a nurse assigns A nurses caring for a client who is experiencing
completion of several tasks to an assistive panic level anxiety. Which of the following actions
personnel (AP). Which of the following tasks should the nurse take first? - ANSWER -
should the nurse have the AP perform first? - Engage the client in physical activity
ANSWER -Perform fingersticks for glucose
levels on clients who have diabetes mellitus
A nurse has been assigned to care for four
clients on a medical-surgical floor. Which of the
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Answers Graded A+
A nurse is caring for a client who has a flaccid A nurses caring for a group of pediatric clients.
bladder following a spinal cord injury. Which of Which of the following clients requires immediate
the following actions should the nurse take first? intervention? - ANSWER -A client who is
- ANSWER -Initiate a bladder training prescribed digoxin (Lanoxin) and has had three
schedule episodes of vomiting
A nurse is caring for a client who is 48 hr post A nurses caring for a client who has a radial head
operative following an abdominal aortic fracture. Which of the following should be the
aneurysm resection. Which of the following priority action by the nurse following application
findings is the most urgent? - ANSWER - of the cast? - ANSWER -Evaluate
Absent dorsalis pedis pulse neurovascular status
A nurse is caring for a child who has sickle cell A nurse is caring for a client who has a fractured
disease and has been admitted in a vaso- hip and a respiratory rate of 26/min. Which of the
occlusive crisis. Which of the following is the following actions should the nurse take first? -
nurse's priority concern? - ANSWER - ANSWER -Evaluate level of consciousness
Promoting oxygenation
A nurse in a providers office is collecting data on
A nurse on a medical unit has received report on a group of clients who are pregnant. Which of the
four clients. Which of the following clients should following clients should be the nurses priority
the nurse evaluate first? - ANSWER -A concern? - ANSWER -A client who is 34
client who has a fever of 38.4°C (101.2°F) with weeks of just station and reporting abdominal
tenderness in the right lower quadrant tenderness
A nurse is caring for a client who has a A school nurse is reinforcing teaching regarding
compound fracture of the tibia and fibula and is bicycle safety to a group of school age children.
in skin traction. The client reports pain of a 6 on a Which of the following is the most important
scale of 0 to 10 under the traction bandage. concept to include in the teaching? -
Which of the following actions should the nurse ANSWER -Used properly fitted bicycle
take first? - ANSWER -Check pedal pulse helmet
Following morning report, a nurse assigns A nurses caring for a client who is experiencing
completion of several tasks to an assistive panic level anxiety. Which of the following actions
personnel (AP). Which of the following tasks should the nurse take first? - ANSWER -
should the nurse have the AP perform first? - Engage the client in physical activity
ANSWER -Perform fingersticks for glucose
levels on clients who have diabetes mellitus
A nurse has been assigned to care for four
clients on a medical-surgical floor. Which of the
1/2
