GUIDE | PRACTICE QUESTIONS &
ANSWERS
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Updated 2026 Questions and Answers
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, Give examples of Physiological Needs related to NPO status, gag reflex, obstruction (stridor), or dysphagia after a stroke
'Airway' (A).
Give examples of Physiological Needs related to Needs related to O2, SpO2, Respirations, lung sounds, or positioning (raise HOB,
'Breathing' (B). IS)
Give examples of Physiological Needs related to Needs related to HR/BP, fluids (IV, bleeding, diarrhea, vomiting), pulses, or TPN
'Circulation' (C).
Name four types of patient problems, conditions, or Chest pain, extremely high or low vital signs, loss of consciousness, or respiratory
cues (unexpected findings) that exemplify high distress
priorities needing immediate reporting.
If a stable patient develops respiratory distress, what The nurse must reprioritize hypotheses to adjust the patient's plan of care,
action must the nurse immediately take related to the focusing on the most life-threatening condition first
plan of care?
What is a "High (Top) Priority" classification used for in A client need that is life-threatening, or if untreated could result in harm to the
Maslow's system? client
What classification is given to nonemergency, non-life- Intermediate (Middle) Priority
threatening needs that can wait to be addressed?
Which cognitive skill of the NCSBN Clinical Judgment Prioritize Hypotheses
Measurement Model (NCJMM) involves considering
urgency and risk for the client?
What does the NCJMM skill "Prioritize Hypotheses" It determines which explanations are most likely and most serious, and why
determine regarding the client situation?
What are the two key factors a nurse must consider Urgency and risk for the client
when ranking client needs during the "Prioritize
Hypotheses" phase?
What is the goal of "Prioritize Hypotheses"? To rank the urgency of client needs.
Once hypotheses are prioritized, which subsequent Generate Solutions, which leads to formulating the plan of care based on those
NCJMM cognitive skill focuses on developing the needs
interventions?
Stage 1: Novice A beginner who has no experience in the situations in which they are expected to
perform. They lack confidence to demonstrate safe practice