Nurs 465 Practice Questions On Setting
Priorities With Correct Answers
A cnurse cis ccaring cfor ca cclient cwho chas cdementia. cThe cclient cis cagitated cand cis
chaving cdifficulty cstaying cin chis cchair. cWhich cof cthe cfollowing cactions cshould cthe
cnurse ctake cfirst? c- cCORRECT cANS✔✔place ca cseat calarm cin cthe cclient's cchair
A cnurse cis ccaring cfor ca cclient cwho cis cin cthe cfirst cstage cof clabor. cThe cnurse
cobserves cthe cumbilical ccord cprotruding cfrom cthe cvagina. cWhich cof cthe cfollowing
cactions cshould cthe cnurse cperform cfirst? c- cCORRECT cANS✔✔Insert ca cgloved chand
cinto cthe cvagina cto crelieve cpressure con cthe ccord
A cnurse cis cassessing ca cclient cfor ca csuspected canaphylactic creaction cfollowing ca
cCT cscan cwith ccontrast cmedia. cFor cwhich cof cthe cfollowing cclient cfinding cshould cthe
cnurse cintervene cfirst? c- cCORRECT cANS✔✔stridor
A cnurse cis ccaring cfor ca cclient cwho chas cCHF cand cis ctaking cdigoxin cdaily. cThe
cclient crefused cbreakfast cand cis ccomplaining cof cnausea cand cweakness. cWhich cof
cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔check cthe
cclient's cvital csigns
A cnurse cis cremoving cPPE cafter cgiving cdirect ccare cto ca cclient cwho crequires
cisolation. cWhich cof cthe cfollowing cPPE citems cshould cthe cnurse cremove cfirst? c-
cCORRECT cANS✔✔Gloves
A cnurse cin can cemergency cdepartment cis ccaring cfor ca cclient cwho chas canaphylaxis
cfollowing ca cbee csting. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst?
c- cCORRECT cANS✔✔Auscultate cfor cwheezing
A cnurse csees cand cassistive cpersonnel c(AP) centering cthe croom cof ca cclient cwho
crequires ctransmission cbased cprecautions cwithout cusing cthe cappropriate cPPE.
cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT
cANS✔✔Provide cthe cappropriate cPPE cto cthe cAP
A cnurse cis cworking cwith can cassistive cpersonnel c(AP) cto ccare cfor ca cgroup cof cclients
con cthe cpediatric cunit. cWhich cof cthe cfollowing ctasks cshould cthe cnurse chave cthe cAP
cperform cfirst? c- cCORRECT cANS✔✔check cto csee cif cthe celbow crestraint cis cin cplace
cfor can cinfant cwho cis cpostoperative cfrom ca csurgical ccorrection cof ca ccleft cpalate
, A cnurse cis ccaring cfor ca cclient cwho cattacked cone cof cher cfriends cand cis
cadministered cto cthe cpsychiatric cunit. cWhich cof cthe cfollowing cactions cshould cthe
cnurse ctake cfirst? c- cCORRECT cANS✔✔Set cbehavioral climits cfor cthe cclient
A cnurse cis ccaring cfor ca cclient cwho chas ca cspinal ccord cinjury cand csuspects cthe
cclient cis cdeveloping cautonomic cdysreflexia. cWhich cof cthe cfollowing cactions cshould
cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Place cthe cclient cin ca csitting cposition
A cnurse cis cassessing cfour cclients con ca cmedical csurgical cunit. cWhich cof cthe
cfollowing cclient cshould cthe cnurse ccare cfor cfirst? c- cCORRECT cANS✔✔A cclient cwho
chas ca ccast con cthe cleft cleg cand creports cnumbness cand cparesthesia
A cnurse cis ccaring cfor ca cclient cwho cdevelops ca cpulmonary cembolism. cWhich cof cthe
cfollowing cinterventions cshould cthe cnurse cimplement cfirst? c- cCORRECT
cANS✔✔Administer coxygen ctherapy
While ccaring cfor ca cclient, cthe cnurse cexperiences ca cneedle cstick cinjury. cWhich cof
cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Wash cthe
csite cof cthe cinjury cwith csoap cand cwater
A cnurse cis cassessing ca cclient's cabdomen cwho creports cstomach cpain. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Inspect
A cnurse cin ca cclinic cis ccollecting ca chistory cfrom ca cclient cwho creports cthat ca
cmember cof chis cfamily cjust creceived ca cdiagnosis cof cpulmonary ctuberculosis. cThe
cnurse cshould cexpect cthat cthe cprovider cwill cprescribe cwhich cof cthe cfollowing
cdiagnostic ctests cfirst? c- cCORRECT cANS✔✔Nucleic cacid camplification ctest c(NAAT)
A cnurse cis ccaring cfor ca cclient cwho cis cin cactive clabor cand cnotes clate cdeceleration
cin cthe cFHR. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c-
cCORRECT cANS✔✔Change cthe cclient's cposition
A cnurse chas cbeen creassigned cfrom cher cregular carea cof cwork cto ca cunit cthat cis
cshort cstaffed. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c-
cCORRECT cANS✔✔Ask cwhat cshe cwill cbe cassigned cto cdo
A cnurse cis cbathing ca ctoddler cand cnotices cthat cshe chas cseveral cbruises. cWhich cof
cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Ask cthe
cparents cwhat ccaused cthe cbruises
A cnurse cis ccaring cfor ca cclient cwho cis cvomiting. cWhich cof cthe cfollowing cactions
cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Prevent cthe cclient cfrom
caspirating
A cnurse cis ccaring cfor ca cclient cwho chas can cendotracheal ctube cand cis creceiving
cmechanical cventilation. cThe cclient cpulls cout chis cendotracheal ctube. cWhich cof cthe
Priorities With Correct Answers
A cnurse cis ccaring cfor ca cclient cwho chas cdementia. cThe cclient cis cagitated cand cis
chaving cdifficulty cstaying cin chis cchair. cWhich cof cthe cfollowing cactions cshould cthe
cnurse ctake cfirst? c- cCORRECT cANS✔✔place ca cseat calarm cin cthe cclient's cchair
A cnurse cis ccaring cfor ca cclient cwho cis cin cthe cfirst cstage cof clabor. cThe cnurse
cobserves cthe cumbilical ccord cprotruding cfrom cthe cvagina. cWhich cof cthe cfollowing
cactions cshould cthe cnurse cperform cfirst? c- cCORRECT cANS✔✔Insert ca cgloved chand
cinto cthe cvagina cto crelieve cpressure con cthe ccord
A cnurse cis cassessing ca cclient cfor ca csuspected canaphylactic creaction cfollowing ca
cCT cscan cwith ccontrast cmedia. cFor cwhich cof cthe cfollowing cclient cfinding cshould cthe
cnurse cintervene cfirst? c- cCORRECT cANS✔✔stridor
A cnurse cis ccaring cfor ca cclient cwho chas cCHF cand cis ctaking cdigoxin cdaily. cThe
cclient crefused cbreakfast cand cis ccomplaining cof cnausea cand cweakness. cWhich cof
cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔check cthe
cclient's cvital csigns
A cnurse cis cremoving cPPE cafter cgiving cdirect ccare cto ca cclient cwho crequires
cisolation. cWhich cof cthe cfollowing cPPE citems cshould cthe cnurse cremove cfirst? c-
cCORRECT cANS✔✔Gloves
A cnurse cin can cemergency cdepartment cis ccaring cfor ca cclient cwho chas canaphylaxis
cfollowing ca cbee csting. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst?
c- cCORRECT cANS✔✔Auscultate cfor cwheezing
A cnurse csees cand cassistive cpersonnel c(AP) centering cthe croom cof ca cclient cwho
crequires ctransmission cbased cprecautions cwithout cusing cthe cappropriate cPPE.
cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT
cANS✔✔Provide cthe cappropriate cPPE cto cthe cAP
A cnurse cis cworking cwith can cassistive cpersonnel c(AP) cto ccare cfor ca cgroup cof cclients
con cthe cpediatric cunit. cWhich cof cthe cfollowing ctasks cshould cthe cnurse chave cthe cAP
cperform cfirst? c- cCORRECT cANS✔✔check cto csee cif cthe celbow crestraint cis cin cplace
cfor can cinfant cwho cis cpostoperative cfrom ca csurgical ccorrection cof ca ccleft cpalate
, A cnurse cis ccaring cfor ca cclient cwho cattacked cone cof cher cfriends cand cis
cadministered cto cthe cpsychiatric cunit. cWhich cof cthe cfollowing cactions cshould cthe
cnurse ctake cfirst? c- cCORRECT cANS✔✔Set cbehavioral climits cfor cthe cclient
A cnurse cis ccaring cfor ca cclient cwho chas ca cspinal ccord cinjury cand csuspects cthe
cclient cis cdeveloping cautonomic cdysreflexia. cWhich cof cthe cfollowing cactions cshould
cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Place cthe cclient cin ca csitting cposition
A cnurse cis cassessing cfour cclients con ca cmedical csurgical cunit. cWhich cof cthe
cfollowing cclient cshould cthe cnurse ccare cfor cfirst? c- cCORRECT cANS✔✔A cclient cwho
chas ca ccast con cthe cleft cleg cand creports cnumbness cand cparesthesia
A cnurse cis ccaring cfor ca cclient cwho cdevelops ca cpulmonary cembolism. cWhich cof cthe
cfollowing cinterventions cshould cthe cnurse cimplement cfirst? c- cCORRECT
cANS✔✔Administer coxygen ctherapy
While ccaring cfor ca cclient, cthe cnurse cexperiences ca cneedle cstick cinjury. cWhich cof
cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Wash cthe
csite cof cthe cinjury cwith csoap cand cwater
A cnurse cis cassessing ca cclient's cabdomen cwho creports cstomach cpain. cWhich cof cthe
cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Inspect
A cnurse cin ca cclinic cis ccollecting ca chistory cfrom ca cclient cwho creports cthat ca
cmember cof chis cfamily cjust creceived ca cdiagnosis cof cpulmonary ctuberculosis. cThe
cnurse cshould cexpect cthat cthe cprovider cwill cprescribe cwhich cof cthe cfollowing
cdiagnostic ctests cfirst? c- cCORRECT cANS✔✔Nucleic cacid camplification ctest c(NAAT)
A cnurse cis ccaring cfor ca cclient cwho cis cin cactive clabor cand cnotes clate cdeceleration
cin cthe cFHR. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c-
cCORRECT cANS✔✔Change cthe cclient's cposition
A cnurse chas cbeen creassigned cfrom cher cregular carea cof cwork cto ca cunit cthat cis
cshort cstaffed. cWhich cof cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c-
cCORRECT cANS✔✔Ask cwhat cshe cwill cbe cassigned cto cdo
A cnurse cis cbathing ca ctoddler cand cnotices cthat cshe chas cseveral cbruises. cWhich cof
cthe cfollowing cactions cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Ask cthe
cparents cwhat ccaused cthe cbruises
A cnurse cis ccaring cfor ca cclient cwho cis cvomiting. cWhich cof cthe cfollowing cactions
cshould cthe cnurse ctake cfirst? c- cCORRECT cANS✔✔Prevent cthe cclient cfrom
caspirating
A cnurse cis ccaring cfor ca cclient cwho chas can cendotracheal ctube cand cis creceiving
cmechanical cventilation. cThe cclient cpulls cout chis cendotracheal ctube. cWhich cof cthe
