Nurs 465 Practice Questions on Setting Priorities with
accurate answers
A charge nurse is working with an assistive personnel who provides
excellent care to clients and is an effective team member. Which of the
following actions should the nurse take first to recognize the AP's
contributions to client care? Ans✓✓✓ Give positive feedback directly
to the AP
A client receives a wrong medication. The nurse who made the
medication error should take which of the following actions first?
Ans✓✓✓ Assess the client
A client who has bipolar disorder approaches the nurse and reveals
fresh, self-inflicted, superficial cuts going up and down his right arm.
Which of the following actions should the nurse take first? Ans✓✓✓
Inspect the cuts for debris
A nurse accidentally sticks her hand with a syringe needle after
administering an IM injection to a client. Which of the following actions
should the nurse take first? Ans✓✓✓ Wash the area of the puncture
thoroughly with soap and water
A nurse at a community health clinic is caring for a client who reports a
headache and stiff neck. Which of the following actions should the nurse
take first? Ans✓✓✓ Evaluate the client's neurological status
,A nurse enters a client's room and finds him unresponsive. After
notifying the rapid response team, which of the following actions should
the nurse take first? Ans✓✓✓ Check for a carotid pulse
A nurse enters a client's room and sees that ashes from a cigarette are
beginning to ignite trash in the waste basket. Which of the following
actions should the nurse take first? Ans✓✓✓ Rescue the client from
immediate danger
A nurse enters an adult client's room and finds him unresponsive. After
determining that the client is not breathing and does not have a pulse,
which of the following actions should the nurse take first? Ans✓✓✓
Summon the code team
A nurse finds radioactive pellets on the floor of the surgical unit. Which
of the following actions should the nurse take first? Ans✓✓✓ Follow
safety data sheet (SDS) instructions
A nurse has been reassigned from her regular area of work to a unit that
is short staffed. Which of the following actions should the nurse take
first? Ans✓✓✓ Ask what she will be assigned to do
A nurse has completed care procedures for a client who requires
airborne precautions. Which of the following items of PPE should the
nurse remove first? Ans✓✓✓ Gloves
, A nurse has just finished a wound irrigation for a client who requires
contact precautions. Which of the following pieces of PPE should the
nurse remove first? Ans✓✓✓ Gloves
A nurse has received change of shift report on a group of clients and is
preparing her assignment. Which of the following clients should the
nurse assess first? Ans✓✓✓ A client who was admitted for chest pain
and is reporting a new onset of indigestion
A nurse has received morning report on the following four clients.
Which of the following clients should the nurse assess first? Ans✓✓✓
A client who was administered glipizide for type 2 diabetes mellitus and
has a blood glucose of 68 mg/Dl
A nurse has several tasks to delegate to an assistive personnel. Which of
the following tasks should the nurse ask the AP to perform? Ans✓✓✓
Take an arterial blood gas (ABG) specimen to the laboratory
A nurse if caring for a client who has an evacuation of a subdural
hematoma. Which of the following actions should the nurse take first?
Ans✓✓✓ Check the oximeter
A nurse in a clinic is collecting a history from a client who reports that a
member of his family just received a diagnosis of pulmonary
tuberculosis. The nurse should expect that the provider will prescribe
which of the following diagnostic tests first? Ans✓✓✓ Nucleic acid
amplification test (NAAT)
accurate answers
A charge nurse is working with an assistive personnel who provides
excellent care to clients and is an effective team member. Which of the
following actions should the nurse take first to recognize the AP's
contributions to client care? Ans✓✓✓ Give positive feedback directly
to the AP
A client receives a wrong medication. The nurse who made the
medication error should take which of the following actions first?
Ans✓✓✓ Assess the client
A client who has bipolar disorder approaches the nurse and reveals
fresh, self-inflicted, superficial cuts going up and down his right arm.
Which of the following actions should the nurse take first? Ans✓✓✓
Inspect the cuts for debris
A nurse accidentally sticks her hand with a syringe needle after
administering an IM injection to a client. Which of the following actions
should the nurse take first? Ans✓✓✓ Wash the area of the puncture
thoroughly with soap and water
A nurse at a community health clinic is caring for a client who reports a
headache and stiff neck. Which of the following actions should the nurse
take first? Ans✓✓✓ Evaluate the client's neurological status
,A nurse enters a client's room and finds him unresponsive. After
notifying the rapid response team, which of the following actions should
the nurse take first? Ans✓✓✓ Check for a carotid pulse
A nurse enters a client's room and sees that ashes from a cigarette are
beginning to ignite trash in the waste basket. Which of the following
actions should the nurse take first? Ans✓✓✓ Rescue the client from
immediate danger
A nurse enters an adult client's room and finds him unresponsive. After
determining that the client is not breathing and does not have a pulse,
which of the following actions should the nurse take first? Ans✓✓✓
Summon the code team
A nurse finds radioactive pellets on the floor of the surgical unit. Which
of the following actions should the nurse take first? Ans✓✓✓ Follow
safety data sheet (SDS) instructions
A nurse has been reassigned from her regular area of work to a unit that
is short staffed. Which of the following actions should the nurse take
first? Ans✓✓✓ Ask what she will be assigned to do
A nurse has completed care procedures for a client who requires
airborne precautions. Which of the following items of PPE should the
nurse remove first? Ans✓✓✓ Gloves
, A nurse has just finished a wound irrigation for a client who requires
contact precautions. Which of the following pieces of PPE should the
nurse remove first? Ans✓✓✓ Gloves
A nurse has received change of shift report on a group of clients and is
preparing her assignment. Which of the following clients should the
nurse assess first? Ans✓✓✓ A client who was admitted for chest pain
and is reporting a new onset of indigestion
A nurse has received morning report on the following four clients.
Which of the following clients should the nurse assess first? Ans✓✓✓
A client who was administered glipizide for type 2 diabetes mellitus and
has a blood glucose of 68 mg/Dl
A nurse has several tasks to delegate to an assistive personnel. Which of
the following tasks should the nurse ask the AP to perform? Ans✓✓✓
Take an arterial blood gas (ABG) specimen to the laboratory
A nurse if caring for a client who has an evacuation of a subdural
hematoma. Which of the following actions should the nurse take first?
Ans✓✓✓ Check the oximeter
A nurse in a clinic is collecting a history from a client who reports that a
member of his family just received a diagnosis of pulmonary
tuberculosis. The nurse should expect that the provider will prescribe
which of the following diagnostic tests first? Ans✓✓✓ Nucleic acid
amplification test (NAAT)
