When using the nursing process priority setting frame work, the nurse should always remember to do which of the following first? - Answer Assess the client
A nurse is caring for a client who is postoperative and whose airway is patent and respirations are 20 breaths per minute. Which of the f...
Module:Priority Setting Frameworks
Revision Exam Questions Answered
Correctly.
When using the nursing process priority setting frame work, the nurse should always remember to do
which of the following first? - Answer Assess the client
A nurse is caring for a client who is postoperative and whose airway is patent and respirations are 20
breaths per minute. Which of the following assessments should the nurse conduct in relation to the
client's circulatory status? - Answer Blood pressure
Urinary output
Skin turgor
Pulse
Which of the following can be used to help to determine the priority risk of a client who has multiple
risks? - Answer Mslow's Hierarchy of Needs
Determining the complication that poses the highest risk
Assessment of airway breathing and circulation needs
A nurse is caring for a client who is confused and disoriented. The client has been getting out of the
wheelchair in her room and going into the bathroom without assistance. Which of the following
interventions would be the least restrictive but most effective to use with his client? - Answer
Wheelchair alarm
Interventions that are least invasive are desirable because of which of the following? - Answer The
number of organisms introduced into the body is reduced
The client's immune system may be compromised due to the stress of the illness
The use of equipment that penetrates the body's natural barriers increases the client's risk for infection
, A nurse is performing triage at a mass casualty event and is selecting a tag for a client who is severely
injured and no potential for survival. Which of the following tags should the nurse apply to the client? -
Answer Class IV
Which of the following statements explain why the needs of a client with a chronic illness are usually of
lower priority clients with an acute need - Answer Chronically ill clients have had the opportunity to
physically adjust to their illness
Which of the following priority setting frameworks is being applied by a nurse who has decided to hang a
client's intravenous antibiotic within 30 minutes of the time specified instead of giving another client
their PRN pain medication? - Answer Urgent vs. Nonurgent
An unstable client may be defined as one who fits which of the following descriptions? - Answer A
client whose newly placed tracheostomy is producing a large amount of secretions
Which of the following parts of an item is the term given to an option that is incorrect - Answer
Distractor
A student is actively reading the assigned pages from his textbook. Which of the following actions by the
student consistent with active reading? - Answer Highlighting key words while studying
A student is actively participating in a nursing lecture. Which of the following actions by the student
would be correct with actively participating in lecture? - Answer Sitting on the front row of the class
Making a notation about content that was emphasized by the lecturer
Asking the lecturer questions about content in the assigned reading
A student is discussing with a classmate the differences between course exams and standardized exams.
Which following statements by the student would indicate the student is unfamiliar with their
differences? - Answer Course tests are based on a nationally developed test plan
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