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NUR 401 QUIZ – Prioritization: Questions And Solutions
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NUR 401 QUIZ – Prioritization: Questions And Solutions
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NUR 401 QUIZ – Prioritization: Questions AndSolutions
A nurse is caring for an adolescent client who has a newly applied fiberglass
cast for a fractured tibia. Which of the following is the priority action for the
nurse to take?
A. Perform a neurovascular assessment.
B. Explain the discharge instructions to the client and parents.
C. Provide reassurance to the client and parents.
D. Apply an ice pack to the casted leg. Right Ans - A. Perform a
neurovascular assessment.
A nurse overhears two assistive personnel (AP) from the medical-surgical unit
discussing a hospitalized client while in the cafeteria. Which of the following is
the priority nursing action?
A. Quietly tell the APs that this is not appropriate.
B. Ask the nurse manager to provide an inservice program about
confidentiality to the staff on the unit.
C. Complete an incident report.
D. Document the occurrence in a personal log. Right Ans - A. Quietly tell the
APs that this is not appropriate.
A nurse is triaging clients in an urgent care clinic. Which of the following
clients should the nurse have the provider care for immediately?
A. An adolescent female client who is belligerent and has slurred speech
B. A toddler who has a laceration on his forehead and is screaming
C. A middle adult male who is diaphoretic and reports epigastric pain
D. A young adult with a painful sunburn of his face and arms Right Ans - C.
A middle adult male who is diaphoretic and reports epigastric pain
A charge nurse is working with an assistive personnel (AP) 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?
, A. Give positive feedback directly to the AP.
B. Tell other nurses what an effective team member the AP is.
C. Nominate the AP for the Employee of the Month award.
D. Detail the AP's contributions to the nurse manager. Right Ans - A. Give
positive feedback directly to the AP.
A nurse is triaging clients in the emergency department. Which of the
following clients should the nurse ask the provider to care for first?
A. A toddler who has asthma and has a pulse oximetry reading of 95% while
receiving oxygen at 2 L/min
B. A toddler who has otitis media, a temperature of 39.2° C (102.6° F), and
purulent ear discharge
C. A school-age child who has acute epiglottitis, is drooling, and has an
absence of spontaneous cough
D. An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0
to 10, and requests pain
medication Right Ans - C. A school-age child who has acute epiglottitis, is
drooling, and has an absence of spontaneous cough
A nurse is assessing four clients on a medical-surgical unit. Which of the
following clients should the nurse care for first?
A. A client who has diarrhea and requests clear liquids for breakfast
B. A client who has a cast on the left leg and reports numbness and
paresthesia
C. A client who has type 1 diabetes mellitus and has a fasting blood glucose
level of 150
D. A client who has pneumonia and has an axillary temperature of 38° C (101°
F) Right Ans - B. A client who has a cast on the left leg and reports
numbness and paresthesia
A nurse is planning care for a client who has anorexia nervosa. The nurse
should make which of the following client goals the priority?
A. Attain a weight that is greater than the 75th percentile for age and height.
B. Make positive statements about improvements in body image.
C. Feel in control of her behavior.
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