Welcome to your Prioratization
1.
A nurse on the medical-surgical floor is preparing a nursing care plan for a patient with acute renal failure. The patient has oliguria with fluid volume excess. The nurse should include which of the following interventions in the care plan?
2.
Another RN has called in sick, leaving 10 pediatric cancer patients to be cared for by one RN and 3 nursing assistants. What should the nurse do?
3.
A client on neutropenic precautions is being cared for by a health care team. What role in patient care would be appropriate for the licensed practical nurse (LPN)?
4.
A patient arrives at the door of the ED with a companion. The patient is concerned about a possible anthrax exposure. The patient has no visible contaminant showing but is concerned about possibly inhaling some powder from an envelope that was opened at home. Of the following, which is the appropriate decontamination procedure?
5.
Our patients all require the attention of the nurse. Who should the nurse see first?
6.
A nurse is preparing a patient for surgery and the LPN is asked to help. For which of the following tasks must the RN confirm that the LPN has received special training?
7.
Which of the following actions demonstrates the nurse's role as collaborator of care when meeting with a family of an ill one-year-old?
8.
A nurse is called to respond to a bioterrorism disaster in the city. Which of the following is true regarding bioterrorism events?
9.
A nurse on the post-partum floor is caring for a patient who had a cesarean section the previous day. The patient had epidural spinal anesthesia for the procedure, and now all feeling has returned to the patient's lower extremities. The nurse knows that an appropriate nursing goal for the patient on postoperative day 1 is which of the following?
10.
A nurse on a medical-surgical floor is preparing to discharge a patient. The patient still has an IV access that needs to be removed. While preparing the discharge instructions, the nurse should delegate this task to which of the following personnel?
11.
Which of the following best illustrates the evaluation step in the nursing process?
12.
After shift change on a cardiovascular unit, the new nurse is looking over her assignments to determine the order in which they should be assessed. Which patient should be assessed last?
13.
When preparing a patient for surgery, the nurse learns that the patient stopped taking her blood pressure medication because it was too expensive. The nurse should collaborate with which health care team member to provide the patient with information and resources for lowering medication costs?
14.
After a radioactive explosion, a group of nurses must use reverse triage to identify which patients should be decontaminated first and which others can wait for treatment. Of the following, which is the correct order in which to process the victims of this event?
15.
A patient comes into the ED in respiratory distress with stridor and cyanosis. The patient was sick a few days ago with flu-like symptoms, a dry cough, sweats, and mild chest pain, but then the patient felt better for a couple days and was able to return to work at the wool mill before suddenly feeling much worse. Of the following, to which does the nurse suspect the patient has been exposed?
16.
A nurse manager notices that an increased number of incident reports are completed because of late medication administration around lunch time. What action should the nurse manager take?
17.
Which selection most accurately depicts the nursing process?
18.
A patient presents to the ED with blurred vision and drooping eyelids along with shortness of breath. A diagnosis of botulism poisoning is made. Which of the following is reported?
19.
After shift change on a cardiovascular unit, the new nurse is looking over her assignments to determine the order in which they should be assessed. Which patient should be assessed last?
20.
A group of nurses respond to the scene of a bioterrorist attack in which employees at a mall were exposed to aerosolized botulinum toxin. Of the following, which describes the symptoms the nurses would expect to see in these clients?
21.
Which is the correct order of the steps in the nursing process?
22.
A patient in respiratory distress is being cared for by an RN, an LPN, and a nursing assistant. The nursing assistant checks the patient's pulse oximetry level as requested by the RN. The patient's reading is 88%. There is an order for oxygen, 1–4 L/m, if the patient's oxygen level is sustained below 90%. The RN is busy assessing a critical patient. What should she do next?
23.
A nurse on the pediatric ICU is caring for a 3-day-old infant with a cleft palate. The nurse may delegate to the certified nursing assistant which of the following activities of daily living for the infant?
24.
The unit is understaffed and the nurse is asked to work a double shift. What is the best way for the nurse to decline an assignment?
25.
After a nurse assigns a task to the LPN, which of the following should the nurse do?
26.
A new nurse is reviewing her patient assignments for the day. Which patient should the nurse assess first?
27.
A nurse on the cardiac telemetry floor is preparing to admit a new patient with complaints of chest pain and shortness of breath. The nurse may delegate to the certified nursing assistant (CNA) which one of the following?
28.
A nurse is providing a newly diagnosed diabetic with information about her new medication. The nurse is performing which nursing role?
29.
A telemetry nurse is caring for multiple patients. Which of the following situations needs to be addressed by the nurse first?
30.
A nurse just started her shift. Which of the following patients should be assessed first?
31.
While handling a number of clients who have arrived in the ED after a possible anthrax exposure, which of the following illustrates appropriate decontamination measures?
32.
Which of the following interventions takes priority when a nurse is ending a shift?
33.
Several nurses suggest to the nurse manager that the new hire RN needs additional time on orientation in order to perform her duties safely and effectively. What should the nurse manager do?
34.
Based on Maslow's hierarchy of needs, which of the following should be the nurse's first priority?
35.
Which finding would have the highest priority for a nurse when assessing the integrity of a discontinued IV catheter?
36.
Which of the following patients is most appropriate to assign to a licensed practical nurse?
37.
A client on neutropenic precautions is being cared for by a health care team. What role in patient care would be appropriate for the licensed practical nurse (LPN)?
38.
An elderly cancer patient is admitted to the emergency department reporting nausea and vomiting several times prior to admission. The client's heart rate is 45 beats per minute. The nurse should be most concerned about which medication that the client is taking?
39.
A nurse on the cardiac floor is preparing a nursing care plan for a patient with congestive heart failure and excess fluid volume. An appropriate nursing diagnosis for this patient would be which of the following?
40.
A nurse has left the hospital for the weekend and remembers forgetting to chart a urine output in the electronic medical record (EMR) for a client. How should the nurse correct this situation?
41.
A nurse on a busy medical-surgical floor has a certified nursing assistant assigned to her patients. The nurse has delegated to the CNA to obtain patient vital signs. The CNA reports to the nurse a blood pressure reading of 82/40 on a patient with atrial fibrillation. The nurse should do which of the following first?
42.
Which nursing diagnosis reflects the highest priority for an 80-year old client admitted to the hospital with new atrial fibrillation?
43.
Who should the OR charge nurse ask to assess the dressing on a newly placed G-tube before the patient is transported to the PACU?
44.
A nurse is teaching a client with ascites about the risk factors of peritonitis. The nurse would teach the client that primary peritonitis occurs
45.
A nurse is caring for a patient with an order for placement of an indwelling urinary catheter. The nurse knows it is appropriate to delegate this task to which of the following personnel?
46.
A nurse is caring for a patient with an order for placement of an indwelling urinary catheter. The nurse knows it is appropriate to delegate this task to which of the following personnel?
47.
The nurse needs to know a patient's blood glucose and asks the unlicensed assistive personnel (UAP) if she has been trained on finger sticks per facility protocol. The assistant says she has not been officially trained at this facility, but has performed finger sticks at a previous job. What should the nurse do?
48.
A cardiac client develops increasing pedal edema. Which diet modification is most important in giving instruction to this client?
49.
Which of the following interventions takes priority when a nurse is ending a shift?
