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Prioritization Questions, NCLEX Review PN ScienceMedicineNursing leshalou24 Save Prioritization NCLEX questions 28 terms madisoncastello Preview NCLEX-style Practice Questions - Pr...10 terms Abby_Morton123 Preview NCLEX-PN Review Questions 75 terms awithem240Preview NCLEX 38 terms tere A nurse is caring for a client who has a serum potassium level of 3.1 mEq/L. Which of the following actions should the nurse take first?
- obtain ECG
- administer oral potassium
- encourage potassium-rich foods
- monitor I&O
- obtain ECG
- provide assistance with ambulation when indicated
- determine the mobility status of each client
- maintain the side rails of each bed in the raised positions
- plan a fall prevention program for clients at risk
- determine the mobility status of each client
- malaise
- anorexia
- headache
- diarrhea
- diarrhea
A nurse in a long-term care facility is assisting with the admission of several clients. To prevent falls in hospitalized clients, which of the following actions should the nurse take first?
A nurse is collecting data on four clients. Which of the following is the highest priority finding by the nurse?
A nurse in an urgent care clinic is caring for a client who has bronchitis with thick pulmonary secretions. The client's oxygen saturation level is 90% on room air. Which of the following actions should the nurse take first?
- initiate oxygen therapy
- encourage an increase in oral fluids
- provide room himidification
- assist client to cough effectively
- assist client to cough effectively
- cholesterol 220 mg/dL
- platelets 95,000 mm3
- BUN 20 mg/dL
- Potassium 3.5 mEq/L
- a client who has peripheral vascular disease and reports numbness in the toes
- a client who has depression and is easily distracted
- a client who has Alzheimer's disease and is unable to complete activities of daily living
- a client who had abdominal surgery 10 days ago and reports feeling his incision pop
- a client who had abdominal surgery 10 days ago and reports feeling his incision pop
- administer an anticoagulant
- check the leg for warmth and edema
- apply elastic stockings
- promote bed rest and extremity elevation
- check the leg for warmth and edema
- place O2 at 2L per nasal canula on the client
- place the client in the orthopneic position
- perform chest percussion
- perform nasotracheal suctioning
- place the client in the orthopneic position
A nurse is reviewing the lab results for four clients. The client with which of the following values requires immediate intervention?
A nurse in a rehabilitation facility has received report on four clients. Which of the following should the nurse evaluate first?
A nurse is assisting with the admission of a client who had decreased circulation in the left leg. Which of the following is the first action the nurse should take?
A nurse is caring for a client who is having difficulty breathing. Which of the following actions should the nurse take first?
A nurse is caring for a client who has a UTI. The client is disoriented and found wandering on another unit. Which of the following actions should the nurse take first?
- ensure all four side rails are up
- administer prescibed sedative
- place the client in soft wrist restraints
- move the client to a room near the nurses' station
- move the client to a room near the nurses' station
- check on the client
- unlock the crash cart
- begin cpr
- announce a code
- check on the client
- providing pain control
- preventing hemorrhage
- maintaining a patent airway
- ensuring adequate fluid intake
- maintaining a patent airway
- a client who has a history of heart failure
- a client who has type 1 DM
- a client who is reporting pain associated with osteoarthritis of the knees
- a client who is having a nosebleed associated with hypertension
- a client who is having a nosebleed associated with hypertension
- immediate
- delayed
- minimal
- expectant
- immeidate
A nurse working on the cardiac unit hears an alarm and finds one of the heart monitor screens at the nurse's station is displaying a straight line, indicating a client is in cardiac arrest. Which of the following actions should the nurse take first?
A nurse is caring for a client who is in the immediate postoperative period following a tracheotomy. Which of the following is the nurse's priority action?
A nurse in a provider's office has collected data on four clients. Which of the following clients should the nurse's priority concern?
A newly hired nurse is reviewing the facility's emergency preparedness plan. Based on a review of the four triage categories, the nurse should provide priority care to clients who are in which of the following categories during a disaster?
A nurse is caring for an older adult client who recently experienced the death of her partner. Which of the following is the priority need of the client?
- establishing a sense of achievement
- contributing to society
- creating meaningful social relationships
- enhancing self-confidence
- creating meaninful social relationships
- administer medications with meals when possible
- ensure client understanding of medication's effects
- determine the client's ability to self-administer medications
- have the client position the head of the chin down while swallowing
- have the client position the head with the chin down while swallowing
- lithium carbonate 0.8 mEq/L
- digoxin 3.0 ng/mL
- peak serum gentamicin 6 mcg/mL
- digoxin 3.0 ng/mL
- bladder distension and urgency
- pedal edema
- warmth and pain in the calf
- hypoactive bowel sounds
- warmth and pain in the calf
- place the infant in a supine position when sleeping
- place the infant on a firm mattress when sleeping
- avoid covernig the infant with loose bedding while sleeping
- avoid leaving stuffed animals in the crib with the sleeping infant
- place the infant in a supine position when sleeping
A nurse is preparing to administer oral medications to a client who has unilateral weakness following a CVA. Which of the following should be the priority action of the nurse?
A nurse is conducting therapeutic medication monitoring on four clients. Which of the following findings should be immediately reported to the provider?
d.magnesium sulfate 4 mEq/L
A nurse is collecting data on four clients. Which of the following findings is the most urgent?
A nurse is reinforcing discharge teaching to a new mother regarding sudden infant death syndrome (SIDS). Which of the following is the highest priority to include in the instructions?
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