Priority Setting Frameworks Advanced Test 2023 with
complete solution
A nurse is caring for a client who has a flaccid bladder following a spinal cord injury.
Which of the following actions should the nurse take first?
Initiate a bladder training schedule
A nurse is caring for a client who is 48 hr post operative following an abdominal aortic
aneurysm resection. Which of the following findings is the most urgent?
Absent dorsalis pedis pulse
A nurse is caring for a child who has sickle cell disease and has been admitted in a
vaso-occlusive crisis. Which of the following is the nurse's priority concern?
Promoting oxygenation
A nurse on a medical unit has received report on four clients. Which of the following
clients should the nurse evaluate first?
A client who has a fever of 38.4°C (101.2°F) with tenderness in the right lower quadrant
A nurse is caring for a client who has a compound fracture of the tibia and fibula and is
in skin traction. The client reports pain of a 6 on a scale of 0 to 10 under the traction
bandage. Which of the following actions should the nurse take first?
Check pedal pulse
Following morning report, a nurse assigns completion of several tasks to an assistive
personnel (AP). Which of the following tasks should the nurse have the AP perform
first?
Perform fingersticks for glucose levels on clients who have diabetes mellitus
A nurses caring for a group of pediatric clients. Which of the following clients requires
immediate intervention?
A client who is prescribed digoxin (Lanoxin) and has had three episodes of vomiting
A nurses caring for a client who has a radial head fracture. Which of the following
should be the priority action by the nurse following application of the cast?
Evaluate neurovascular status
A nurse is caring for a client who has a fractured hip and a respiratory rate of 26/min.
Which of the following actions should the nurse take first?
Evaluate level of consciousness
A nurse in a providers office is collecting data on a group of clients who are pregnant.
Which of the following clients should be the nurses priority concern?
A client who is 34 weeks of just station and reporting abdominal tenderness
A school nurse is reinforcing teaching regarding bicycle safety to a group of school age
children. Which of the following is the most important concept to include in the
teaching?
Used properly fitted bicycle helmet
A nurses caring for a client who is experiencing panic level anxiety. Which of the
following actions should the nurse take first?
Engage the client in physical activity
A nurse has been assigned to care for four clients on a medical-surgical floor. Which of
the following clients should the nurse evaluate first?
A client following knee replacement surgery complaining of pain and warmth in the calf
complete solution
A nurse is caring for a client who has a flaccid bladder following a spinal cord injury.
Which of the following actions should the nurse take first?
Initiate a bladder training schedule
A nurse is caring for a client who is 48 hr post operative following an abdominal aortic
aneurysm resection. Which of the following findings is the most urgent?
Absent dorsalis pedis pulse
A nurse is caring for a child who has sickle cell disease and has been admitted in a
vaso-occlusive crisis. Which of the following is the nurse's priority concern?
Promoting oxygenation
A nurse on a medical unit has received report on four clients. Which of the following
clients should the nurse evaluate first?
A client who has a fever of 38.4°C (101.2°F) with tenderness in the right lower quadrant
A nurse is caring for a client who has a compound fracture of the tibia and fibula and is
in skin traction. The client reports pain of a 6 on a scale of 0 to 10 under the traction
bandage. Which of the following actions should the nurse take first?
Check pedal pulse
Following morning report, a nurse assigns completion of several tasks to an assistive
personnel (AP). Which of the following tasks should the nurse have the AP perform
first?
Perform fingersticks for glucose levels on clients who have diabetes mellitus
A nurses caring for a group of pediatric clients. Which of the following clients requires
immediate intervention?
A client who is prescribed digoxin (Lanoxin) and has had three episodes of vomiting
A nurses caring for a client who has a radial head fracture. Which of the following
should be the priority action by the nurse following application of the cast?
Evaluate neurovascular status
A nurse is caring for a client who has a fractured hip and a respiratory rate of 26/min.
Which of the following actions should the nurse take first?
Evaluate level of consciousness
A nurse in a providers office is collecting data on a group of clients who are pregnant.
Which of the following clients should be the nurses priority concern?
A client who is 34 weeks of just station and reporting abdominal tenderness
A school nurse is reinforcing teaching regarding bicycle safety to a group of school age
children. Which of the following is the most important concept to include in the
teaching?
Used properly fitted bicycle helmet
A nurses caring for a client who is experiencing panic level anxiety. Which of the
following actions should the nurse take first?
Engage the client in physical activity
A nurse has been assigned to care for four clients on a medical-surgical floor. Which of
the following clients should the nurse evaluate first?
A client following knee replacement surgery complaining of pain and warmth in the calf
