INFECTION CONTROL • DELEGATION • PRIORITIZATION •
CLINICAL JUDGMENT) QUESTIONS WITH CORRECT DETAILED
ANSWERS A+ VERIFIED
PRIORITY & SAFETY (1–20)
1.
A nurse receives report on four clients. Who should be seen first?
A. Client with nausea after surgery
B. Client with BP 88/50 and dizziness
C. Client requesting pain meds
D. Client awaiting discharge
Answer: B
2.
Which action is most important to prevent falls in hospitalized older adults?
A. Raise all side rails
B. Keep bed in lowest position
C. Restrict fluids
D. Apply restraints
Answer: B
3.
A postoperative client suddenly becomes short of breath. First action?
A. Notify provider
B. Apply oxygen
C. Document findings
D. Obtain vitals
Answer: B
,4.
Which finding requires immediate intervention?
A. Urine output 40 mL/hr
B. Chest pain and diaphoresis
C. Temp 37.2°C
D. HR 88 bpm
Answer: B
5.
Which client is highest priority?
A. Stable COPD
B. Asthma with wheezing
C. Post-op stable day 2
D. Controlled hypertension
Answer: B
6.
Which action is unsafe?
A. Locking wheelchair
B. Using non-slip socks
C. Bed in highest position
D. Call light within reach
Answer: C
7.
Which lab value is most concerning?
A. Na 140
B. K 6.3
C. Glucose 100
D. Ca 9.0
Answer: B
8.
, A confused client is trying to get out of bed. Best intervention?
A. Restraints
B. Bed alarm
C. Sedation
D. Ignore behavior
Answer: B
9.
Which situation requires immediate action?
A. Mild pain
B. Airway obstruction
C. Mild nausea
D. Fatigue
Answer: B
10.
Priority assessment for a chest pain client?
A. Pain location
B. Oxygenation
C. Diet history
D. Sleep pattern
Answer: B
11.
Which is a priority nursing action?
A. Documentation
B. Airway assessment
C. Hygiene care
D. Meal tray setup
Answer: B
12.
Which client is at greatest risk for aspiration?