#1
Which of the following is an example of a high-priority nursing intervention?
Assessing and stabilizing a patient's airway
ExplanationEnsuring patient's ability to breathe is fundamental for immediate safety.
#2
Which task can be safely delegated by the nurse to a nursing assistant?
Feeding a patient who has difficulty swallowing
ExplanationFeeding is a non-complex task suitable for delegation based on patient's needs.
#3
A nurse is caring for a group of patients. Which patient should the nurse assess first?
A patient with COPD who is using accessory muscles for breathing
ExplanationCOPD patients using accessory muscles indicate respiratory distress and require immediate assessment.
#4
A nurse is prioritizing care for a group of postoperative patients. Which patient should the nurse see first?
A patient who had abdominal surgery and has a temperature of 100.4°F (38°C)
ExplanationPostoperative patients with fever may indicate infection, especially after abdominal surgery.
#5
A nurse is prioritizing care for a group of patients. Which patient should the nurse see first?
A patient with COPD who is experiencing sudden onset of shortness of breath
ExplanationSudden onset of shortness of breath in a COPD patient suggests acute exacerbation requiring prompt assessment and intervention.
#6
A patient with chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath. Which nursing action should be prioritized?
Administering prescribed bronchodilator medication
ExplanationAddressing respiratory distress is crucial, bronchodilators are indicated in COPD exacerbations.
#7
A nurse is caring for a group of postoperative patients. Which patient should the nurse assess first?
A patient who had a cholecystectomy 1 day ago and is complaining of nausea and vomiting
ExplanationRecent surgery combined with symptoms of nausea and vomiting may indicate postoperative complications.
#8
Which of the following tasks should the nurse delegate to a nursing assistant?
Administering oral medications to a patient
ExplanationAdministering oral medications is a routine task appropriate for delegation.
#9
A nurse is preparing to delegate tasks to assistive personnel (AP). Which principle should guide the nurse's decision-making regarding delegation?
Delegation should be based on the AP's scope of practice and level of competence
ExplanationEffective delegation requires consideration of AP's capabilities and authorized tasks.
#10
Which of the following tasks should the nurse prioritize during the morning assessment?
Assessing postoperative pain levels
ExplanationAssessing pain levels is crucial for early intervention and patient comfort management.
#11
A nurse is supervising a nursing student. Which task should the nurse instruct the student to perform first?
Obtaining a patient's blood pressure and pulse rate
ExplanationVital signs are basic assessments necessary for overall patient evaluation.
#12
A nurse is triaging patients in the emergency department. Which patient should the nurse prioritize?
A patient with chest pain and shortness of breath
ExplanationChest pain and shortness of breath may indicate a life-threatening condition requiring immediate attention.