#1
Which of the following actions should the nurse prioritize when caring for a patient with a high fever?
Ensuring adequate hydration
ExplanationHydration is crucial to manage fever and prevent dehydration.
#2
What is the priority nursing action when caring for a patient with multiple injuries after a motor vehicle accident?
Performing a head-to-toe assessment
ExplanationA head-to-toe assessment is crucial to identify and address all injuries in a patient with multiple trauma.
#3
In the event of a sudden cardiac arrest, what is the priority nursing action?
Initiating CPR
ExplanationInitiating CPR is crucial to restore circulation and increase the chances of survival during sudden cardiac arrest.
#4
What is the priority nursing action when caring for a patient experiencing anaphylaxis?
Administering epinephrine
ExplanationAdministering epinephrine is the priority to counteract the severe allergic reaction in a patient with anaphylaxis.
#5
During a mass casualty event, which patient should the nurse prioritize for treatment?
A patient with difficulty breathing
ExplanationPatients with difficulty breathing require immediate attention to address respiratory distress.
#6
When triaging patients in a disaster situation, what does the nurse prioritize first?
Airway
ExplanationAirway is prioritized to ensure patients can breathe and receive adequate oxygenation.
#7
Which of the following patients should the nurse prioritize for immediate assessment?
A patient with a history of hypertension reporting chest pain
ExplanationA patient with a history of hypertension and chest pain needs immediate assessment to rule out cardiac issues.
#8
Which of the following patients should the nurse prioritize for immediate intervention based on the ABCDE approach?
A patient with difficulty breathing
ExplanationThe ABCDE approach prioritizes airway, breathing, circulation, disability, and exposure; a patient with difficulty breathing addresses the 'B' priority.
#9
What principle guides the nurse in prioritizing patient care?
Beneficence
ExplanationThe ethical principle of beneficence guides nurses to prioritize actions that benefit the patient.
#10
Which patient would the nurse prioritize for immediate intervention?
A patient with a temperature of 101°F (38.3°C)
ExplanationA patient with elevated temperature requires immediate intervention to address potential complications.
#11
During a disaster, which ethical principle guides the nurse in prioritizing care?
Utility
ExplanationThe ethical principle of utility guides nurses to prioritize actions that maximize overall benefit during a disaster.
#12
During a disaster response, what is the priority of the nurse when utilizing the START triage system?
Respiration
ExplanationThe START triage system prioritizes respiration to quickly identify and address life-threatening respiratory issues.