Reference no: EM133260199
1) A nurse receives a shift report and is preparing to care for clients assigned on a medical-surgical unit. Which client should the nurse plan to assess first?
A) The client who needs assistance with activities of daily living
B) The client who needs help ambulating to the bathroom
C) The client with a pain rating of 3/10
D) The client experiencing shortness of breath
2) A client with congestive heart failure (CHF) is having difficulty breathing. Before leaving the room, the nurse ensures the client has an overbed table to lean on when awake if needed to ease breathing. Which technique did the nurse use to make this decision?
A) Delegating a task
B) Priority setting
C) Conflict resolution
D) Critical thinking
3) A postoperative client prescribed pain medication every 4 to 6 hours is requesting medication every 6 hours. At 4 hours the client's pain level is 8 on a rating scale of 1 to 10. The nurse decides to give the pain medication now. What does this nurse's action exemplify?
A) Meeting a client goal
B) Time management skills
C) Prioritizing the client's care
D) Responding to a change in the client's condition
4) The nurse is assigned two clients. One client needs postoperative teaching in preparation for discharge, and the other client with pneumonia has a PaCO2 of 85. Why does the nurse decide to see the client with pneumonia first?
A) The nurse can delegate postoperative teaching to unlicensed assistive personnel (UAP).
B) The client with pneumonia needs more care than the client needing postoperative teaching.
C) The client with pneumonia may be experiencing respiratory distress.
D) The room of the client with pneumonia is closer than that of the client needing postoperative teaching.
5) The urgent care clinic nurse is treating a client who is experiencing abdominal pain. The client states, "I think I ate tainted food last night." What should the nurse do after the client states that the food was tainted?
A) Ask the client open-ended questions to further assess the situation.
B) Tell the client the healthcare provider does not need to assess the client.
C) Call an ambulance before assessing the client any further.
D) Advise the client to take an antacid.