Nursing Prioritization, Delegation And Assignment NCLEX Quiz #3 (10 Questions)

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Questions: 10 | Attempts: 8,810 | Updated: May 8, 2023

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Nursing Prioritization, Delegation And Assignment NCLEX Quiz #3 (10 Questions) - Quiz

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.

Questions and Answers

1.

Jenna is a nurse from the medical-surgical unit of a tertiary hospital. She was asked to float on the orthopedic in which she has no prior experience on working on. Which client should be assigned to her?
- A.
  
  A client with a cast for a fractured femur and who has numbness and discoloration of the toes.
- B.
  
  A client with balanced skeletal traction and needs assistance with morning care.
- C.
  
  A client who had an above-the-knee amputation yesterday and has currently has a temperature of 101.4ºF.
- D.
  
  A client who had a total hip replacement two days ago and needs blood glucose monitoring.
Correct Answer
D. A client who had a total hip replacement two days ago and needs blood glucose monitoring.

Explanation
A nurse from the medical-surgical floor floated to the orthopedic unit should be given clients with stable condition as those have care similar to her training and experience. A client who is in postoperative state is more likely to be on a stable condition.

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2.

Sally is a nurse working in an emergency department and receives a client after a radiological incident. Which task is utmost priority for the nurse to do first?
- A.
  
  Decontaminate the client’s clothing.
- B.
  
  Decontaminate the open wound on the client’s thigh.
- C.
  
  Decontaminate the examination room the client is placed in.
- D.
  
  Save the client’s vomitus for analysis by the radiation safety staff.
Correct Answer
B. Decontaminate the open wound on the client’s thigh.

Explanation
Decontaminating an open wound is the first priority for the client. This minimizes absorption of radiation in the client’s body.

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3.

The nurse plans care for a client in the post anesthesia care unit. The nurse should assess first the client’s:
- A.
  
  Respiratory status.
- B.
  
  Level of consciousness.
- C.
  
  Level of pain.
- D.
  
  Reflexes and movement of extremities.
Correct Answer
A. Respiratory status.

Explanation
Assessing respiratory status is the first priority. Remember ABC.

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4.

Nurse Jackie is reviewing the diet of a 28-year-old female who reports several months of intermittent abdominal pain. abdominal bloating. and flatulence. The nurse should tell the client to avoid:
- A.
  
  Fiber.
- B.
  
  Broccoli.
- C.
  
  Yogurt.
- D.
  
  Simple carbohydrates.
Correct Answer
B. Broccoli.

Explanation
Broccoli are gas forming and therefore. should be avoided.

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5.

Nurse Joriz of Nurseslabs Medical Center is planning care for a client who will undergo a colposcopy. Which of the following actions should Joriz take first?
- A.
  
  Discuss the client’s fear regarding potential cervical cancer.
- B.
  
  Assist with silver nitrate application to the cervix to control bleeding.
- C.
  
  Give instructions regarding douching and sexual relations.
- D.
  
  Administer pain medications.
Correct Answer
B. Assist with silver nitrate application to the cervix to control bleeding.

Explanation
The priority nursing action when caring for a client who underwent colposcopy is to assist in controlling potential bleeding by applying silver nitrate to the cervix.

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6.

Nurse Channing is caring for four clients and is preparing to do his initial rounds. Which client should the nurse assess first?
- A.
  
  A client with diabetes being discharged today.
- B.
  
  A 35-year-old male with tracheostomy and copious secretions.
- C.
  
  A teenager scheduled for physical therapy this morning.
- D.
  
  A 78-year-old female client with pressure ulcer that needs dressing change.
Correct Answer
B. A 35-year-old male with tracheostomy and copious secretions.

Explanation
The patient with problem of the airway should be given highest priority. Remember Airway. Breathing. and Circulation (ABC) is a priority.

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7.

Nurse Janus enters a room and finds a client lying on the floor. Which of the following actions should the nurse perform first?
- A.
  
  Call for help to get the client back in bed.
- B.
  
  Establish whether the client is responsive.
- C.
  
  Assist the client back to bed.
- D.
  
  Ask the client what happened.
Correct Answer
B. Establish whether the client is responsive.

Explanation
Assess first for responsiveness.

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8.

Paige is a nurse preceptor who is working with a new nurse Joyce. She notes that the Joyce is reluctant to delegate tasks to members of the care team. Paige recognizes that this reluctance is mostly likely due to:
- A.
  
  Role modeling behaviors of the preceptor.
- B.
  
  The philosophy of the new nurse’s school of nursing.
- C.
  
  The orientation provided to the new nurse.
- D.
  
  Lack of trust to the members of the healthcare team.
Correct Answer
D. Lack of trust to the members of the healthcare team.

Explanation
Lack of trust is the common reason for reluctance in delegation of tasks.

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9.

Nurse Paul is developing a care plan for a client after bariatric surgery for morbid obesity. The nurse should include which of the following on the care plan as the priority complication to prevent:
- A.
  
  Pain.
- B.
  
  Wound infection.
- C.
  
  Depression.
- D.
  
  Thrombophlebitis.
Correct Answer
B. Wound infection.

Explanation
Wound infection is the most common complication among obese clients who had undergone surgery. This is due to their poor blood supply in their adipose tissues.

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10.

A client presents to the emergency room with dyspnea. chest pain. and syncope. The nurse assesses the client and notes that the following assessment cues: pale. diaphoretic. blood pressure of 90/60. respirations of 33. The client is also anxious and fearing death. Which action should the nurse take first?
- A.
  
  Administer pain medications.
- B.
  
  Administer IV fluids.
- C.
  
  Administer dopamine.
- D.
  
  Administer oxygen via nasal cannula.
Correct Answer
D. Administer oxygen via nasal cannula.

Explanation
Promotion of adequate oxygenation is the most vital to life and therefore should be given highest priority by the nurse.

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Current Version
May 08, 2023

Quiz Edited by
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Jul 31, 2017

Quiz Created by
Santepro

Nursing Prioritization, Delegation And Assignment NCLEX Quiz #3 (10 Questions)

Jenna is a nurse from the medical-surgical unit of a tertiary hospital. She was asked to float on the orthopedic in which she has no prior experience on working on. Which client should be assigned to her?

Sally is a nurse working in an emergency department and receives a client after a radiological incident. Which task is utmost priority for the nurse to do first?

The nurse plans care for a client in the post anesthesia care unit. The nurse should assess first the client’s:

Nurse Jackie is reviewing the diet of a 28-year-old female who reports several months of intermittent abdominal pain. abdominal bloating. and flatulence. The nurse should tell the client to avoid:

Nurse Joriz of Nurseslabs Medical Center is planning care for a client who will undergo a colposcopy. Which of the following actions should Joriz take first?

Nurse Channing is caring for four clients and is preparing to do his initial rounds. Which client should the nurse assess first?

Nurse Janus enters a room and finds a client lying on the floor. Which of the following actions should the nurse perform first?

Paige is a nurse preceptor who is working with a new nurse Joyce. She notes that the Joyce is reluctant to delegate tasks to members of the care team. Paige recognizes that this reluctance is mostly likely due to:

Nurse Paul is developing a care plan for a client after bariatric surgery for morbid obesity. The nurse should include which of the following on the care plan as the priority complication to prevent: