NCLEX Review on Delegation and Prioritization Questions (6-10)

NCLEX Review on Delegation and Prioritization Questions

6. A nurse is working in an emergency department and receives a client after a radiologic incident. Which task is a priority for the nurse to do first?

a) decontaminate the client's clothing
b) decontaminate an 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

7. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first?

a) respiratory status
b) level of consciousness
c) level of pain
d) reflexes and movement of extremities

8. A nurse in the clinic is reviewing the diet of a 28-year old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. Which is a priority for the nurse to counsel the client to avoid in her diet?

a) fiber
b) broccoli
c) yogurt
d) simple carbohydrates

9. A nurse is developing the care plan for a client after bariatric surgery for morbid obesity. The nurse includes which of the following on the care plan as the priority complication to prevent?

a) pain
b) wound infection
c) depression
d) thrombophlebitis


10. A client presents to the emergency room with dyspnea, chest pain, and syncope. The nurse assesses the client and notes that the client is pale and diaphoretic with blood pressure 94/60, respiration 32. The client is anxious, fearing death. Which action should the nurse take first?

a) administer pain medication
b) administer IV fluids
c) administer dopamine
d) administer oxygen per nasal cannula




NCLEX Review on Delegation and Prioritization Questions:
ANSWERS AND RATIONALE

6) B
- decontaminating an open wound is the first priority when caring for a client after a radiologic incident. This minimizes absorption of radiation in the client's body.

7) A
- assessing respiratory status is the first priority when caring for a client in the post-anensthesia care unit. ABC is a priority.

8) B
- broccoli is gas forming. This should be avoided in clients experiencing flatulence.

9) B
- wound infection is the most common complication among obese clients who had undergone surgery. This is due to poor blood supply in the adipose tissues. Therefore, there is decreased oxygen supply and diminished supply of protective cells in the areas.

10) D
- promotion of adequate oxygenation is most vital to life. Therefore, this should be given highest priority by the nurse for a client with dyspnea, chest pain, and syncope.




Go to the next page ---> NCLEX Review on Delegation and Prioritization Questions (11-15)  

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