A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?

A client who is requesting a bedpan.

A client who reports their IV pump is beeping.

A client who is postoperative and is reporting nausea.

A client who reports they have fallen while ambulating.

Answer and Explanation

The Correct Answer is D

A. A client who is requesting a bedpan. While important for comfort and dignity, requesting a bedpan is not an urgent or life-threatening situation. The nurse should prioritize clients based on immediate safety concerns before assisting with toileting needs.

B. A client who reports their IV pump is beeping. An IV pump alarm may indicate an occlusion, low battery, or completion of an infusion. While it requires attention, it is not an immediate priority over a client who has experienced a fall, which could result in serious injuries.

C. A client who is postoperative and is reporting nausea. Nausea is discomforting and should be addressed, especially in postoperative clients who are at risk for aspiration. However, this is not an immediate safety concern compared to assessing a client who has fallen, which may involve head trauma or fractures.

D. A client who reports they have fallen while ambulating. A fall can result in serious injuries such as fractures, head trauma, or internal bleeding. The nurse must assess the client immediately for injuries, neurological status, and vital signs to determine the appropriate interventions, making this the highest priority.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Decrease in coordination of client care. Electronic documentation improves, rather than decreases, coordination of care by allowing multiple healthcare providers to access real-time patient information, reducing communication errors and delays.

B. Increase of duplicate tests performed on client. Electronic health records (EHRs) help minimize duplicate testing by providing a comprehensive view of a client’s medical history, including previous tests and results, thereby reducing unnecessary procedures.

C. Portal that allows clients to interact with providers. Many electronic documentation systems include patient portals, enabling clients to schedule appointments, view test results, communicate with providers, and access educational resources, which enhances patient engagement and healthcare transparency.

D. Same-day access to client health record. While EHRs improve accessibility, updates to a client’s health record may depend on documentation workflow and provider input. Some results, such as lab tests, may not be immediately available, making this statement less universally accurate.

A. Advocacy B. Accountability C. Fairness D. Confidence

Correct Answer is B

Explanation

A. Advocacy. Advocacy involves protecting a client’s rights, ensuring informed decision-making, and speaking up for patient safety. While advocating for patient well-being is crucial, this scenario primarily reflects the nurse’s responsibility for their own actions rather than advocating for the client.

B. Accountability. Accountability means taking responsibility for one’s actions, including errors, and following appropriate steps to address them. By assessing the client, informing the provider, and completing an incident report, the nurse demonstrates professional integrity and commitment to ethical practice.

C. Fairness. Fairness involves treating all patients equitably and ensuring unbiased care. While important in nursing, fairness does not directly apply to this situation, which centers on taking responsibility for an error rather than distributing care impartially.

D. Confidence. Confidence refers to the nurse’s self-assurance in clinical decision-making and skills. While confidence is essential in nursing practice, admitting and reporting an error requires integrity and accountability rather than confidence.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is providing teaching to a newly licensed nurse on the advantages of electronic documentation. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

Correct Answer is B

Explanation

A nurse is assessing a client who reports acute pain at a level of 7 on a scale of 0 to 10. Which of the following findings should the nurse expect?

A nurse is preparing an educational session about The Joint Commission (TJC). Which of the following information should the nurse include?

A nurse is teaching a class about the steps of the inflammatory response. The nurse should include that which of the following is the first step in the inflammatory response?

A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process?

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?

A charge nurse is providing an in-service on documentation with a group of staff nurses. Which of the following should the nurse include as a component of an electronic health record?

A nurse is providing an in-service to a group of newly licensed nurses on standards of practice and the role of the Board of Nursing (BON). Which of the following information should the nurse include?