A preceptor advises the novice nurse to prioritize which client intervention?

Attending to personal hygiene

Ensuring client safety

Meeting psychosocial needs

Providing patient-focused care

Answer and Explanation

The Correct Answer is B

Choice A reason: Attending to personal hygiene improves comfort and prevents infection but is not the highest priority. Safety, including preventing falls or medication errors, prevents immediate harm, as hygiene issues pose less urgent risks, making this a secondary intervention compared to ensuring client safety.

Choice B reason: Ensuring client safety is the priority, preventing immediate harm like falls, medication errors, or equipment-related injuries. Safety is foundational, as unsafe conditions can lead to life-threatening complications, making this the most critical intervention to prioritize in any clinical setting for client well-being.

Choice C reason: Meeting psychosocial needs supports emotional well-being but is secondary to safety. Unaddressed safety risks, like falls, pose immediate physical harm, whereas psychosocial issues have longer-term impacts, making safety the priority over emotional or social support in clinical care.

Choice D reason: Providing patient-focused care ensures individualized treatment but is less urgent than safety. Safety prevents immediate harm, like falls or errors, while patient-focused care enhances outcomes over time, making it a secondary priority compared to ensuring the client’s physical safety.

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 B

Explanation

Choice A reason: Asking the UAP to reassess delays accurate assessment by a qualified nurse. Pulse 122 and BP 98/72 suggest tachycardia and hypotension, requiring professional validation and intervention, making this less appropriate than direct nurse reassessment and provider notification.

Choice B reason: Reassessing the client validates vital signs (pulse 122, BP 98/72), indicating tachycardia and hypotension, possibly from hypovolemia or sepsis. Accurate nurse assessment ensures reliable data for diagnosis, preventing complications like shock, making this a critical action in this scenario.

Choice C reason: Notifying the provider is essential, as tachycardia (pulse 122) and hypotension (BP 98/72) suggest serious conditions like hypovolemia or sepsis. Prompt reporting ensures timely interventions, such as fluids or diagnostics, preventing deterioration, making this necessary alongside reassessment.

Choice D reason: Sitting the client up may improve breathing but does not address tachycardia and hypotension, which suggest hypovolemia or other issues. These vital signs require reassessment and provider notification to diagnose and treat the cause, making positioning less urgent.

A. A client who has a urine specific gravity of 1.010 B. A client who has a weight gain of 2.6 lbs in 24 hours C. A client who has a hematocrit of 45% D. A client who has a BUN of 24 mg/dL

Correct Answer is D

Explanation

Choice A reason: Urine specific gravity of 1.010 is normal (1.005–1.030), indicating adequate hydration. Dehydration elevates specific gravity (>1.030) due to concentrated urine, so this client does not show dehydration signs, making this an incorrect choice for requiring fluid replacement interventions.

Choice B reason: Weight gain of 2.6 lbs in 24 hours suggests fluid retention, not dehydration. This may indicate hypervolemia, possibly from heart or renal failure, requiring diuretics. Dehydration involves weight loss, making this client’s finding inconsistent with dehydration needing intervention.

Choice C reason: Hematocrit of 45% is normal (38–50% males, 36–46% females). Dehydration elevates hematocrit due to hemoconcentration from reduced plasma volume. Normal hematocrit does not indicate dehydration, making this client an incorrect choice for requiring dehydration-specific fluid interventions.

Choice D reason: A BUN of 24 mg/dL is elevated (normal 7–20 mg/dL), indicating dehydration, as reduced renal perfusion concentrates blood urea nitrogen. This reflects hypovolemia, requiring fluid replacement to restore renal function and prevent acute kidney injury, making this client the priority for dehydration intervention.

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 preceptor advises the novice nurse to prioritize which client intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The unlicensed assistive personnel (UAP) notifies the nurse of these vital signs for a client on the medical-surgical unit: temperature 97.6°F, respirations 20, pulse 122, and BP 98/72. Which actions should the nurse do next?

Correct Answer is B

Explanation

A nurse is assessing four clients. Which client requires interventions for dehydration?

Correct Answer is D

Explanation

The nurse is educating a client scheduled for elective surgery. The client currently takes aspirin daily. What education will the nurse provide regarding this medication?

The nurse is educating a client at risk for hypervolemia for self-management at home. Which statement by the client indicates a need for further teaching?

A stable postoperative client is ready to leave the post-anesthesia care unit (PACU). Which nursing action is most important by the nurse on the medical-surgical unit?

A nurse is assessing a postoperative client for atelectasis. Which signs/symptoms of atelectasis require intervention? (Select all that apply)

A client is prescribed intravenous naloxone STAT. The client weighs 144 lbs, and the recommended drug dosage is 0.01 mg/kg. Naloxone is available as indicated in this drug label. How much naloxone should the nurse plan to administer? Round to the nearest tenths place. Numeric answer only.

The patient has an order for Penicillin-G 1 gram intramuscularly. The instructions read: reconstitute the vial with 9.8 mL of normal saline to yield 2 grams in 10 mL. How many mL will the nurse administer per dose? Round the answer to the nearest whole number. Record numeric answer only.

The nurse is caring for a client in the preoperative period and documenting rationale for a palliative surgical procedure. Which rationale is most appropriate?

A nurse is caring for a client who has a postoperative ileus and a nasogastric (NG) tube that has drained 2,500 mL in the past 6 hours. Which electrolyte imbalance should the nurse monitor the client for?