The nurse is caring for a group of clients. Which client should the nurse identify as a third-level priority?

A client here for a yearly physical examination.

A client with hives, angioedema, and tachycardia.

A client with 10/10 abdominal pain and vomiting.

A client who is unconscious and not breathing.

Answer and Explanation

The Correct Answer is A

A. A client here for a yearly physical examination: Routine preventive visits are non-urgent and do not pose an immediate threat to the client’s health. This makes the client a third-level priority, as care can safely be delayed while addressing more acute or emergent situations.

B. A client with hives, angioedema, and tachycardia: These symptoms indicate a potentially life-threatening allergic reaction, requiring immediate intervention. This client is a first-level priority due to risk of airway compromise and shock.

C. A client with 10/10 abdominal pain and vomiting: Severe pain is concerning and requires assessment and management. While not immediately life-threatening as a compromised airway, this requires prompt assessment and pain management to prevent deterioration and is a Second-Level Priority (urgent)

D. A client who is unconscious and not breathing: This is an absolute emergency requiring immediate resuscitation, making it a first-level priority. It takes precedence over non-urgent care such as routine physical exams.

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Correct Answer is D

Explanation

A. The client states, "My headache is an 8 out of 10 and throbbing.": This is subjective data because it reflects the client’s personal perception and experience of pain, which cannot be measured or observed by the nurse.

B. The client verbalizes, "I have a headache because I have not slept.": This is also subjective data as it represents the client’s opinion about the cause of their headache rather than observable facts.

C. The caregiver expresses concern about their infant crying all night: This is subjective information reported by the caregiver. It provides insight into the caregiver’s perspective but is not directly measurable or observed by the nurse.

D. The client exhibits facial grimacing and guards a swollen right forearm: This is objective data because it is observable and measurable behavior noted by the nurse. These physical signs can be verified independently of the client’s report.

A. Maintain a checklist of common client concerns to refer to during conversations B. Limit client interactions to focus on efficiency and prioritize time management C. Attend training sessions on active engagement and communication strategies D. Ask coworkers for reassurance on communication and listening skill level

Correct Answer is C

Explanation

A. Maintain a checklist of common client concerns to refer to during conversations: Using a checklist may help ensure important topics are covered, but it can make interactions feel mechanical and reduce genuine listening. It does not actively develop listening skills or enhance engagement with clients.

B. Limit client interactions to focus on efficiency and prioritize time management: Restricting interactions may improve efficiency but hinders the opportunity to practice and improve active listening. Quality communication requires sufficient time to understand and respond to client needs.

C. Attend training sessions on active engagement and communication strategies: Formal training provides structured learning and practical techniques to enhance active listening. It allows the nurse to practice, receive feedback, and develop skills that improve client rapport and understanding.

D. Ask coworkers for reassurance on communication and listening skill level: Seeking reassurance may provide subjective feedback but does not systematically build active listening skills. Active skill development requires intentional practice and evidence-based strategies rather than validation alone.

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The nurse is caring for a group of clients. Which client should the nurse identify as a third-level priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which information documented by the nurse is considered objective data?

Correct Answer is D

Explanation

The nurse recognizes the need to develop stronger active listening skills to enhance client interactions. Which strategy should the nurse plan to take to grow their active listening skills?

Correct Answer is C

Explanation

A nurse evaluates a client's understanding of why a medication reconciliation is performed upon admission to the hospital. Which statement made by the client indicates understanding?

A nurse is preparing to perform palpation during an abdominal assessment of a client. Which describes the purpose of using light palpation?

The nurse is monitoring for risk for injuries identified in the healthcare environment. Which unsafe healthcare environment finding(s) will require action from the nurse? Select all that apply

A nurse is educating an older adult client about safe medication practices. Which instruction should the nurse include in the education?

What assessment(s) are included in the physical appearance portion of the general survey? Select all that apply.

While providing the client with morning medications, the client reports new abdominal pain. What assessment question should the nurse ask next?

During a client interview, which is an example of an active listening technique a nurse can use to improve communication?

The nurse is triaging a group of clients in the emergency department. Which client should be assessed first?