The nurse should identify that Client 1 requires priority care due to which of the following reasons?

The client has severe but survivable injuries.

The client has minor injuries requiring immediate care.

The client has non-life-threatening injuries but requires follow-up care.

The client has injuries that do not require urgent attention.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Severe but survivable injuries demand immediate care to stabilize critical functions like airway, breathing, and circulation. Prioritizing care ensures better survival outcomes, especially with red tag cases requiring prompt medical intervention.

Choice B rationale

Minor injuries do not threaten life or major functions, so they do not require immediate care. Patients with minor issues are generally green-tagged and can wait without significant adverse outcomes.

Choice C rationale

Non-life-threatening injuries needing follow-up care may have minimal short-term risks, making them less urgent. Such cases often align with yellow tag classifications for priority but non-immediate attention.

Choice D rationale

Injuries without urgent attention lack immediate risk to life or function. These cases can afford to wait without compromising patient outcomes, especially under mass casualty triage protocols.

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 D

Explanation

Choice A rationale

Removing the existing dressing with sterile gloves risks contaminating the gloves and defeats the purpose of maintaining sterility throughout the procedure, increasing the likelihood of introducing pathogens to the wound.

Choice B rationale

Removing a piece of the dressing from outside the sterile field ensures adherence to sterility principles; however, contamination has already occurred if it contacts non-sterile areas, and the field must be reassessed.

Choice C rationale

Placing the existing dressing on the sterile field exposes the entire field to contaminants from the dressing, which compromises sterility and increases the potential for postoperative infections in the wound.

Choice D rationale

Restarting the procedure after sterile solution splashes onto the field ensures full sterility is maintained, as any contact with a non-sterile liquid contaminates the sterile field and increases infection risk.

A. Nausea. B. Urine output of 40 mL/hr. C. Soft stools. D. Headache.

Correct Answer is A

Explanation

Choice A rationale

Nausea is a direct clinical manifestation of enteral feeding intolerance, often resulting from delayed gastric emptying or improper feeding rate, leading to gastrointestinal distress and potential aspiration risks.

Choice B rationale

A urine output of 40 mL/hr, while indicative of oliguria and potential renal compromise, is not associated with gastrointestinal intolerance to enteral feedings, as these involve different organ systems.

Choice C rationale

Soft stools are not a reliable indicator of feeding intolerance. They can occur due to dietary composition changes but are not associated with pathologic conditions needing intervention.

Choice D rationale

Headache is a nonspecific symptom that does not relate directly to feeding intolerance. Other causes, such as dehydration or systemic factors, are more likely culprits for this presentation.

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

The nurse should identify that Client 1 requires priority care due to which of the following reasons?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. Which of the following actions should the nurse take to prevent contamination during the dressing change?

Correct Answer is D

Explanation

A nurse is monitoring a client who has been receiving intermittent enteral feedings. Which of the following findings should the nurse identify as an indication of intolerance to the feeding?

Correct Answer is A

Explanation

A nurse receives a report from an assistive personnel that a client’s blood pressure is 160/95 mm Hg. Which of the following actions should the nurse take first?

A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings should the nurse identify as an indication of a possible catheter occlusion?

The emergency department triage nurse receives notification there has been a mass shooting incident at a local shopping mall with several casualties injured. The hospital’s emergency response plan is initiated. Which client should the nurse prioritize for care?

A charge nurse is preparing a teaching session for a group of newly licensed nurses about the general principles of immunity. Which of the following statements should the nurse plan to include in the teaching?

A nurse is planning teaching about meditation for a client who reports feeling anxious. Which of the following statements should the nurse include in the teaching?

A nurse is documenting client care. Which of the following entries should the nurse identify as an example of implementation of client care?

A nurse is preparing to transfer a client from a chair to the client’s bed. The client can bear partial weight and has upper body strength. Which of the following devices should the nurse use to transfer the client?

A nurse is caring for a client who has a nonpalpable skin lesion that is less than 0.5 cm (0.2 in) in diameter. Which of the following terms should the nurse use to document this finding?