Prioritization / Delegation QuestionDifficulty
A patient is scheduled for a pre-operative CT scan to better visualize gastric cancer. Which of the following is a priority nursing assessment prior to this exam?...
Your patient has esophogeal varices. Which of the following nursing interventions is the highest priority?...
Your patient has just had a paracentesis for acities. Which of the following is a priority nursing intervention at this time?...
Your patient had a colostomy placed yesterday. Which of the following assessment findings would be the MOST concerning to you?...
Your patient had a colostomy placed yesterday. Which of the following assessment findings would be the MOST concerning to you?...
Your patient just had an uncomplicated esophogogastroduondenoscopy (EGD) to assess for ulcerations. You are caring for them post-procedure. What is the priority intervention at this time?...
You are concerned your post-op colon resection patient is suffering from internal bleeding. Which of the following labs would MOST helpful during this diagnostic period, as you compare it to the pre-procedure value?...
You are working on a surgical unit and your patient just arrived to your floor after a hysterectomy. You are concerned that this patient is oversedated. Which of the following would NOT be consistent with the clinical presentation of oversedation?...
You are working in the Intensive Care Unit, taking care of a patient with diabetic ketoacidosis (DKA). Which of the following is NOT a priority nursing intervention for this patient?...
You are working telephone triage for an after-hours family medicine clinic. A patient has called who is diabetic and been sick for the last 3 days with a cold. Which of the following symptoms reported by the patient is the LEAST concerning?...
Your patient with a history of diabetes has a blood sugar of 54 mg/dL. They are concious and awake, but feel cold and clammy, diaphoretic, weak, and slightly confused. Which of the following is NOT a priority intervention at this time?...
Your patient has been diagnosed with Type II Diabetes. Which of the following would NOT be a priority nursing intervention regarding foot care for this newly diagnosed patient?...
You are caring for a patient experiencing an adrenal crisis due to Addison’s Disease. Which of the folowing would NOT be a priority intervention?...
Your patient is being treated for SIADH with 3% hypertonic saline to correct a serum sodium of 129, which was drawn approximately 24 hours ago. You sent a BMP and the latest sodium is 141. What is your priority intervention at this time?...
Your patient has been diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following is NOT a priority intervention for this patient?...
Your patient is recieving vasopressin for diabetes inspidus post pituitary tumor resection. Which of the following does NOT demonstrate that this medication is achieving its desired effect?...
You are working in a pediatric intensive care unit. Your patient is a 3 year-old with burn injuries over 75% of her body. The patient has been stablized and her immediate needs have been adddressed. You are educating the patient’s parents about goals of care for their daughter. Which of the following is not a priority goal for this patient?...
You are assessing a 9 year old burn injury patient in the emergency department. Which of the following assessment findings is the MOST concerning and therefore the priority?...
You are working in the emergency department and a 7 year-old patient was brought in with 3rd degree burns over 36% of his body. What is the priority during this initial emergency department phase if care for this patient?...
You are admitting your new patient to the med-surg unit, as he crashed his ATV and has mulitple injuries. He is stable, alert and oriented, and converses appropriately with you. During your assessment, you note multiple honey-colored scabs on his arms, legs and face, and purititis. You are concerned that in addition to his ATV injuries, he has impetigo. If this is in fact true, which of the following interventions will be the priority?...