Prioritization / Delegation QuestionDifficulty
You have a patient who has a DVT. Their ABCs are intact, what is the priority intervention for this patient?...
You have a patient who has pneumonia. Their ABCs are intact, what is the priority for this patient?...
You have a 34 year old female patient who is septic. The ABCs are intact, what is the most important time sensitive thing to do for this patient?...
You have four patients who all need to be medicated, which patient needs to be medicated first?...
If a child has a fever, what is the primary concern?...
A 44 year old male is visiting his wife in the hospital. All of a sudden he becomes confused and is slurring his words. What is the priority concern for this person?...
Your patient who is here for shortness of breath states, “I just cannot breath deeply, it feels like there is someone holding my ribs tight.” What is the priority for this patient?...
A newborn is recieving phototherapy for hyperbilirubinemia. Which of the following is the priority nursing intervention?...
If a baby has sustained hyperbilirubinemia, what is the primary concern?...
You are monitoring a newborn with transient tachypnea. Which of the following interventions is NOT a priority for this particular newborn complication?...
You are assesssing a newborn’s reflexes. He was born approximately 36 hours ago. Which of the following findings is the MOST concerning?...
You are working in labor and delivery. A 39-week baby was just delivered. Which of the following finding is the LEAST concerning and priority at this time?...
You are working in labor and delivery. A 39-week baby was just delivered. Which of the following finding is the most concerning and priority at this time?...
You are working in labor and delivery. A 41-week baby was just delivered. You must assess the APGAR score. Which the following is most accurate in this scoring?...
Your patient states the following, “I have COPD and usually require 2L of oxygen. I was eating yesterday and choked on a piece of ham, I have been coughing ever since, like it’s stuck in my throat. Now I feel like I have been needing more oxygen, so I have turned my tank up to 5L.” Which part of this statement is priority and needs to be immediately investigated?...
Your patient states the following, “I woke up with this nose bleed and it hasn’t stopped bleeding for 3 hours. I take blood thinners and now I am feeling woozy.” Which part of this statement is concerning and needs immediate attention?...
Your patient states the following, “When I was pregnant I would get heart burn so bad, I was eating TUMS like crazy. I kinda feel the same way, except I am not pregnant. The TUMS aren’t helping me and now I have this pain between my shoulder blades.” Which part of this statement needs to be made the priority and investigated further?...
Your patient states the following, “Last week I tripped over my grandson’s toys in the living room. I fell face first into the coffee table. I know I am taking blood thinners and am supposed to get checked out but I wasn’t confused afterwards and wasn’t having facial droop or anything like that. But today I was just super dizzy and couldn’t keep on my feet. I have fallen about 4 times since then and now I have cuts all over my arms and I can’t life my right arm up anymore.” Which part of that statement is the most concerning and needs immediate attention.”...
Your patient states the following, “I have been homeless for the past 3 months, I have been sleeping outside and eating out of the dumpster. I’m so sick of living this way, I just want to end it all.” What is the most concerning thing in this statement and should be immediately looked into and precautions taken?...
You have a 61 year old female who woke up this AM with a bloody nose. The patient states, “It won’t stop bleeding!” The patients skin is pink, warm, and dry. The vital signs are all within normal limits. What is the priority intervention for this patient?...