Nutrition Handout & Priority Handout ( Multiple Choice )

profilePiequals314
Priority_Handout1.docx

1. A nurse responds to the cardiac monitor alarm of a patient and observes that the patient has atrial flutter. The patient is sitting up in the bed and is responsive. Which of the following actions should the nurse take first?

a. Institute carotid sinus massage

b. Assess the patient for dyspnea

c. Initiate CPR

d. Place the patient Trendelenburg position

2. The night after an exploratory laparotomy, a patient who has a nasogastric tube attached to low suction reports nausea. A nurse should take which of the following action first?

a. Administer antiemetic medication

b. Determine the patency of the patient’s NG tube

c. Instruct the patient to take deep breaths

d. Asses the patient’s pain level

3. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse? 

a. a client with a cast for a fractured femur and who has numbness and discoloration of the toes

b. a client with balanced skeletal traction and who needs assistance with morning care

c. a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F degrees

d. a client who had a total hip replacement 2 days ago and needs blood glucose

4. A nurse is caring for four clients and is preparing to do her initial rounds. Which client should the nurse assess first?

a. A patient with diabetes being discharged today

b. A patient with a trach with lots of secretions

c. A patient scheduled for PT this morning

d. A patient with a pressure ulcer that needs a dressing change

5. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first? 

a. Call for help

b. Determine if the patient is responsive

c. Assist the patient back to bed

d. Ask the patient what happened

6. The nurse plans care for a client in the post-anesthesia care unit. Which assessment should the nurse make first? 

a. Respiratory status

b. Level of consciousness

c. Level of pain

d. Reflexes and movement of extremities

7. A nurse in the clinic is reviewing the diet of a 28-year old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. Which is a priority for the nurse to counsel the client to avoid in her diet? 

a. Fiber

b. Yogurt

c. Broccoli

d. Simple carbs

8. A nurse in a long term facility is planning care for an elderly client with confusion. Which action should the nurse take first? 

a. Sit the patient in the activity chair

b. Apply a vest restraint

c. Apply wrist restraints in the bed

d. Have a staff member sit with the patient for the entire shift

9. The nurse is providing care in the emergency department to the client with chest pain. Which action is most important for the nurse to do first? 

a. Start an IV

b. Administer oxygen

c. Administer morphine

d. Start a lidocaine IV drip

10. A nurse arrives on the scene of a multi-motor vehicle accident. The nurse determines that which of the following clients should be seen first? 

a. A 48 year old male who is pale, diaphoretic and reporting chest pain and shortness of breath

b. a 16 year old male with ecchymosis, pain, and swelling of the right arm

c. a 42 year old female who has a laceration on the forehead and is reporting neck and shoulder pain

d. an 8 year old child who is crying and reports abdominal pain

11. A nurse is working on a poison control hot-line and gets a call from a mother who reports her child has apparently taken part of a bottle of adult acetaminophen capsules. The priority action for the nurse to take first is: 

a. tell the mother to position the child lying down on her side

b. tell the mother to dial 911 and request an ambulance

c. have the mother give the child a glass of milk

d. Instruct the mother how to make the child throw up

12. A nurse on the cardiac unit is caring for four clients and is preparing to do initial rounds. Which client should the nurse assess first? 

a. Patient scheduled for cardiac ultrasound

b. A patient with syncope being discharged today

c. A patient with chronic bronchitis on nasal cannula

d. A patient with a foot ulcer with a dressing change due

13. A nurse enters a room and finds lying face down on the floor, bleeding from a gash in the head. Which action should the nurse perform first? 

a. Determine level of consciousness

b. Push call bell for help

c. Turn patient to assess

d. Go out in the hall for help

14. A nurse is working on the night shift with a nursing assistant. The nursing assistant comes to the nurse stating that the other nurse working on the unit is not assessing a client with abdominal pain despite multiple requests. Which of the following actions by the nurse is best? 

a. Ask the other nurse if she needs help

b. Assess the patient and let the other nurse know what to do

c. Ask the patient if he is satisfied with his care

d. Contact the nursing supervisor to address the situation

15. The nurse is reviewing immunizations with the caregiver of a 72 year old client with a history of cerebral vascular disease. The caregiver learns that which immunization is a priority for the client? 

a. Hepatitis A vaccine

b. Lyme disease vaccine

c. Hepatitis B vaccine

d. Pneumococcal vaccine