A stable client is waiting for routine teaching, another needs help walking, and a third has new noisy breathing. What should the nurse do first?
1 Clinical Prioritization and Safe Care Online Quiz Questions
Use this free practice quiz with 20 questions to review 1 Clinical Prioritization and Safe Care, test your knowledge, and prepare for your next test or exam.
True or false: When using ABCDE, the nurse should finish assessing all five components before treating a life-threatening problem found during the assessment.
- A
True
- B
False
In the practical prioritization sequence, after addressing immediate threats to life or safety, the nurse should .
In the ABCDE approach, what component includes checking responsiveness and relevant neurologic status?
Before assigning a task, which factors should the nurse consider? Select all that apply.
- A
Check that the task is permitted by applicable law and policy.
- B
Assign the task whenever it would save the nurse time.
- C
Consider whether the task is appropriate for the client's condition.
- D
Assume that a job title alone proves competence for every task.
- E
Check that the person has demonstrated competence for the task.
True or false: If a capable client refuses treatment, the nurse should respect the decision and promptly communicate the refusal when it affects safety or the plan of care.
- A
True
- B
False
After an intervention, what one-word action should the nurse take to evaluate the client's response and update the plan?
A safe handoff should communicate the client's current condition, recent changes, unresolved concerns, , and who is responsible next.
When delegating a suitable task, which actions support safe communication and oversight? Select all that apply.
- A
Explain the task and any relevant limits.
- B
Tell the person to report changes only if they believe it is necessary.
- C
Specify when a change should be reported.
- D
Supervise and follow up on the task's outcome.
- E
Transfer responsibility for clinical judgment to the person completing the task.
Two clients have needs that are simultaneously urgent. What is the safest response?
- A
Finish one task alone before telling anyone about the other urgent need.
- B
Choose one client and leave the other without needed attention.
- C
Call for assistance and coordinate parallel care.
- D
Delay both needs until the routine work is complete.
A client awaiting routine teaching may have an unsafe swallow. What should the nurse prioritize?
- A
Complete routine teaching first because it is already on the schedule.
- B
Assess and address the potential unsafe swallow before routine teaching.
- C
Delay both needs until the end of the shift.
- D
Delegate the swallow assessment to unqualified personnel.
During a transfer, the medication information available does not match a new order. What should the nurse do?
- A
Wait for the next routine medication review without telling anyone.
- B
Assume the information available is correct and do not compare it with new orders.
- C
Ask the client to resolve the discrepancy independently.
- D
Compare the available medication information with new orders and communicate the discrepancy through the appropriate process.
During rounds, one client reports new chest pressure, a second needs assistance walking to the bathroom, and a third is waiting for routine discharge instructions. Describe how the nurse should prioritize and respond to these needs, including what should happen after the urgent response.
True or false: During an ABCDE assessment, appropriate team members may perform actions in parallel while life-threatening problems are treated as they are identified.
- A
True
- B
False
A nurse is caring for a stable client who is waiting for routine teaching and another client who has developed new noisy breathing. What should the nurse do first?
- A
Complete routine teaching first because it is already scheduled.
- B
Assess the client with new noisy breathing and escalate based on the findings.
- C
Assist the stable client with routine care before assessing either client.
- D
Wait for another measurement before responding to the breathing change.
During an ABCDE assessment, which component includes checking a client’s responsiveness and relevant neurologic status?
At a shift change, which information should the nurse include to support a safe handoff?
- A
The client’s original reason for admission and a list of routine tasks already completed.
- B
The nurse’s preferred order for completing tomorrow’s routine care.
- C
The client’s current condition, recent changes, unresolved concerns, pending actions, and next responsible person.
- D
Only information that has not previously been documented.
A nurse transferring responsibility for a client communicates the client’s current condition, recent changes, unresolved concerns, pending actions, and who is responsible next. What is this communication process called?
A nurse is considering assigning a task to another team member. Which approach best supports safe delegation?
- A
Assign the task whenever it is routine, then transfer responsibility for the outcome.
- B
Check policy, the client’s condition, and the other person’s competence; provide oversight and follow up.
- C
Delegate the task if the other person agrees, even if it requires nursing assessment.
- D
Assign the task and ask the person to decide independently when a change requires reporting.
A client is capable of making this decision and refuses a treatment that could affect the plan of care. What is the nurse’s best response?
- A
Respect the decision and promptly communicate the refusal if it affects safety or the plan of care.
- B
Proceed with the treatment because the nurse believes it is important.
- C
Delay documenting or communicating the refusal until routine tasks are finished.
- D
Ask another team member to obtain consent without discussing the concern with the client.