The ABC framework alone determines priority in every client scenario, even when other cues change how urgent the situation is. True or false?
6 NCLEX Prioritization Strategies Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 NCLEX Prioritization Strategies, test your knowledge, and prepare for your next test or exam.
When comparing two urgent client situations, what term describes how quickly a client's condition is changing?
Complete with the nursing-process action: When important information is missing and the client is not in immediate danger, the nurse should first before selecting treatment.
One client has an unexpected deterioration, while another has a stable, expected finding. Which client should the nurse assess first?
- A
See the newest admission first, regardless of current condition.
- B
Assess the client with unexpected deterioration before the client with a stable, expected finding.
- C
See the client with the most complex chronic diagnosis first.
- D
Complete routine care for both clients before reassessing either one.
The person performing a delegated task is responsible for carrying it out as directed and reporting concerns. True or false?
- A
True
- B
False
Which task is appropriate for an RN to assign to competent assistive personnel, assuming the activity is permitted by applicable rules?
- A
Ask assistive personnel to assess a newly unstable client and decide whether ambulation is safe.
- B
After assessing a stable client and confirming the task is permitted, assign routine ambulation to competent assistive personnel with instructions to stop and report symptoms.
- C
Delegate care planning for a client whose condition is changing.
- D
Ask assistive personnel to evaluate whether a nursing intervention was effective.
A nurse gives a worker specific task instructions and explains what findings to report. Which Five Rights element does this describe?
Which findings are relevant cues for identifying a client who may need more immediate attention? Select all that apply.
- A
New or worsening symptoms
- B
A change from the client's baseline
- C
A chronic diagnosis with no new change or distress
- D
Unstable vital signs
After taking an action, the nurse checks whether the client responded as expected. In the clinical-judgment steps, the nurse is beginning to outcomes.
A client refuses a proposed intervention. Which response best reflects legal and ethical safety?
- A
Proceed with the proposed care because it is clinically recommended.
- B
Ask another staff member to carry out the intervention without discussing the refusal.
- C
Respect the refusal, clarify the client's concerns, and notify the appropriate clinician when needed.
- D
Document the refusal and take no further action, regardless of the situation.
Which actions support safe delegation? Select all that apply.
- A
Match the task to the client's stability and the worker's demonstrated competence.
- B
Delegate assessment and clinical decision-making for a newly unstable client.
- C
Give specific instructions, reporting parameters, and a timeframe.
- D
Assume responsibility ends once the task has been assigned.
- E
Remain available and follow up on the result.
A client develops sudden stridor, indicating a potentially rapid airway threat. What is the nurse's priority response?
- A
Finish unrelated documentation before responding.
- B
Complete a comprehensive assessment before taking any action, even if delay could worsen the threat.
- C
Take the indicated emergency action promptly, then reassess and escalate as needed.
- D
Wait for routine teaching to finish before responding.
A client reports new severe shortness of breath while routine documentation and teaching are also pending. Explain how the nurse should prioritize and respond, including what follow-up may be needed.
True or false: A client who was just admitted should automatically be assessed before other clients, regardless of their current condition.
- A
True
- B
False
In the NCSBN Clinical Judgment Measurement Model, which step follows Analyze Cues?
One client develops sudden-onset stridor. Another client with chronic lung disease has oxygen saturation within their documented baseline and no new distress. Which client should the nurse assess first?
- A
Assess the client with sudden-onset stridor first.
- B
Assess the client with chronic lung disease first because the diagnosis is complex.
- C
Complete routine care for both clients before assessing either one.
- D
Assess the client with chronic lung disease first because their oxygen saturation is not newly changed.
A stable client reports a new symptom, but key assessment information is missing and there is no sign of immediate danger. What should the nurse do first?
- A
Choose a treatment before collecting any further information.
- B
Gather the needed assessment data before selecting a treatment.
- C
Delegate the treatment decision to assistive personnel.
- D
Delay care until routine documentation is complete.
A client refuses a recommended intervention. Which response best supports safe, ethical care?
- A
Proceed with the intervention because the nurse considers it beneficial.
- B
Ask another staff member to perform the intervention without discussing the refusal.
- C
Respect the refusal, clarify the client's concerns, and notify the appropriate clinician when needed.
- D
Document the refusal but take no further action, regardless of the client's concerns.
Which of the Five Rights of delegation covers remaining available and following up to evaluate the result?
The RN has assessed a stable client and confirmed that routine ambulation is permitted and appropriate. Which task is safest to assign to competent assistive personnel?
- A
Ask assistive personnel to assess a newly unstable client and decide whether the care plan should change.
- B
Assign routine ambulation for a stable, assessed client to competent assistive personnel, with directions to stop and report dizziness or shortness of breath.
- C
Delegate evaluation of a client's response to treatment to assistive personnel.
- D
Ask assistive personnel to develop a care plan for a client with changing symptoms.