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Prioritizing Individual Care

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Of the following statements, which one is true of self-actualization?

a)

Humans are born with fully developed self-actualization

b)

Self-actualization needs are met by having confidence and independence

c)

The self-actualization process continues throughout life

d)

Loneliness and isolation occur when self-actualization needs are unmet

2.

A RN, Sarah, is assigned to telephone triage. A client called who was stung by a honeybee and is asking for help. The client reports pain and localized swelling but has no respiratory distress or other symptoms of anaphylactic shock. What is the appropriate initial action that the nurse should direct the client to perform?

a)

Calling 911

b)

Applying a cold compress

c)

Removing the stinger by scraping it

d)

Taking an oral antihistamine

3.

What is the first level of the Hierarchy?

a)

Love and Belonging

b)

Safety and Security

c)

Physical Needs

d)

Self Esteem

4.

Of all the physiologic needs, which one is the most essential?

a)

Food

b)

Water

c)

Elimination

d)

Oxygen

5.

A triage nurse encountered a client who complained of mid-sternal chest pain, dizziness, and diaphoresis. Which of the following nursing action should take priority?

a)

Administer oxygen therapy via nasal cannula

b)

Notify the physician

c)

Complete history taking

d)

Put the client on ECG monitoring

6.

When an unexpected death occurs in the emergency department, which task is the most appropriate to delegate to a nursing assistant?

a)

Facilitate meetings between the family and the organ donor specialist

b)

Help the family to collect belongings

c)

Assisting with postmortem care

d)

Facilitate meetings between the family and the organ donor specialist

7.

A 5-year-old client was admitted to the emergency unit due to the ingestion of an unknown amount of chewable vitamins for children at an unknown time. Upon assessment, the child is alert and with no symptoms. Which of the following information should be reported to the physician immediately?

a)

The child was nauseated and vomited once at home

b)

The child has been treated multiple times for injuries caused by accidents

c)

The vitamin that was ingested contains iron

d)

The child has been treated several times for toxic substance ingestion

8.

After the respiratory therapist performs suctioning on a patient who is intubated, the nursing assistant measures vital signs for the patient. Which vital sign value should the nursing assistant report to the registered nurse immediately?

a)

Heart rate of 98 beats/min

b)

Respiratory rate of 24 breaths/min

c)

Blood pressure of 168/90 mm Hg

d)

Tympanic temperature of 101.4ºF (38.6ºC)

9.

The nurse plans care for a client in the post-anesthesia care unit. Which of the following should the nurse assess first?

a)

Respiratory status

b)

Level of consciousness

c)

Level of pain

d)

Reflexes and movement of extremities

10.

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

a)

A client with diabetes being discharged today.

b)

A 35-year-old male with tracheostomy and copious secretions.

c)

A teenager scheduled for physical therapy this morning

d)

A 78-year-old female client with a pressure ulcer that needs dressing change.