Prioritization
The NCLEX-RN is emphasizing
prioritization and delegation and you will undoubtedly encounter these types of questions in nursing school.
Prioritization questions may be written as:
The nurse (charge nurse) is overseeing care of ___ clients on __________. Or, concerning which of the following patient-care situations should the nurse notify the physician FIRST?
An example of
prioritization question from this template:
The charge nurse is overseeing care of 10 clients on a general obstetrical floor. Concerning which of the following patient-care situations should the nurse notify the physician FIRST?
a. Prenatal client at 7 weeks gestation with nausea and vomiting and a whitish vaginal discharge.
b. A gravida 2 para 1 client at 28 weeks gestation with brownish facial blotches and +1 glucose and trace protein in a random urinalysis.
c. Seventeen-year-old client at 15 weeks gestation with missed abortion and bleeding from IV site.
d. Rh-negative client at 38 weeks gestation with blood pressure of 150/105, brisk reflexes, and generalized edema in hands and ankles.
Prioritization may also take this form on a question (written from a different angle):
You are the charge nurse on a unit and need to make a bed available for a new admission. Which of the following patients are you going to discharge FIRST?
For
delegation, you will often encounter questions asking which patient care tasks/ roles can be delegated to the unlicensed personnel or to the LPN.
Here is an example of the
delegation type of question:
The registered nurse has asked the unlicensed assistant to help with admitting an elderly client who has been diagnosed with bacterial pneumonia. Which of the following activities is
appropriate for the nurse to ask the assistant to perform?
a. Assess the client's lung sounds.
b. Collect nursing history and assessment data.
c. Obtain the client's height and weight.
d. Evaluate the client's respiratory status.
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