Correct Answer: A

Rationale: The correct answer is A: Activate the fire alarm. This is the most critical step as it alerts others in the facility to the fire, ensuring swift evacuation and response from the fire department. Closing fire doors (choice
B) and removing all clients from the unit (choice
C) are important steps but should be done after the fire alarm is activated. Attempting to extinguish the fire (choice
D) before ensuring everyone's safety is not recommended as it can put the nurse and clients at risk.

Correct Answer: A

Rationale: The correct answer is A: Encourage the client to research Crohn's disease on websites that have a gov address. This option is the most appropriate because government websites provide reliable and evidence-based information on medical conditions. The client can access accurate and up-to-date information to better understand their condition.


Choice B is incorrect because a licensed practical nurse may not have the same level of expertise and resources as a government website.
Choice C is incorrect as podcasts may not always provide detailed and accurate information.
Choice D is incorrect because reading articles recommending specific treatments may not provide a comprehensive understanding of the disease itself. It is important for the client to have a solid foundation of knowledge about Crohn's disease before delving into treatment options.

Correct Answer: D

Rationale: The correct answer is D: Using a pain rating scale to monitor a client's pain level. This task can be safely delegated to assistive personnel as it involves non-invasive monitoring that does not require specialized medical knowledge. Assistive personnel can accurately record the pain level reported by the patient without interpreting or making clinical decisions based on the information. In contrast, choices A, B, and C involve invasive procedures or specialized skills that require clinical judgment and assessment, making them inappropriate for delegation to assistive personnel.
Choice D allows the nurse to focus on more complex nursing assessments and interventions while ensuring the client's pain is monitored effectively.

Correct Answer: B

Rationale: The correct answer is B because a nurse can recommend clients who are stable for discharge during a disaster to free up resources for more critical patients. This shows an understanding of prioritizing care and resource allocation in emergency situations.
Choice A is incorrect because the performance improvement committee is not directly involved in disaster response.
Choice C is incorrect because prescribing medications is outside the scope of a nurse's authority.
Choice D is incorrect because providing information to the media is usually handled by designated spokespersons, not unit nurses.

Correct Answer: B

Rationale: The correct answer is B, a client with active bleeding from a puncture wound of the left groin area. This is the highest priority because active bleeding can lead to severe blood loss, shock, and death if not controlled promptly. Immediate intervention is needed to stop the bleeding, assess for further injuries, and ensure the client's stability.

Choices A, C, and D describe concerning symptoms that require attention but do not pose immediate life-threatening risks like uncontrolled bleeding.
Therefore, they are of lower priority. It is crucial for the nurse to prioritize clients based on the severity and urgency of their conditions to provide timely and appropriate care.