Med Surg RN NCLEX Questions | Nurselytic

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Extract:


Question 1 of 5

A nurse receives the taped change-of-shift report for assigned clients and prioritizes client rounds. In what order should the nurse assess these clients?

Order the Items

Source Container

A client with an endotracheal tube transferred out of the intensive care unit that day.
A client with type 2 diabetes who had a cerebrovascular accident 4 days ago.
A client with cellulitis of the left lower extremity with a fever of 100.8°F (38.2°C).
A client receiving D5W I.V. at 125 mL/hour with 75 mL remaining.

Correct Answer: A,C,B,D

Rationale: The client with a new endotracheal tube (
A) is highest priority due to airway risk. The febrile client with cellulitis (
C) is next for infection monitoring. The stroke client (
B) is stable 4 days post-event. The I.V. fluid client (
D) is lowest priority.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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