NCLEX-RN
Leadership and Management in Nursing NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse is triaging a client involved in a chemical spill at a local chemical plant. The nurse assesses the client as responsive but unable to walk, with a respiratory rate of 28 and capillary refill <2 seconds. It would be correct for the nurse to triage this client with a
Correct Answer: A
Rationale: A yellow tag (
A) is appropriate for a responsive client unable to walk with stable vital signs (RR 28, capillary refill <2 sec), indicating urgent but not immediate life-threatening needs. Red (
B) is for critical, black (
C) for deceased, and green (
D) for minor injuries.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
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Question 4 of 5
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Question 5 of 5
Correct Answer:
Rationale: