Questions 41

NCLEX-RN

NCLEX-RN Test Bank

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

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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