NCLEX-RN
Adult Health II Respiratory NCLEX Questions Questions
Extract:
Question 1 of 5
The nurse's assignment consists of the following four clients. From highest to lowest priority, in which order should the nurse assess the clients after receiving morning report?
Order the Items
Source Container
The client with cirrhosis who became confused and disoriented during the night.
The client with acute pancreatitis who is requesting pain medication.
The client who is 1 day postoperative following a cholecystectomy and has a T-tube inserted.
The client with hepatitis B who has questions about his discharge instructions.
Correct Answer: A,B,C,D
Rationale: Confusion in cirrhosis (
A) indicates possible hepatic encephalopathy, a priority. Pain in pancreatitis (
B) requires prompt relief. Postoperative T-tube monitoring (
C) is next. Discharge teaching (
D) is lowest priority.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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Rationale: