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Priority Setting Frameworks Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client reports dizziness when standing and has a blood pressure of 88/50 mm Hg. What is the priority action?✔✔ A. Instruct the client to sit and dangle their legs
- Offer the client orange juice
- Notify the provider immediately
- Ask the client if they’ve eaten today
A nurse is caring for four clients. Which client should be assessed first using the ABC framework?✔✔ A. A client with wheezing and labored breathing
- A client with a fever of 100.9°F
- A client who needs help transferring from bed to chair
- A client with a mild headache
A client who just had surgery is requesting pain medication. What should the nurse do first? 1 / 3
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- Call the pharmacy
- Ask if they want ice packs
- Document the request
✔✔ C. Assess the client’s pain level and vital signs
Which task is most appropriate to delegate to an unlicensed assistive personnel (UAP)?
- Administering oral medications
- Changing a sterile dressing
- Evaluating response to pain medication
✔✔ C. Helping a stable client ambulate in the hallway
The nurse walks into a room and sees a client actively seizing. What is the first priority?✔✔ A. Turn the client on their side to protect the airway
- Call the provider
- Administer seizure medication
- Start recording the seizure duration
- / 3
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A nurse is caring for a confused client who keeps attempting to remove their IV line. What is the least restrictive intervention?
- Apply wrist restraints
- Move the client to a room near the nurses' station
- Request a sitter
✔✔ B. Reorient the client frequently and cover the IV site
Which client should be seen first based on actual vs potential concerns?✔✔ A. A client who is actively vomiting and has dry mucous membranes
- A client scheduled for surgery tomorrow
- A client who reports a history of seasonal allergies
- A client who skipped breakfast and feels light-headed
Which of the following reflects proper time-sensitive prioritization?
- Answering a phone call from a client's family
- Explaining discharge instructions to a stable client
- Preparing a room for a new admission later in the day
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✔✔ B. Checking blood sugar before administering rapid-acting insulin