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RN 3.0 Clinical Judgment Practice 3 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse is caring for a client who has a history of hypertension and is experiencing a sudden headache and blurred vision. What is the nurse's priority action?
- Administer the prescribed pain medication
- Encourage the client to rest in a quiet room
- Document the symptoms
✔✔ C. Assess the client's blood pressure
A nurse is caring for a post-operative client who has a Foley catheter in place. The nurse notices that the urine output is significantly less than expected. What should the nurse do first?✔✔ A. Check the catheter for kinks or obstruction
- Increase the IV fluids
- Notify the healthcare provider immediately
- Empty the drainage bag
A nurse is assessing a client with chest pain. The nurse notes that the client is sweating and has a rapid pulse. What is the nurse's priority action? 1 / 2
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✔✔ A. Assess the client's vital signs and perform an ECG
- Administer prescribed anti-anxiety medication
- Prepare the client for a chest X-ray
- Offer the client a drink of water
A client with diabetes presents with a blood glucose level of 45 mg/dL. What is the nurse’s first action?✔✔ A. Administer a fast-acting carbohydrate
- Prepare the client for insulin administration
- Call the healthcare provider for further orders
- Perform a neurological assessment
A nurse is caring for a client who is experiencing severe nausea and vomiting after chemotherapy. What intervention should the nurse implement first?✔✔ A. Administer prescribed antiemetic medication
- Encourage the client to drink fluids slowly
- Reposition the client to prevent aspiration
- Offer the client ice chips to suck on
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