NCLEX PRIORITIZATION PRACTICE TEST

Welcome to your NCLEX PRIORITIZATION PRACTICE TEST

QUESTION 1: The pediatric nurse receives report on 4 clients. Which client should the nurse see FIRST?

1. A 2-month-old awaiting evaluation for possible hip dislocation; parents are at the bedside

2. A 6-year-old just returned from a bronchoscopy; a parent is at the bedside

3. A 7-year-old just returned from a noncontrast abdominal CT scan; no parents are at the bedside

4. An 11-year-old scheduled for ear surgery today; no parents are at the bedside

QUESTION 2: After receiving report on four clients the emergency room nurse should see the client with which of the following diagnosis FIRST?

1.Liver failure and now has petechiae

2.Cellulitis that is now itchy

3.Ovarian cyst

4.Chronic back pain 8/10

QUESTION 3: There has been a major disaster with the collapse of a large building. Hundreds of victims are expected. The emergency department nurse is sent to triage victims. Which client should the nurse tag "red" and send to the hospital first?

1. Client at 8 weeks gestation with spotting; pulse of 90/min

2. Client with bone piercing skin on leg with oozing laceration; pulse of 88/min

3. Client with fixed and dilated pupils and no spontaneous respirations

4. Client with see-saw chest movement with respirations

QUESTION 4: Which client should the nurse see first?

1. 53 year old client with chest pain scheduled for a stress test today

2. 62 year old client with mild shortness of breath and chronic obstructive pulmonary disease

3. 66 year old client with angina scheduled for a cardiac catheterization this AM

4. 78 year old client who had a left hemispheric stroke 4 days ago

QUESTION 5: A nurse on an orthopedic unit is caring for four clients with a casted extremity. Which client does the nurse prioritize to see FIRST?

1. Client reporting a tingling sensation

2. Client reporting itching under the cast

3. Client reporting pain of 5/10 on movement

4. Client reporting throbbing on dependent positioning

QUESTION 6: The nurse walks into the client's inpatient room and sees a fire in the wastebasket. The nurse should take what action FIRST?

1. Activate the fire alarm

2. Close the door

3. Pour water on the fire

4. Use a fire extinguisher

QUESTION 7: The nurse cares for children at summer camp. Which of the following children presenting at the infirmary should the camp nurse see FIRST?

1. A child diagnosed with hemophilia who is complaining of a headache and has slurred speech.

2. A child diagnosed with type 1 diabetes who is nervous, pale, and sweating.

3. A child diagnosed with asthma who is complaining of a sore throat and restlessness.

4. A child diagnosed with leukemia was stung by a bee and is complaining of feeling hot and itchy all over.

QUESTION 8: The nurse provides care for clients on a cruise ship. The nurse interviews several clients who are experiencing severe vertigo unrelieved by dimenhydrinate. Which client does the nurse assign to see the health care provider FIRST?

1. A client with a temperature of 100°F (38°C) who complains of hearing loss in the right ear.

2. A client who reports that objects seem to be moving around him.

3. A client who has a full feeling in the ear with a crackling and popping sound.

4. A client who reports ringing in the ears and occasional vertigo.

QUESTION 9: The nurse provides care for clients in the emergency department. Four clients come in at the same time. Which client does the nurse see first?

1. A 6-month-old with vomiting and diarrhea.

2. A 2-year-old with a temperature of 101 °F (38 °C).

3. A 20-year-old at 8 weeks ' gestation reporting vaginal spotting.

4. A 32-year-old reporting nausea and vomiting for several hours.

QUESTION 10: The nurse on the medical unit finishes receiving the change of shift hand-off report at 7:30 AM. Which assigned client should the nurse see FIRST?

1. Client with a gastrointestinal bleed, who is receiving a unit of packed red blood cells

2. Client with an ulcerative colitis flare-up has temperature 101 F (38.3 C) and abdominal cramping

3. Client with atrial fibrillation, on telemetry, prescribed warfarin, with an International Normalized Ratio (INR) of 3.2

4. Client with chronic kidney disease scheduled for bedside hemodialysis at 8:00 AM, with a serum creatinine of 8.4 mg/dL (743 µmol/L)

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