A nurse is assisting with the care of a group of clients during a mass casualty event. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

Respond to family members about a client's condition.

Determine which clients should be seen first.

Clean and dress client abdominal wounds.

Take vital signs on clients as they are admitted.

Answer and Explanation

The Correct Answer is D

Choice A reason: Responding to family requires clinical judgment and communication skills beyond AP scope. Nurses handle this in mass casualty for accuracy.

Choice B reason: Triage prioritization needs nursing assessment skills, not AP training. Determining care order is a licensed responsibility in emergencies like this.

Choice C reason: Cleaning and dressing wounds involves sterile technique and assessment, outside AP scope. Nurses perform this in mass casualty settings.

Choice D reason: Taking vital signs is within AP scope, providing data for nurse triage. It’s a routine task, safely assigned in a mass casualty event.

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Correct Answer is B

Explanation

Choice A reason: Exercising 15 minutes twice weekly is below the 150-minute weekly guideline for hypertension. Scientifically, inadequate aerobic activity fails to lower blood pressure effectively, showing misunderstanding of lifestyle changes needed for cardiovascular health improvement.

Choice B reason: Reducing salt to 2 grams (2000 mg) aligns with hypertension guidelines, lowering fluid retention and pressure. Scientifically, this reflects sodium’s role in vascular tone, indicating correct understanding of dietary impact on mild hypertension management.

Choice C reason: A goal of 130/84 mmHg exceeds the 120/80 target for mild hypertension control. Scientifically, this misaligns with optimal blood pressure reduction, suggesting incomplete grasp of therapeutic lifestyle outcomes per evidence-based standards.

Choice D reason: Two glasses of wine nightly exceeds moderation (one drink), raising blood pressure. Scientifically, excess alcohol counters hypertension control, as it vasoconstricts, indicating misunderstanding of lifestyle limits for cardiovascular health maintenance.

A. Hypersomnia B. High cholesterol C. Urinary tract infection D. Amyloid plaque

Correct Answer is C

Explanation

Choice A reason: Hypersomnia causes excessive sleep, not delirium’s acute confusion. It’s unrelated to the restlessness and disorientation seen in this client’s presentation.

Choice B reason: High cholesterol affects vessels, not acute brain function. It’s a chronic risk, not a trigger for delirium’s sudden cognitive shift here.

Choice C reason: UTIs in older adults often cause delirium via systemic inflammation and toxins. This matches the client’s disorientation and restlessness as a risk.

Choice D reason: Amyloid plaque links to Alzheimer’s, a chronic condition. Delirium is acute; plaque doesn’t explain the sudden onset in this scenario.

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A nurse is assisting with the care of a group of clients during a mass casualty event. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is C

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