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. Epigastric pain B. Seizure activity C. Sudden loss of vision in one eye D. Pain radiating down the left arm

Correct Answer is C

Explanation

Choice A reason: Epigastric pain suggests GI issues, not TIAs. In hypertension, TIAs affect cerebral vessels, causing neurological deficits, not abdominal symptoms like this.

Choice B reason: Seizures stem from cortical irritation, not typical TIA vascular occlusion. Hypertension-related TIAs produce transient deficits, not convulsive activity usually.

Choice C reason: Sudden monocular vision loss (amaurosis fugax) is a classic TIA sign in hypertension. It reflects temporary retinal artery occlusion, resolving quickly.

Choice D reason: Left arm pain mimics cardiac issues, not TIAs. Hypertension TIAs target brain circulation, causing focal deficits, not referred pain patterns.

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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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