A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

A client who is taking thioridazine and has daytime drowsiness

A client who is taking olanzapine and experiences dizziness when first standing up

A client who is taking clozapine, and has flu-like manifestations

A client who is taking chlorpromazine and reports vomiting twice

Answer and Explanation

The Correct Answer is C

A. Thioridazine and drowsiness
A common side effect, not urgent.

B. Olanzapine and dizziness
Orthostatic hypotension-monitor, but not emergent.

C. Clozapine and flu-like symptoms
Could indicate agranulocytosis, a life-threatening condition-requires immediate evaluation.

D. Chlorpromazine and vomiting
Requires monitoring, but not as urgent as option C.

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Correct Answer is D

Explanation

A. Adolescent with sickle cell pain (7/10)
Needs prompt treatment, but not as life-threatening as airway obstruction.

B. Toddler with asthma and SpO₂ 95% on 2L O₂
Stable oxygenation; not an immediate emergency.

C. Toddler with otitis media and fever
Infection is concerning but not life-threatening.

D. Child with acute epiglottitis, drooling, no cough
These are classic signs of airway obstruction. Airway management is the priority—this is life-threatening.

A. Preventing musculoskeletal disability B. Stabilizing cardiac arrhythmias C. Decreasing intracranial pressure D. Airway protection

Correct Answer is D

Explanation

A. Preventing musculoskeletal disability
Important, but not priority in life-threatening trauma.

B. Stabilizing cardiac arrhythmias
Secondary-ABCs take precedence.

C. Decreasing intracranial pressure
Important in head injury but only after airway is secure.

D. Airway protection
Airway is the priority in trauma (per ABCs: Airway, Breathing, Circulation).

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A nurse is caring for several clients who have mental health disorders at an assisted-living facility. Which of the following clients should the nurse determine needs to be seen by a provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?

Correct Answer is D

Explanation

A nurse in an emergency department is preparing to care for a client who is being brought in with multiple system trauma following a motor vehicle crash. Which of the following should the nurse identify as the priority focus of care?

Correct Answer is D

Explanation

A nurse is caring for client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?

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