NCLEX CRUSADE ACADEMY TEST - 1 ADVANCE PRIORITY STRATEGY PRT I

1. A nurse must decide which patient to see first. According to priority frameworks, which patient should receive immediate attention?. A patient with chronic kidney disease reporting fatigue. A patient with stable hypertension reporting mild headache. A patient reporting sudden shortness of breath and use of accessory muscles. A patient with controlled diabetes requesting diet education.

2. Which principle states that an imminent threat to life takes priority over other conditions?. Acute vs chronic rule. Stable vs unstable rule. Real vs potential rule. Expected vs unexpected rule.

3. Which component of the ABC framework is evaluated first when prioritizing patient care?. Circulation. Airway. Neurological status. Temperature.

4. A patient with pneumonia reports a high fever. According to priority frameworks, this situation is classified as: Acute problem. Chronic problem. Psychosocial issue. Potential complication.

5. Which scenario represents a REAL problem rather than a potential problem?. Risk for infection. Risk for falls. Active bleeding from surgical site. Risk for aspiration.

6. Which symptom would most strongly suggest airway compromise?. Stridor. Mild cough. Fatigue. Mild fever.

7. Restlessness and use of accessory muscles most strongly indicate problems with which system?. Airway. Breathing. Circulation. Neurological system.

8. Hypotension and tachycardia are indicators of compromise in which system?. Airway. Breathing. Circulation. Neurologic.

9. According to priority rules, which situation should be treated as the highest priority?. Chronic anemia in CKD. Severe tinnitus in Mnire's disease. Pneumonia with fever. Hypertension patient with 'worst headache of my life'.

10. When answer choices include both assessment and implementation actions, which should the nurse choose first?. Implementation. Assessment. Delegation. Documentation.

11. When should the nurse skip assessment and immediately implement an intervention?. When symptoms are subjective. When the patient is stable. When the patient is in active distress. When the diagnosis is unknown.

12. Which example represents an implementation action?. Checking blood pressure. Asking about pain level. Administering oxygen. Measuring temperature.

13. Which example represents an assessment action?. Administering medication. Repositioning a patient. Measuring heart rate. Starting IV fluids.

14. A patient is actively seizing. What is the nurses first action?. Check level of consciousness. Administer lorazepam. Turn patient to the side. Apply oxygen mask.

15. When a UAP reports a critical blood pressure reading, what should the RN do first?. Administer medication. Validate the measurement. Call the physician. Document the reading.

16. According to infection control principles, what should the nurse do first when encountering a patient suspected of a highly contagious disease?. Assess the patient immediately. Provide medication. Apply appropriate PPE. Obtain laboratory tests.

17. According to Maslow-based NCLEX prioritization, which need has the highest priority?. Psychosocial. Safety. Physiological. Educational.

18. Which category does standard pain typically fall under in NCLEX prioritization?. Physiological emergency. Psychosocial need. Safety need. Circulatory crisis.

19. Severe crushing chest pain should be interpreted as: Psychosocial pain. Minor symptom. Possible circulatory emergency. Expected discomfort.

20. When prioritizing mixed answer choices involving teaching, emotional support, and interventions, which framework should be used?. ABC framework. Maslow hierarchy filter. Delegation rule. Implementation rule.