NCLEX CRUSADE ACADEMY TEST - Assessment Vs. Implementation - Strategy

1. What is the primary goal of the Assessment phase in the nursing process?. To administer medications. To collect patient data. To perform interventions. To discharge the patient.

2. Which action is considered an implementation?. Reviewing lab results. Auscultating lung sounds. Administering an injection. Checking vital signs.

3. A patient is in severe respiratory distress. What is the nurses priority?. Assess oxygen saturation. Ask about symptoms. Implement oxygen therapy. Review chart history.

4. What is the NCLEX priority rule when a patient is in distress?. Assess first. Document first. Implement care immediately. Call physician.

5. What type of action is taking blood pressure?. Implementation. Evaluation. Assessment. Planning.

6. Drawing blood is classified as: Assessment. Implementation. Planning. Evaluation.

7. What should the nurse do when receiving second-hand information from a UAP?. Implement immediately. Call physician. Validate with own assessment. Document findings.

8. What is the 'Doctor Rule'?. Always call physician first. Perform independent nursing action before calling physician. Document before acting. Assess before calling.

9. Which priority is highest according to Maslow in NCLEX?. Pain. Psychosocial needs. Physiological needs. Emotional distress.

10. In NCLEX questions, pain is classified as: Physiological. Psychological. Psychosocial. Emergency.

11. Which scenario requires validation instead of immediate implementation?. Patient has chest pain. Monitor alarm reports abnormal rhythm. Patient not breathing. Severe bleeding.

12. What is prioritized over chart review?. Lab values. Physician orders. Current patient condition. Documentation.

13. In a non-emergency situation with no assessment done, what should the nurse do first?. Implement intervention. Call physician. Assess the patient. Document.

14. Which is an example of subjective data?. Blood pressure reading. Lab values. Patient reports pain. Oxygen saturation.

15. What is the correct action in a suspected MI?. Take vital signs. Notify physician. Administer nitroglycerin. Document.

16. Which action is NOT a priority in an emergency?. Oxygen therapy. Medication administration. Documentation. Airway management.

17. When should the nurse follow strict procedural guidelines instead of A/I strategy?. During emergencies. During routine care. During specific clinical procedures. During assessments.

18. Which principle applies when comparing two assessments?. Past over present. Present patient over chart. Psychosocial over physiological. Side effects over adverse effects.

19. Adverse effects should be prioritized over: Physiological issues. Side effects. Emergencies. Assessments.

20. In sickle cell crisis, what intervention is priority?. Analgesics. Oxygen. IV fluids. Positioning.