Certified Medical-Surgical Registered Nurse Practice Exam

In which situation can a nurse prioritize a patient's care above others?

1. If the patient is unwilling to cooperate

2. If the patient exhibits signs of distress

3. If the patient has a family member present

4. If the patient has a history of chronic illness

The correct answer is: If the patient exhibits signs of distress

Prioritizing a patient's care is crucial in nursing, and situations that indicate a patient's compromised well-being necessitate immediate attention. When a patient exhibits signs of distress, it reflects a potentially urgent situation that requires prompt intervention; for example, this could include symptoms of pain, difficulty breathing, or changes in vital signs. Addressing these signs effectively ensures that the patient's safety and health are prioritized, which is a fundamental principle of nursing practice. In contrast, the other scenarios may affect the way care is provided but do not necessarily indicate an immediate need for prioritization over others. A patient's unwillingness to cooperate may require additional strategies for engagement rather than urgent care prioritization. The presence of a family member is important for support but does not inherently elevate the patient's care needs above others. Lastly, a history of chronic illness is relevant for understanding the patient's long-term health needs but does not equate to an immediate necessity for prioritization unless accompanied by acute symptoms. Therefore, recognizing and responding to signs of distress is essential in making prioritization decisions in nursing practice.