All practice questions

A nursing care team is coordinating the admission of a client who has confirmed active pulmonary tuberculosis and concurrently tests positive for norovirus gastroenteritis. Which of the following actions should the nurse include in the client's plan of care? Select all that apply.

A charge nurse is conducting safety rounds on a medical-surgical unit. Which of the following observed situations require the nurse to intervene immediately to prevent an accident, error, or injury? (Select all that apply.)

A 16-year-old client presents to a primary care clinic and undergoes testing for a suspected sexually transmitted infection (STI). Later that day, the client's parent contacts the clinic by telephone, states that they are the primary policyholder for the client's health insurance, and requests the laboratory results. Which of the following is the most appropriate response by the nurse?

A nurse is completing a safety screening for a client who is scheduled for a magnetic resonance imaging (MRI) scan with intravenous gadolinium contrast. Which of the following documented findings poses the greatest risk for client injury and requires immediate intervention before the procedure?

A triage nurse is assigning isolation protocols for clients presenting to the emergency department. Match each client's clinical presentation with the most appropriate infection control precaution category.

The charge nurse on a cardiac step-down unit is evaluating the current clinical status of four assigned clients. Which client presentation requires the most immediate intervention by the registered nurse?

A nurse is evaluating the transmission-based precaution requirements for four newly admitted clients. Match each client's specific clinical presentation to the corresponding mandatory room placement and personal protective equipment (PPE) requirements.

During a busy shift on a medical-surgical unit, a nurse evaluates the care needs of four clients to determine appropriate task delegation. Which of the following tasks is most appropriate to delegate to the unlicensed assistive personnel (UAP)?

An infection control committee is evaluating nursing adherence to complex transmission-based precautions across various specialty units. Match each high-acuity client scenario on the left with the specific, evidence-based isolation intervention required for their safe management on the right.

A nurse is reviewing assessment data for a group of clients on a pulmonary care unit. Which of the following clinical cues require immediate intervention? Select all that apply.

A nurse is coordinating the discharge plan for a client recovering from a severe exacerbation of heart failure. The client has been prescribed several new, high-cost medications and requires continuous home oxygen therapy. The client tells the nurse, "I do not have the money for these new pills, and I do not know how I will get the oxygen equipment delivered to my apartment." Which action by the nurse is the most appropriate?

A nursing supervisor is conducting safety rounds on a medical-surgical unit. Which observation represents a critical breach in safety protocols that requires the supervisor's immediate intervention to prevent client injury?

A clinical nurse educator is conducting safety rounds on an inpatient medical-surgical unit. Which observed action by a staff nurse demonstrates the correct application of accident, error, and injury prevention principles?

A clinical unit manager is evaluating staff adherence to isolation protocols. A client was recently admitted with concurrent confirmed infections of Neisseria meningitidis pneumonia and a vancomycin-resistant Enterococcus (VRE) colonized leg wound. Which observed staff interventions indicate correct application of the required transmission-based precautions? Select all that apply.

A nurse is participating in an interdisciplinary care conference for a client with metastatic bone cancer who is transitioning to home hospice care. The client reports severe, escalating pain despite the current analgesic regimen, struggles with feeding and dressing due to profound weakness, and the client's spouse expresses feeling overwhelmed by the financial burden of purchasing home medical supplies. Which of the following collaborative actions are appropriate? (Select all that apply.)

A critical care nurse is managing a mechanically ventilated client receiving continuous intravenous infusions of fentanyl, propofol, and cisatracurium (a high-alert neuromuscular blocking agent) for severe acute respiratory distress syndrome. The client suddenly exhibits profound diaphoresis, a heart rate of 145 bpm, and a blood pressure of 182/96 mmHg. The ventilator repeatedly alarms for high peak airway pressures. A peripheral nerve stimulator assessment using train-of-four (TOF) monitoring reveals zero out of four twitches. Which action must the nurse prioritize to prevent a catastrophic adverse event?

A pediatric nurse is preparing to discharge a 5-year-old client who was treated for a fractured radius. While assisting the child with dressing, the nurse observes multiple small, circular burns on the child's back. The child's parent quickly covers the area and states, "Please keep this private. I do not want this documented or shared with anyone." Which of the following actions is the most appropriate regarding the parent's request for confidentiality?

A newly admitted client presents with a fever and a widespread vesicular rash highly suspicious for varicella. The client is placed in a negative-pressure airborne infection isolation room (AIIR). The nurse is preparing to enter the room to perform an initial assessment. Place the following steps for donning the required personal protective equipment (PPE) in the correct sequence. (Arrange the first action at the top and the final action at the bottom.)

A nurse concludes the morning report and begins prioritizing care for a group of newly assigned clients. Which client should be evaluated first?

A registered nurse (RN) is planning care for a client who is one day post-operative following a lumbar laminectomy. The client experiences generalized weakness and requires assistance with mobility. Which of the following tasks are appropriate for the RN to delegate to the unlicensed assistive personnel (UAP)? Select all that apply.