All practice questions

An individual who recently experienced a cerebrovascular accident has residual hemiparesis on the right side of their body. The nurse is preparing to assist the client in transferring from the edge of the bed to a wheelchair. Which placement of the wheelchair is most appropriate for a safe transfer?

A nurse is facilitating a group therapy session at a community mental health center. A client diagnosed with antisocial personality disorder repeatedly talks over others, makes insulting remarks about a peer's clothing, and attempts to dominate the discussion. What is the most appropriate initial nursing action?

A critically ill pediatric client weighing $15 \text{ kg}$ is prescribed an epinephrine infusion at $0.1 \text{ mcg/kg/min}$ to manage severe hypotension. The available medication concentration is $1 \text{ mg}$ of epinephrine mixed in $50 \text{ mL}$ of $5\%$ dextrose in water. A newly licensed nurse programs the infusion pump to deliver $4.5 \text{ mL/hr}$ and prepares to connect the primary tubing to the client's $22\text{-gauge}$ peripheral forearm catheter. Which evaluation by the supervising nurse is most accurate regarding this intended action?

A registered nurse is preparing to administer a prescribed dose of intravenous (IV) push furosemide to a client. The client is currently receiving a continuous IV infusion of milrinone. A drug reference guide indicates that furosemide and milrinone are incompatible, and the client has only one peripheral IV access site. What is the correct sequence of actions for the nurse to safely administer the furosemide?

The registered nurse is preparing to administer medications to an older adult client who has a continuous intravenous (IV) fluid infusion. The client has new prescriptions for an IV piggyback antibiotic and an IV push opioid analgesic. To ensure safe parenteral therapy, which of the following actions are appropriate for the nurse to perform? Select all that apply.

A nurse is performing a dressing change for a client with a wound infected by Vancomycin-resistant *Enterococcus* (VRE). The removed gauze is heavily saturated with purulent drainage, which would release liquid if compressed. Which action demonstrates the correct protocol for handling this infectious material?

A preoperative nurse is admitting a client for a scheduled cholecystectomy. The nurse notes that the client is wearing a small leather pouch on a string around their neck. The client states, "This is a sacred medicine bag. It gives me spiritual protection, and I must keep it with me." Which of the following is the most appropriate nursing response?

A client with a systemic methicillin-resistant *Staphylococcus aureus* (MRSA) infection and a deep vein thrombosis is receiving a continuous intravenous (IV) infusion of heparin through a single-lumen peripheral IV catheter. The nurse prepares to administer a scheduled dose of IV vancomycin $1\text{ g}$, which must infuse over $90\text{ minutes}$. A drug reference indicates that vancomycin and heparin are incompatible at the Y-site. Which action should the nurse take?

During visiting hours on a psychiatric unit, a client becomes severely agitated, loudly accusing a family member of stealing their belongings, and begins throwing chairs in the visitor lounge. To manage this behavioral emergency, arrange the following nursing interventions in order from least restrictive to most restrictive.

A community health nurse is educating a group of new parents about anticipated developmental milestones during the first year of life. Arrange the following fine motor skills in the chronological order in which they typically emerge in an infant.

A community health nurse is preparing an educational timeline on socialization for a parent workshop. The nurse plans to illustrate the progression of childhood play. Arrange the following observed play behaviors in the chronological sequence they typically emerge, from the earliest stage of development to the latest.

A client is admitted to the neurosurgical unit immediately following a supratentorial craniotomy for tumor resection. The client is lethargic but appropriately responsive to verbal stimuli. To promote comfort and optimize physiological stability, which positioning intervention should the nurse implement?

An older adult client with right-sided hemiparesis and a history of severe gastroesophageal reflux disease (GERD) is bedbound and receiving continuous enteral tube feedings. During the shift assessment, the nurse notes a non-blanchable, localized area of deep red skin over the client's sacrum and right greater trochanter. To simultaneously address the client's nutritional needs, airway safety, and impaired skin integrity, which comprehensive positioning and care strategy should the nurse implement?

A registered nurse in an outpatient rheumatology setting is coordinating preventive health measures for a 28-year-old client with newly diagnosed systemic lupus erythematosus (SLE). The healthcare provider plans to initiate severe immunosuppressive therapy with high-dose corticosteroids and methotrexate in exactly four weeks. The client's immunization records indicate no vaccines have been administered since 11 years of age. To ensure safe and effective disease prevention, which of the following immunizations must the nurse prioritize administering at today's visit?

A client is admitted to a specialized biocontainment unit with suspected viral hemorrhagic fever (VHF). The nursing team is coordinating the management of the client's bodily fluids, diagnostic specimens, and used care items. Which action regarding the handling of these hazardous and infectious materials is most appropriate?

A nurse working in an endoscopy suite accidentally knocks over a large container of glutaraldehyde, resulting in a significant chemical spill on the floor. In what order should the nurse take the following actions to safely manage this hazardous chemical spill? Arrange the actions from first to last.

A nurse in an outpatient clinic is designing a self-care maintenance program for a 77-year-old client who lives alone. The client has a history of advanced osteoarthritis affecting the hands and hips, diabetic peripheral neuropathy, and a recent onset of stress incontinence. Which action should the nurse include in the client's individualized plan?

A nurse on a pediatric medical unit is planning care for a 9-year-old client who requires frequent respiratory treatments and complex medication management for newly diagnosed asthma. Which nursing intervention best promotes the client's psychosocial development during this hospitalization?

A registered nurse is conducting a telehealth visit with a healthy 30-year-old client who wants to focus on overall wellness and disease prevention. Which of the following actions should the nurse recommend as primary prevention strategies? (Select all that apply.)

A public health nurse is conducting an annual tuberculosis screening clinic. Arrange the steps the nurse should follow to properly administer and interpret a Mantoux tuberculin skin test (TST) in the correct chronological sequence.