All practice questions

A maternity nurse is caring for clients from diverse cultural and religious backgrounds. Match each specific family request or behavior observed in the perinatal setting to the corresponding religious or cultural tradition.

A nurse is planning basic care and comfort measures for an older adult client who is restricted to bed rest. Which of the following actions should the nurse include in the plan of care? Select all that apply.

A community health nurse evaluates an 81-year-old client whose primary caregiver reports that the client has exhibited a sudden onset of anorexia, increased daytime somnolence, and two episodes of new-onset urinary incontinence over the past 24 hours. The client's baseline cognitive status is alert and oriented. Current vital signs are: temperature 97.6°F (36.4°C), heart rate 92 beats/min, respiratory rate 22 breaths/min, and blood pressure 118/70 mm Hg. Based on the physiological principles of the aging process, which clinical interpretation and corresponding action represent the most accurate nursing judgment?

A registered nurse is dispensing morning medications from the hallway cart when a loud altercation erupts in the adjacent television room. A client is demanding that peers relinquish their personal snack items, claiming to be the facility's new dietary director. Two other individuals have stood up and are shouting back, visibly clenching their fists. Which action should the nurse prioritize?

A client who is experiencing continuous seizure activity requires an urgent intravenous (IV) dose of phenytoin. The client has a single peripheral IV access site that is currently infusing 5% dextrose in water (D5W). Which action should the nurse take to safely administer the prescribed medication?

An adult client is receiving continuous total parenteral nutrition (TPN) through a dedicated single-lumen peripherally inserted central catheter (PICC). The client now requires a scheduled dose of intravenous pantoprazole. Which action represents the safest practice for administering this medication?

A nurse on a pediatric medical-surgical unit is developing a care plan for a 9-year-old client who requires a prolonged hospitalization for intravenous antibiotic therapy due to osteomyelitis. To best support the client's psychosocial development during this extended stay, which intervention should the nurse prioritize?

A nurse is preparing to transfer a non-weight-bearing client from the bed to a wheelchair using a mechanical floor lift equipped with a U-shaped (universal) sling. The client is currently lying supine in the center of the bed. In what chronological order should the nurse perform the following actions to safely complete the transfer?

A client admitted to an oncology unit is found vigorously pacing the main corridor. The client is clenching their jaw, breathing heavily, and loudly accusing a dietary aide of intentionally withholding their breakfast. What is the priority nursing action to manage this behavior safely?

A nurse is providing discharge education to a client who sustained a right tibial fracture and has a strict non-weight-bearing order for the right lower extremity. The client must learn how to ascend a flight of stairs using axillary crutches. Arrange the following actions in the exact order the client should perform them.

A registered nurse is caring for a client who is receiving an intravenous infusion of packed red blood cells (PRBCs). Fifteen minutes into the transfusion, the client reports sudden lower back pain, chills, and shortness of breath. Arrange the following nursing actions in the correct priority order.

A public health nurse is responding to a newly identified cluster of active tuberculosis (TB) cases within a crowded metropolitan homeless shelter. To effectively manage the outbreak and apply principles of disease prevention, arrange the following nursing actions in the most appropriate sequence of priority from first to last.

The nurse is preparing to administer a prescribed large-volume cleansing enema to an adult client to relieve severe constipation. To promote comfort and facilitate the downward flow of the solution into the sigmoid colon, in which position should the nurse place the client?

A client is receiving high-dose unsealed oral iodine-131 therapy for thyroid carcinoma and is in a private, lead-lined isolation room. The client experiences sudden nausea and vomits a large amount of liquid onto the floor. Which of the following is the most appropriate initial nursing action for handling this hazardous material?

A nurse is providing night-shift care for an older adult client who is experiencing severe orthopnea and reports difficulty breathing while lying down. Which of the following actions should the nurse take to best promote the client's comfort?

A client is admitted to the intensive care unit with acute digoxin toxicity. Initial laboratory results reveal a serum digoxin level of $5.2\text{ ng/mL}$ and a serum potassium level of $6.4\text{ mEq/L}$. The healthcare provider prescribes a continuous intravenous infusion of digoxin immune Fab. Which of the following assessment findings during the hours following administration requires the nurse's immediate intervention?

A gerontology nurse is performing a comprehensive physical assessment on a 78-year-old client during an annual wellness visit. The nurse is identifying physiological changes to determine the need for further intervention. Which of the following findings should the nurse recognize as expected age-related transitions rather than pathological concerns? Select all that apply.

A nurse is preparing discharge teaching for a client who observes Orthodox Judaism and has been newly diagnosed with chronic pancreatitis. The healthcare provider has prescribed pancrelipase as an enzyme replacement therapy. Which of the following is the priority nursing action regarding this medication?

A 72-year-old male client presents to a primary care clinic for an annual wellness visit. He has a history of hypertension and osteoarthritis. During the initial interview, the client remarks that he has been forgetting appointments recently and occasionally leaks urine, stating, "I suppose this is just what happens when you get old." The nurse is prioritizing the health screening components of the visit. Which of the following is the most appropriate action by the nurse?

A registered nurse is preparing to administer a prescribed dose of intravenous (IV) phenytoin to an adult client who recently experienced a generalized tonic-clonic seizure. The client has a single peripheral IV line with a continuous infusion of $5\%$ dextrose in water (D5W) infusing at $75\text{ mL/hr}$. Which of the following is the safest and most appropriate action by the nurse?