All practice questions

A registered nurse evaluates a neonate at 90 minutes of life. The neonate was delivered at 38 weeks of gestation to a client with poorly controlled gestational diabetes. The nurse observes jitteriness and mild intercostal retractions. Vital signs include an axillary temperature of 97.0°F (36.1°C), a heart rate of 158 bpm, and a respiratory rate of 74 breaths/min. The capillary blood glucose level is 32 mg/dL (1.8 mmol/L). Which nursing action represents the most appropriate priority?

During mealtime on a medical-surgical unit, an elderly client with a known history of dysphagia requires assistance. What is the most appropriate action by the registered nurse to ensure safe ingestion and comfort?

A nurse is instructing a client who has a cast on the right lower extremity and is prescribed non-weight-bearing status. The client is learning to ascend stairs using axillary crutches. Arrange the following actions in the correct sequence from first to last.

A nurse is preparing to administer an initial loading dose of $1000$ mg of intravenous phenytoin to an adult client experiencing continuous seizure activity. The client has a single peripheral intravenous catheter currently infusing 5% dextrose in water (D5W) at $100$ mL/hr. Which sequence of actions is the most appropriate for safe parenteral administration of this medication?

A nurse is providing morning hygiene and nutritional support for an older adult client who underwent a right total hip arthroplasty via a posterior approach on the previous day. Which of the following actions should the nurse take?

A nurse is assessing a client who experienced an acute anterior myocardial infarction $24$ hours ago. Which of the following clinical findings indicate that the client is developing cardiogenic shock? Select all that apply.

An emergency department nurse is caring for a client who ingested a large quantity of a central nervous system stimulant. The client is experiencing severe psychomotor agitation, diaphoresis, and intense paranoia, shouting that the healthcare staff is trying to poison them. Which of the following is the most appropriate initial nursing intervention?

A registered nurse is preparing a staff education seminar on the epidemiological framework of disease prevention. Which of the following interventions should the nurse include as examples of secondary prevention? Select all that apply.

A clinical manager is conducting safety rounds on an acute care unit. Which observed action by a registered nurse best demonstrates the correct application of accident, error, and injury prevention principles?

An oncology nurse enters the room of a client with advanced pancreatic cancer who recently signed a Do Not Resuscitate (DNR) directive. The client is crying quietly and states, 'By signing that document, I feel like I am abandoning my children and giving up on my faith.' Which response by the nurse is the most therapeutic?

A community health nurse is evaluating the lifestyle choices of a 68-year-old client with a recent diagnosis of hypertension. The client states, "I check my blood pressure weekly at the local pharmacy to prevent heart disease. I have stopped taking my daily walks because my knees ache, which I know is just a normal part of getting older. I am trying to eat better, but it is very difficult to give up my culture's traditional salted meats." Which of the following is the most appropriate response by the nurse?

An older adult client with profound bilateral hearing loss is admitted to a private room under strict contact precautions. On the third day of hospitalization, the client reports hearing a deceased spouse calling their name from the hallway. The client's vital signs are stable, and they remain fully oriented to person, place, and time. Which of the following is the most appropriate nursing action to address the client's sensory alteration?

A registered nurse is assigned to care for a client who is receiving a continuous intravenous infusion of $0.45\%$ sodium chloride. The healthcare provider prescribes a new intravenous (IV) push medication for the client. Which action represents the most critical safety check before injecting the medication into the existing IV line?

A family clinic nurse is providing anticipatory guidance to the caregivers of a 9-year-old female regarding approaching pubertal changes. Arrange the following physiological milestones in the chronological sequence they are anticipated to manifest.

A registered nurse is orienting a newly hired nurse in the endoscopy suite. While preparing a concentrated glutaraldehyde solution for high-level disinfection, the newly hired nurse accidentally splashes the chemical into their unprotected eyes. Which action should the registered nurse implement first?

An 84-year-old client with a history of mild Alzheimer's disease is brought to the emergency department. The caregiver reports a sudden, dramatic increase in the client's confusion, generalized weakness, and new-onset urinary incontinence over the past 12 hours. Recognizing the risk for acute delirium secondary to an underlying physiological issue in the older adult, arrange the following nursing actions in the correct priority order.

A nurse is evaluating the arterial blood gas (ABG) results of an adult client admitted with an acute asthma exacerbation. Which of the following laboratory values indicate that the client is experiencing uncompensated respiratory acidosis? Select all that apply.

A nurse is preparing to feed a client who has dysphagia and left-sided facial weakness following the surgical resection of a brain tumor. Arrange the following nursing actions in the correct chronological sequence to prevent aspiration and promote safe swallowing. All options must be used.

A nurse is caring for a client with a central venous access device (CVAD) that is completely occluded. The healthcare provider has prescribed alteplase to declot the line. Arrange the following steps for administering this thrombolytic agent in the correct chronological sequence. All steps must be used.

A gravid client at $39$ weeks gestation with chronic hypertension is admitted for labor induction. The client has a continuous epidural infusion and an intravenous oxytocin infusion at $12\text{ mU/min}$. An intrauterine pressure catheter and a fetal scalp electrode are in place. The nurse evaluates the tracing and observes a baseline fetal heart rate of $165\text{ bpm}$ with minimal variability. Over the past $20$ minutes, uniform decelerations begin exactly at the peak of each uterine contraction and return to the baseline approximately $30$ seconds after the contraction ends. Uterine contractions occur every $2$ minutes, lasting $90$ seconds, with a resting tone of $25\text{ mmHg}$. Which actions should the nurse prioritize? Select all that apply.