All practice questions

A pediatric clinic nurse is structuring a health promotion protocol for parents of toddlers (aged 1 to 3 years). When integrating evidence-based risk reduction, which nursing intervention represents a primary prevention strategy that specifically targets the leading cause of mortality for this developmental cohort?

An intensive care nurse is managing the basic care needs of an adult client who is mechanically ventilated for severe acute respiratory distress syndrome (ARDS). The client is currently placed in the prone position to optimize oxygenation and is receiving continuous enteral nutrition via an orogastric tube. To provide safe and effective basic care, which combination of interventions is most appropriate for the nurse to implement?

A nurse on a medical-surgical unit has received the shift report for four clients. Which client should the nurse assess first to reduce the risk of a potential life-threatening complication?

A healthcare provider prescribes ceftriaxone $1 \text{ gram}$ in $50 \text{ mL}$ of $0.9\%$ sodium chloride to be infused intravenously over $30 \text{ minutes}$. The nurse will use an electronic infusion pump. At what rate, in $\text{mL/hr}$, should the nurse set the infusion pump? Record your answer as a whole number.

A rehabilitation nurse is providing discharge education to a female client with a spinal cord injury who will be managing a neurogenic bladder. The nurse is teaching the client how to perform clean intermittent self-catheterization (CISC) at home. In which order should the client perform the following steps? Arrange the actions in the correct chronological sequence.

A home health nurse is conducting an initial assessment of a family providing full-time care for a 5-year-old child who requires continuous mechanical ventilation via a tracheostomy. Which findings indicate to the nurse that the parents are experiencing caregiver role strain? Select all that apply.

A client admitted with bacterial pneumonia is prescribed an intermittent intravenous (IV) antibiotic. The client currently has a continuous peripheral IV infusion of dextrose 5% in water (D5W) running at a low rate. Which actions are required by the nurse to ensure safe administration of the medication? Select all that apply.

A registered nurse is planning oral care for an unresponsive elderly client admitted with a severe ischemic stroke. To promote comfort and minimize physiological risk, which intervention is most appropriate for the nurse to implement?

A nurse in a university health clinic is developing a health promotion plan for a 21-year-old female client. The client is sexually active, reports drinking four to five alcoholic beverages on weekend nights, and has a strong family history of type 2 diabetes mellitus. Which of the following nursing interventions represent primary prevention strategies for this client? (Select all that apply.)

A client is in the post-anesthesia care unit (PACU) following an open abdominal surgery under general anesthesia utilizing desflurane and succinylcholine. The nurse notes new-onset masseter muscle rigidity, tachycardia of $145 \text{ beats/minute}$, tachypnea, and an end-tidal carbon dioxide ($EtCO_2$) level of $65 \text{ mm Hg}$. The client's temperature is rapidly rising. Based on these findings, which of the following pharmacological and parenteral interventions should the nurse anticipate implementing? (Select all that apply)

A school nurse is evaluating a 17-year-old client who presents with severe insomnia, a resting heart rate of 115 beats/minute, and an unintentional 4.5 kg (10 lb) weight loss over the past month. The adolescent confides, "I have been taking unprescribed dextroamphetamine to stay awake and study for my college entrance exams. I just have to get a perfect score." Which of the following is the priority nursing action?

A nurse is preparing to transfer a client from the bed to a wheelchair. The client has a history of severe orthostatic hypotension and right-sided hemiparesis following a cerebrovascular accident. Arrange the following steps in the correct chronological order to ensure a safe and hemodynamically stable transfer.

A 38-year-old client is admitted to the medical-surgical unit for treatment of acute pancreatitis. The health history reveals chronic daily consumption of liquor. The client states their last alcoholic beverage was approximately 14 hours ago. During the initial shift assessment, the nurse notes the client is restless, has a heart rate of 112 beats per minute, and exhibits fine bilateral hand tremors. Which nursing action is most appropriate?

A client with suspected active pulmonary tuberculosis (TB) needs to provide a sputum sample for diagnostic testing. During the collection and packaging of this infectious material, which action demonstrates proper safety adherence?

An adult client is receiving total parenteral nutrition (TPN) via a single-lumen peripherally inserted central catheter (PICC). The healthcare provider prescribes a scheduled dose of intravenous (IV) famotidine. Which action is most appropriate for the nurse to take?

A nurse is creating a care plan for a client with an acute exacerbation of multiple sclerosis who has bilateral lower extremity paralysis and frequent bowel incontinence. Which interventions should the nurse include to maintain skin integrity and promote basic comfort? Select all that apply.

A nurse is caring for an older adult client who recently began experiencing mild confusion. The client's two adult children are arguing loudly at the bedside about long-term care plans. One child turns to the nurse and asks, 'Don't you agree that our parent needs to go to a nursing home immediately because of this decline?' What is the most appropriate response by the nurse?

A nurse is caring for a client who has just returned to the medical-surgical unit following an esophagogastroduodenoscopy (EGD) performed with a topical anesthetic spray to the throat. Which action is the priority for the nurse to take to reduce the client's risk of a potential complication?

A public health nurse is designing a comprehensive cardiovascular health program for a rural community. The nurse's specific objective for the upcoming quarter is to implement secondary disease prevention measures. Which of the following actions should the nurse include to meet this objective?

A client is recovering on the surgical unit 24 hours after a right-sided modified radical mastectomy with an axillary lymph node dissection. The client has a closed-suction drain in place and reports incisional pain. What actions should the nurse implement to optimize the client's basic care and comfort? Select all that apply.