All practice questions
3881 questions
An ambulatory care nurse is evaluating a client in a crowded clinic reception area. The client reports a persistent cough for four weeks, recent episodes of coughing up blood, and drenching night sweats. Arrange the following nursing actions in the correct priority sequence from first to last.
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A nurse answers a telephone call at the unit desk from an individual requesting a medical update on an adult client. Arrange the following actions the nurse should take in the correct sequence to ensure client confidentiality and information security.
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A 75-year-old client is prescribed prolonged bed rest and has an indwelling urinary catheter in place. The client, who has been previously cooperative and oriented, suddenly becomes severely agitated and repeatedly pulls at the catheter tubing. Which intervention is the most appropriate for the nurse to perform?
A nurse is admitting a client who recently experienced a right-hemisphere stroke, resulting in left-sided hemiplegia and left homonymous hemianopsia. To mitigate the risk of accidental injury and falls, which intervention should the nurse prioritize in the client's care plan?
A 45-year-old client in the intensive care unit is receiving continuous renal replacement therapy (CRRT). The client becomes acutely delirious and persistently attempts to dislodge the large-bore hemodialysis catheter. After implementing multiple less restrictive alternatives without success, the healthcare provider prescribes bilateral soft wrist restraints. Which action by the nurse represents the safest and most appropriate management of this client?
A nurse is evaluating the electronic fetal monitor tracing of a client in active labor. Which of the following findings indicate a potential complication and require immediate nursing intervention? Select all that apply.
Select all that apply
A client receiving inpatient palliative care for advanced heart failure is exhibiting significant dyspnea and visible distress. The client's current respiratory rate is 10 breaths per minute. A scheduled dose of intravenous morphine is due. The nurse recognizes that opioid administration carries a risk of further respiratory depression. Which action aligns with the ethical obligations of the nurse in this situation?
An obstetrical client at weeks gestation is admitted to the unit in active labor. During a vaginal examination, the amniotic membranes spontaneously rupture. The nurse palpates a pulsating, rope-like structure descending through the cervical os, and the fetal monitor abruptly displays a prolonged deceleration to bpm. Arrange the following nursing interventions in the correct order of priority.
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A client at 34 weeks of gestation lies flat on her back during a prenatal ultrasound examination. She suddenly reports feeling lightheaded and nauseous, and the nurse observes that her skin is pale and clammy. What is the most appropriate initial nursing action?
A nurse is performing a routine physical assessment on a client who had a spontaneous vaginal delivery hours ago. When evaluating the client's uterine involution, what is the expected physiological finding for the location and tone of the fundus?
A client is receiving a continuous intravenous infusion of hypertonic saline for the treatment of severe hyponatremia. The client abruptly exhibits profound disorientation, continuously pulling at the intravenous catheter and attempting to climb out of bed. Which intervention should the registered nurse implement first?
A client is hospitalized with a confirmed Clostridioides difficile infection. During the shift, the client is additionally diagnosed with active pulmonary tuberculosis. The nurse updates the client's care plan to integrate the necessary transmission-based precautions. Which of the following interventions must the nurse implement? Select all that apply.
Select all that apply
A registered nurse is planning care and assigning tasks for a client who is admitted with active pulmonary tuberculosis and requires airborne precautions. Which of the following actions by the healthcare team indicate adherence to appropriate protocols? (Select all that apply.)
Select all that apply
A severe seismic event causes a catastrophic power outage at a large metropolitan hospital. The primary backup generators fail to engage, resulting in a total loss of power to all electrical systems, including the red emergency receptacles. The charge nurse is managing a respiratory step-down unit where several clients require continuous mechanical ventilation. Which immediate actions should the charge nurse take as part of the disaster response? (Select all that apply.)
Select all that apply
A nurse accidentally drops and shatters a large glass container of a concentrated chemical disinfectant in the utility room. The fumes are strong, and the liquid is spreading rapidly across the floor. Arrange the following actions in the correct sequence to ensure safety and properly manage the spill.
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A client is recovering on the telemetry unit 4 hours after a percutaneous coronary intervention (PCI) via the right femoral artery. The client reports a new, mild, dull ache in the lower back but denies chest pain or shortness of breath. The nurse notes the following vital sign trends over the past hour:
| Time | Blood Pressure | Heart Rate | Respiratory Rate |
|---|---|---|---|
| 14:00 | 134/76 mm Hg | 74 bpm | 14 breaths/min |
| 14:30 | 128/82 mm Hg | 86 bpm | 16 breaths/min |
| 15:00 | 116/88 mm Hg | 104 bpm | 22 breaths/min |
Which of the following actions should the nurse take FIRST?
A nurse in an emergency department is assessing an older adult client who presents with multiple bruises in various stages of healing on their torso. During a private moment, the client tearfully admits that their adult child caused the injuries. The client pleads, 'Please do not tell anyone; I do not want to cause trouble for my family.' Which of the following is the most appropriate action by the nurse?
The nurse receives the shift handoff report for four postpartum clients on the maternal-newborn unit. Which client should the nurse assess first?
A nurse is caring for a client who is 2 hours postpartum following a precipitous vaginal delivery. The client reports feeling lightheaded, and the nurse observes that a fresh perineal pad has become entirely saturated with blood within 15 minutes. Which of the following actions should the nurse take? Select all that apply.
Select all that apply
An older adult client admitted with a severe urinary tract infection develops acute confusion and repeatedly grasps at their intravenous (IV) catheter. Which action should the nurse take first to protect the client from injury?