All practice questions

A nurse is educating a client who is 24 hours postpartum about the expected progression of vaginal discharge. Arrange the types of lochia in the chronological order they occur, from immediately after delivery to the final stage of healing.

The nurse is preparing to safely transfer a client with right-sided hemiparesis from the bed to a wheelchair. In which order should the nurse perform the following actions? (Arrange the steps in the correct sequence from first to last.)

A critical care nurse is preparing to transport a hemodynamically unstable client to the radiology department for an urgent diagnostic scan. The client is intubated, receiving mechanical ventilation, and requires a continuous intravenous infusion of norepinephrine. To prevent adverse events and ensure client safety during transport, which action is appropriate for the nurse to implement?

A client who has difficulty swallowing is receiving a continuous enteral feeding via a nasogastric tube. Which actions are appropriate to include in the client's plan of care to maintain safety and comfort? (Select all that apply)

An intensive care nurse is initiating a heparin protocol for a client weighing $80 \text{ kg}$ who was recently diagnosed with a pulmonary embolism. The medical prescription indicates a continuous intravenous infusion at $18 \text{ units/kg/hr}$. The pharmacy delivers a premixed bag labeled 'Heparin sodium $25,000 \text{ units}$ in $500 \text{ mL}$ of $0.45\% \text{ NaCl}$'. Based on these parameters, how many $\text{mL/hr}$ will the infusion pump be programmed to deliver? (Round the final answer to the nearest tenth.)

Match each clinical presentation to the most appropriate transmission-based or standard precaution category required for the client's care.

An adult client who has severe osteoarthritis of the left knee is receiving education from the nurse on how to navigate a staircase at home using a standard single-point cane. Which statement by the client demonstrates a correct understanding of ascending the stairs?

A nurse is implementing safety protocols on a telemetry unit. Which nursing action correctly demonstrates the principles of accident, error, and injury prevention?

A nurse is preparing to administer an intermittent intravenous (IV) antibiotic via a secondary line (piggyback) to a client who is currently receiving a continuous primary IV fluid infusion. Arrange the following steps for setting up and initiating the secondary infusion in the correct chronological order.

A nurse is reviewing prescriptions for a client admitted with muscle weakness and a serum potassium level of 2.4 mEq/L. The healthcare provider has prescribed 40 mEq of intravenous potassium chloride (KCl) in 100 mL of 0.9% sodium chloride to be infused over 1 hour. The client currently has a 22-gauge peripheral intravenous (IV) catheter in the right forearm. Which action should the nurse take first?

During morning rounds on the orthopedic unit, a clinical team coordinates the daily care for a client who is on their third day of recovery following a right total hip arthroplasty (posterior approach). Which intervention demonstrates correct adherence to post-operative safety and comfort guidelines?

A client is brought to the emergency department with severe amphetamine intoxication and develops acute psychosis. The client becomes physically violent, striking a nurse and attempting to throw medical equipment. After verbal de-escalation, environmental containment, and emergency pharmacological interventions fail to mitigate the imminent risk of harm, four-point physical restraints are applied. Which nursing action is mandatory for the safe management of this client?

Emergency department personnel are managing a young adult client who is demonstrating extreme physical aggression and combative behavior secondary to illicit substance intoxication. Verbal de-escalation strategies, pharmacological interventions, and the presence of security personnel have failed to protect the milieu. The client actively attempts to strike staff members with medical equipment. A prescription for four-point locked behavioral restraints is obtained. Which of the following nursing actions are required when managing this client's safety? Select all that apply.

A nurse is preparing to obtain routine vital signs on a 4-hour-old newborn who is currently resting quietly in the bassinet. To obtain the most accurate physiological baseline data, which assessment sequence should the nurse follow?

A nurse in the emergency department is caring for a client who is experiencing continuous tonic-clonic seizures. The healthcare provider prescribes intravenous phenytoin. The client currently has an ongoing peripheral intravenous infusion of 5% dextrose in water (D5W). Which of the following is the most appropriate action by the nurse?

A client is admitted to the intensive care unit with confirmed avian influenza (H5N1) and requires airborne, contact, and eye precautions. A staff nurse is preparing to enter the negative-pressure room to perform an assessment. In what order should the nurse apply the necessary personal protective equipment (PPE)? Arrange the actions in the correct sequence from first to last.

A nurse is planning care for a pediatric client who is newly admitted with suspected pertussis. Which of the following infection control measures should the nurse implement? Select all that apply.

During the night shift on a medical-surgical unit, a nurse is caring for a client with hepatic encephalopathy who is experiencing escalating delirium. Despite the implementation of frequent reorientation, bed alarms, and the continuous presence of a family member, the client persistently attempts to remove a nasogastric tube and a continuous peripheral intravenous infusion. The healthcare provider evaluates the client in person and prescribes bilateral soft wrist restraints. Which of the following nursing actions are appropriate to include in the plan of care? (Select all that apply.)

A nurse is preparing to perform Leopold maneuvers on a pregnant client to determine fetal presentation, lie, and position. After ensuring the client has emptied her bladder and is positioned comfortably with her knees slightly flexed, in what chronological order should the nurse perform the steps of this assessment?

A rapid response medical team is deployed to the site of a structural collapse at a large indoor transit hub. The nurse is performing rapid mass casualty triage using the START (Simple Triage and Rapid Treatment) algorithm. Which client should the nurse classify with a red tag (Immediate)?